Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Womens Health Issues. 2012 Mar;22(2):e181-8. doi: 10.1016/j.whi.2011.08.006. Epub 2011 Oct 17.
The present study identifies risk factors for intimate partner violence (IPV) initiation and persistence over three years in a high psychosocial risk Asian American and Pacific Islander (AAPI) sample of women with children living in Hawaii.
We included 378 women in a 3-year relationship with the same partner who reported IPV experiences at baseline and 3 years later. Baseline risk factors included characteristics of each woman, her partner, and their relationship. Bivariate and multivariate regression models were conducted to assess the influence of risk factors on the likelihood of experiencing IPV initiation and persistence.
Of women who experienced no physical violence at baseline, 43% reported IPV initiation. Of women who did experience physical violence at baseline, 57% reported IPV persistence. Being unemployed and reporting poor mental health at baseline are important risk factors for experiencing IPV initiation. Reporting frequent physical violence at baseline increases the likelihood of experiencing IPV persistence. Asian women were significantly less likely to report IPV persistence than other groups of women.
Our study indicates that among a high psychosocial risk sample of AAPI women there are different risk factors for IPV initiation and persistence. Future prevention and screening efforts may need to focus on these risk factors.
本研究旨在确定在夏威夷生活的有孩子的高心理社会风险亚裔美国人和太平洋岛民（AAPI）女性群体中，与同一伴侣维持三年关系的情况下，导致亲密伴侣暴力（IPV）开始和持续的风险因素。
我们纳入了 378 名在基线和 3 年后均报告有 IPV 经历的女性。基线风险因素包括每位女性、其伴侣及其关系的特征。采用单变量和多变量回归模型评估风险因素对经历 IPV 开始和持续的可能性的影响。
在基线时没有经历过身体暴力的女性中，有 43%报告发生了 IPV 开始。在基线时确实经历过身体暴力的女性中，有 57%报告发生了 IPV 持续。失业和基线时报告心理健康状况不佳是经历 IPV 开始的重要风险因素。基线时频繁报告身体暴力会增加经历 IPV 持续的可能性。与其他女性群体相比，亚裔女性报告 IPV 持续的可能性明显较低。
我们的研究表明，在高心理社会风险的 AAPI 女性样本中，存在导致 IPV 开始和持续的不同风险因素。未来的预防和筛查工作可能需要针对这些风险因素。
