Lifetime Economic Burden of Intimate Partner Violence Among U.S. Adults.
Lifetime Economic Burden of Intimate Partner Violence Among U.S. Adults.
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DOI：
10.1016/j.amepre.2018.04.049
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发表时间：
2018-10
影响因子：
5.5
通讯作者：
Florence C
中科院分区：
文献类型：
--
作者：
Peterson C;Kearns MC;McIntosh WL;Estefan LF;Nicolaidis C;McCollister KE;Gordon A;Florence C
这项研究估计了美国每名受害者的终身成本和亲密伴侣暴力的经济负担。之前的研究数据与2012年美国全国亲密伴侣和性暴力调查数据结合在一起。亲密伴侣暴力被定义为接触性暴力、身体暴力或具有相关影响的跟踪受害（例如，错过的工作日）。成本包括可归因的健康受损、生产力损失和社会角度的刑事司法成本。首次受害的平均年龄估计为25岁。未来成本贴现3%。主要的结果措施是平均每个受害者（女性和男性）和总人口（或经济负担）的终身成本的亲密伴侣暴力。次要结局指标是受害者的边际结局概率（例如，焦虑症）和相关费用。2017年进行了分析。根据4300万有受害史的美国成年人，估计亲密伴侣暴力的终生成本为每名女性受害者103，767美元，每名男性受害者23，414美元，或受害者一生的人口经济负担近3.6万亿美元（2014年美元）。这一估计包括2.1万亿美元（占总额的59%）的医疗费用，1.3万亿美元（37%）的受害者和犯罪者的生产力损失，730亿美元（2%）的刑事司法活动，以及620亿美元（2%）的其他费用，包括受害者财产损失或损害。政府来源支付估计1.3万亿美元（37%）的终身经济负担。防止亲密伴侣暴力是可能的，可以避免大量费用。这些调查结果可以为优先考虑预防的潜在好处以及对已实施的预防战略的评价提供信息。
This study estimated the U.S. lifetime per-victim cost and economic burden of intimate partner violence. Data from previous studies were combined with 2012 U.S. National Intimate Partner and Sexual Violence Survey data in a mathematical model. Intimate partner violence was defined as contact sexual violence, physical violence, or stalking victimization with related impact (e.g., missed work days). Costs included attributable impaired health, lost productivity, and criminal justice costs from the societal perspective. Mean age at first victimization was assessed as 25 years. Future costs were discounted by 3%. The main outcome measures were the mean per-victim (female and male) and total population (or economic burden) lifetime cost of intimate partner violence. Secondary outcome measures were marginal outcome probabilities among victims (e.g., anxiety disorder) and associated costs. Analysis was conducted in 2017. The estimated intimate partner violence lifetime cost was $103,767 per female victim and $23,414 per male victim, or a population economic burden of nearly $3.6 trillion (2014 US$) over victims’ lifetimes, based on 43 million U.S. adults with victimization history. This estimate included $2.1 trillion (59% of total) in medical costs, $1.3 trillion (37%) in lost productivity among victims and perpetrators, $73 billion (2%) in criminal justice activities, and $62 billion (2%) in other costs, including victim property loss or damage. Government sources pay an estimated $1.3 trillion (37%) of the lifetime economic burden. Preventing intimate partner violence is possible and could avoid substantial costs. These findings can inform the potential benefit of prioritizing prevention, as well as evaluation of implemented prevention strategies.
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