Physical and sexual intimate partner violence and reported serious psychological distress in the 2007 BRFSS
Physical and sexual intimate partner violence and reported serious psychological distress in the 2007 BRFSS
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DOI：
10.1007/s00038-009-0005-2
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发表时间：
2009-06-01
影响因子：
4.6
通讯作者：
Perry, Geraldine S.
中科院分区：
文献类型：
--
作者：
Edwards, Valerie J.;Black, Michele C.;Perry, Geraldine S.
我们试图确定亲密伴侣暴力（IPV）和严重心理困扰（SPD）之间的关系，用Kessler-6 （K6）测量美国成年人。我们使用2007年行为风险因素监测系统（BRFSS）的数据来确定报告多种形式IPV的个体是否也报告SPD的患病率高于报告：1)没有身体或性IPV的个体；2)身体或性IPV；3)威胁或企图进行肢体暴力。我们还获得了调整后的终生身体或性IPV患病率。我们分析了三个州在2007年同时实施了BRFSS的IPV和K6可选模块的反馈。受访者（5,985名男性；9,335名女性）被归类为遭受威胁或未遂的身体暴力、身体暴力、性暴力或身体暴力和性暴力。我们通过人口统计学特征计算了IPV的终生患病率，并对IPV水平与spd之间的关系进行了调整和未调整的逻辑回归。15.5%的样本报告了某种形式的IPV。任何一种IPV的流行率在女性（19.9%）中几乎是男性（10.9%）的两倍。IPV还与年龄、婚姻状况、就业状况和收入有关。总体而言，SPD的估计患病率为2.9% （95% CI: 2.5-3.5）。在女性中，终生无IPV者为2.1% (95% CI: 1.16-2.8)，而在报告身体和性IPV者中为15.4% （95% CI: 10.9-21.3）。IPV是一个严重的公共卫生问题，与多种不良健康结果相关，包括SPD。在我们的研究中，当受访者经历多种形式的IPV时，SPD的几率会增加。当患者出现SPD的体征或症状或其他可能与IPV相符的情况时，医疗和精神卫生从业人员应考虑评估IPV暴露情况。同样，医生应该考虑评估SPD患者的IPV。各国应考虑通过BRFSS获得以人口为基础的IPV流行情况，以便更好地规划其居民的健康需求。
We sought to determine the relationship between intimate partner violence (IPV) and serious psychological distress (SPD) as measured by the Kessler-6 (K6) among U.S. adults. We used data from the 2007 Behavioral Risk Factor Surveillance System (BRFSS) to determine whether individuals who reported multiple forms of IPV also reported higher prevalences of SPD compared with those who reported: 1) no physical or sexual IPV; 2) physical or sexual IPV only; and 3) threatened or attempted physical IPV. We also obtained adjusted prevalences for lifetime physical or sexual IPV.We analyzed responses from three states that administered both the IPV and the K6 optional modules of the BRFSS in 2007. Respondents (5,985 men; 9,335 women) were categorized as experiencing threatened or attempted physical violence, physical violence, sexual violence, or both physical and sexual violence. We calculated lifetime IPV prevalence by demographic characteristics and performed adjusted and unadjusted logistic regressions of the relationship between level of IPV and SPD.15.5 % of the sample reported some form of IPV. The prevalence of any IPV was almost twice as high in women (19.9 %) as in men (10.9 %). IPV was also associated with age, marital status, employment status, and income. Overall, the estimated prevalence of SPD was 2.9 % (95 % CI: 2.5-3.5). Among women, it was 2.1 % (95 % CI: 1.16-2.8) among those with no lifetime IPV and 15.4 % (95 % CI: 10.9-21.3) among those who reported both physical and sexual IPV.IPV is a serious public health problem associated with multiple adverse health outcomes, including SPD. In our study, the odds of SPD increased when respondents experience multiple forms of IPV. Medical and mental health practitioners should consider assessing exposure to IPV when patients have signs or symptoms of SPD or other conditions that might be consistent with IPV. Similarly, practitioners should consider assessing for IPV among patients with SPD. States should consider obtaining population-based IPV prevalence via the BRFSS to better plan for the health needs of their residents.