Alcohol-related problems and intimate partner violence among white, black, and Hispanic couples in the US

Alcohol-related problems and intimate partner violence among white, black, and Hispanic couples in the US
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DOI:
10.1111/j.1530-0277.1999.tb04672.x
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发表时间:
1999-09-01
影响因子:
3.2
通讯作者:
Schafer, J
Schafer, J
中科院分区:
医学3区
文献类型:
--
作者:
Cunradi, CB;Caetano, R;Schafer, J

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目的:本研究分析了美国白人、黑人和西班牙裔夫妇中酒精相关问题发生率的性别和民族/种族差异,并评估了他们对亲密伴侣暴力 (IPV) 风险的影响。方法:我们的研究人群包括 1440 名白人、黑人和西班牙裔夫妇,这些夫妇是通过 1995 年全国酒精调查的多阶段地区家庭概率样本获得的。对受访者及其伴侣的酒精相关问题(即过去 12 个月内饮酒后果和酒精依赖症状)进行了评估。使用冲突策略量表分别测量男性对女性和女性对男性伴侣暴力(MFPV、FMPV)。结果和结论:与酒精相关的问题在男性中比女性更普遍。我们的双变量分析表明,跨种族/族裔群体的男性酒精相关问题与 IPV 之间存在显着的正相关性,而白人和黑人夫妇的女性酒精相关问题与 IPV 之间也存在类似的相关性。然而,在多变量逻辑回归分析中,许多这些关联被削弱了。在控制了社会人口统计学和社会心理协变量后,男性酒精相关问题不再与白人或西班牙裔夫妇中 MFPV 风险增加显着相关。在白人夫妇中,女性酒精相关问题可预测 FMPV,但不能预测 MFPV。然而,在黑人夫妇中,男性和女性酒精相关问题仍然是亲密伴侣暴力的强烈预测因素。意义:酒精相关问题是亲密伴侣暴力的重要预测因素,而且问题与暴力之间的确切关联似乎具有种族特异性。在酒精伴侣暴力协会中,与酒精相关的问题而不是饮酒水平可能是更相关的考虑因素。未来的研究需要探索酒精相关问题的发展与伴侣暴力发生之间的时间关系。
Objectives: This study analyzes gender and ethnic/racial differences in the prevalence of alcohol-related problems among white, black and Hispanic couples in the United Stales, and assesses their contribution to the risk of intimate partner violence (IPV).Methods: Our study population consisted of 1440 white, black, and Hispanic couples obtained through a multistage area household probability sample from the 1995 National Alcohol Survey. Alcohol-related problems (i.e., drinking consequences and alcohol dependence symptoms in the last 12 months) were assessed among respondents and their partners. Male-to-female and female-to-male partner violence (MFPV, FMPV) were measured separately using the Conflict Tactics Scale.Results and Conclusions: Alcohol-related problems were more prevalent among men than women. Our bivariate analysis demonstrated a significant positive association between male alcohol-related problems and IPV across racial/ethnic groups, and a similar association between female alcohol-related problems and IPV for white and black couples. In the multivariate logistic regression analyses, however, many of these associations were attenuated. After controlling for sociodemographic and psychosocial covariates, male alcohol-related problems were no longer significantly associated with an increased risk of MFPV among white or Hispanic couples. Female alcohol-related problems predicted FMPV, but not MFPV, among white couples. Among black couples, however, male and female alcohol-related problems remained strong predictors of intimate partner violence.Significance: Alcohol-related problems are important predictors of intimate partner violence, and the exact association between problems and violence seems to be ethnic-specific. Alcohol-related problems, rather than level of alcohol consumption, may be the more relevant factor to consider in the alcohol-partner violence association. Future research is needed to explore the temporal relationships between the development of alcohol-related problems and the occurrence of partner violence.