Caetano Raul, Cunradi Carol
Dallas Regional Campus, University of Texas School of Public Health, Dallas, Texas 75390-9128, USA.
Ann Epidemiol. 2003 Nov;13(10):661-5. doi: 10.1016/j.annepidem.2003.09.002.
To examine the relationship between intimate partner violence and depression.
A household probability sample of Whites (n=616), Blacks (n=377), and Hispanics (n=592) age 18 or older was interviewed in 1995. The response rate was 85%. Logistic analysis is used to identify predictors of depression.
Among men, Black (OR=.29; 95% CI, 0.13-.65) and Hispanic (OR=0.4; 95% CI, 0.2-0.8) ethnicity were protective against depression. Factors of risk for men included victimization by female to male partner violence (OR=4.04; 95% CI, 1.15-14.11), unemployment (OR=7.65; 95% CI, 1.59-16.39), and living in a high-unemployment neighborhood (OR=4.6; 95% CI, 1.86-11.37). Among women, the predictors are perpetration of moderate (OR=4.08; 95% CI, 1.33-12.47) or severe (OR=6.57; 95% CI, 1.76-24.52) female to male partner violence, and impulsivity (OR=1.82; 95% CI, 3.87-20.71).
Knowledge from surveys using general population samples is important for developing prevention interventions in the community. Because predictors of depression in these samples are both individual and contextual at neighborhood level, prevention interventions to be effective must address not only individual factors of risk but also structural conditions in the environment where individuals live.
研究亲密伴侣暴力与抑郁症之间的关系。
1995年,对一个由18岁及以上的白人(n = 616)、黑人(n = 377)和西班牙裔(n = 592)组成的家庭概率样本进行了访谈。回应率为85%。采用逻辑分析来确定抑郁症的预测因素。
在男性中,黑人(比值比=0.29;95%可信区间,0.13 - 0.65)和西班牙裔(比值比=0.4;95%可信区间,0.2 - 0.8)种族对抑郁症有预防作用。男性的风险因素包括遭受女性对男性伴侣的暴力(比值比=4.04;95%可信区间,1.15 - 14.11)、失业(比值比=7.65;95%可信区间,1.59 - 16.39)以及生活在高失业率社区(比值比=4.6;95%可信区间,1.86 - 11.37)。在女性中,预测因素是对男性伴侣实施中度(比值比=4.08;95%可信区间,1.33 - 12.47)或重度(比值比=6.57;95%可信区间,1.76 - 24.52)的女性对男性伴侣暴力,以及冲动性(比值比=1.82;95%可信区间,3.87 - 20.71)。
来自使用一般人群样本的调查所得知识对于制定社区预防干预措施很重要。由于这些样本中抑郁症的预测因素既有个体层面的,也有邻里层面的背景因素,所以有效的预防干预措施不仅必须解决个体风险因素,还必须关注个体生活环境中的结构条件。