Vives-Cases Carmen, Torrubiano-Domínguez Jordi, Alvarez-Dardet Carlos
Area de Medicina Preventiva y Salud Pública, Universidad de Alicante, Alicante, España.
Rev Esp Salud Publica. 2008 Jan-Feb;82(1):91-100. doi: 10.1590/s1135-57272008000100008.
Intimate Partner Violence (IPV) has received special attention in the spanish political agenda. Despite the importance of developed interventions, empirical evidence about their effectiveness is scarce. The aim of this study is to explore the temporary distribution of Intimate Partner Violence (IPV) reports and murders and to identify possible changes in the risk of dying and reporting by IPV from the Spanish law against gender violence of December of 2004.
We performed a descriptive study based on statistics of The Woman's Institute and The Divorced and Separated Women Federation.
IPV mortality and reports rates by years and periods around the law (1998-2004 vs. 2005-2006); Poisson Regression; and, Epidemic index by months -Ratio between the actual number of IPV murders and reports in a given month and the median number of cases in the same month in the five preceding years- and underlying epidemic index -annual average of the scores of the epidemic index of reports and murders.
The epidemic index trends permit us to observe that the problem has decreased since 2005. Nevertheless, the possibility of reporting IPV between 2005 and 2006 is 1.6 times upper that between 1998 and 2004. The risk of dying by this cause does not show statistically significant changes.
The possibility of reporting IPV has been increased in Spain throughout the time. However, the risk of dying stays. Although still it is soon for the evaluation of the impact of the law in this epidemic, we could say that its effectiveness for the reduction of IPV mortality seems limited.
亲密伴侣暴力(IPV)在西班牙政治议程中受到了特别关注。尽管已开展的干预措施很重要,但关于其有效性的实证证据却很少。本研究的目的是探讨亲密伴侣暴力(IPV)报告和谋杀案的时间分布,并确定自2004年12月西班牙反性别暴力法颁布以来,因IPV导致死亡和报告的风险可能发生的变化。
我们基于妇女研究所和离婚及分居妇女联合会的统计数据进行了一项描述性研究。
按年份和法律颁布前后的时间段(1998 - 2004年与2005 - 2006年)计算IPV死亡率和报告率;进行泊松回归;计算按月的流行指数(给定月份IPV谋杀案和报告的实际数量与前五年同月病例中位数的比率)以及潜在流行指数(报告和谋杀案流行指数得分的年度平均值)。
流行指数趋势使我们能够观察到,自2005年以来该问题有所减少。然而,2005年至2006年报告IPV的可能性是1998年至2004年期间的1.6倍。因该原因死亡的风险没有显示出统计学上的显著变化。
西班牙报告IPV的可能性一直在增加。然而,死亡风险依然存在。尽管对该法律对这一流行情况的影响进行评估还为时过早,但我们可以说,其在降低IPV死亡率方面的有效性似乎有限。