Problem gambling in the partner of the emergency department patient as a risk factor for intimate partner violence
Problem gambling in the partner of the emergency department patient as a risk factor for intimate partner violence
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DOI：
10.1016/s0736-4679(02)00543-7
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发表时间：
2002-10-01
影响因子：
1.5
通讯作者：
Anderson, J
中科院分区：
文献类型：
--
作者：
Mulleman, RL;DenOtter, T;Anderson, J
有人认为，全国赌博活动的增加导致了亲密伴侣暴力（IPV）的增加。显然没有研究评估问题赌博是IPV的一个风险因素。为了确定伴侣的问题赌博是否是IPV的危险因素，在一所大学的急诊科（ED）进行了一项横断面研究。所有到急诊科就诊的年龄在19到65岁之间且没有丧失行为能力或急性疾病的女性都符合条件。数据是由一名研究助理在1999年6月至8月为期10周的时间里，每周每天4或8小时的时间段内收集的。连续接触了300名女性，其中286人（95%）同意参加。在同意参与的女性中，237人（83%）报告去年有亲密伴侣，其中61人（25.7%）被归类为经历过IPV。考虑到各种个人和伴侣特征（包括伴侣的问题赌博）的存在，使用标准逻辑回归估计，经历IPV的比值比（OR）是主要的结果测量。结果显示，伴侣是问题赌徒（校正OR: 10.5; 95% CI: 1.3-82）或问题饮酒者（校正OR: 6.1; 95% CI: 2.5-14）的女性患乳腺癌的相对几率更高。在伴侣中存在问题赌博和问题饮酒与更高的OR相关（调整OR: 50； 95% CI: 9-280）。我们的研究表明，伴侣的问题赌博与IPV有关。IPV的病因尚不完全清楚，但伴侣的问题赌博与IPV的关联可能会导致新的干预策略和未来的急诊医学研究。(C) 2002爱思唯尔科学有限公司
It has been suggested that the increase in gambling activity nationally has resulted in an increase in intimate partner violence (IPV). There are apparently no studies that have assessed problem gambling as a risk factor for IPV. To determine if problem gambling in the partner is a risk factor for IPV, a cross-sectional study was conducted at a university-based Emergency Department (ED). All women aged 19 to 65 years who presented to the ED for treatment and were not decisionally incapacitated or acutely ill were eligible. Data were collected by a research assistant during 4 or 8-h blocks covering each day of the week over a 10-week period during the months of June through August 1999. There were 300 consecutive women approached, and 286 (95%) agreed to participate. Of the women who agreed to participate, 237 (83%) reported having an intimate partner in the last year, and 61 (25.7%) of these women were categorized as experiencing IPV. The odds ratio (OR) of experiencing IPV was the main outcome measure, estimated using standard logistic regression, given the presence of various personal and partner characteristics, including problem gambling in the partner. The results revealed that the relative odds were elevated for women whose partners were problem gamblers (adjusted OR: 10.5; 95% CI: 1.3-82) or problem drinkers (adjusted OR: 6.1; 95% CI: 2.5-14). The presence of both problem gambling and problem drinking in the partner was associated with an even higher OR (adjusted OR: 50; 95% CI: 9-280). Our study shows that problem gambling in the partner is associated with IPV. The causes of IPV are not fully known, but the association of problem gambling in the partner with IPV could lead to new intervention strategies and Emergency Medicine research in the future. (C) 2002 Elsevier Science Inc.