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西班牙女性亲密伴侣暴力行为对身体健康的影响

Physical health consequences of intimate partner violence in Spanish women.

作者信息

Ruiz-Pérez Isabel, Plazaola-Castaño Juncal, Del Río-Lozano María

机构信息

Public Health Research Area, Andalusian School of Public Health, Granada, Spain.

出版信息

Eur J Public Health. 2007 Oct;17(5):437-43. doi: 10.1093/eurpub/ckl280. Epub 2007 Jan 23.

Abstract

BACKGROUND

Intimate partner violence (IPV) against women can result in serious health problems. The objectives of this study are to analyse the association between the different types of IPV and women's physical health, and to examine whether this association varies depending on the intensity, duration and timing of the violence.

METHODS

A sample of 1402 randomly selected women attending 23 family practices in Spain responded to an anonymous self-reported questionnaire. Measures considered were exposure to physical, sexual and psychological IPV; intensity, duration and timing of such violence; chronic physical disease; number of lifetime surgical operations and number of days spent in bed in the last three months. Descriptive, bivariate and multivariate analyses were conducted.

RESULTS

Lifetime IPV prevalence was 32%. Higher prevalence of chronic disease was observed in abused women than in never abused women, as well as greater number of days spent in bed. Women who reported having experienced the three types of IPV were more likely to suffer a chronic disease (OR = 2.03; 95% CI = 1.18-3.51) and to spend more days in bed (t = 2.35; P = 0.019) than those never abused. Women abused in the past but not in the present presented a higher probability of having a chronic disease than never abused women, and women who had been abused both in the past and in the present had a higher probability of spending more days in bed.

CONCLUSION

IPV can negatively affect physical health of the victims. It is therefore necessary to detect cases of IPV at a primary health care level.

摘要

背景

针对女性的亲密伴侣暴力(IPV)会导致严重的健康问题。本研究的目的是分析不同类型的亲密伴侣暴力与女性身体健康之间的关联,并探讨这种关联是否因暴力的强度、持续时间和发生时间而异。

方法

从西班牙23家家庭诊所随机抽取1402名女性作为样本,她们对一份匿名的自我报告问卷进行了回答。所考虑的测量指标包括遭受身体、性和心理方面的亲密伴侣暴力情况;此类暴力的强度、持续时间和发生时间;慢性身体疾病;终身手术次数以及过去三个月卧床天数。进行了描述性、双变量和多变量分析。

结果

终身亲密伴侣暴力患病率为32%。与从未遭受过暴力的女性相比,受虐女性中慢性病的患病率更高,卧床天数也更多。报告经历过三种类型亲密伴侣暴力的女性比从未受虐的女性更有可能患慢性病(比值比=2.03;95%置信区间=1.18 - 3.51),且卧床天数更多(t = 2.35;P = 0.019)。过去受虐但目前未受虐的女性患慢性病的概率高于从未受虐的女性,而过去和现在都曾受虐的女性卧床天数更多的概率更高。

结论

亲密伴侣暴力会对受害者的身体健康产生负面影响。因此,有必要在初级卫生保健层面发现亲密伴侣暴力案件。

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