Culture and Comorbidity: Intimate Partner Violence as a Common Risk Factor for Maternal Mental Illness and Reproductive Health Problems among Former Child Soldiers in Nepal.
Culture and Comorbidity: Intimate Partner Violence as a Common Risk Factor for Maternal Mental Illness and Reproductive Health Problems among Former Child Soldiers in Nepal.
复制标题
文化与合并症：亲密伴侣暴力是尼泊尔前儿童兵孕产妇精神疾病和生殖健康问题的常见风险因素。
DOI：
10.1111/maq.12336
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发表时间：
2016
影响因子：
2.2
通讯作者：
Bourey,Christine
中科院分区：
文献类型：
--
作者：
Kohrt,BrandonA;Bourey,Christine
我们的目标是阐明文化如何影响内部（心理），外部（社会），机构（结构）和医疗保健（医疗）过程，这些过程加在一起，在不同的背景下产生不同的合并症风险。为了建立一个概念模型，我们对尼泊尔的13名女儿童兵进行了定性研究。参与者对亲密伴侣暴力（IPV）小插曲（婚内强奸，情感虐待，怀孕期间的暴力）做出了开放式的回应。12名参与者（92%）赞同个人反应（保持沉默，忍受暴力，原谅丈夫）。12名参与者赞同与丈夫沟通。只有四名参与者（31%）寻求家庭支持，三人联系了警方。最终，12名参与者离开了这段关系，但大多数（9人）只是在最终的IPV经历之后离开的，在此之前，他们经历了长期的心理痛苦和怀孕危险。总之，在依赖个人或仅夫妇行为、缺乏外部社会参与、法律和司法机构薄弱以及医疗服务有限的文化背景下，合并症风险会增加。
Our objective was to elucidate how culture influences internal (psychological), external (social), institutional (structural), and health care (medical) processes, which, taken together, create differential risk of comorbidity across contexts. To develop a conceptual model, we conducted qualitative research with 13 female child soldiers in Nepal. Participants gave open‐ended responses to intimate partner violence (IPV) vignettes (marital rape, emotional abuse, violence during pregnancy). Twelve participants (92%) endorsed personal responses (remaining silent, enduring violence, forgiving the husband). Twelve participants endorsed communication with one's husband. Only four participants (31%) sought family support, and three contacted police. Ultimately, 12 participants left the relationship, but the majority (nine) only left after the final IPV experience, which was preceded by prolonged psychological suffering and pregnancy endangerment. In conclusion, comorbidity risks are increased in cultural context that rely on individual or couples‐only behavior, lack external social engagement, have weak law and justice institutions, and have limited health services.