Neighborhood poverty as a predictor of intimate partner violence among white, black, and Hispanic couples in the United States: A multilevel analysis
Neighborhood poverty as a predictor of intimate partner violence among white, black, and Hispanic couples in the United States: A multilevel analysis
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DOI：
10.1016/s1047-2797(00)00052-1
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发表时间：
2000-07-01
影响因子：
5.6
通讯作者：
Schafer, J
中科院分区：
文献类型：
--
作者：
Cunradi, CB;Caetano, R;Schafer, J
目的：本研究通过多阶段、多群组的家庭概率抽样框架，评估了在美国白人、黑人和西班牙裔夫妇中，邻里贫困对男性对女性和女性对男性伴侣暴力(MFPV，FMPV)的贡献。方法：作为1995年全国酒精调查的一部分，获得了具有代表性的已婚/同居夫妇样本。结果变量MFPV和FMPV通过冲突战术量表R进行测量，经双变量分析具有统计学意义的社会人口、心理社会和饮酒协变量被保留为个体水平的预测变量。社区贫困指的是居住在超过20%的人口生活在联邦贫困线以下的人口普查区域，通过将1990年人口普查数据附加到原始数据集中进行评估。建立多水平Logistic回归模型，对白人、黑人和西班牙裔夫妇的每个结局(MFPV和FMPV)进行单独分析。结果：居住在贫困社区的夫妇患MFPV和FMPV的风险都增加。对于黑人夫妇来说，居住在贫困社区与MFPV之间的关联具有统计学意义(优势比[OR]2.87；95%可信区间[CI]1.36，6.07)。在黑人夫妇(OR=2.35；95%CI 1.18，4.71)和白人夫妇(OR=4.12；95%CI 1.94，8.75)中，居住在贫困社区与FMPV之间的关联具有统计学意义。结论：社区贫困等社会环境特征与伴侣暴力风险有关，尤其是黑人夫妇。旨在减少社区贫困的政策可能有助于制定有效的伙伴暴力预防战略。《安妮·流行病学》2000；10：297-308。(C)2000 Elsevier Science Inc.保留所有权利。
PURPOSE: This study assessed the contribution of neighborhood poverty, measured at the census tract level, to the risk of male-to-female and female-to-male partner violence (MFPV, FMPV) among white, black, and Hispanic couples in the United States.METHODS: As part of the 1995 National Alcohol Survey, a representative sample married/cohabiting couples was obtained through a multistage, multicluster household probability sampling frame. The outcome variables, MFPV and FMPV, were measured through the Conflict Tactics Scale, Form R. Sociodemographic, psychosocial, and alcohol consumption covariates that were statistically significant through bivariate analysis were retained as individual-level predictors. Neighborhood poverty, indicating residence in a census tract where greater than 20% of the population lived below the Federal poverty line, was assessed by appending 1990 Census data to the primary data set. Multilevel logistic regression models were constructed, with separate analyses performed for each outcome (MFPV, FMPV) among the white, black, and Hispanic couples.RESULTS: Couples residing in impoverished neighborhoods are at increased risk fur both MFPV and FMPV. The association between residence in an impoverished neighborhood and MFPV was statistically significant for black couples (Odds Ratio [OR] 2.87; 95% Confidence Interval [CI] 1.36, 6.07). The association between residence in an impoverished neighborhood and FMPV was statistically significant for black couples (OR = 2.35; 95% CI 1.18, 4.71) and white couples (OR = 4.12; 95% CI 1.94, 8.75).CONCLUSIONS: Characteristics of the socioenvironment, such as neighborhood poverty, are associated with the risk of partner violence, particularly among black couples. Policies aimed at reducing community poverty may contribute to effective partner violence prevention strategies. Ann Epidemiol 2000;10:297-308. (C) 2000 Elsevier Science Inc. All rights reserved.