Winnersjö Rocio, Ponce de Leon Antonio, Soares Joaquim F, Macassa Gloria
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institute, SE-17176 Sweden.
J Inj Violence Res. 2012 Jul;4(2):87-95. doi: 10.5249/jivr.v4i2.122. Epub 2011 May 5.
Violence is a major public health problem. Both clinical and population based studies shows that violence against men and women has physical and psychological health consequences. However, elsewhere and in Sweden little is known of the effect of individual socioeconomic position (SEP) on the relation between violence and health outcomes.
This study aimed to assess the effect of individual SEP on the relation between violence and three health outcomes (general health, pain and anxiety) among women in Stockholm County.
The study used data from the Stockholm Public Health Survey, a cross-sectional survey carried out in 2006 for the Stockholm County Council by Statistic Sweden. 34 704 respondents answered the survey, the response rate was sixth one percent. Analyses were carried out using descriptive statistics and logistic regression analysis in SPSS v.17.0.
Individual SEP increased the odds of reporting poor health outcomes among victimized women in Stockholm County. Regarding self-reported health women in low-SEP who reported victimization in the past twelve months had odds of 2,36 (95% CI 1.48-3.77) for the age group 18-29 years and 3.78 (95% CI 2.53-5.64) for the age group 30-44 years compared with women in high-SEP and non-victim. For pain the odds was 2,41 (95% CI 1,56-3,73) for the age group 18-29 years and 2,98 (95% CI 1,99-4,46) for women aged 30-44 years. Regarding anxiety the age group 18-29 years had odds of 2,53 (95% CI 1,58-4,03) and for the age group 30-44 years had odds of 3,87 (95% CI 2,55-5,87).
Results showed that individual SEP (measured by occupation) matters to the relationship between violence and health outcomes such as general self-reported health, pain and anxiety. Women in lower SEP and experienced victimization in the past twelve months had increased odds of reporting poorer self-rated health, pain and anxiety compared to those in higher SEP with no experience of victimization. However, further exploration of the relationship between poverty, individual SEP is needed using other Swedish population samples.
暴力是一个主要的公共卫生问题。临床研究和基于人群的研究均表明，针对男性和女性的暴力会对身心健康产生影响。然而，在其他地区以及瑞典，对于个体社会经济地位（SEP）对暴力与健康结果之间关系的影响却知之甚少。
本研究旨在评估个体SEP对斯德哥尔摩郡女性暴力与三种健康结果（总体健康、疼痛和焦虑）之间关系的影响。
该研究使用了斯德哥尔摩公共卫生调查的数据，这是瑞典统计局于2006年为斯德哥尔摩郡议会开展的一项横断面调查。34704名受访者回答了该调查，回复率为61%。使用SPSS v.17.0进行描述性统计和逻辑回归分析。
个体SEP增加了斯德哥尔摩郡受侵害女性报告不良健康结果的几率。在自我报告的健康方面，过去十二个月报告受侵害的低SEP女性中，18 - 29岁年龄组的几率为2.36（95%可信区间1.48 - 3.77），30 - 44岁年龄组为3.78（95%可信区间2.53 - 5.64），而高SEP且未受侵害的女性作为对照。对于疼痛，18 - 29岁年龄组的几率为2.41（95%可信区间1.56 - 3.73），30 - 44岁女性为2.98（95%可信区间1.99 - 4.46）。关于焦虑，18 - 29岁年龄组的几率为2.53（95%可信区间1.58 - 4.03），30 - 44岁年龄组为3.87（95%可信区间2.55 - 5.87）。
结果表明，个体SEP（以职业衡量）对于暴力与健康结果（如自我报告的总体健康、疼痛和焦虑）之间的关系至关重要。与高SEP且无受侵害经历的女性相比，过去十二个月经历过受侵害的低SEP女性报告自评健康较差、疼痛和焦虑的几率增加。然而，需要使用其他瑞典人群样本进一步探索贫困、个体SEP之间的关系。
