Substance use and partner violence among urban women seeking emergency care.
Substance use and partner violence among urban women seeking emergency care.
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DOI：
10.1037/a0025869
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发表时间：
2012-06
影响因子：
3.4
通讯作者：
Roy, Lolita
中科院分区：
文献类型：
--
作者：
Gilbert, Louisa;El-Bassel, Nabila;Chang, Mingway;Wu, Elwin;Roy, Lolita
越来越多的证据表明，亲密伴侣暴力(IPV)和药物滥用是共同出现的问题，对寻求急诊科(ED)治疗的低收入城市女性造成不成比例的影响，并是导致急诊科就诊的主要伤害原因。本文通过对纽约布朗克斯区急诊室接受急救的241名低收入城市妇女的纵向研究，检验了不同类型的药物和酒精使用与不同类型的IPV之间的时间双向关联。在对社会人口学和可能混淆的多水平风险和保护性协变量进行调整和匹配后，在第一波中报告在前六个月使用海洛因的妇女在随后的波中表明任何身体上、伤害或性上的IPV的可能性是使用非海洛因的妇女的两倍，在随后的波中表明经历IPV伤害的可能性是非海洛因妇女的2.7倍。在过去6个月中，在第一波中使用可卡因或可卡因与在随后的波中出现破坏性的IPV和严重言语辱骂的可能性增加相关。研究结果还表明，性IPV与随后使用可卡因或可卡因显著相关。已发现的将这些问题联系在一起的多个双向关联突出表明，需要对低收入、城市急诊室的妇女进行IPV和药物滥用的常规筛查，并改善与服务的联系，以最终降低与这些共同发生的问题有关的发病率、残疾和死亡率的风险。
Growing evidence suggests intimate partner violence (IPV) and substance misuse are co-occurring problems that disproportionately affect low income urban women seeking care in emergency departments (EDs) and represent leading causes of injuries that result in ED visits. This paper examines temporal bi-directional associations between different types of drug and alcohol use and different types of IPV in a longitudinal study of a representative sample of 241 low income, urban women receiving emergency care from an ED in the Bronx, New York. After adjusting and matching for socio-demographics and potentially confounding multi-level risk and protective covariates, women who reported using heroin in the prior six months at Wave 1 were twice as likely as non-heroin using women to indicate any physical, injurious or sexual IPV at subsequent waves and were 2.7 times more likely to indicate experiencing an injury from IPV at subsequent waves. Crack or cocaine use in the past 6 months at Wave 1 was associated with an increased likelihood of injurious IPV and severe verbal abuse at subsequent waves. Findings also suggested that sexual IPV was significantly associated with subsequent use of crack or cocaine. The multiple bidirectional associations found linking these problems underscore the need for conducting routine screening for IPV and substance misuse among women in low income, urban EDs, and for improving linkages to services that will ultimately reduce the risk of morbidity, disability, and mortality related to these co-occurring problems.
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影响因子：
3.4
作者：
Chermack, ST;Walton, MA;Blow, FC
通讯作者：
Blow, FC
影响因子：
5.4
作者：
El-Bassel, N;Gilbert, L;Hill, J
通讯作者：
Hill, J
DOI：
10.1097/00000374-200204000-00009
发表时间：
2002-04-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
Cunradi, CB;Caetano, R;Schafer, J
通讯作者：
Schafer, J
DOI：
10.1016/s0899-3289(00)00015-8
发表时间：
2000-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
Caetano, R;Cunradi, CB;Schafer, J
通讯作者：
Schafer, J
影响因子：
2.2
作者：
Burke, JG;Thieman, LK;McDonnell, KA
通讯作者：
McDonnell, KA