Intimate partner violence in Latina and non-Latina women.
Intimate partner violence in Latina and non-Latina women.
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DOI：
10.1016/j.amepre.2008.09.027
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发表时间：
2009-01
影响因子：
5.5
通讯作者：
Rodriguez, Michael A.
中科院分区：
文献类型：
--
作者：
Bonomi, Amy E.;Anderson, Melissa L.;Cannon, Elizabeth A.;Slesnick, Natasha;Rodriguez, Michael A.
背景：没有一项研究描述了拉丁裔和非拉丁裔妇女在多个时期内亲密伴侣暴力（IPV）的流行程度，并使用多个健康指标比较了受虐待拉丁裔妇女和受虐待非拉丁裔妇女的健康状况。本研究的目的是描述拉丁裔和非拉丁裔妇女在多个时期内IPV的流行情况，以及终生IPV暴露与当前健康状况之间的关系。方法从美国大型医疗保健系统中随机抽取3429名女性（平均年龄=47岁）；139例（4%）为拉丁裔。在电话调查中，使用行为风险因素监测系统（BRFSS）中关于身体和心理虐待的5个问题和来自妇女遭受殴打经历量表的10个问题来评估过去5年和过去一年的IPV患病率；使用BRFSS问题评估终生IPV患病率。目前的身体，社会和心理健康状况评估使用有效的问卷。结果拉丁裔和非拉丁裔女性IPV患病率分别为44.6%和44%；20.1%比过去5年的14.5%；11.5%，而去年为7.8%。在对年龄和收入进行调整的模型中，与未受虐待的妇女相比，终生有IPV史的妇女在许多健康指标上的健康状况明显较差；例如，终生有IPV史的拉丁裔妇女的短表36健康调查（SF-36）分量表得分比未受虐待的拉丁裔妇女低5.62分（心理健康）至7.77分（活力）；抑郁症患病率高出两倍以上；还有更多的生理症状。根据SF-36，拉丁裔女性在总体心理健康功能（p<0.02）、活力（p<0.01）和情绪功能（p<0.01）方面的不良ipvv相关健康状况显著低于非拉丁裔女性。结论本探索性研究表明，IPV在拉丁裔和非拉丁裔女性中普遍存在，且在拉丁裔女性中IPV相关的不良心理健康表现明显。
BACKGROUNDNo single study has delineated the prevalence of intimate partner violence (IPV) over multiple time periods for Latina versus non-Latina women and compared the health of abused Latina women to the health of abused non-Latina women using multiple health indicators. The objective of this study was to describe the prevalence of IPV over multiple time periods and the association between lifetime IPV exposure and current health in Latina and non-Latina women.METHODSA total of 3429 women (mean age=47 years) were randomly sampled from a large U.S. healthcare system; 139 (4%) were Latina. During a telephone survey, past-5-year and past-year IPV prevalence was assessed using five questions on physical and psychological abuse from the Behavioral Risk Factor Surveillance System (BRFSS), and ten questions from the Women's Experience with Battering Scale; lifetime IPV prevalence was assessed using the BRFSS questions. Current physical, social, and mental health was assessed using well-validated questionnaires.RESULTSPrevalence of IPV for Latina versus non-Latina women was, respectively: 44.6% vs 44% lifetime; 20.1% vs 14.5% for the past 5 years; and 11.5% vs 7.8% for the past year. In models adjusted for age and income, women with a lifetime IPV history had significantly worse health compared to non-abused women across many health indicators; for example, Latina women with a lifetime IPV history had Short Form-36 Health Survey (SF-36) subscale scores that were 5.62 (mental health) to 7.77 (vitality) points lower than those for non-abused Latina women; depression prevalence more than two times higher; and more physical symptoms. Adverse IPV-related health was significantly worse for Latina than non-Latina women for overall mental health functioning (p<0.02), vitality (p<0.01), and emotional functioning (p<0.01) according to SF-36.CONCLUSIONSThis exploratory study showed that IPV is common in Latina and non-Latina women, and adverse IPV-related mental health was pronounced in Latina women.
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