Risk factors for intimate partner violence and abuse among adolescents and young adults: findings from a UK population-based cohort.
Risk factors for intimate partner violence and abuse among adolescents and young adults: findings from a UK population-based cohort.
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DOI：
10.12688/wellcomeopenres.16106.3
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发表时间：
2020
影响因子：
--
通讯作者：
Fraser A
中科院分区：
文献类型：
--
作者：
Herbert A;Heron J;Barter C;Szilassy E;Barnes M;Howe LD;Feder G;Fraser A
背景：英国大约三分之一的年轻人在成年后遭受过亲密伴侣暴力和虐待（IPVA）。我们需要采取干预措施来预防这一人群的 IPVA，但缺乏证据表明谁的风险最大。 方法：我们分析了基于人口出生队列的雅芳父母和儿童纵向研究的 3,279 名参与者的问卷数据。我们根据性别、人口统计、养育方式、心理健康、外化行为（例如吸烟）、教育、就业和不良童年因素，估计了 21 岁以下 IPVA 受害和犯罪的流行率。 结果：总体而言，29% 的男性和 41% 的女性报告了 IPVA 受害情况，其中分别有 20% 和 25% 的女性报告了犯罪行为（均为 16% 和 22%）。最常见的 IPVA 类型是情绪性的，其次是身体性的，然后是性性的。男性和女性中焦虑、自残、反社会行为、大麻或非法（非大麻）药物使用史或危险性行为与 IPVA（受害或犯罪）可能性增加 50% 相关。报告抑郁症、性虐待（非亲密伴侣）、目睹家庭暴力或父母分居的男性也更有可能经历 IPVA。父母的严格监控、青春期的高学业成绩以及成年早期的 NEET（未接受教育、就业或培训）状态与 IPVA 风险降低相关。 结论：一系列人口、心理健康和行为因素与 IPVA 受害或犯罪发生率的增加有关。需要进一步研究从这些因素到 IPVA 的可能复杂途径，以便为一级预防提供信息。
Background: Approximately one-third of young people in the UK have suffered intimate partner violence and abuse (IPVA) on reaching adulthood. We need interventions to prevent IPVA in this population, but there is a lack of evidence on who is at greatest risk. Methods: We analysed questionnaire data from 3,279 participants of the Avon Longitudinal Study of Parents and Children population-based birth cohort. We estimated the prevalence of IPVA victimisation and perpetration by age 21, by sex, demographic, parenting, mental health, externalising behaviour (e.g. smoking), educational, employment, and adverse childhood factors. Results: Overall, 29% of males and 41% of females reported IPVA victimisation, with 20% and 25% reporting perpetration, respectively (16% and 22% both). The most common type of IPVA was emotional, followed by physical, then sexual. History of anxiety, self-harm, anti-social behaviour, cannabis or illicit (non-cannabis) drug use, or risky sexual behaviour among males and females were associated with a 50% increase in likelihood of IPVA (victimisation or perpetration). Males reporting depression, sexual abuse (not by an intimate partner), witnessing domestic violence, or parental separation were also more likely to experience IPVA. Extreme parental monitoring, high academic achievement during adolescence, and NEET (not being in education, employment, or training) status in young adulthood were associated with reduced risks of IPVA. Conclusions: A range of demographic, mental health, and behavioural factors were associated with increased prevalence of IPVA victimisation or perpetration. Further study of likely complex pathways from these factors to IPVA, to inform primary prevention, is needed.