Intimate partner violence against women and child maltreatment in a Brazilian birth cohort study: co-occurrence and shared risk factors.
Intimate partner violence against women and child maltreatment in a Brazilian birth cohort study: co-occurrence and shared risk factors.
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DOI：
10.1136/bmjgh-2020-004306
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发表时间：
2021-04
影响因子：
8.1
通讯作者：
Murray J
中科院分区：
文献类型：
--
作者：
Buffarini R;Coll CVN;Moffitt T;Freias da Silveira M;Barros F;Murray J
亲密伴侣暴力侵害妇女和虐待儿童是重大的公共卫生问题和人权问题，可能有共同的原因。然而，它们的重叠还没有得到充分的研究。我们调查了巴西城市普通人群中IPV和CM的患病率、它们在家庭中的共同发生以及可能的共同危险因素。前瞻性以人群为基础的出生队列，包括3500多对母子，当孩子4岁时，母亲报告IPV和CM。从出生到4岁，测量了11个邻居、家庭和父母的危险因素。采用双变量和多变量稳健方差泊松回归模型检验与IPV、CM及其共发相关的潜在危险因素。IPV和CM患病率分别为22.8%和10.9%；两种类型的暴力同时发生的比例为5%。多变量分析表明，IPV和CM的重叠与邻里暴力、孩子生父的缺席、父亲的反社会行为以及以高水平批评为特征的母亲-伴侣关系、母亲抑郁和母亲年龄较低密切相关。与没有危险因素的家庭相比，10%的人口中集中了许多危险因素，与IPV和CM重叠的风险增加了6倍有关。IPV和CM在家庭和邻里环境中具有共同的重要风险因素，在具有多重社会不利条件和家庭困难的家庭中尤为常见。需要采取综合预防干预措施。
Intimate partner violence (IPV) against women and child maltreatment (CM) are major public health problems and human rights issues and may have shared causes. However, their overlap is understudied. We investigated the prevalence of IPV and CM, their co-occurrence in households and possible shared risk factors, in the general population of a Brazilian urban setting. Prospective population-based birth cohort, including over 3500 mother–child dyads with maternal reports on both IPV and CM when children were 4 years old. Eleven neighbourhood, family and parental risk factors were measured between birth and age 4 years. Bivariate and multivariate Poisson regression models with robust variance were used to test which potential risk factors were associated with IPV, CM and their co-occurrence. The prevalence of any IPV and CM were 22.8% and 10.9%, respectively; the co-occurrence of both types of violence was 5%. Multivariate analyses showed that the overlap of IPV and CM was strongly associated with neighbourhood violence, absence of the child’s biological father, paternal antisocial behaviour in general and a mother–partner relationship characterised by high levels of criticism, maternal depression and younger maternal age. A concentration of many risk factors among 10% of the population was associated with a sixfold increase in risk for overlapping IPV and CM compared with households with no risk factors. IPV and CM share important risk factors in the family and neighbourhood environments and are particularly common in households with multiple social disadvantages and family difficulties. Integrated preventive interventions are needed.
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影响因子：
4.8
作者：
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通讯作者：
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