Intimate partner violence and poor mental health among Thai women residing in Sweden

Intimate partner violence and poor mental health among Thai women residing in Sweden
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DOI:
10.3402/gha.v7.24991
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发表时间:
2014-01-01
影响因子:
2.6
通讯作者:
Cantor-Graae, Elizabeth
Cantor-Graae, Elizabeth
中科院分区:
医学3区
文献类型:
--
作者:
Fernbrant, Cecilia;Emmelin, Maria;Cantor-Graae, Elizabeth

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目的:目前的目的是研究居住在瑞典的泰国妇女中亲密伴侣暴力的普遍性及其与心理健康的关系。我们还探讨了潜在的影响,社会隔离和社会资本之间的关联IPV和心理健康outcome.Design:公共卫生问卷在泰国通过邮寄分发给整个人口的泰国妇女,年龄在18-64岁,居住在两个地区,自2006年以来在瑞典。调查项目包括IPV(生理/性/情感)、社会人口学背景、生理健康、心理健康(GHQ-12)、社会隔离和社会资本(即社会信任/参与)。终生报告的IPV患病率为22.1%,其中20.5%由以前的伴侣报告,6.7%由现在的伴侣报告。既往IPV暴露与当前IPV暴露显著相关,所有IPV暴露措施均与不良心理健康显著相关。然而,泰国妇女经历IPV由目前的合作伙伴更有风险为不良的心理健康比泰国妇女以前或没有任何经验的IPV。此外,在所有的妇女暴露于IPV,那些与他人的信任,没有接触到社会隔离似乎有部分保护与IPV.Conclusions相关的不良心理健康后果:大多数泰国妇女从来没有接触过IPV,并迁移到瑞典后,妇女IPV暴露低于泰国。然而,暴露于IPV的泰国妇女心理健康状况不佳的风险增加,这表明需要采取支持性措施和有针对性的干预措施,以防止进一步的伤害和不良的健康后果。虽然泰国妇女的心理健康状况不佳是融入社会的一个障碍,但社会信任度高、没有受到社会孤立的群体所表现出的潜在复原力表明,这些方面应纳入旨在促进融入社会的方案。
Objectives: The current aim is to examine the prevalence of intimate partner violence (IPV) among Thai women residing in Sweden and its association with mental health. We also investigate the potential influence of social isolation and social capital regarding the association between IPV and mental health outcome.Design: A public health questionnaire in Thai was distributed by post to the entire population of Thai women, aged 18-64, residing in two regions in Sweden since 2006. Items included aspects related to IPV (physical/sexual/emotional), sociodemographic background, physical health, mental health (GHQ-12), social isolation, and social capital (i.e. social trust/participation).Results: The response rate was 62.3% (n = 804). Prevalence of lifetime reported IPV was 22.1%, with 20.5% by a previous partner and 6.7% by a current partner. Previous IPV exposure was significantly related to current IPV exposure, and all IPV exposure measures were significantly related to poor mental health. However, Thai women experiencing IPV by a current partner were more at risk for poor mental health than Thai women with previous or without any experience of IPV. Also, among all women exposed to IPV, those with trust in others and without exposure to social isolation seemed to have partial protection against the adverse mental health consequences associated with IPV.Conclusions: Most Thai women had never been exposed to IPV, and after migrating to Sweden, women had lower IPV exposure than in Thailand. However, the increased risk for poor mental health among those Thai women exposed to IPV suggests the need for supportive measures and targeted interventions to prevent further injuries and adverse health consequences. Although poor mental health in Thai women represents an obstacle for integration, the potential resilience indicated in the group with high social trust and without exposure to social isolation suggests that such aspects be included in the program designed to facilitate integration.