世卫组织暴力侵害妇女行为量表在瑞典基于男性人口样本中的心理测量特性。
Psychometric properties of the WHO Violence Against Women instrument in a male population-based sample in Sweden.
机构信息
Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
出版信息
BMJ Open. 2012 Nov 27;2(6). doi: 10.1136/bmjopen-2012-002055. Print 2012.
OBJECTIVES
To explore the psychometric properties of the WHO's Violence Against Women instrument (VAWI) in a randomly selected national sample of Swedish men.
DESIGN
Cross-sectional survey study.
SETTING
Sweden.
PARTICIPANTS
A postal survey was sent to 1009 men between January and March 2009, during which 458 men (45.4%) returned the questionnaire. 49 men who did not answer any of the violence items were excluded from the analyses, resulting in a final sample of 399 men.
PRIMARY AND SECONDARY OUTCOME MEASURES
Self-reported exposure to psychological, physical and sexual intimate partner violence.
RESULTS
Cronbach's α were 0.74 (psychological scale), 0.86 (physical scale), 0.82 (sexual scale) and 0.88 (total scale). Principal components analysis did not corroborate the conceptual three-dimensional model of the VAWI and other constructs were found. Past-year prevalence of physical (7.6%; 95% CI 5.0% to 10.2%) and sexual (2.3%; 95% CI 0.8% to 3.8%) violence was higher than in other Nordic studies; earlier-in-life prevalence of physical violence (6.8%; CI 95% 4.3% to 9.3%) was lower and sexual violence (2.5%; 95% CI 1.0% to 4.0%) was higher. Reported exposure rates were generally higher than those obtained from a concurrently administered instrument (NorVold Abuse Questionnaire).
CONCLUSIONS
The VAWI conceptual model was only partially replicated and boundaries between psychological, physical and sexual acts of violence were indistinct among men exposed to intimate partner violence (IPV). This finding suggests that there is need for research instruments assessing intimate partner violence to be validated separately in male and female samples in order to ensure their suitability for the respective groups. Furthermore, theoretical frameworks for understanding men's exposure to intimate partner violence need to be advanced and should serve to guide in the development and evaluation of gender-specific IPV assessment instruments.
目的
在瑞典随机抽取的男性全国样本中，探究世界卫生组织（WHO）的《暴力侵害妇女行为调查问卷》（VAWI）的心理计量学特性。
设计
横断面调查研究。
地点
瑞典。
参与者
2009 年 1 月至 3 月期间，向 1009 名男性寄出了一份调查问卷，其中 458 名男性（45.4%）回复了问卷。由于有 49 名男性未回答任何暴力问题，因此将其从分析中排除，最终样本为 399 名男性。
主要和次要结果指标
自我报告的亲密伴侣心理、身体和性暴力的暴露情况。
结果
克朗巴赫α系数分别为 0.74（心理量表）、0.86（身体量表）、0.82（性量表）和 0.88（总量表）。主成分分析不支持 VAWI 的概念性三维模型，还发现了其他结构。过去一年中，身体暴力（7.6%；95%CI 5.0%至 10.2%）和性暴力（2.3%；95%CI 0.8%至 3.8%）的发生率高于其他北欧研究；更早发生的身体暴力（6.8%；95%CI 95% 4.3%至 9.3%）发生率较低，而性暴力（2.5%；95%CI 1.0%至 4.0%）发生率较高。报告的暴露率普遍高于同时使用的《诺尔沃德虐待问卷》（NorVold Abuse Questionnaire）获得的暴露率。
结论
VAWI 的概念模型仅部分复制，遭受亲密伴侣暴力（IPV）的男性中，心理、身体和性行为之间的界限不明显。这一发现表明，需要针对男性和女性样本分别验证用于评估亲密伴侣暴力的研究工具，以确保其适用于各自群体。此外，需要推进理解男性遭受亲密伴侣暴力的理论框架，并以此指导开发和评估针对特定性别的亲密伴侣暴力评估工具。
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