Non-partner sexual violence against women in Spain: lifetime prevalence, perpetrators and consequences on mental health
Non-partner sexual violence against women in Spain: lifetime prevalence, perpetrators and consequences on mental health
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DOI：
10.1093/pubmed/fdw111
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发表时间：
2017-12-01
影响因子：
4.4
通讯作者：
Sirvent Garcia del Valle, Elena
中科院分区：
文献类型：
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作者：
Domenech del Rio, Ines;Sirvent Garcia del Valle, Elena
基于代表性样本的非伴侣性暴力研究很少。这项研究的目的是：（一）分析西班牙不同形式的非伴侣性暴力及其肇事者的普遍程度，（二）分析非伴侣性暴力对心理健康的影响，（三）估计向警方报告的强奸案百分比。方法使用2015年西班牙暴力侵害妇女行为调查数据，该调查是一个具有全国代表性的样本，共有10171名妇女。制定了三个相互排斥的非伴侣性暴力类别，以衡量暴力对健康的影响。拟合Logistic回归模型。结果终生非伴侣性暴力发生率为7.2%。所有类别的非伴侣性暴力都与不同的健康结果密切相关。强奸增加了报告焦虑的可能性[比值比，OR: 3.77(2.65-5.37)]，因为感觉没有价值而悲伤[OR: 3.31(2.32-4.73)]和无缘无故哭泣的欲望[OR: 3.46(2.45-4.89)]超过3倍。受害者与加害者的关系因性侵害的类型而异。2014年，只有不到6%的强奸案向警方报案。所有形式的非伴侣性暴力，从非自愿的性接触到强奸，都可能导致多种心理健康后果。需要采取公共卫生办法来处理这种暴力行为。
Background Research on sexual violence by non-partners based on representative samples is scarce. The objectives of the study were ( i) to analyse the prevalence of different forms of non-partner sexual violence in Spain and their perpetrators, ( ii) to analyse the consequences of non-partner sexual violence on mental health and ( iii) to estimate the percentage of rapes that are reported to the police.Methods Data from the 2015 Spanish Survey on Violence against Women, a nationally representative sample of 10 171 women, were used. Three mutually exclusive categories of non-partner sexual violence were created to measure the effects of violence on health. Logistic regression models were fitted.Results The lifetime prevalence of non-partner sexual violence was 7.2%. All the categories of non-partner sexual violence were strongly associated with the different health outcomes. Rape increased the likelihood of reporting anxiety [ odds ratio, OR: 3.77 ( 2.65-5.37)], sadness because of feelings of worthlessness [ OR: 3.31 ( 2.32-4.73)] and the desire to cry without reason [ OR: 3.46 ( 2.45-4.89)] more than 3-fold. The relationship of the victim with the perpetrator varied by the type of sexual victimization. Less than 6% of rapes were reported to the police in 2014.Conclusions All forms of non-partner sexual violence, from unwanted sexual touching to rape, can lead to a multitude of mental health consequences. A public health approach to addressing this violence is needed.