Centre for Health Systems Research, National Institute of Public Health, Av. Universidad 655, Col. Santa Maria Ahuacatitlán, C.P. 62508, Cuernavaca, Morelos, Mexico.
Can J Public Health. 2009 Nov-Dec;100(6):436-41. doi: 10.1007/BF03404340.
To identify factors associated with the severity of intimate partner abuse (IPA) in Mexico.
Data were gathered from the National Survey of Violence Against Women (November 2002-November 2003), a nationwide study in which 18,902 women over the age of 14 participated. Subjects were recipients of national public health care services. The severity of IPA was measured using a 27-item scale. Multinomial logistic regression analyses were performed to explore significant factors associated with partner violence.
One in four participants reported experiencing IPA. This model showed that younger and less educated women had a higher risk of IPA. Working out of the home (OR [odds ratio] 1.3, 95% confidence interval [CI] 0.99-1.72), two or more children in the household (OR 1.44, CI 1.18-1.77), alcohol consumption (OR 2.51, CI 1.63-3.90) and history of childhood abuse (OR 3.7, CI 3.03-4.52) increased the possibility of severe violence. The most important predictor of severe IPA was the partner's alcohol consumption (daily or almost daily, OR 14.7, 95% CI 13.25-16.46).
Awareness about the risk factors associated with IPA will help identify populations at greater risk of severe injury and could orient the health sector to direct actions toward this vulnerable population.
确定与墨西哥亲密伴侣虐待(IPA)严重程度相关的因素。
数据来自全国暴力侵害妇女调查(2002 年 11 月至 2003 年 11 月),这是一项全国性研究,共有 18902 名 14 岁以上的妇女参与。研究对象是接受国家公共卫生保健服务的人。IPA 的严重程度使用 27 项量表进行测量。采用多项逻辑回归分析探讨与伴侣暴力相关的显著因素。
四分之一的参与者报告曾经历 IPA。该模型显示,年轻和受教育程度较低的女性 IPA 风险更高。外出工作(OR [比值比] 1.3,95%置信区间 [CI] 0.99-1.72)、家中有两个或更多孩子(OR 1.44,CI 1.18-1.77)、饮酒(OR 2.51,CI 1.63-3.90)和童年受虐史(OR 3.7,CI 3.03-4.52)增加了遭受严重暴力的可能性。IPA 严重程度的最重要预测因素是伴侣的饮酒(每日或几乎每日,OR 14.7,95% CI 13.25-16.46)。
了解与 IPA 相关的风险因素将有助于确定更易受重伤的人群,并指导卫生部门针对这一弱势群体采取行动。