The Unit of Public Health and Primary Care, Faculty of Medical Sciences, The University of the West Indies, St, Augustine, Trinidad.
BMC Fam Pract. 2010 Mar 30;11:26. doi: 10.1186/1471-2296-11-26.
To determine the prevalence of abuse by their partners and its association with mental disorders among female patients at walk-in clinics in Trinidad.
Female participants from 16 randomly selected walk-in clinics, previously stratified to represent all administrative regions and urban and rural settings, who were 18 years or older, were surveyed during May to August 2007 using the WAST-Short and PRIME-MD questionnaires.
432 women participated (a 92% response rate), Of these 16% were aged 20-29, 11.8% 30-39 and 19% 40-49; 37% were married, 25% single; 44.7% were Indo- and 35% Afro-Trinidadian; 67.8% had achieved education up to age 14 only. 30.3% were employed and 3.0% reported incomes more than $5,001 TTD (Trinidad and Tobago Dollars) per month. Forty percent (173) of all respondents were positive for abuse as scored by the WAST-Short scale. Chi-square analysis suggested associations (p < 0.05) between abuse and age, employment status, being in a current relationship, and having the desire to cut down on alcohol intake. Further there were associations between abuse and the presence of depression, suicidal ideation, post-traumatic stress disorder and somatization as determined by the PRIME-MD scale. Logistic regression showed that the statistically significant (p < 0.05) predictors of woman abuse were age less than 49, wanting to cut down on alcohol use and currently being in a relationship.
Among women of primarily lower socioeconomic status who attend walk-in clinics in Trinidad abuse as measured by the WAST-Short scale is high and there are statistically significant associations with mental disorders as determined by the PRIME-MD scale.
在特立尼达的门诊诊所中,确定女性患者遭受伴侣虐待的普遍性及其与精神障碍的关联。
2007 年 5 月至 8 月期间,采用 WAST-Short 和 PRIME-MD 问卷对从 16 家随机选择的门诊诊所中招募的 18 岁及以上的女性参与者进行了调查,这些诊所事先分层以代表所有行政区以及城市和农村地区。
432 名女性(92%的回应率)参与了调查。其中,16%的女性年龄在 20-29 岁之间,11.8%的女性年龄在 30-39 岁之间,19%的女性年龄在 40-49 岁之间;37%的女性已婚,25%的女性单身;44.7%的女性是印度裔,35%的女性是非洲裔特立尼达人;67.8%的女性仅接受过 14 岁以下的教育。30.3%的女性有工作,3.0%的女性报告每月收入超过 5001 特立尼达和多巴哥元(TTD)。所有受访者中,有 40%(173 人)在 WAST-Short 量表上的评分显示存在虐待行为。卡方分析表明,虐待行为与年龄、就业状况、当前关系状况以及减少饮酒量的愿望之间存在关联(p<0.05)。此外,在 PRIME-MD 量表上,虐待行为与抑郁、自杀意念、创伤后应激障碍和躯体化等存在关联。Logistic 回归分析表明,女性虐待的统计学显著(p<0.05)预测因子是年龄小于 49 岁、想要减少饮酒量以及当前处于关系中。
在特立尼达主要社会经济地位较低的女性中,WAST-Short 量表测量的虐待行为发生率较高,并且与 PRIME-MD 量表确定的精神障碍存在统计学显著关联。