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对母亲亲密伴侣暴力经历与婴儿总体健康及气质的探索。

An exploration of maternal intimate partner violence experiences and infant general health and temperament.

作者信息

Burke Jessica Griffin, Lee Li-Ching, O'Campo Patricia

机构信息

Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, 218 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, USA.

出版信息

Matern Child Health J. 2008 Mar;12(2):172-9. doi: 10.1007/s10995-007-0218-z. Epub 2007 Jun 5.

Abstract

OBJECTIVES

While the women's health consequences of intimate partner violence have received much research attention, less is known about how maternal abuse experiences affect infant health and well-being. Existing studies have also been unable to examine specific types of intimate partner violence such as psychological aggression, physical abuse, and sexual coercion. This secondary data analysis explored the prevalence, patterns, and types of intimate partner violence within a large cohort of mothers and explored the relationship between maternal intimate partner violence experiences and infant's general health and temperament at 1 year of age.

METHODS

Existing data were drawn from the Fragile Families and Child Wellbeing study which collected data through surveys conducted shortly after the infant's birth (baseline) and at 1 year of age (follow-up). Records from 4,141 mothers recruited from 75 hospitals, in 20 cities, in the US were used. Bivariate and multivariate regression analyses were conducted.

RESULTS

Results show high rates of intimate partner violence. Maternal reports of any intimate partner violence at baseline or follow-up were both significantly associated with increased odds of less than excellent infant general health and difficult temperament. Independent examination of psychological, physical, and sexual abuse revealed differential relationships between the types of intimate partner violence and infant health outcomes.

CONCLUSIONS

Results from this study contribute to our understanding of the infant health threats associated with maternal intimate partner violence experiences. Additional research addressing the complex relationship between maternal abuse experiences and infant health and specific intervention implications is warranted.

摘要

目标

虽然亲密伴侣暴力对女性健康的影响已受到诸多研究关注,但对于母亲遭受虐待的经历如何影响婴儿的健康和幸福,我们所知甚少。现有研究也未能考察亲密伴侣暴力的具体类型,如心理攻击、身体虐待和性胁迫。这项二次数据分析探讨了一大群母亲中亲密伴侣暴力的患病率、模式和类型,并探讨了母亲遭受亲密伴侣暴力的经历与婴儿1岁时的总体健康和气质之间的关系。

方法

现有数据来自脆弱家庭与儿童福利研究,该研究通过在婴儿出生后不久(基线)和1岁时(随访)进行的调查收集数据。使用了从美国20个城市的75家医院招募的4141名母亲的记录。进行了双变量和多变量回归分析。

结果

结果显示亲密伴侣暴力的发生率很高。母亲在基线或随访时报告的任何亲密伴侣暴力都与婴儿总体健康状况不佳和气质困难的几率增加显著相关。对心理、身体和性虐待的独立调查揭示了亲密伴侣暴力类型与婴儿健康结果之间的不同关系。

结论

本研究结果有助于我们理解与母亲遭受亲密伴侣暴力经历相关的婴儿健康威胁。有必要进行更多研究,以探讨母亲遭受虐待的经历与婴儿健康之间的复杂关系以及具体的干预意义。

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