Coker Ann L, Davis Keith E, Arias Ileana, Desai Sujata, Sanderson Maureen, Brandt Heather M, Smith Paige H
Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina, USA.
Am J Prev Med. 2002 Nov;23(4):260-8. doi: 10.1016/s0749-3797(02)00514-7.
Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health consequences among women and men.
The study analyzed data from the National Violence Against Women Survey (NVAWS) of women and men aged 18 to 65. This random-digit-dial telephone survey included questions about violent victimization and health status indicators.
A total of 28.9% of 6790 women and 22.9% of 7122 men had experienced physical, sexual, or psychological IPV during their lifetime. Women were significantly more likely than men to experience physical or sexual IPV (relative risk [RR]=2.2, 95% confidence interval [CI]=2.1, 2.4) and abuse of power and control (RR=1.1, 95% CI=1.0, 1.2), but less likely than men to report verbal abuse alone (RR=0.8, 95% CI=0.7, 0.9). For both men and women, physical IPV victimization was associated with increased risk of current poor health; depressive symptoms; substance use; and developing a chronic disease, chronic mental illness, and injury. In general, abuse of power and control was more strongly associated with these health outcomes than was verbal abuse. When physical and psychological IPV scores were both included in logistic regression models, higher psychological IPV scores were more strongly associated with these health outcomes than were physical IPV scores.
Both physical and psychological IPV are associated with significant physical and mental health consequences for both male and female victims.
很少有基于人群的研究评估过女性或男性受害者遭受心理和身体亲密伴侣暴力（IPV）对身心健康的影响。本研究按类型（身体暴力、性暴力和心理暴力）估算了IPV的患病率以及男性和女性受害者相关的身心健康后果。
该研究分析了针对18至65岁男性和女性的全国妇女遭受暴力调查（NVAWS）的数据。这项随机数字拨号电话调查包括了有关暴力受害情况和健康状况指标的问题。
在6790名女性中，共有28.9%的人在其一生中遭受过身体暴力、性暴力或心理暴力；在7122名男性中，这一比例为22.9%。女性比男性更有可能遭受身体暴力或性暴力（相对风险[RR]=2.2，95%置信区间[CI]=2.1，2.4）以及权力和控制方面的虐待（RR=1.1，95%CI=1.0，1.2），但单独报告言语虐待的可能性低于男性（RR=0.8，95%CI=0.7，0.9）。对于男性和女性来说，遭受身体暴力都与当前健康状况不佳、抑郁症状、物质使用以及患慢性病、慢性精神疾病和受伤风险增加有关。一般来说，权力和控制方面的虐待比言语虐待与这些健康结果的关联更强。当将身体和心理IPV得分都纳入逻辑回归模型时，较高的心理IPV得分比身体IPV得分与这些健康结果的关联更强。
身体和心理IPV对男性和女性受害者的身心健康都有重大影响。
