Svavarsdottir Erla Kolbrun, Orlygsdottir Brynja
University of Iceland, Reykjavik, Iceland.
J Adv Nurs. 2009 Jul;65(7):1452-62. doi: 10.1111/j.1365-2648.2009.05006.x. Epub 2009 Apr 30.
This paper is a report of a study to investigate the correlates of physical and psychological health in a general population-based sample of Icelandic women who experienced abuse in close relationships.
Most studies examining the health concerns associated with intimate partner abuse have been based on clinical populations; however, their findings may not be representative of the general population of women experiencing intimate partner abuse.
A cross-sectional correlational study was conducted. The Women's Response to Battering Model was used to guide the choice of variables. Questionnaires were mailed to 7523 randomly-selected Icelandic women. Data collection started in December 2005 and ended a year later. A total of 1974 married and 772 cohabiting women answered the questionnaires (n = 2746). Independent t-tests and stepwise regression were used to analyse the data.
Health risk behaviours (e.g. alcohol misuse, smoking), chronic health conditions/illnesses (e.g. sleep disturbance, depression, eating disorders) and currently being victim of intimate partner violence predicted the women's physical and psychological health.
Interventions designed to decrease health risk behaviours, treat chronic health conditions/illnesses and offer best practice first response to women who are victims of intimate partner violence can be offered to reduce the short- and long-term effects of violence on their physical and psychological health. Public health policy needs to focus specifically on intimate partner violence against women and the role that public health nurses can have in early identification and offering appropriate interventions within primary healthcare settings.
本文是一项研究报告,旨在调查冰岛一般人群中曾在亲密关系中遭受虐待的女性的身心健康相关因素。
大多数研究亲密伴侣虐待相关健康问题的研究都基于临床人群;然而,他们的研究结果可能并不代表遭受亲密伴侣虐待的女性总体情况。
进行了一项横断面相关性研究。采用女性对殴打反应模型来指导变量的选择。问卷被邮寄给7523名随机挑选的冰岛女性。数据收集于2005年12月开始,一年后结束。共有1974名已婚女性和772名同居女性回答了问卷(n = 2746)。使用独立t检验和逐步回归分析数据。
健康风险行为(如酗酒、吸烟)、慢性健康状况/疾病(如睡眠障碍、抑郁、饮食失调)以及目前是亲密伴侣暴力的受害者可预测女性的身心健康。
可以提供旨在减少健康风险行为、治疗慢性健康状况/疾病并为亲密伴侣暴力受害者女性提供最佳实践第一反应的干预措施,以减少暴力对其身心健康的短期和长期影响。公共卫生政策需要特别关注针对女性的亲密伴侣暴力以及公共卫生护士在初级卫生保健环境中早期识别和提供适当干预措施方面可以发挥的作用。