Measuring psychological abuse by intimate partners: Constructing a cross-cultural indicator for the Sustainable Development Goals
Measuring psychological abuse by intimate partners: Constructing a cross-cultural indicator for the Sustainable Development Goals
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DOI：
10.1016/j.ssmph.2019.100377
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发表时间：
2019-12-01
影响因子：
4.7
通讯作者：
Clark, Cari Jo
中科院分区：
文献类型：
--
作者：
Heise, Lori;Pallitto, Christina;Clark, Cari Jo
亲密关系中的心理虐待与妇女的负面健康后果有关，往往被认定为比身体或性暴力更具伤害性。然而，对于如何概念化或衡量这一现象，几乎没有达成一致意见，尽管有必要进行衡量，以估计心理虐待的流行率，确定其与身体暴力和性暴力的相互作用，评估其对健康的影响，并监测实现全球可持续发展目标的进展情况。为了解决这一差距，我们使用潜在类别分析(LCA)、心理测量测试和Logistic回归来评估用于得出心理伴侣虐待测量的替代方法的结构和内容有效性，使用来自世界卫生组织家庭暴力和妇女健康多国研究(WHO MCS)前10个国家和15个地点的汇集数据。我们的分析发现，心理虐待在各国非常普遍，从12%到58%不等。对心理虐待的编码支持三类解决方案：无、中等强度虐待和高强度虐待。这种三级分类可以在没有生命周期评价的情况下进行编码，它与控制行为和除身体疼痛以外的所有测量的健康结果显示出明确的分级关系。因素分析证实，心理虐待和男性控制行为是世界卫生组织MCS和人口与健康调查中衡量的独立概念，不应合并在一起。我们的结论是，这是一种简单的编码心理虐待的跨国比较方式。它的使用可以支持对各种环境中心理虐待的迫切需要的研究，并为全球调查确定界定心理暴力的适当门槛。
Psychological abuse within intimate relationships is linked to negative health outcomes among women and is frequently identified as more wounding than physical or sexual violence. There is little agreement, however, on how to conceptualize or measure the phenomenon, despite measurement being necessary to estimate the prevalence of psychological abuse, establish its interaction with physical and sexual violence, assess its health impacts, and monitor progress towards global Sustainable Development Goals. To address this gap, we used latent class analysis (LCA), psychometric testing, and logistic regression to evaluate the construct and content validity of alternative methods for deriving a measure of psychological partner abuse, using pooled data from the first 10 countries and 15 sites of the World Health Organization Multi-Country Study on Domestic Violence and Women's Health (WHO MCS). Our analysis finds that psychological abuse is highly prevalent, ranging from 12% to 58% across countries. A three-class solution was supported for coding psychological abuse: none, moderate-intensity abuse, and high-intensity abuse. This three-level categorization, which can be coded without LCA, demonstrates a clear graded relationship with controlling behaviors and all measured health outcomes except physical pain. Factor analysis confirms that psychological abuse and male controlling behaviors are separate constructs as measured in the WHO MCS and the Demographic and Health Surveys and should not be combined. We conclude that this is a simple way to code psychological abuse for cross-country comparison. Its use could support urgently needed research into psychological abuse across settings and identify an appropriate threshold for defining psychological violence for surveys globally.