Hathaway J E, Mucci L A, Silverman J G, Brooks D R, Mathews R, Pavlos C A
Bureau of Family and Community Health, Massachusetts Department of Public Health, Boston, Massachusetts, USA.
Am J Prev Med. 2000 Nov;19(4):302-7. doi: 10.1016/s0749-3797(00)00236-1.
Studies indicate that women abused by their intimate partners are at increased risk for a number of health problems and have increased rates of health care utilization. However, these findings are based mainly on studies using clinic or health plan populations. In this study, we examined the association between intimate partner abuse (IPA) and health concerns and health care utilization in a population-based sample of adult women.
We analyzed data on 2043 women aged 18 to 59 who participated in the 1998 Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), a population-based health survey that included questions on IPA. IPA was defined as experiencing physical violence by, fear of, or control by an intimate partner. Consequences of IPA and self-rated health status and health care utilization of women experiencing IPA were examined.
A total of 6.3% of Massachusetts women aged 18 to 59 reported IPA during the past year. Women experiencing IPA were more likely than other women to report depression, anxiety, sleep problems, suicidal ideation, disabilities, smoking, unwanted pregnancy, HIV testing, and condom use. Women experiencing IPA were less likely to have health insurance, but received routine health care at similar rates as other women.
These results indicate that women in the general population experiencing IPA are at increased risk for several serious emotional and physical health concerns. Most of these women are in routine contact with health care providers. These findings also suggest that the BRFSS may provide a valuable mechanism for tracking state-based IPA prevalence rates over time.
研究表明，遭受亲密伴侣虐待的女性出现多种健康问题的风险增加，且医疗保健利用率也有所上升。然而，这些研究主要基于对诊所或健康计划人群的研究。在本研究中，我们在一个基于人群的成年女性样本中，研究了亲密伴侣虐待（IPA）与健康问题及医疗保健利用之间的关联。
我们分析了2043名年龄在18至59岁之间参与1998年马萨诸塞州行为风险因素监测系统（BRFSS）的女性的数据，该基于人群的健康调查包含了有关IPA的问题。IPA被定义为遭受亲密伴侣的身体暴力、恐惧亲密伴侣或受其控制。我们研究了IPA的后果以及遭受IPA的女性的自评健康状况和医疗保健利用情况。
在过去一年中，共有6.3%的18至59岁马萨诸塞州女性报告遭受了IPA。遭受IPA的女性比其他女性更有可能报告抑郁、焦虑、睡眠问题、自杀念头、残疾、吸烟、意外怀孕、艾滋病毒检测和使用避孕套。遭受IPA的女性拥有医疗保险的可能性较小，但接受常规医疗保健的比例与其他女性相似。
这些结果表明，一般人群中遭受IPA的女性出现几种严重的情绪和身体健康问题的风险增加。这些女性中的大多数与医疗保健提供者有常规接触。这些发现还表明，BRFSS可能为长期跟踪基于州的IPA患病率提供一种有价值的机制。
