Faculty of Health Sciences, University of the Witwatersrand, Parktown, South Africa.
J Interpers Violence. 2012 Mar;27(5):862-80. doi: 10.1177/0886260511423247. Epub 2011 Oct 10.
There is a lack of data on the prevalence of emotional abuse in youth. The aim of this study was thus to estimate the prevalence of emotional abuse in intimate partnerships among young women in rural South Africa and to measure the association between lifetime experience of emotional abuse (with and without the combined experience of physical and/or sexual abuse) and adverse health outcomes. Between 2002 and 2003, young women from 70 villages were recruited to participate in the cluster randomized controlled trial of an HIV behavioral intervention, Stepping Stones. Data was obtained through the administration of a questionnaire at baseline. Of the 1,293 women who had ever been partnered, 189 (14.6%) had experienced only emotional abuse in their lifetimes. Three hundred sixty-six women (28.3%) experienced emotional abuse with physical and/or sexual abuse in their lifetimes, and one hundred forty-four women (11.1%) experienced physical and/or sexual abuse without emotional abuse. Hazardous drinking was associated with the experience of physical and/or sexual abuse, with (OR 6.0, 95% CI [1.0, 36.6]) and without emotional abuse (OR 5.8, 95% CI [1.1, 29.4]). Illicit drug use (OR 5.6, 95% CI [2.4, 12.6]), having depressive symptoms (OR 2.9, 95% CI [1.2, 4.2]), having psychological distress (OR 1.9, 95% CI [1.4, 2.6]), and suicidality (OR 79.0, 95% CI [17.3, 359.6]) was associated with the experience of emotional abuse with physical and/or sexual abuse. Suicidality was also strongly associated with having experienced emotional abuse alone (OR 79.5, 95% CI [16.7, 377.4]). This study showed that emotionally abused young women had a greater risk of suicidality than those experiencing no abuse and that the combined experience of emotional with physical and/or sexual abuse was strongly associated with poor mental health outcomes.
关于青少年情感虐待的流行率数据匮乏。因此，本研究旨在评估南非农村地区年轻女性亲密伴侣关系中情感虐待的流行率，并衡量一生中经历情感虐待（有或没有身体和/或性虐待的综合经历）与不良健康结果之间的关联。在 2002 年至 2003 年期间，从 70 个村庄招募了年轻女性参与 HIV 行为干预的集群随机对照试验“Stepping Stones”。通过在基线时管理问卷获得数据。在曾经有过伴侣的 1293 名女性中，189 名（14.6%）一生中仅经历过情感虐待。366 名女性（28.3%）一生中经历过情感虐待伴身体和/或性虐待，144 名女性（11.1%）经历过身体和/或性虐待而没有情感虐待。危险饮酒与身体和/或性虐待的经历有关，伴有（OR 6.0，95%CI [1.0，36.6]）和不伴有情感虐待（OR 5.8，95%CI [1.1，29.4]）。非法药物使用（OR 5.6，95%CI [2.4，12.6]）、抑郁症状（OR 2.9，95%CI [1.2，4.2]）、心理困扰（OR 1.9，95%CI [1.4，2.6]）和自杀意念（OR 79.0，95%CI [17.3，359.6]）与情感虐待伴身体和/或性虐待有关。自杀意念也与单独经历情感虐待密切相关（OR 79.5，95%CI [16.7，377.4]）。本研究表明，受情感虐待的年轻女性自杀的风险高于未受虐待的女性，而情感与身体和/或性虐待的综合经历与不良心理健康结果密切相关。
