Interpersonal violence in the lives of urban American Indian and Alaska native women: Implications for health, mental health, and help-seeking
Interpersonal violence in the lives of urban American Indian and Alaska native women: Implications for health, mental health, and help-seeking
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DOI：
10.2105/ajph.2004.054213
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发表时间：
2006-08-01
影响因子：
12.7
通讯作者：
Walters, Karina L.
中科院分区：
文献类型：
--
作者：
Evans-Campbell, Teresa;Lindhorst, Taryn;Walters, Karina L.
目标。我们对纽约市的美国印第安人/阿拉斯加原住民(AIAN)妇女进行了调查，以确定3种类型的人际暴力在城市AIAN妇女中的患病率以及与这种暴力有关的行为健康和心理健康因素。通过一项调查，我们询问了纽约市112名成年AIAN妇女在人际暴力、心理健康、艾滋病毒危险行为和寻求帮助方面的经历。抽样方案采用多波抽样方法，采用改进的被调查者驱动抽样、连锁转诊和目标抽样。在受访者中，超过65%的人经历过某种形式的人际暴力，其中28%的人报告童年遭受身体虐待，48%的人报告强奸，40%的人报告有家庭暴力史，40%的人报告多次受害经历。压倒性的是，女性经历了与这些事件相关的高度情感创伤。人际暴力史与抑郁、烦躁不安、求助行为和高危性行为增加有关。AIAN妇女经历了高比例的人际暴力和创伤，这与许多健康问题有关，并对卫生和精神卫生专业人员有重要影响。
Objective. We surveyed American Indian/Alaska Native (AIAN) women in New York City to determine the prevalence of 3 types of interpersonal violence among urban AIAN women and the behavioral health and mental health factors associated with this violence.Methods. Using a survey, we questioned 112 adult AIAN women in New York City about their experiences with interpersonal violence, mental health, HIV risk behaviors, and help-seeking. The sampling plan utilized a multiple-wave approach with modified respondent-driven sampling, chain referral, and target sampling.Results. Among respondents, over 65% had experienced some form of interpersonal violence, of which 28% reported childhood physical abuse, 48% reported rape, 40% reported a history of domestic violence, and 40% reported multiple victimization experiences. Overwhelmingly, women experienced high levels of emotional trauma related to these events. A history of interpersonal violence was associated with depression, dysphoria, help-seeking behaviors, and an increase in high-HIV risk sexual behaviors.Conclusions. AIAN women experience high rates of interpersonal violence and trauma that are associated with a host of health problems and have important implications for health and mental health professionals.