Childhood family violence history and women's risk for intimate partner violence and poor health
Childhood family violence history and women's risk for intimate partner violence and poor health
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DOI：
10.1016/s0749-3797(03)00094-1
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发表时间：
2003-07-01
影响因子：
5.5
通讯作者：
Simmons, KW
中科院分区：
文献类型：
--
作者：
Bensley, L;Van Eenwyk, J;Simmons, KW
背景：越来越多的证据表明，家庭暴力中的几代人之间以及儿童和成年时期的家庭暴力与妇女健康之间存在联系。大多数研究集中于家庭暴力的一个子集(儿童虐待、儿童时期目睹亲密伴侣暴力[IPV]，和/或成人IPV)，很少有人研究与虐待经历的性质相关的可能的差异，例如身体虐待和性虐待。方法：1999年和2001年华盛顿州行为风险因素监测系统基于人群的电话调查询问了3527名讲英语的非制度化成年女性的代表性样本，她们童年时是否受到过身体或性侵犯或目睹过父母之间的暴力，以及她们在过去一年中是否经历过亲密伴侣的身体攻击或情感虐待。调查还询问了过去一个月的一般健康状况和精神困扰。结果：与童年家庭暴力经历相关的风险因这些经历的性质而异。报告儿童期身体虐待或亲眼目睹父母间暴力的妇女患肢体IPV的风险增加四到六倍，报告所测量的任何经历的妇女患伴侣情感虐待的风险增加三到四倍。相比之下，只报告儿童期性虐待的妇女患上身体上的IPV的风险并没有增加。报告童年身体虐待的妇女身体健康状况不佳的风险增加，报告任何类型的童年家庭暴力的妇女经常遭受精神痛苦的风险增加。大约三分之一的报告总体健康状况不佳的女性和一半报告经常精神痛苦的女性也报告了至少一种被测量的童年经历。结论：这些发现强调了童年虐待和目睹家庭暴力的经历在女性目前的IPV风险、身体健康状况差和频繁的精神痛苦中所起的作用。
Background: There is growing evidence for associations between generations in family violence and between family violence in both childhood and adulthood and women's health. Most studies focus on a subset of family violence (child abuse, witnessing intimate partner violence [IPV] as a child, and/or adult IPV), and few examine possible differences associated with the nature of abusive experiences, such as physical versus sexual abuse.Methods: A population-based telephone survey, the 1999 and 2001 Washington State Behavioral Risk Factor Surveillance System, asked a representative sample of 3527 English-speaking, non-institutionalized adult women whether they had been physically or sexually assaulted or witnessed interparental violence in childhood, and whether they had experienced physical assault or emotional abuse from an intimate partner in the past year. The survey also asked about current general health and mental distress in the past month.Results: The risks associated with childhood family violence experiences varied depending on the nature of those experiences. Women reporting childhood physical abuse or witnessing interparental violence were at a four- to six-fold increase in risk of physical IPV, and women reporting any of the experiences measured were at three- to four-fold increase in risk of partner emotional abuse. In contrast, women reporting childhood sexual abuse only were not at increased risk of physical IPV. Women reporting childhood physical abuse were at increased risk of poor physical health, and women reporting any type of childhood family violence were at increased risk of frequent mental distress. Approximately one third of women reporting poor general health and half of women reporting frequent mental distress also reported at least one of the childhood experiences measured.Conclusions: These findings underscore the role of childhood experiences of abuse and of witnessing family violence in women's current risk for IPV, poor physical health, and frequent mental distress.