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, Canada.
Ann Epidemiol. 2006 Aug;16(8):644-51. doi: 10.1016/j.annepidem.2005.12.005. Epub 2006 Mar 3.
Women with activity limitations (ALs) are at risk for Intimate partner violence (IPV). This study examined IPV in men versus women with ALs.
Data from the Canadian 1999 General Social Survey compared physical, sexual, emotional, and financial IPV from a current/expartner in 5 years for men and women with ALs compared with those without ALs. Logistic regression examined sex differences in IPV among those with ALs, adjusting for sociodemographic factors.
Rates of physical (11.9% versus 7.8%; p < 0.0001), sexual (3.5% versus 1.4%; p < 0.0001), emotional (27.1% versus 17.7%; p < 0.0001), and financial (7.5% versus 3.4%; p < 0.0001) IPV were greater in women with compared with without ALs. A similar pattern was seen for men, with greater rates of physical (9.2% versus 6.6%; p = 0.006), emotional (22.6% versus 18.2%; p = 0.002), and financial (2.6% versus 1.4%; p = 0.005) IPV in men with ALs than men without ALs. Risk factors for IPV included younger age, being divorced/separated or single, and having lower income and poorer health. Women with ALs were more likely than men to experience any IPV (29.1% versus 24.9%) and more severe and more incidents of IPV. In multivariable analysis, women were no longer at greater risk for "any IPV" after adjusting for sociodemographic variables (odds ratio = 1.09; 95% confidence interval, 0.88-1.36).
This is the first study to document IPV rates in men with ALs. Women with ALs were more likely to be divorced/separated, living in poverty, and in poorer health than men with ALs. These factors accounted for sex differences in IPV rates.
活动受限的女性面临亲密伴侣暴力(IPV)的风险。本研究调查了有活动受限的男性与女性中的亲密伴侣暴力情况。
来自加拿大1999年综合社会调查的数据,比较了有活动受限和无活动受限的男性与女性在5年内来自现任/前任伴侣的身体、性、情感和经济方面的亲密伴侣暴力情况。逻辑回归分析了有活动受限者中亲密伴侣暴力的性别差异,并对社会人口学因素进行了调整。
有活动受限的女性在身体暴力(11.9%对7.8%;p<0.0001)、性暴力(3.5%对1.4%;p<0.0001)、情感暴力(27.1%对17.7%;p<0.0001)和经济暴力(7.5%对3.4%;p<0.0001)方面的发生率高于无活动受限的女性。男性也有类似模式,有活动受限的男性在身体暴力(9.2%对6.6%;p = 0.006)、情感暴力(22.6%对18.2%;p = 0.002)和经济暴力(2.6%对1.4%;p = 0.005)方面的发生率高于无活动受限的男性。亲密伴侣暴力的风险因素包括年龄较小、离婚/分居或单身、收入较低和健康状况较差。有活动受限的女性比男性更有可能经历任何形式的亲密伴侣暴力(29.1%对24.9%),且经历的亲密伴侣暴力更严重、次数更多。在多变量分析中,在对社会人口学变量进行调整后,女性在“任何亲密伴侣暴力”方面不再具有更高的风险(优势比 = 1.09;95%置信区间,0.88 - 1.36)。
这是第一项记录有活动受限男性亲密伴侣暴力发生率的研究。有活动受限的女性比有活动受限的男性更有可能离婚/分居、生活贫困且健康状况较差。这些因素解释了亲密伴侣暴力发生率的性别差异。