AUT University, Auckland, New Zealand.
Aust N Z J Psychiatry. 2010 Feb;44(2):174-82. doi: 10.3109/00048670903487126.
The present study examined the association between maternal intimate partner violence (IPV) at 6 weeks and 24 months postpartum and maternal health problems in a cohort of Pacific families with 2-year-old children in New Zealand.
Data were gathered from the Pacific Islands Families Study. Mothers of a cohort of Pacific infants born in Auckland, New Zealand during 2000 were interviewed when the children were 6 weeks and 24 months of age. There were 828 mothers cohabiting in married or de facto partnerships who completed measures of IPV, mental health, and health-related behaviour such as smoking and high-risk alcohol use at both data points. The main statistical method used was logistic regression analysis.
Compared to mothers who did not experience physical violence at either data point, the odds of reporting psychological distress were 2.42 (95% confidence interval (CI) = 1.07-5.44) for those experiencing physical violence at 6 weeks only, 3.47 (95%CI = 1.75-6.86) for those experiencing physical violence at 24 months only, and 3.84 (95%CI = 1.78-8.30) for those experiencing physical violence at both data points after controlling for sociodemographic factors. Mothers experiencing verbal aggression or physical violence at both data points were more likely to report smoking or high-risk alcohol use at 24 months than those who did not, but the associations were no longer significant after controlling for sociodemographic factors.
Being a victim of intimate partner physical violence at any time (past, recent and repeated) may contribute to an increase in maternal psychological distress. Health-related behaviours such as smoking and high-risk alcohol use at 24 months postpartum may to some degree be attributable to repeated victimization of physical violence and verbal aggression, but the relationships are not convincing and deserve further research in longitudinal studies.
本研究调查了新西兰一个太平洋家庭队列中，产后 6 周和 24 个月时母亲亲密伴侣暴力（IPV）与母亲健康问题之间的关联。
数据来自太平洋岛屿家庭研究。在 2000 年期间，奥克兰出生的太平洋婴儿的母亲在孩子 6 周和 24 个月时接受了采访。有 828 位与伴侣同住的母亲完成了在两个时间点上测量 IPV、心理健康和与健康相关的行为（如吸烟和高危饮酒）的问卷。主要的统计方法是逻辑回归分析。
与在两个时间点都没有经历过身体暴力的母亲相比，仅在 6 周时经历过身体暴力的母亲报告心理困扰的几率为 2.42（95%置信区间（CI）=1.07-5.44），仅在 24 个月时经历过身体暴力的母亲报告心理困扰的几率为 3.47（95%CI=1.75-6.86），在两个时间点都经历过身体暴力的母亲报告心理困扰的几率为 3.84（95%CI=1.78-8.30），在控制了社会人口因素后。在两个时间点都经历过言语攻击或身体暴力的母亲在 24 个月时更有可能报告吸烟或高危饮酒，但是在控制了社会人口因素后，这些关联不再显著。
在任何时候（过去、近期和反复）成为亲密伴侣身体暴力的受害者可能会增加母亲的心理困扰。产后 24 个月时的吸烟和高危饮酒等与健康相关的行为在某种程度上可能归因于身体暴力和言语攻击的反复受害，但这些关系并不令人信服，值得在纵向研究中进一步研究。
