Cunradi Carol B
Prevention Research Center, Pacific Institute for Research & Evaluation, Berkeley, California 94704, USA.
Alcohol Clin Exp Res. 2007 Jun;31(6):1012-9. doi: 10.1111/j.1530-0277.2007.00382.x. Epub 2007 Mar 31.
Intimate partner violence (IPV) remains a significant public health problem. The purpose of this study is to assess the contribution of drinking patterns to risk for mutual IPV among married/cohabiting adults in the general population, and to determine if the association between drinking level and mutual IPV varies by level of neighborhood social disorder.
The study sample consists of 19,035 non-Hispanic black, Hispanic, and non-Hispanic white married/cohabiting adults who participated in the 2000 National Household Survey on Drug Abuse (NHSDA), and whose responses were available through the NHSDA public use file. Gender-specific multivariate logistic regression models of mutual IPV were developed to assess the association between drinking level and mutual IPV, and to test whether these associations vary by neighborhood social disorder.
Compared with men who are abstainers, men who are past-30 day heavy drinkers are at a more than 6-fold increased risk for mutual IPV. Men in less hazardous drinking categories are at a 2- to 3-fold increased risk of mutual IPV. Neighborhood disorder is independently associated with men's risk for mutual IPV (odds ratio=1.61). Except for women in the most hazardous drinking category, neighborhood disorder moderates the association between women's drinking level and risk of mutual IPV such that risk for mutual IPV significantly increases under conditions of high neighborhood disorder, and decreases to insignificant risk under conditions of low neighborhood disorder. Compared with abstainers, women who are past-30 day heavy drinkers are at an approximate 6-fold risk for mutual IPV regardless of level of neighborhood disorder.
Drinking level and neighborhood characteristics should be taken into account when assessing risk for mutual IPV among married/cohabiting men and women in the general population. An environmental approach to IPV prevention and intervention which addresses the neighborhood context in which couples reside may be a promising strategy for reducing IPV occurrence.
亲密伴侣暴力（IPV）仍是一个重大的公共卫生问题。本研究的目的是评估饮酒模式对普通人群中已婚/同居成年人相互实施亲密伴侣暴力风险的影响，并确定饮酒水平与相互实施亲密伴侣暴力之间的关联是否因社区社会失序程度而异。
研究样本包括19035名非西班牙裔黑人、西班牙裔和非西班牙裔白人已婚/同居成年人，他们参与了2000年全国药物滥用家庭调查（NHSDA），其回答可通过NHSDA公共使用文件获取。建立了相互实施亲密伴侣暴力的性别特异性多变量逻辑回归模型，以评估饮酒水平与相互实施亲密伴侣暴力之间的关联，并检验这些关联是否因社区社会失序程度而异。
与戒酒的男性相比，过去30天内大量饮酒的男性相互实施亲密伴侣暴力的风险增加了6倍多。处于危害较小饮酒类别的男性相互实施亲密伴侣暴力的风险增加了2至3倍。社区失序与男性相互实施亲密伴侣暴力的风险独立相关（优势比=1.61）。除了处于危害最大饮酒类别的女性外，社区失序调节了女性饮酒水平与相互实施亲密伴侣暴力风险之间的关联，使得在社区失序程度高的情况下，相互实施亲密伴侣暴力的风险显著增加，而在社区失序程度低的情况下，风险降至无显著意义。与戒酒者相比，过去30天内大量饮酒的女性无论社区失序程度如何，相互实施亲密伴侣暴力的风险约为6倍。
在评估普通人群中已婚/同居男女相互实施亲密伴侣暴力的风险时，应考虑饮酒水平和社区特征。一种针对亲密伴侣暴力预防和干预的环境方法，该方法考虑到夫妻居住的社区环境，可能是减少亲密伴侣暴力发生的一个有前景的策略。
