Domestic violence and chronic malnutrition among women and children in India
Domestic violence and chronic malnutrition among women and children in India
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DOI：
10.1093/aje/kwn049
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发表时间：
2008-05-15
影响因子：
5
通讯作者：
Subramanian, S. V.
中科院分区：
文献类型：
--
作者：
Ackerson, Leland K.;Subramanian, S. V.
家庭暴力与有害的身心健康有关，但几乎没有证据表明家庭暴力与营养不良之间存在关系。为了研究这种关系，作者分析了1998-1999年印度全国家庭健康调查中69,072名15-49岁妇女和14,552名12-35个月儿童的数据。身体上的家庭暴力受害是由妇女自我报告的。本研究包括的营养状况方面是贫血和体重不足。贫血是通过血检血红蛋白来测量的。体重不足是根据人体测量数据计算出来的，并被确定为妇女的体重指数，其中包括儿童的发育迟缓和消瘦。结果表明，在过去的一年中，多起家庭暴力事件与贫血（比值比= 1.11，95%置信区间：1.04，1.18）和体重不足（比值比= 1.21，95%置信区间：1.13，1.29）的妇女和儿童之间的关系。这种关系的可能机制包括作为一种虐待形式的不给食物和家庭暴力对营养结果的压力介导的影响。这些研究结果表明，减少家庭暴力不仅从道德和内在的角度来看很重要，而且还因为可能产生的有益健康的好处。
Domestic violence has harmful physical and psychological health correlates, but there is little evidence regarding a relation between domestic violence and malnutrition. To investigate this relation, the authors analyzed data from 69,072 women aged 15-49 years and 14,552 children aged 12-35 months in the 1998-1999 Indian National Family Health Survey. Physical domestic violence victimization was self-reported by the women. Aspects of nutritional status included in this study were anemia and underweight. Anemia was measured with a blood test for hemoglobin. Underweight was calculated from anthropometric measurements and was determined as body mass index for women, and it included stunting and wasting for children. Results indicate associations of multiple incidents of domestic violence in the previous year with anemia (odds ratio = 1.11, 95% confidence interval: 1.04, 1.18) and underweight (odds ratio = 1.21, 95% confidence interval: 1.13, 1.29) in women and a suggested relation among children. Possible mechanisms for this relation include withholding of food as a form of abuse and stress-mediated influences of domestic violence on nutritional outcomes. These findings indicate that reducing domestic violence is important not only from a moral and intrinsic perspective but also because of the instrumental health benefits likely to accrue.