Radomsky N A
Parsons Clinic, Red Deer, Alberta, Canada.
J Fam Pract. 1992 Jul;35(1):54-60.
This study determined whether women in a primary care practice who described one or both of their parents as alcohol dependent (group A) or harsh, rigid, or difficult (group B) were more likely to have chronic illness than women who denied having parents with these characteristics (group C).
A consecutive sample of 120 women scheduled for comprehensive physical examinations were interviewed to determine parental characteristics, demographic data (age, education, employment, and marital status), and clinical information (chronic illness and lifetime surgeries). In addition, all women were asked standardized questions about sexual and physical abuse.
The overall difference among the groups for women with a history of chronic illness was significant (P less than .001). More women in groups A (55%) and B (48%) were identified with chronic illness than in group C (18%). Women in groups A and B also reported more sexual and physical abuse (32% and 44%, respectively) than women in group C (8% [P less than .001]). Women identifying abuse were diagnosed with more chronic illness (67%, compared with 25% [P less than .001]) and more lifetime surgeries (3.3 compared with 1.75 [P less than .05]) than women denying abuse.
Parental alcoholism and parental rigidity were associated with increased prevalence of chronic illness and physical or sexual abuse among women patients.
本研究旨在确定在初级保健机构中，那些称其父母一方或双方酗酒（A组）或严厉、刻板或难以相处（B组）的女性，是否比那些否认父母有这些特征的女性（C组）更易患慢性病。
对连续抽取的120名计划进行全面体检的女性进行访谈，以确定其父母的特征、人口统计学数据（年龄、教育程度、就业情况和婚姻状况）以及临床信息（慢性病和终生手术史）。此外，所有女性都被问及有关性虐待和身体虐待的标准化问题。
有慢性病病史的女性在各组之间的总体差异具有统计学意义（P <.001）。A组（55%）和B组（48%）中被查出患有慢性病的女性多于C组（18%）。A组和B组的女性报告的性虐待和身体虐待也多于C组（分别为32%和44%，而C组为8% [P <.001]）。与否认遭受虐待的女性相比，承认遭受虐待的女性被诊断出患有更多慢性病（67%，相比之下为25% [P <.001]），且终生手术次数更多（3.3次与1.75次相比 [P <.05]）。
父母酗酒和父母刻板与女性患者慢性病患病率增加以及身体或性虐待有关。
