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亲密伴侣身体暴力会影响性健康吗?一项系统综述。

Does physical intimate partner violence affect sexual health? A systematic review.

作者信息

Coker Ann L

机构信息

Division of Epidemiology and Disease Control, School of Public Health University of Texas Health Science Center, Houston, Texas, USA.

出版信息

Trauma Violence Abuse. 2007 Apr;8(2):149-77. doi: 10.1177/1524838007301162.

DOI:10.1177/1524838007301162
PMID:17545572
Abstract

Forty years of published research (1966-2006) addressing physical intimate partner violence (IPV) and sexual health was reviewed (51 manuscripts) and synthesized to determine (a) those sexual health indicators for which sufficient evidence is available to suggest a causal association and (b) gaps in the literature for which additional careful research is needed to establish causality and explain mechanisms for these associations. Sexual health was defined as a continuum of indicators of gynecology and reproductive health. IPV was consistently associated with sexual risk taking, inconsistent condom use, or partner nonmonogamy (23 of 27 studies), having an unplanned pregnancy or induced abortion (13 of 16 studies), having a sexually transmitted infection (17 of 24 studies), and sexual dysfunction (17 of 18 studies). A conceptual model was presented to guide further needed research addressing direct and indirect mechanisms by which physical, sexual, and psychological IPV affects sexual health.

摘要

回顾了40年(1966 - 2006年)发表的关于亲密伴侣身体暴力(IPV)与性健康的研究(51篇手稿),并进行综合分析,以确定:(a)有充分证据表明存在因果关联的性健康指标;(b)文献中的空白之处,需要进一步仔细研究以确定因果关系并解释这些关联的机制。性健康被定义为妇科和生殖健康指标的连续统一体。亲密伴侣身体暴力始终与性冒险行为、避孕套使用不一致或伴侣非一夫一妻制(27项研究中的23项)、意外怀孕或人工流产(16项研究中的13项)、性传播感染(24项研究中的17项)以及性功能障碍(18项研究中的17项)相关。提出了一个概念模型,以指导进一步所需的研究,该研究涉及亲密伴侣身体、性和心理暴力影响性健康的直接和间接机制。

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