The role of alcohol use and depression in intimate partner violence among Black and Hispanic patients in an urban emergency department
The role of alcohol use and depression in intimate partner violence among Black and Hispanic patients in an urban emergency department
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DOI：
10.1081/ada-200047923
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发表时间：
2005-01-01
影响因子：
2.7
通讯作者：
Bazargan, S
中科院分区：
文献类型：
--
作者：
Lipsky, S;Caetano, R;Bazargan, S
目的：本研究的主要目的是评估在服务不足的城市急诊科人群中，在黑人和西班牙裔人群中，酒精使用和抑郁在亲密伴侣暴力（IPV）受害和实施中的作用。方法：这项横断面研究调查了在城市急诊科就诊的男性和女性患者。结果测量是过去12个月的身体或性IPV受害和犯罪。独立预测因素包括人口统计变量、酒精和药物使用以及抑郁症状。逻辑回归分析计算了不同模型中IPV受害和实施预测因子的调整优势比（AOR）和95%置信区间（CI）。结果：黑人和西班牙裔人中IPV受害的患病率相似（分别为14%和10%），但黑人报告IPV犯罪的可能性几乎是黑人的两倍（分别为17%和9%）。IPV发生的预测因子为黑人种族、已婚或同居、酗酒、非法药物使用和当前抑郁。除了黑人种族、已婚或同居以及年龄更小之外，抑郁症也预示着IPV的受害，但与药物使用无关。结论：在内城急诊科人群中进行药物滥用和抑郁筛查可能有助于识别IPV高危人群，特别是IPV肇事者。
Objectives: The primary objective of this study was to assess the role of alcohol use and depression in intimate partner violence (IPV) victimization and perpetration among Blacks and Hispanics in an underserved urban emergency department population. Methods: This cross-sectional study surveyed male and female patients presenting to an urban emergency department. The outcome measures were physical or sexual IPV victimization and perpetration in the previous 12 months. The independent predictors included demographic variables, alcohol and drug use, and depressive symptoms. Logistic regression analyses calculated the adjusted odds ratio (AOR) and 95% confidence interval (CI) for predictors of IPV victimization and perpetration in separate models. Results: The prevalence of IPV victimization among Blacks and Hispanics were similar (14% and 10%, respectively) but blacks were nearly twice as likely to report IPV perpetration (17% vs. 9%, respectively). Predictors of IPV perpetration were Black race, married or living with a partner, heavy drinking, illicit drug use, and current depression. Depression, but not substance use, also predicted IPV victimization, in addition to Black race, married or living with a partner, and younger age. Conclusions: Screening for substance abuse and depression in an inner city emergency department population may help to identify individuals at high risk of IPV, particularly IPV perpetration.