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特立尼达和多巴哥候诊室就诊女性的虐待和精神障碍:一项横断面研究。

Abuse and mental disorders among women at walk-in clinics in Trinidad: a cross-sectional study.

机构信息

The Unit of Public Health and Primary Care, Faculty of Medical Sciences, The University of the West Indies, St, Augustine, Trinidad.

出版信息

BMC Fam Pract. 2010 Mar 30;11:26. doi: 10.1186/1471-2296-11-26.

DOI:10.1186/1471-2296-11-26
PMID:20353592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2858716/
Abstract

BACKGROUND

To determine the prevalence of abuse by their partners and its association with mental disorders among female patients at walk-in clinics in Trinidad.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

背景

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。

方法

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。

结果

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。

结论

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。

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本文引用的文献

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Physical health and posttraumatic stress disorder symptoms in women experiencing intimate partner violence.遭受亲密伴侣暴力的女性的身体健康与创伤后应激障碍症状
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