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饮酒、酒精问题与男性对女性及女性对男性伴侣暴力行为的五年复发率和发生率

Drinking, alcohol problems and the five-year recurrence and incidence of male to female and female to male partner violence.

作者信息

Caetano Raul, McGrath Christine, Ramisetty-Mikler Suhasini, Field Craig A

机构信息

University of Texas School of Public Health, Dallas Regional Campus, Dallas, Texas, USA.

出版信息

Alcohol Clin Exp Res. 2005 Jan;29(1):98-106. doi: 10.1097/01.alc.0000150015.84381.63.

Abstract

BACKGROUND

This study examined the 5-year incidence and recurrence of male to female (MFPV) and female to male partner violence (FMPV) as well as their relationship with drinking and alcohol problems among intact couples in the United States.

METHODS

A national sample of couples 18 years of age or older were interviewed in 1995 and again in 2000.

RESULTS

Recurrence is slightly higher for FMPV (44%) than MFPV (39%), whereas incidence rates are similar for these two types of violence (MFPV, 5.7%; FMPV, 6%). Cross-tabulations show that a higher frequency of drinking five or more drinks on occasion is positively associated with the overall occurrence of MFPV and with both the recurrence and the overall occurrence of FMPV. Male alcohol problems are associated with a higher recurrence of MFPV and higher overall MFPV. Female alcohol problems are associated with incidence of FMPV. In multivariate analysis, black ethnicity, male unemployment, and severe physical abuse during childhood are associated with recurrence of MFPV. Black ethnicity, male unemployment, male employment status as "retired/other," female age, and couples in which the female drinks more are associated with recurrence of FMPV. Incidence of MFPV is associated with cohabitation, Hispanic ethnicity, and man's observation of violence between parents. Male unemployment, male observation of violence between parents, and man's drinking volume predict incidence of FMPV.

CONCLUSIONS

Volume of drinking is the only alcohol indicator associated with intimate partner violence once the effects of other factors are controlled in multivariate analysis. Both MFPV and FMPV are areas of health disparity across whites, blacks, and Hispanics. Factors of risk that predict recurrence and incidence can be identified and used in prevention efforts.

摘要

背景

本研究调查了美国完整夫妻中男性对女性伴侣暴力(MFPV)和女性对男性伴侣暴力(FMPV)的5年发生率和复发率,以及它们与饮酒和酒精问题的关系。

方法

1995年对全国18岁及以上的夫妻样本进行了访谈,并于2000年再次访谈。

结果

FMPV的复发率(44%)略高于MFPV(39%),而这两种暴力行为的发生率相似(MFPV为5.7%;FMPV为6%)。交叉表显示,偶尔饮用五杯或更多酒的频率较高与MFPV的总体发生率、FMPV的复发率和总体发生率呈正相关。男性酒精问题与MFPV的较高复发率和较高总体发生率相关。女性酒精问题与FMPV的发生率相关。在多变量分析中,黑人种族、男性失业和童年时期遭受的严重身体虐待与MFPV的复发相关。黑人种族、男性失业、男性“退休/其他”就业状况、女性年龄以及女性饮酒较多的夫妻与FMPV的复发相关。MFPV的发生率与同居、西班牙裔种族以及男性对父母间暴力行为的观察有关。男性失业、男性对父母间暴力行为的观察以及男性饮酒量可预测FMPV的发生率。

结论

在多变量分析中控制其他因素的影响后,饮酒量是与亲密伴侣暴力相关的唯一酒精指标。MFPV和FMPV在白人、黑人和西班牙裔中都是健康差异领域。可以识别出预测复发和发生率的风险因素,并将其用于预防工作。

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