Lifetime Prevalence of Gender-Based Violence in Women and the Relationship With Mental Disorders and Psychosocial Function
Lifetime Prevalence of Gender-Based Violence in Women and the Relationship With Mental Disorders and Psychosocial Function
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DOI：
10.1001/jama.2011.1098
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发表时间：
2011-08-03
影响因子：
120.7
通讯作者：
Forbes, David
中科院分区：
文献类型：
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作者：
Rees, Susan;Silove, Derrick;Forbes, David
亲密伴侣的身体暴力、强奸、性侵犯和跟踪是普遍存在且同时发生的基于性别的暴力形式。A association between these forms of abuse and lifetime mental disorder and psychosocial disability among women needed to be examined.Objectives To assess the association of GBV and mental disorder，its severity and comorbidity，and psychosocial functioning among women.Design，Setting，and Participants A cross-sectional study based on the Australian National Mental Health and Well-being Survey in 2007，的4451名妇女（65%的响应率），年龄16至85 years.Main Outcome Measures复合国际诊断访谈版本3.0的世界卫生组织的世界精神卫生调查倡议被用来评估终身患病率的任何精神障碍，焦虑，情绪障碍，物质使用障碍，创伤后应激障碍（PTSD）。还包括指数的一生创伤暴露，包括GBV，社会人口学特征，经济状况，精神障碍的家族史，社会支持，一般的精神和身体功能，生活质量，和整体disability.Results共1218名妇女（27.4%）报告经历至少1种类型的GBV。暴露于3种或4种性别暴力的女性（n=139），精神障碍发生率为77.3%（比值比[OR]，10.06; 95%置信区间[CI]，5.85-17.30），焦虑症，52.5%心境障碍为47.1%（OR 3.59; 95%CI 2.31-5.60）（OR，5.61; 95%CI，3.46-9.10）物质使用障碍，56.2% PTSD为89.4%（OR，11.00; 95%CI，5.46-22.17），自杀未遂为34.7%（OR，14.80; 95%CI，6.89-31.60）。基于性别的暴力与更严重的当前精神障碍有关（OR，4.60; 95% CI，2.93-7.22），3种或3种以上终身疾病的发生率较高（OR，7.79; 95%CI，6.10-9.95），肢体残疾（OR，4.00; 95%CI，1.82-8.82），精神残疾（OR，7.14; 95% CI，2.87-17.75），生活质量受损（OR，2.96; 95% CI，1.60-5.47），残疾天数增加（OR，3.14; 95% CI，2.43-4.05），和总体残疾结论在具有全国代表性的澳大利亚女性样本中，性别暴力与心理健康障碍、功能障碍和残疾显著相关。
Context Intimate partner physical violence, rape, sexual assault, and stalking are pervasive and co-occurring forms of gender-based violence (GBV). An association between these forms of abuse and lifetime mental disorder and psychosocial disability among women needs to be examined.Objectives To assess the association of GBV and mental disorder, its severity and comorbidity, and psychosocial functioning among women.Design, Setting, and Participants A cross-sectional study based on the Australian National Mental Health and Well-being Survey in 2007, of 4451 women (65% response rate) aged 16 to 85 years.Main Outcome Measures The Composite International Diagnostic Interview version 3.0 of the World Health Organization's World Mental Health Survey Initiative was used to assess lifetime prevalence of any mental disorder, anxiety, mood disorder, substance use disorder, and posttraumatic stress disorder (PTSD). Also included were indices of lifetime trauma exposure, including GBV, sociodemographic characteristics, economic status, family history of mental disorder, social supports, general mental and physical functioning, quality of life, and overall disability.Results A total of 1218 women (27.4%) reported experiencing at least 1 type of GBV. For women exposed to 3 or 4 types of GBV (n=139), the rates of mental disorders were 77.3% (odds ratio [OR], 10.06; 95% confidence interval [CI], 5.85-17.30) for anxiety disorders, 52.5% (OR, 3.59; 95% CI, 2.31-5.60) for mood disorder, 47.1% (OR, 5.61; 95% CI, 3.46-9.10) for substance use disorder, 56.2% (OR, 15.90; 95% CI, 8.32-30.20) for PTSD, 89.4% (OR, 11.00; 95% CI, 5.46-22.17) for any mental disorder, and 34.7% (OR, 14.80; 95% CI, 6.89-31.60) for suicide attempts. Gender-based violence was associated with more severe current mental disorder (OR, 4.60; 95% CI, 2.93-7.22), higher rates of 3 or more lifetime disorders (OR, 7.79; 95% CI, 6.10-9.95), physical disability (OR, 4.00; 95% CI, 1.82-8.82), mental disability (OR, 7.14; 95% CI, 2.87-17.75), impaired quality of life (OR, 2.96; 95% CI, 1.60-5.47), an increase in disability days (OR, 3.14; 95% CI, 2.43-4.05), and overall disability (OR, 2.73; 95% CI, 1.99-3.75).Conclusion Among a nationally representative sample of Australian women, GBV was significantly associated with mental health disorder, dysfunction, and disability.