Associations between exposures to occupation-related events, depression and intimate partner violence among women in the occupied Palestinian Territories
Associations between exposures to occupation-related events, depression and intimate partner violence among women in the occupied Palestinian Territories
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DOI：
10.1080/17441692.2020.1849349
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发表时间：
2020-11-24
影响因子：
3.3
通讯作者：
Jewkes, Rachel
中科院分区：
文献类型：
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作者：
Gibbs, Andrew;Abdelatif, Nada;Jewkes, Rachel
战争和冲突对妇女心理健康的影响和亲密伴侣暴力的经历，包括在巴勒斯坦被占领土。利用2017年2月在被占领巴勒斯坦领土收集的代表性样本（n=534），我们试图（i）确定居住在被占领巴勒斯坦领土的女性（18岁以上）职业相关事件的模式，（ii）连续评估与这种模式相关的因素，（iii）通过这种模式评估职业相关事件的健康影响，特别是IPV和精神健康状况不佳的经验，以及（iv）评估职业相关事件与IPV经验相关的途径。使用潜在类别分析，我们确定了三个“类”暴露于职业相关的事件：20人中有1人经历了针对自己，家人和家园的多种形式，42.3%的人报告了针对家庭成员和家园的经历，一半人报告了相对较少的职业相关暴力的直接经历。小组成员资格与过去一年IPV经验和抑郁症状的增加有关。使用结构方程模型，我们表明，经验的职业相关的事件增加IPV的经验，通过两个介导的途径，增加性别不平等的态度，并增加抑郁症状和争吵与他们的丈夫。预防IPV需要解决与职业有关的事件以及改变性别规范。
War and conflict impact on women's mental health and experiences of intimate partner violence (IPV), including in the occupied Palestinian Territories (oPT). Drawing on a cross-sectional population representative sample (n=534) collected in February 2017 in the oPT, we sought to (i) characterise the patterning of occupation-related events among women (18+) living in the oPT, (ii) to descriptively assess factors associated with this patterning, (iii) to assess the health impacts of occupation-related events by this patterning, specifically experience of IPV and poor mental health, and (iv) to assess the pathways through which occupation-related events are associated with IPV experience. Using Latent Class Analysis we identified three 'classes' of exposure to occupation-related events: 1 in 20 experienced multiple forms directed at themselves, their families and homes, 42.3% reported experiences against family members and their homes, and half reported relatively few direct experiences of occupation-related violence. Group membership was associated with increased past year IPV experience, and depressive symptoms. Using structural equation modelling we demonstrate that experiences of occupation-related events increased IPV experience via two mediated pathways; increased gender inequitable attitudes, and increased depressive symptoms and quarrelling with their husband. Preventing IPV requires addressing occupation-related events as well as transforming gender norms.