Adverse mental health outcomes associated with emotional abuse in young rural South African women: a cross-sectional study.
Adverse mental health outcomes associated with emotional abuse in young rural South African women: a cross-sectional study.
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DOI：
10.1177/0886260511423247
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发表时间：
2012-03
影响因子：
2.5
通讯作者：
Shai NJ
中科院分区：
文献类型：
--
作者：
Jina R;Jewkes R;Hoffman S;Dunkle KL;Nduna M;Shai NJ
关于青少年中情感虐待的盛行率，缺乏数据。因此，这项研究的目的是估计南非农村青年妇女在亲密伙伴关系中的情感虐待流行率，并衡量终生情感虐待经历(有或没有身体和/或性虐待的综合经历)与不良健康后果之间的联系。2002至2003年间，来自70个村庄的年轻妇女被招募参加艾滋病毒行为干预项目Steps Stones的整群随机对照试验。数据是通过在基线上管理调查问卷获得的。在1293名曾经有过伴侣的女性中，189人(14.6%)一生中只经历过情感虐待。366名妇女(28.3%)在一生中经历过情感虐待和身体和/或性虐待，144名妇女(11.1%)在没有情感虐待的情况下经历过身体和/或性虐待。危险饮酒与躯体和/或性虐待相关(OR 6.0，95%CI 1.0~36.6)，与无精神虐待相关(OR 5.8，95%CI 1.1~29.4)。吸毒(OR5.6，95%CI2.4~12.6)、有抑郁症状(OR2.9，95%CI1.2~4.2)、有心理困扰(OR1.9，95%CI1.4~2.6)、自杀(OR79.0，95%CI17.3~359.6)与精神虐待、身体和/或性虐待相关。自杀倾向也与单独经历过情感虐待密切相关(OR79.5，95%CI16.7-377.4)。这项研究表明，受到情感虐待的年轻女性比没有遭受虐待的年轻女性自杀的风险更大，情感虐待与身体和/或性虐待的结合经历与较差的心理健康结果密切相关。
There is a lack of data on the prevalence of emotional abuse in youth. The aim of this study was thus to estimate the prevalence of emotional abuse in intimate partnerships among young women in rural South Africa and to measure the association between lifetime experience of emotional abuse (with and without the combined experience of physical and/or sexual abuse) and adverse health outcomes. Between 2002 and 2003, young women from 70 villages were recruited to participate in the cluster randomized controlled trial of an HIV behavioural intervention, Stepping Stones. Data was obtained through the administration of a questionnaire at baseline. Of the 1293 women who had ever been partnered, 189 (14.6%) had experienced only emotional abuse in their lifetimes. Three hundred and sixty-six women (28.3%) experienced emotional abuse with physical and/or sexual abuse in their lifetimes, and one hundred and forty-four women (11.1%) experienced physical and/or sexual abuse without emotional abuse. Hazardous drinking was associated with the experience of physical and/or sexual abuse, with (OR 6.0, 95% CI 1.0 – 36.6) and without emotional abuse (OR 5.8, 95% CI 1.1 – 29.4). Illicit drug use (OR 5.6, 95% CI 2.4 – 12.6), having depressive symptoms (OR 2.9, 95% CI 1.2 – 4.2), having psychological distress (OR 1.9, 95% CI 1.4 – 2.6), and suicidality (OR 79.0, 95% CI 17.3 – 359.6) was associated with the experience of emotional abuse with physical and/or sexual abuse. Suicidality was also strongly associated with having experienced emotional abuse alone (OR 79.5, 95% CI 16.7 – 377.4). This study showed that emotionally abused young women had a greater risk of suicidality than those experiencing no abuse and that the combined experience of emotional with physical and/or sexual abuse was strongly associated with poor mental health outcomes.
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DOI：
10.1177/0884217503252033
发表时间：
2003-03-01
影响因子：
1.8
作者：
Glass, N;Fredland, N;Kub, J
通讯作者：
Kub, J
DOI：
10.1590/s1020-49892008001200005
发表时间：
2008-12-01
期刊：
Revista Panamericana de Salud Pública
影响因子：
--
作者：
Le Franc, Elsie;Samms-Vaughan, Maureen;Brown, Dennis
通讯作者：
Brown, Dennis
影响因子：
168.9
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
影响因子：
5.5
作者：
Bonomi, Amy E.;Anderson, Melissa L.;Cannon, Elizabeth A.;Slesnick, Natasha;Rodriguez, Michael A.
通讯作者：
Rodriguez, Michael A.
影响因子：
5
作者：
Dunkle, KL;Jewkes, RK;Harlow, SD
通讯作者：
Harlow, SD