The association between intimate partner violence, alcohol and depression in family practice
The association between intimate partner violence, alcohol and depression in family practice
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DOI：
10.1186/1471-2296-11-72
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发表时间：
2010-09-27
影响因子：
2.9
通讯作者：
Gunn, Jane
中科院分区：
文献类型：
--
作者：
Gilchrist, Gail;Hegarty, Kelsey;Gunn, Jane
背景：抑郁症状、亲密伴侣暴力和危险饮酒在参加全科医疗的患者中很常见。尽管这三个问题的高患病率，它们之间的关系仍然相对unexplored.Methods：本文探讨了抑郁症状之间的关联，以往害怕的合作伙伴和危险饮酒使用横断面筛选数据从7667随机选择的患者从一个大型的初级保健队列研究的30个大都市和农村的一般做法在维多利亚，澳大利亚。筛选邮政调查包括流行病学研究中心抑郁量表，快速酒精筛查测试和筛选问题的综合滥用量表上曾经害怕任何亲密partner.Results：23.9%符合抑郁症状的标准。女性比例高于男性（20.8%对7.6%）报告说，在他们的一生中，曾经害怕过伴侣。（OR 3.2，95% CI 2.5 - 4.0），女性危险饮酒者的比例（12%）低于男性（25（OR 0.4; 95% CI 0.4至0.5）;女性比男性（20.8% vs. 7.6%）更高比例的人报告说，在他们的一生中曾经害怕过伴侣（OR 3.2，95% CI 2.5至4.0）。曾经害怕伴侣或酗酒的男性和女性的抑郁症状评分平均高于那些从不害怕或不酗酒的人。对于两个男性来说，与危险饮酒相比，抑郁症状和曾经害怕伴侣之间的联系更强（曾经害怕伴侣; Diff 6.87; 95% CI 5.42，8.33; p < 0.001，与去年危险饮酒相比; Diff 1.07，95% CI 0.21，1.94; p = 0.015）和女性（曾经害怕伴侣;差异5.26; 95% CI 4.55，5.97; p < 0.001，与去年危险饮酒相比;差异2.23，95% CI 1.35，3.11; p < 0.001），即使调整了年龄组、收入、就业状况、婚姻状况、独居和教育水平。帮助初级保健医生识别和管理抑郁症患者的亲密伴侣暴力和危险饮酒的策略可能会导致更好的结果，在初级保健中管理抑郁症。
Background: Depressive symptoms, intimate partner violence and hazardous drinking are common among patients attending general practice. Despite the high prevalence of these three problems; the relationship between them remains relatively unexplored.Methods: This paper explores the association between depressive symptoms, ever being afraid of a partner and hazardous drinking using cross-sectional screening data from 7667 randomly selected patients from a large primary care cohort study of 30 metropolitan and rural general practices in Victoria, Australia. The screening postal survey included the Center for Epidemiological Studies Depression Scale, the Fast Alcohol Screening Test and a screening question from the Composite Abuse Scale on ever being afraid of any intimate partner.Results: 23.9% met criteria for depressive symptoms. A higher proportion of females than males (20.8% vs. 7.6%) reported ever being afraid of a partner during their lifetime (OR 3.2, 95% CI 2.5 to 4.0) and a lower proportion of females (12%) than males (25%) were hazardous drinkers (OR 0.4; 95% CI 0.4 to 0.5); and a higher proportion of females than males (20.8% vs. 7.6%) reported ever being afraid of a partner during their lifetime (OR 3.2, 95% CI 2.5 to 4.0). Men and women who had ever been afraid of a partner or who were hazardous drinkers had on average higher depressive symptom scores than those who had never been afraid or who were not hazardous drinkers. There was a stronger association between depressive symptoms and ever been afraid of a partner compared to hazardous drinking for both males (ever afraid of partner; Diff 6.87; 95% CI 5.42, 8.33; p < 0.001 vs. hazardous drinking in last year; Diff 1.07, 95% CI 0.21, 1.94; p = 0.015) and females (ever afraid of partner; Diff 5.26; 95% CI 4.55, 5.97; p < 0.001 vs. hazardous drinking in last year; Diff 2.23, 95% CI 1.35, 3.11; p < 0.001), even after adjusting for age group, income, employment status, marital status, living alone and education level.Conclusions: Strategies to assist primary care doctors to recognise and manage intimate partner violence and hazardous drinking in patients with depression may lead to better outcomes from management of depression in primary care.