Patterns of intimate partner violence and their associations with physical health, psychological distress, and substance use
Patterns of intimate partner violence and their associations with physical health, psychological distress, and substance use
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DOI：
10.1177/003335490612100406
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发表时间：
2006-07-01
影响因子：
3.3
通讯作者：
Macmillan, Ross
中科院分区：
文献类型：
--
作者：
Carbone-Lopez, Kristin;Kruttschnitt, Candace;Macmillan, Ross
目标。这项工作的目的是分别为男性和女性建立亲密伴侣暴力模式的正式模型，并评估不同类型的暴力对健康相关结果的独特贡献。使用来自国家暴力侵害妇女调查的数据——美国男性和女性的全国概率样本——潜在阶层分析产生了一幅男性和女性IPV的潜在结构图，这是由特定类型的暴力行为定义的。多变量logistic回归分析评估了不同性别暴露于IPV的不同生理健康、心理健康和物质使用后果。女性和男性都经历过类似类型的IPV，尽管不同类型的暴力在女性中的流行程度要比男性高得多。其次，女性和男性接触IPV都与一系列负面健康结果有关，包括身体健康状况不佳和身体残疾、心理困扰和精神疾病的几率增加，以及娱乐性和非娱乐性物质使用的增加。最后，有一些证据表明，IPV的经历与妇女的负面健康结果有更强和更广泛的联系，可能反映了男性和女性所经历的暴力严重程度的差异。更多地关注人际暴力被概念化、测量和筛选的方式是至关重要的。具体来说，虽然妇女更容易受到IPV的影响，从而产生更大范围的健康问题，但对男子的影响也不应忽视。
Objectives. The purpose of this work is to formally model patterns of intimate partner violence (IPV) separately for males and females and to assess the unique contributions of different types of violence exposure to health related outcomes.Methods. Using data from the National Violence Against Women Survey-a national probability sample of U.S. men and women-latent class analyses produced a map of the underlying structure of IPV for both males and females that is defined by specific types of violent acts. Multivariable logistic regression analyses assessed the differential physical health, mental health, and substance use consequences of exposure to IPV by gender.Results. Women and men experience similar types of IPV, although the prevalence of the different types of violence is much greater for women than men. Second, exposure to IPV for both women and men is associated with a range of negative health outcomes including increased odds of poor physical health and physical disability, psychological distress and mental illness, and heightened recreational and non-recreational substance use. Finally, there is some evidence that experiences with IPV have stronger and broader associations with negative health outcomes among women, likely reflecting differences in the severity of violence experienced by men and women.Conclusions. More attention to the ways in which interpersonal violence is conceptualized, measured, and screened for is crucial. Specifically, while women have greater exposure to IPV, and subsequently a greater range of health problems, the effects on men should not be ignored.