Witness of intimate partner violence in childhood and perpetration of intimate partner violence in adulthood.
Witness of intimate partner violence in childhood and perpetration of intimate partner violence in adulthood.
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DOI：
10.1097/ede.0b013e3181f39f03
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发表时间：
2010-11
期刊：
影响因子：
--
通讯作者：
Koenen KC
中科院分区：
文献类型：
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作者：
Roberts AL;Gilman SE;Fitzmaurice G;Decker MR;Koenen KC
在美国，每年至少有50万妇女成为亲密伴侣暴力的受害者，造成了巨大的伤害。然而，对亲密伴侣的暴力行为的病因并不十分清楚。儿童时期目睹这种暴力行为被认为是成年后实施暴力行为的主要原因，但目睹亲密伴侣暴力行为与成年后实施暴力行为之间是否存在因果关系仍不清楚。我们对亲密伴侣暴力犯罪进行了倾向评分分析，以确定童年目睹是否与成年后的犯罪相关，独立于广泛的潜在混杂变量，因此可能是一个因果因素。我们使用了2004-2005年全国酒精及相关疾病流行病学调查中14,564名20岁及以上美国男性的数据。近4%的男性报告在过去一年中对亲密伴侣有暴力行为。在未经调整的模型中，我们发现童年目睹亲密伴侣暴力与成年后的暴力行为之间存在很强的关联（对于目睹任何亲密伴侣暴力，风险比[RR] = 2.6 [95%置信区间= 2.1-3.2];对于目睹频繁或严重的暴力，3.0 [2.3-3.9]）。在倾向评分模型中，这种关联被大大削弱（对于目睹任何亲密伴侣暴力，调整后的RR = 1.6 [1.2-2.0];对于目睹频繁或严重的暴力，1.6 [1.2-2.3]）。与在大量潜在混杂因素方面相似的男性相比，在童年时期目睹亲密伴侣暴力的男性在成年后更有可能实施此类行为。亲密伴侣暴力行为的病因模型应考虑一系列童年因素。
At least half a million women are victims of intimate partner violence in the United States annually, resulting in substantial harm. However, the etiology of violence to intimate partners is not well understood. Witnessing such violence in childhood has been proposed as a principal cause of adulthood perpetration, yet it remains unknown whether the association between witnessing intimate partner violence and adulthood perpetration is causal. We conducted a propensity-score analysis of intimate partner violence perpetration to determine whether childhood witnessing is associated with perpetration in adulthood, independent of a wide range of potential confounding variables, and therefore might be a causal factor. We used data from 14,564 U.S. men ages 20 and older from the 2004–2005 wave of the National Epidemiologic Survey on Alcohol and Related Conditions. Nearly 4% of men reported violent behavior toward an intimate partner in the past year. In unadjusted models, we found a strong association between childhood witnessing of intimate partner violence and adulthood perpetration (for witnessing any intimate partner violence, risk ratio [RR] = 2.6 [95% confidence interval = 2.1–3.2]; for witnessing frequent or serious violence, 3.0 [2.3–3.9]). In propensity-score models, the association was substantially attenuated (for witnessing any intimate partner violence, adjusted RR = 1.6 [1.2–2.0]; for witnessing frequent or serious violence, 1.6 [1.2–2.3]). Men who witness intimate partner violence in childhood are more likely to commit such acts in adulthood, compared with men who are otherwise similar with respect to a large range of potential confounders. Etiological models of intimate partner violence perpetration should consider a constellation of childhood factors.