Health outcomes in women with physical and sexual intimate partner violence exposure
Health outcomes in women with physical and sexual intimate partner violence exposure
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DOI：
10.1089/jwh.2006.0239
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发表时间：
2007-09-01
影响因子：
3.5
通讯作者：
Thompson, Robert S.
中科院分区：
文献类型：
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作者：
Bonomi, Amy E.;Anderson, Melissa L.;Thompson, Robert S.
目的：检查暴露于身体亲密伴侣暴力（IPV）、性IPV或性和身体IPV以及性IPV增加的健康负担的妇女的健康结果。随机抽样的投保妇女（2876人）完成了一项电话访谈，以评估终身暴露于仅身体IPV、仅性IPV或身体和性IPV（行为风险因素监测系统）和精神，社会和身体健康（简表-36，流行病学中心抑郁症，症状存在调查）。第一项分析比较了有身体IPV、性IPV或身体和性IPV的妇女的健康状况与没有IPV暴露的妇女的健康状况。第二个比较了健康的妇女与性IPV或物理和性IPV与健康的妇女与物理IPVONLY。结果：相比，从未被虐待的妇女，观察到明显的不良健康影响的妇女与性IPV暴露（有或没有物理IPV）。SF-36评分范围为4.28至6.22分，较低的女性与性IPV，4.95至5.81分，较低的女性与身体和性IPV，和2.41至2.87分，较低的女性与身体IPV。抑郁和重度抑郁症状的患病率（PR）分别为：性IPV（2.45和3.06），性和身体IPV（2.31和2.93），和身体IPV（1.64和1.90）。患有身体和性IPV的女性有更多的症状，更有可能报告健康状况一般/较差（PR 1.88），并且SF-36身体健康评分较低。在第二次分析中，女性与性IPV或物理和性IPV有较低的SF-36评分和增加抑郁症（49%-61%和41%-54%，分别增加）与物理IPV的妇女相比，只有。结论：不良健康影响的妇女暴露于性IPV。这些研究结果表明，需要加强努力，在卫生环境中筛查性IPV，并加强初级预防工作，使用生态方法解决性暴力问题。
Objective: To examine health outcomes in women with exposure to physical intimate partner violence (IPV), sexual IPV or sexual and physical IPV and the added health burden of sexual IPV.Methods: Randomly sampled insured women (2876) completed a telephone interview to assess lifetime exposure to physical IPV only, sexual IPV only, or physical and sexual IPV (Behavioral Risk Factor Surveillance System) and mental, social, and physical health (Short Form-36, Center for Epidemiologic Studies-Depression, Presence of Symptoms surveys). The first analysis compared the health of women with physical IPV, sexual IPV, or both physical and sexual IPV with the health of women with no IPV exposure. The second compared the health of women with sexual IPV only or physical and sexual IPV with the health of women with physical IPV only.Results: Compared to never abused women, pronounced adverse health effects were observed for women with sexual IPV exposure (with or without physical IPV). SF-36 scores ranged from 4.28 to 6.22 points lower for women with sexual IPV, 4.95 to 5.81 points lower for women with physical and sexual IPV, and 2.41 to 2.87 points lower for women with physical IPV. Prevalence ratios ( PR) for depressive and severe depressive symptoms were: sexual IPV (2.45 and 3.06), sexual and physical IPV (2.31 and 2.93), and physical IPV (1.64 and 1.90). Women with physical and sexual IPV had more symptoms, were more likely to report fair/poor health (PR 1.88), and had a lower SF-36 physical health score. In the second analysis, women with sexual IPV or physical and sexual IPV had lower SF-36 scores and increased depression (49%-61% and 41%-54% increase, respectively) compared with women with physical IPV only.Conclusions: Adverse health effects were observed in women exposed to sexual IPV. These findings suggest the need for increased efforts to screen for sexual IPV in health settings and increased primary prevention efforts that address sexual violence using an ecological approach.