Cohen Marsha M, Forte Tonia, Du Mont Janice, Hyman Ilene, Romans Sarah
Centre for Research in Women's Health, Sunnybrook and Women's Health Sciences Centre, University of Toronto, 790 Bay Street, 7th Floor, Toronto, Ontario, Canada M5G 1N8.
J Epidemiol Community Health. 2005 Oct;59(10):834-9. doi: 10.1136/jech.2004.022467.
To determine the prevalence of intimate partner violence (IPV) in the previous five years among women reporting activity limitations (AL).
A community based, representative telephone survey of Canadians aged 15 and over. AL was assessed by the question: "Does a long term physical or mental condition or health problem reduce the amount or the kind of activity that you can do at home, at school, at work or in other activities?" Response categories were: often, sometimes, or never.
8771 women who had a current/former partner of whom 1483 reported AL.
IPV was reported more often for AL (often or sometimes) compared with no AL women (emotional abuse (27.1, 26.4 v 17.7%, p<0.0001), physical-severe (7.3, 6.7 v 3.6%, p<0.0001), sexual abuse (3.5, 3.6 v 1.4%, p<0.0001)), or any IPV (30.5, 27.8 v 19.6%, p<0.0001). Adjusting for age, marital status, education, income, employment, children in the household, Aboriginal or visible minority status, place of birth, urban or rural residence, region of Canada, time in current residence, and religious attendance, AL women had higher odds of IPV (adjusted odds ratio: AL often=2.12; 95% CI: 1.64, 2.74; AL sometimes: OR=1.64; 95% CI:1.40, 2.29).
These findings call for increased recognition of violence that occurs in the lives of women with AL. This community based study suggests that abuse among those reporting AL is high. Women with AL represent a high risk group to be targeted in terms of IPV prevention and intervention.
确定过去五年中报告有活动受限（AL）的女性遭受亲密伴侣暴力（IPV）的患病率。
一项基于社区的、针对15岁及以上加拿大人的代表性电话调查。通过以下问题评估活动受限情况：“长期的身体或精神状况或健康问题是否会减少你在家、学校、工作场所或其他活动中能够进行的活动量或活动种类？”回答类别为：经常、有时或从不。
8771名有现任/前任伴侣的女性，其中1483名报告有活动受限。
与无活动受限的女性相比，报告有活动受限（经常或有时）的女性遭受IPV的情况更为常见（情感虐待（27.1%、26.4%对17.7%，p<0.0001）、身体虐待-严重（7.3%、6.7%对3.6%，p<0.0001）、性虐待（3.5%、3.6%对1.4%，p<0.0001）），或任何形式的IPV（30.5%、27.8%对19.6%，p<0.0001）。在对年龄、婚姻状况、教育程度、收入、就业情况、家庭中的子女、原住民或少数族裔身份、出生地、城乡居住情况、加拿大地区、当前居住时间以及宗教活动参与情况进行调整后，有活动受限的女性遭受IPV的几率更高（调整后的优势比：经常活动受限=2.12；95%置信区间：1.64，2.74；有时活动受限：优势比=1.64；95%置信区间：1.40，2.29）。
这些发现呼吁人们更多地认识到有活动受限的女性生活中发生的暴力行为。这项基于社区的研究表明，报告有活动受限的女性中虐待情况很普遍。就预防和干预亲密伴侣暴力而言，有活动受限的女性是一个需要关注的高危群体。
