Division of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Hwy, NE Mail stop K-23, Atlanta, GA 30341, USA.
Soc Sci Med. 2010 Nov;71(9):1653-61. doi: 10.1016/j.socscimed.2010.08.007. Epub 2010 Sep 15.
Using a nationally representative sample from the 2008 Paraguayan National Survey of Demography and Sexual and Reproductive Health, we examine the association between emotional, physical, and sexual intimate partner violence (IPV) and mental health among women aged 15-44 years who have ever been married or in a consensual union. The results from multivariate logistic regression models demonstrate that controlling for women's socioeconomic and marital status and history of childhood abuse and their male partners' unemployment and alcohol consumption, IPV is independently associated with an increased risk for common mental disorders (CMD) and suicidal ideation measured by the Self Reporting Questionnaire (SRQ-20). IPV variables substantially improve the explanatory power of the models, particularly for suicidal ideation. Emotional abuse, regardless of when it occurred, is associated with the greatest increased risk for CMD whereas recent physical abuse is associated with the greatest increased risk for suicidal ideation. These findings suggest that efforts to identify women with mental health problems, particularly suicidal ideation, should include screening for the types and history of IPV victimization.
利用来自 2008 年巴拉圭全国人口与性健康和生殖健康调查的全国代表性样本，我们研究了曾经结婚或同居的 15-44 岁女性中，情感、身体和性亲密伴侣暴力（IPV）与心理健康之间的关联。多变量逻辑回归模型的结果表明，控制了女性的社会经济和婚姻状况以及童年期虐待史，以及她们的男性伴侣失业和饮酒情况，IPV 与常见精神障碍（CMD）和自杀意念的风险增加独立相关，自杀意念通过自我报告问卷（SRQ-20）进行衡量。IPV 变量大大提高了模型的解释能力，特别是对自杀意念。无论何时发生的情感虐待都与 CMD 的风险增加最大相关，而最近的身体虐待与自杀意念的风险增加最大相关。这些发现表明，为识别有心理健康问题（特别是自杀意念）的妇女而进行的努力应包括对 IPV 受害类型和历史的筛查。
