DOMESTIC VIOLENCE--CHINESE WOMEN IN THE US AND IN CHINA

由于缺乏意识和文化背景，中国家庭尤其处于家庭暴力的弱势地位。很少有研究关注中国、美国或中国人口中家庭暴力的流行程度和后果。该研究的具体目标将集中在：1)开发一种文化上合适的工具，用于评估美国和中国针对中国妇女的家庭暴力；2)调查、记录和比较中美两国中国妇女家庭暴力的类型和普遍程度；3)调查比较中美两国中国女性家庭暴力的危险因素；4)检查和比较中美两国中国妇女与家庭暴力相关的心理和身体健康结果。为了初步开发工具，将从美国的三个亚洲妇女收容所和中国的一个妇女联合会获得总共200名受虐待的中国妇女及其工作人员的样本。最后将随机抽取2000名中国妇女，在纽约唐人街的临床环境和中国福州的4家主要医院进行虐待发生率调查。将审查从两国流行病学调查中确定的至少120名受虐妇女的医疗记录。家庭暴力筛查的访谈工具，将筛选前一年的虐待和终身虐待史和虐待类型，将在论文之前设计和测试的信度和效度。将使用描述性统计和比值比来比较虐待的类型和普遍程度，并将使用多重逻辑回归来确定与对照相比，病例的风险因素和相关医疗条件和症状。本研究将建立在赞助商之前和当前在该领域的研究基础上，包括病例对照研究，以及申请人在中国的初步暴力流行研究，以调查美国和中国华人人口的家庭暴力。

Chinese families are particularly in a vulnerable position for domestic violence due to lack of awareness and cultural background. Few studies have looked at the prevalence and outcomes of domestic violence among the Chinese population, in the US or in China. The specific aims of the proposed study will focus on: 1) to develop a culturally appropriate instrument for assessing domestic violence against Chinese women in the US and in China; 2) to investigate, document and compare the type and prevalence of domestic violence in Chinese women in the US and in China; 3) to investigate and compare the risk factors for domestic violence in Chinese women in the US and in China; and 4) to examine and compare the mental and physical health outcomes associated with domestic violence in Chinese women in the US and China. For preliminary instrument development, a total sample of 200 battered Chinese women and staff working with them will be obtained from 3 Asian Women's Shelters in the US and a Women's Federation in China. A final random sample of 2000 Chinese women will be interviewed in New York Chinatown clinical settings and 4 major hospitals in Fuzhou, China for the abuse prevalence survey. Medical records will be reviewed on at least 120 battered women identified from the prevalence survey in both countries. The interview instrument for domestic violence screening, which will screen for prior year abuse and lifetime history of abuse and types of abuse, will be designed and tested for reliability and validity prior to the dissertation. Descriptive statistics and odds ratios will be used to compare types and prevalence of abuse, and multiple logistic regression will be used to determine the risk factors and associated medical conditions and symptoms for cases as compared to controls. This proposed study will build on the Sponsor's prior and current research in the area with case control studies, and the applicant's preliminary prevalence violence study in China to investigate domestic violence in Chinese population in the US and in China.