Department of Medicine and Program in Health Disparities Research, University of Minnesota, Minneapolis, MN, USA.
Lancet. 2010 Jan 23;375(9711):310-6. doi: 10.1016/S0140-6736(09)61827-4.
Intimate-partner violence might increase during and after exposure to collective violence. We assessed whether political violence was associated with male-to-female intimate-partner violence in the occupied Palestinian territory.
A nationally representative, cross-sectional survey was done between Dec 18, 2005, and Jan 18, 2006, by the Palestinian Central Bureau of Statistics. 4156 households were randomly selected with a multistage random cluster design, from which 3815 ever-married women aged 15-64 years were identified. We restricted our analysis to presently married women (n=3510, 92% participation rate), who completed a short version of the revised conflict tactics scales and exposure to political violence inventory. Exposure to political violence was characterised as the husband's direct exposure, his indirect exposure via his family's experiences, and economic effects of exposure on the household. We used adjusted multinomial logistic regression models to estimate odds ratios (ORs) for association between political violence and intimate-partner violence.
Political violence was significantly related to higher odds of intimate-partner violence. ORs were 1.89 (95% CI 1.29-2.76) for physical and 2.23 (1.49-3.35) for sexual intimate-partner violence in respondents whose husbands were directly exposed to political violence compared with those whose husbands were not directly exposed. For women whose husbands were indirectly exposed, ORs were 1.61 (1.25-2.07) for physical and 1.97 (1.49-2-60) for sexual violence, compared with those whose husbands were not indirectly exposed. Economic effects of exposure were associated with increased odds of intimate-partner violence in the Gaza Strip only.
Because exposure to political violence is associated with increased odds of intimate-partner violence, and exposure to many traumas is associated with poor health, a range of violent exposures should be assessed when establishing the need for psychosocial interventions in conflict settings.
在遭遇集体暴力期间和之后，亲密伴侣暴力可能会增加。我们评估了在巴勒斯坦被占领土，政治暴力是否与男性对女性的亲密伴侣暴力有关。
巴勒斯坦中央统计局于 2005 年 12 月 18 日至 2006 年 1 月 18 日进行了一项全国代表性的横断面调查。采用多阶段随机聚类设计，随机抽取了 4156 户家庭，从中确定了 3815 名 15-64 岁的已婚女性。我们将分析仅限于目前已婚的女性（n=3510，参与率为 92%），她们完成了修订后的冲突策略量表和政治暴力暴露情况的简短版本。政治暴力暴露的特征是丈夫的直接暴露、他通过家庭经历的间接暴露以及对家庭的经济影响。我们使用调整后的多变量逻辑回归模型来估计政治暴力与亲密伴侣暴力之间关联的比值比（OR）。
政治暴力与更高的亲密伴侣暴力几率显著相关。与丈夫没有直接暴露于政治暴力的受访者相比，丈夫直接暴露于政治暴力的受访者发生身体暴力和性暴力的比值比（OR）分别为 1.89（95% CI 1.29-2.76）和 2.23（1.49-3.35）。对于丈夫间接暴露的女性，发生身体暴力和性暴力的 OR 分别为 1.61（1.25-2.07）和 1.97（1.49-2.60），而丈夫没有间接暴露的女性则为 1.00。暴露的经济影响仅与加沙地带亲密伴侣暴力的几率增加有关。
由于政治暴力的暴露与亲密伴侣暴力的几率增加有关，而暴露于许多创伤与健康状况不佳有关，因此在冲突环境中确定需要进行心理社会干预时，应评估一系列暴力暴露情况。
Zotero 插件