Walton-Moss Benita J, Manganello Jennifer, Frye Victoria, Campbell Jacquelyn C
School of Nursing, Johns Hopkins University, Baltimore, Maryland 21205, USA.
J Community Health. 2005 Oct;30(5):377-89. doi: 10.1007/s10900-005-5518-x.
The objective of this study was to identify risk factors for abuse and IPV related injury among an urban population. This study reports an additional analysis of a case-control study conducted from 1994 to 2000 in 11 USA metropolitan cities where of 4746 women, 3637 (76.6%) agreed to participate. Control group women (N = 845) were identified through random digit dialing. Significant risk factors for abuse included women's young age (adjusted odds ratio (AOR) 2.05 p = .011), being in fair or poor mental health (AOR 2.65 p < .001), and former partner (AOR 3.33 p < .001). Risk factors for partners perpetrating IPV included not being a high school graduate (AOR 2.06 p = .014), being in fair or poor mental health (AOR 6.61 p < .001), having a problem with drug (AOR 1.94 p = .020) or alcohol use (AOR 2.77 p = .001), or pet abuse (AOR 7.59 p = .011). College completion was observed to be protective (AOR 0.60, p < .001). Significant risk factors for injury included partner's fair or poor mental health (AOR 2.13, p = .008), suicidality (AOR 2.11, p =.020), controlling behavior (AOR 4.31, p < .001), prior domestic violence arrest (AOR 2.66, p = .004), and relationship with victim of more than 1 year (AOR 2.30, p = .026). Through integration of partner related risk factors into routine and/or targeted screening protocols, we may identify more abused women and those at greater risk of abuse and injury.
本研究的目的是确定城市人口中虐待及亲密伴侣暴力相关伤害的风险因素。本研究报告了一项病例对照研究的补充分析,该研究于1994年至2000年在美国11个大城市开展,4746名女性中有3637名(76.6%)同意参与。对照组女性(N = 845)通过随机数字拨号确定。虐待的显著风险因素包括女性年龄较小(调整优势比[AOR] 2.05,p = 0.011)、心理健康状况一般或较差(AOR 2.65,p < 0.001)以及有前任伴侣(AOR 3.33,p < 0.001)。伴侣实施亲密伴侣暴力的风险因素包括未高中毕业(AOR 2.06,p = 0.014)、心理健康状况一般或较差(AOR 6.61,p < 0.001)、有药物问题(AOR 1.94,p = 0.020)或酗酒问题(AOR 2.77,p = 0.001),或虐待宠物(AOR 7.59,p = 0.011)。大学毕业被认为具有保护作用(AOR 0.60,p < 0.001)。伤害的显著风险因素包括伴侣心理健康状况一般或较差(AOR 2.13,p = 0.008)、有自杀倾向(AOR 2.11,p = 0.020)、控制行为(AOR 4.31,p < 0.001)、之前因家庭暴力被捕(AOR 2.66,p = 0.004)以及与受害者关系超过1年(AOR 2.30,p = 0.026)。通过将伴侣相关风险因素纳入常规和/或针对性筛查方案,我们可能识别出更多受虐待的女性以及那些遭受虐待和伤害风险更高的女性。