Usta Jinan, Farver Jo Ann M, Pashayan Nora
Department of Family Medicine, American University of Beirut, Medical Center, P.O. Box 112036 Beirut, Lebanon.
Public Health. 2007 Mar;121(3):208-19. doi: 10.1016/j.puhe.2006.09.014. Epub 2006 Dec 18.
To estimate the prevalence of domestic violence among women presenting to primary health care facilities in Lebanon; to identify presenting symptoms and responses to varied forms of violence; and to examine variables associated with domestic violence.
STUDY DESIGN/METHODS: A cross-sectional survey of all women presenting to four primary health care centres in different geographic areas of Lebanon from September 2002 to October 2002. A questionnaire was administered in interview format. The following information was collected from participants: demographic characteristics, perceived health status, prior exposure and responses to domestic violence, and characteristics of the perpetrators.
Of the 1418 participants, 494 (35%) reported experiencing domestic violence and 307 (22%) had family members who had been exposed to domestic violence. Among the women exposed to violence, verbal abuse or insult was most common (88%) followed by physical violence (66%); 57% reported their experiences to family, friends or authorities, whereas the remainder kept silent. Women who were exposed to domestic violence had higher frequencies of reported physical symptoms than those who were not exposed. Generally, the perpetrators were spouses who had demographic backgrounds comparable to their wives. Multiple regression analyses showed that women's education levels, work status, health status, and familial violence predicted domestic violence.
Women readily talk about their abuse when asked. The rate of domestic violence is high among Lebanese women and is a significant health issue. Additional research is needed to better understand the extent of the problem and to develop more effective reporting methods.
评估黎巴嫩初级卫生保健机构中女性遭受家庭暴力的患病率；确定所表现出的症状以及对不同形式暴力的反应；并研究与家庭暴力相关的变量。
研究设计/方法：对2002年9月至2002年10月期间前往黎巴嫩不同地理区域的四个初级卫生保健中心就诊的所有女性进行横断面调查。以访谈形式发放问卷。从参与者那里收集了以下信息：人口统计学特征、自我感知的健康状况、既往遭受家庭暴力的经历及反应，以及施暴者的特征。
在1418名参与者中，494人（35%）报告曾遭受家庭暴力，307人（22%）有家庭成员曾遭受家庭暴力。在遭受暴力的女性中，言语虐待或侮辱最为常见（88%），其次是身体暴力（66%）；57%的人向家人、朋友或当局报告了她们的经历，而其余的人则保持沉默。遭受家庭暴力的女性报告身体症状的频率高于未遭受暴力的女性。一般来说，施暴者是配偶，其人口统计学背景与妻子相当。多元回归分析表明，女性的教育水平、工作状况、健康状况和家庭内暴力可预测家庭暴力。
当被问及自身受虐情况时，女性愿意倾诉。黎巴嫩女性中家庭暴力发生率较高，且是一个重大的健康问题。需要进一步开展研究，以更好地了解该问题的严重程度，并制定更有效的报告方法。
