Does experiencing a traumatic life event increase the risk of intimate partner violence for young women? A cross-sectional analysis and structural equation model of data from the Stepping Stones and Creating Futures intervention in South Africa.
Does experiencing a traumatic life event increase the risk of intimate partner violence for young women? A cross-sectional analysis and structural equation model of data from the Stepping Stones and Creating Futures intervention in South Africa.
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DOI：
10.1136/bmjopen-2021-051969
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发表时间：
2022-04-29
期刊：
影响因子：
2.9
通讯作者：
Gibbs, Andrew
中科院分区：
文献类型：
--
作者：
Mannell, Jenevieve;Minckas, Nicole;Burgess, Rochelle;Chirwa, Esnat D.;Jewkes, Rachel;Gibbs, Andrew
调查女性一生中创伤性事件暴露与其近期亲密伴侣暴力（IPV）经历之间的关联和潜在途径。德班附近的南非非正规住区。居住在非正规住区的677名妇女，年龄18-30岁，目前没有上学或正式就业。自我报告的过去12个月IPV经历和遭受创伤性社区事件的经历（包括目睹谋杀、被抢劫或绑架、目睹和经历强奸）。在接受调查的677名女性中，经历创伤性事件的情况很普遍。超过70%的人一生中至少经历过一次；四分之一（24%）的人经历过3次或更多不同的事件。与没有接触创伤性事件的妇女相比，暴露于任何创伤性事件的妇女患IPV的几率增加43% （aOR 1.43, p≤0.000）。与其他创伤经历相比，非伴侣强奸与IPV的关系更为密切。从暴露于创伤性事件和非伴侣强奸到最近IPV经历的途径是由心理健康状况不佳的潜在变量介导的。粮食不安全与各种形式的创伤经历有关，并通过妇女不支持性别平等的观点间接与IPV有关。生活在南非非正式定居点的妇女目睹或经历创伤性事件时，可能会经历IPV，当妇女暴露于多种类型的事件时，这种情况会增加。我们的模型表明，经历创伤性事件，特别是非伴侣强奸，对女性的心理健康有负面影响，可能会增加她们对IPV的脆弱性。IPV预防干预措施应考虑到妇女遭受社区暴力和严重贫困对IPV流行环境中的IPV风险的更广泛影响。NCT03022370;试。
To investigate associations and potential pathways between women’s lifetime exposure to traumatic events and their recent experiences of intimate partner violence (IPV). South African informal settlements near Durban. 677 women, living in informal settlements, aged 18–30 years, currently out of school or formal employment. Self-reported experiences of IPV in the past 12 months and exposure to traumatic neighbourhood events (including witnessing murder, being robbed or kidnapped, witnessing and experiencing rape). Exposure to traumatic events was common among the 677 women surveyed. Over 70% had experienced at least one in their lifetime; one quarter (24%) had experienced 3 or more different events. Women exposed to any traumatic event had a 43% increase in the odds of experiencing IPV in comparison to those with no exposure (aOR 1.43, p≤0.000). Exposure to non-partner rape is more strongly associated with IPV than any other traumatic experience. Pathways from exposure to traumatic events and non-partner rape to recent IPV experience are mediated by a latent variable of poor mental health. Food insecurity is associated with all forms of traumatic experience, and is also indirectly associated with IPV through views by women that are unsupportive of gender equality. Women living in South African informal settlements who witness or experience traumatic events were likely to experience IPV, and this increases when women were exposed to multiple types of events. Our model suggests that experiencing traumatic events, and non-partner rape in particular, has negative effects on women’s mental health in ways that may increase their vulnerability to IPV. IPV prevention interventions should consider the broader impacts of women’s exposure to neighbourhood violence and severe poverty on IPV risk in settings where these are endemic. NCT03022370; post-results.
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影响因子：
5.6
作者：
Caetano, R;Cunradi, C
通讯作者：
Cunradi, C
影响因子：
25.8
作者：
Afifi, Tracie O.;Taillieu, Tamara;Sareen, Jitender
通讯作者：
Sareen, Jitender
妇女和儿童在冲突环境中经历家庭暴力的妇女和儿童的心理健康：一种混合的方法系统审查。
影响因子：
3.6
作者：
Devakumar D;Palfreyman A;Uthayakumar-Cumarasamy A;Ullah N;Ranasinghe C;Minckas N;Nadkarni A;Oram S;Osrin D;Mannell J
通讯作者：
Mannell J
影响因子：
120.7
作者：
de Jong, JTVM;Komproe, IH;Somasundaram, D
通讯作者：
Somasundaram, D
影响因子：
7.5
作者：
Burgess, Rochelle A.;Jeske, Niklas;Rasool, Shahana;Ahmad, Ayesha;Kydd, Anna;Ncube Mlilo, Ncazelo
通讯作者：
Ncube Mlilo, Ncazelo