Recent Intimate Partner Violence and Housing Instability Among Women Veterans

Recent Intimate Partner Violence and Housing Instability Among Women Veterans
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DOI:
10.1016/j.amepre.2018.01.020
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发表时间:
2018-04-01
影响因子:
5.5
通讯作者:
Dichter, Melissa E.
Dichter, Melissa E.
中科院分区:
医学2区
文献类型:
--
作者:
Montgomery, Ann Elizabeth;Sorrentino, Anneliese E.;Dichter, Melissa E.

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与非退伍军人相比,女性退伍军人面临住房不稳定和亲密伴侣暴力的风险增加。本研究的目的是:(1)评估女性退伍军人的亲密伴侣暴力经历与住房不稳定的各种指标之间的关系;(2)评估哪些相关因素有助于解释过去一年经历过亲密伴侣暴力的女性退伍军人的住房不稳定经历。方法:收集美国退伍军人事务部2014年4月至2016年4月期间在13家退伍军人事务机构接受亲密伴侣暴力筛查的8427名女性退伍军人的电子病历数据。2017年进行的Logistic回归评估了过去一年亲密伴侣暴力与住房不稳定之间的关系。结果:共有8.4%的样本在亲密伴侣暴力方面呈阳性,11.3%的样本在住房不稳定方面呈阳性。排除年龄和种族因素,积极的亲密伴侣暴力筛查将住房不稳定的几率提高了3倍。过去一年遭受亲密伴侣暴力的女性退伍军人,如果她们被认定为非裔美国人,在军中性创伤筛查呈阳性,或有物质使用障碍,则更有可能出现住房不稳定的指标;在服兵役期间获得残疾补偿和结婚是保护性的。结论:对于女性退伍军人,亲密伴侣暴力干预应评估其生理和心理住房需求,住房干预应与亲密伴侣暴力项目协调,以解决共同的资源障碍。由爱思唯尔公司代表美国预防医学杂志出版
Introduction: Women Veterans are at increased risk of both housing instability and intimate partner violence compared with their non-Veteran counterparts. The objectives of the present study were (1) to assess the relationship between women Veterans' experience of intimate partner violence and various indicators of housing instability, and (2) to assess what correlates help to explain experiences of housing instability among women Veterans who experienced past-year intimate partner violence.Methods: Data were collected from U.S. Department of Veterans Affairs electronic medical records for 8,427 women Veterans who were screened for past-year intimate partner violence between April 2014 and April 2016 at 13 Veterans Affairs' facilities. Logistic regressions performed during 2017 assessed the relationship between past-year intimate partner violence and housing instability.Results: A total of 8.4% of the sample screened positive for intimate partner violence and 11.3% for housing instability. Controlling for age and race, a positive intimate partner violence screen increased odds of housing instability by a factor of 3. Women Veterans with past-year intimate partner violence were more likely to have an indicator of housing instability if they identified as African American, had screened positive for military sexual trauma, or had a substance use disorder; receiving compensation for a disability incurred during military service and being married were protective.Conclusions: For women Veterans, intimate partner violence interventions should assess for both physical and psychological housing needs, and housing interventions should coordinate with intimate partner violence programs to address common barriers to resources. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine