社会支持减轻伴侣暴力对健康的影响：结构方程模型的应用
Social support reduces the impact of partner violence on health: application of structural equation models.
作者信息
Coker Ann L, Watkins Ken W, Smith Paige H, Brandt Heather M
机构信息
University of Texas Health Science Center, Center for Health Promotion and Prevention Research, School of Public Health, Houston, TX 77225, USA.
出版信息
Prev Med. 2003 Sep;37(3):259-67. doi: 10.1016/s0091-7435(03)00122-1.
BACKGROUND
Intimate partner violence (IPV) is associated with poorer health, yet pathways through which IPV affects either mental or physical health are not well characterized.
METHODS
Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical health (dependent variables).
RESULTS
Higher scores on emotional support were associated with better physical (beta = -0.23, P < 0.01) and mental health (beta = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental health (beta = 0.023, P < 0.01) and indirectly associated with poorer physical health (beta = 0.18, P < 0.001) and mental health (beta = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (beta = -0.33, P < 0.001) and indirectly associated with poorer physical (beta = 0.12, P < 0.01) and mental health (beta = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (chi(2) = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02).
CONCLUSIONS
Higher levels of emotional support may modify the effect of IPV on health. Interventions to increase social and emotional support to abused women may reduce mental and physical health consequences.
背景
亲密伴侣暴力（IPV）与较差的健康状况相关，但IPV影响心理健康或身体健康的途径尚未得到充分描述。
方法
采用结构方程模型来检验一个模型，其中身体暴力型亲密伴侣暴力（physical-IPV）和殴打被视为单独的自变量。样本包括191名目前正在经历身体暴力型亲密伴侣暴力或殴打的女性。假设向经历亲密伴侣暴力的女性提供的情感支持可调节亲密伴侣暴力对当前心理健康和身体健康（因变量）的影响。
结果
情感支持得分较高与较好的身体健康（β = -0.23，P < 0.01）和心理健康（β = -0.27，P < 0.001）相关。身体暴力型亲密伴侣暴力与较差的心理健康直接相关（β = 0.023，P < 0.01），与较差的身体健康（β = 0.18，P < 0.001）和心理健康（β = -0.04，P < 0.05）间接相关，主要是通过殴打。较高的殴打得分与较少的情感支持直接相关（β = -0.33，P < 0.001），与较差的身体健康（β = 0.12，P < 0.01）和心理健康（β = 0.09，P < 0.01）间接相关，主要是通过情感支持。模型诊断表明拟合良好（卡方 = 20.44，P = 0.37，GFI = 0.98，CFI = 0.99，RMSEA = 0.02）。
结论
较高水平的情感支持可能会改变亲密伴侣暴力对健康的影响。增加对受虐妇女社会和情感支持的干预措施可能会减少对心理健康和身体健康的影响。
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