Childhood Family Violence and Perpetration and Victimization of Intimate Partner Violence: Findings From a National Population-Based Study of Couples

Childhood Family Violence and Perpetration and Victimization of Intimate Partner Violence: Findings From a National Population-Based Study of Couples
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DOI:
10.1016/j.annepidem.2008.08.008
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发表时间:
2009-01-01
影响因子:
5.6
通讯作者:
Nelson, Scott
Nelson, Scott
中科院分区:
医学3区
文献类型:
--
作者:
Mckinney, Christy M.;Caetano, Raul;Nelson, Scott

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目的:探讨儿童期家庭暴力与亲密伴侣暴力(IPV)之间的关系。方法:采用多阶段整群抽样的方法,对1615对美国家庭中的夫妻进行调查。儿童期家庭暴力措施包括中度和严重的儿童身体虐待和亲眼目睹父母间的威胁或身体暴力。IPV分为非互惠男女伴侣暴力(MFPV)、非互惠男女伴侣暴力(FMPV)、互惠IPV(MFPV和FMPV)和无IPV。结果:中度(调整后OR为3.9,95%CI,1.3~11.8)或重度(AOR 4.5,95%CI:1.1~19.3)儿童躯体虐待的男性发生非互惠IPV的风险增加;有严重儿童期身体虐待或亲历父母间暴力史的男性发生互惠IPV的风险增加一倍。在儿童期目睹父母间暴力威胁(AOR 1.9,95%CI,0.8-4.6)或父母间身体暴力(AOR 3.4,95%CI,1.5-7.9)的妇女患非互惠FMPV的风险增加。暴露于任何形式的儿童期家庭暴力的妇女参与互惠IPV的可能性是前者的1.5倍以上。结论:我们提供了儿童家庭暴力与非互惠和互惠IPV风险增加相关的新证据。治疗提供者和政策制定者应在防治艾滋病毒的背景下考虑男女儿童时期的家庭暴力史。
PURPOSE: We sought to examine the relation between childhood family violence and intimate partner violence (IPV).METHODS: We surveyed 1615 couples from the U.S. household Population by using multistage cluster sampling. Childhood family violence measures included moderate and severe child physical abuse and witnessing interparental threats or physical violence. IPV was categorized as nonreciprocal male-to-female partner violence (MFPV), nonreciprocal female-to-male partner violence (FMPV), reciprocal IPV (MFPV and FMPV), and no IPV. We used multinomial logistic regression to estimate unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) between childhood family violence and IPV.RESULTS: Men who experienced moderate (adjusted OR [AOR] 3.9,95% CI, 1.3-11.8) or severe (AOR 4.5, 95% CI: 1.1-19.3) child physical abuse were at increased risk of nonreciprocal MFPV; a male history of severe childhood physical abuse or witnessing interparental violence was associated with a twofold increased risk of reciprocal IPV. Women who witnessed interparental threats of violence (AOR 1.9, 95% CI, 0.8-4.6) or interparental physical violence (AOR 3.4, 95% CI, 1.5-7.9) in childhood were at increased risk of nonreciprocal FMPV. Women exposed to any type of childhood family violence were more than 1.5 times as likely to engage in reciprocal IPV. Many strong positive ORs had CIs compatible with no association.CONCLUSION: We provide new evidence that childhood family violence is associated with an increased risk of nonreciprocal and reciprocal IPV. Treatment providers and policy makers should consider childhood family violence history in both men and women in the context of IPV.