Raj Anita, Liu Rosalyn, McCleary-Sills Jennifer, Silverman Jay G
Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, Massachusetts 02118, USA.
J Immigr Health. 2005 Apr;7(2):85-91. doi: 10.1007/s10903-005-2641-9.
To assess relationships between intimate partner violence (IPV) and sexual health among South Asian women in Boston. Surveys assessed demographics, IPV and sexual and reproductive health outcomes of women in relationships with men (N=208). In-depth interviews explored these issues with women with a history of IPV (N=23). Subjects were majority Indian, non-U.S. citizens, and highly educated. Quantitative data were assessed by logistic regression, qualitative data by a grounded theory approach. About 21.2% of the survey sample reported IPV in the current relationship. These women are 2.6 times as likely to report discolored vaginal discharge in the past year (95% CI=1.27-6.50), 3.1 times as likely to report burning during urination in the past year (95% CI=1.52-6.31) and 3.4 times as likely to report unwanted pregnancy in the current relationship (95% CI=1.33-8.66). Interviewed women described how abuse reduces sexual autonomy, increasing risk for unwanted pregnancy and multiple abortions. Study findings demonstrate the need for increased gynecologic health outreach to abused South Asian women in the U.S.
评估波士顿南亚女性亲密伴侣暴力(IPV)与性健康之间的关系。调查评估了与男性建立恋爱关系的女性(N = 208)的人口统计学特征、IPV以及性与生殖健康结果。对有IPV史的女性(N = 23)进行了深入访谈以探讨这些问题。研究对象多数为印度人、非美国公民且受过高等教育。定量数据通过逻辑回归进行评估,定性数据采用扎根理论方法进行分析。约21.2%的调查样本报告在当前恋爱关系中遭受过IPV。这些女性在过去一年中报告阴道分泌物变色的可能性是其他人的2.6倍(95%置信区间=1.27 - 6.50),报告排尿时有烧灼感的可能性是其他人的3.1倍(95%置信区间=1.52 - 6.31),在当前恋爱关系中报告意外怀孕的可能性是其他人的3.4倍(95%置信区间=1.33 - 8.66)。接受访谈的女性描述了虐待如何降低性自主权,增加意外怀孕和多次堕胎的风险。研究结果表明有必要加强对美国受虐待南亚女性的妇科健康宣传。