Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence:: an observational study
Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence:: an observational study
复制标题
DOI：
10.1016/s0140-6736(08)60522-x
复制
发表时间：
2008-04-05
期刊：
影响因子：
168.9
通讯作者：
Garcia-Moreno, Claudia
中科院分区：
文献类型：
--
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
背景本文总结了从10个国家的妇女的健康和家庭暴力对women.Methods标准化的人口为基础的调查结果，从2000年至2003年之间进行的世界卫生组织多国研究。对15至49岁的妇女进行了访谈，询问她们遭受现任或前任亲密男性伴侣的身体暴力和性暴力行为的经历，以及与身心健康有关的某些症状。报告的女性身体暴力的合作伙伴被问及受伤，导致这种类型的violence.Findings 24097妇女完成了采访。对所有地点的汇总分析发现，伴侣暴力的终生经历与自我报告的健康状况不佳之间存在显著关联（比值比1。6 [95%CI 1 . 5-1.8]），以及过去4周内存在特定健康问题：行走困难（1.6 [1.5-1.8]）、日常活动困难（1 . 6 [1.5-1.8]）、疼痛（1 . 6 [1.5-1.7]）、记忆丧失（1 . 8 [1.6-2. 0]）、头晕（1 . 7 [1.6-1.8]）和阴道分泌物（1. 8 [1.7-2. 0]）。对于所有的设置相结合，妇女谁报告伴侣暴力至少一次在他们的生活中报告显着更多的情绪困扰，自杀的想法（2.9 [2]。7-3.2]）和自杀企图（3.8 [3.3-4.（5）不受虐待的女性。这些重要的关联在几乎所有的网站都得到了维护。19%至55%的曾遭受伴侣身体虐待的妇女曾经受伤。解释亲密伴侣暴力除了侵犯人权外，还与严重的公共卫生后果有关，应在国家和全球卫生政策和方案中加以解决。资助世卫组织;荷兰、挪威、瑞典、瑞士和联合王国政府;洛克菲勒基金会;孟加拉国政府的城市初级保健项目;瑞典与发展中国家研究合作署;联合国人口活动基金（人口基金）;和Trocaire。
Background This article summarises findings from ten countries from the WHO multi-country study on women's health and domestic violence against women.Methods Standardised population-based surveys were done between 2000 and 2003. Women aged 15-49 years were interviewed about their experiences of physically and sexually violent acts by a current or former intimate male partner, and about selected symptoms associated with physical and mental health. The women reporting physical violence by a partner were asked about injuries that resulted from this type of violence.Findings 24097 women completed interviews. Pooled analysis of all sites found significant associations between lifetime experiences of partner violence and self-reported poor health (odds ratio 1 . 6 [95% CI 1 . 5-1.8]), and with specific health problems in the previous 4 weeks: difficulty walking (1.6 [1.5-1.8]), difficulty with daily activities (1 . 6 [1.5-1.8]), pain (1 . 6 [1.5-1.7]), memory loss (1 . 8 [1.6-2. 0]), dizziness (1 . 7 [1.6-1.8]), and vaginal discharge (1. 8 [1.7-2. 0]). For all settings combined, women who reported partner violence at least once in their life reported significantly more emotional distress, suicidal thoughts (2.9 [2. 7-3.2]), and suicidal attempts (3.8 [3.3-4. 5]), than non-abused women. These significant associations were maintained in almost all of the sites. Between 19% and 55% of women who had ever been physically abused by their partner were ever injured.Interpretation In addition to being a breach of human rights, intimate partner violence is associated with serious public-health consequences that should be addressed in national and global health policies and programmes.Funding WHO; Governments of the Netherlands, Norway, Sweden, Switzerland, and UK; Rockefeller Foundation; Urban Primary Health Care project of the Government of Bangladesh; Swedish Agency for Research Cooperation with Developing Countries (SAREC/Sida); United Nations Fund for Population Activities (UNFPA); and Trocaire.