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亲密伴侣暴力与卡特里娜飓风:预测因素及相关心理健康结果

Intimate partner violence and Hurricane Katrina: predictors and associated mental health outcomes.

作者信息

Schumacher Julie A, Coffey Scott F, Norris Fran H, Tracy Melissa, Clements Kahni, Galea Sandro

机构信息

Department of Psychiatry & Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA.

出版信息

Violence Vict. 2010;25(5):588-603. doi: 10.1891/0886-6708.25.5.588.

Abstract

This study sought to establish the prevalence and correlates of intimate partner violence (IPV) victimization in the 6 months before and after Hurricane Katrina. Participants were 445 married or cohabiting persons who were living in the 23 southernmost counties of Mississippi at the time of Hurricane Katrina. Data for this study were collected as part of a larger, population-based, representative study. The percentage of women reporting psychological victimization increased from 33.6% prior to Hurricane Katrina to 45.2% following Hurricane Katrina (p < .001). The percentage of men reporting psychological victimization increased from 36.7% to 43.1% (p = .01). Reports of physical victimization increased from 4.2% to 8.3% for women (p = .01) but were unchanged for men. Significant predictors of post-Katrina victimization included pre-Katrina victimization, age, educational attainment, marital status, and hurricane-related stressors. Reports of IPV were associated with greater risk of post-Katrina depression and posttraumatic stress disorder. Data from the first population-based study to document IPV following a large-scale natural disaster suggest that IPV may be an important but often overlooked public health concern following disasters.

摘要

本研究旨在确定卡特里娜飓风前后6个月内亲密伴侣暴力(IPV)受害情况的发生率及其相关因素。研究对象为445名已婚或同居者,卡特里娜飓风发生时他们居住在密西西比州最南端的23个县。本研究的数据是作为一项更大规模的、基于人群的代表性研究的一部分收集的。报告遭受心理暴力的女性比例从卡特里娜飓风前的33.6%升至飓风后的45.2%(p <.001)。报告遭受心理暴力的男性比例从36.7%升至43.1%(p =.01)。女性遭受身体暴力的报告比例从4.2%升至8.3%(p =.01),而男性的这一比例没有变化。卡特里娜飓风后受害情况的显著预测因素包括飓风前的受害情况、年龄、教育程度、婚姻状况以及与飓风相关的压力源。IPV报告与卡特里娜飓风后抑郁和创伤后应激障碍的更高风险相关。来自第一项基于人群的研究的数据记录了一场大规模自然灾害后的IPV情况,表明IPV可能是灾难后一个重要但经常被忽视的公共卫生问题。

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