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在美国南亚裔女性中,亲密伴侣暴力与不良健康后果相关。

Intimate partner violence associated with poor health outcomes in U.S. South Asian women.

作者信息

Hurwitz Elizabeth J Himelfarb, Gupta Jhumka, Liu Rosalyn, Silverman Jay G, Raj Anita

机构信息

Department of Social and Behavioral Sciences, Boston University School of Public Health, Massachusetts 02118, USA.

出版信息

J Immigr Minor Health. 2006 Jul;8(3):251-61. doi: 10.1007/s10903-006-9330-1.

Abstract

To assess the associations between Intimate Partner Violence (IPV) victimization and health outcomes of South Asian women in Greater Boston. To explore the nature of the health experiences of victimized women in this population. Cross-sectional surveys with a community-based sample of women in relationships with males (n = 208) assessed demographics, IPV history, and health. In-depth interviews were conducted with a separate sample of women with a history of IPV (n = 23). Quantitative data were assessed by logistic regression, qualitative data by a grounded theory approach. Twenty-one percent of the quantitative sample reported IPV in the current relationship. Abused women were significantly more likely than those with no history of IPV in their current relationship to report poor physical health (95% CI = 1.3-12.0), depression (95% CI = 1.8-9.3), anxiety (95% CI = 1.3-6.4), and suicidal ideation (95% CI = 1.9-25.1). Qualitative subjects described how victimization resulted in injury and chronic health concerns and how IPV-induced depression and anxiety affected their sleep, appetite, energy, and wellbeing. Experiences of IPV are related to increased poor health among South Asian women. This elevated risk demands intervention. Healthcare providers should be trained to screen and refer South Asian patients for partner violence.

摘要

评估大波士顿地区南亚女性亲密伴侣暴力(IPV)受害情况与健康结果之间的关联。探索该人群中受害女性的健康经历的本质。对与男性有恋爱关系的女性进行基于社区的抽样横断面调查(n = 208),评估人口统计学特征、IPV史和健康状况。对另一组有IPV史的女性(n = 23)进行深入访谈。通过逻辑回归评估定量数据,采用扎根理论方法分析定性数据。定量样本中有21%报告在当前恋爱关系中遭受过IPV。与当前恋爱关系中无IPV史的女性相比,受虐女性报告身体健康不佳(95%CI = 1.3 - 12.0)、抑郁(95%CI = 1.8 - 9.3)、焦虑(95%CI = 1.3 - 6.4)和自杀意念(95%CI = 1.9 - 25.1)的可能性显著更高。定性研究对象描述了受害如何导致受伤和慢性健康问题,以及IPV引发的抑郁和焦虑如何影响她们的睡眠、食欲、精力和幸福感。IPV经历与南亚女性健康状况不佳的增加有关。这种风险升高需要进行干预。医疗保健提供者应接受培训,以便对南亚患者进行伴侣暴力筛查和转诊。

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