Latin-American Center of Studies of Violence and Health Jorge Careli-National School of Public Health/Oswaldo Cruz Foundation, Avenida Brasil 4036, Sala 700, Manguinhos, Rio de Janeiro, Brazil.
BMC Womens Health. 2013 Apr 15;13:20. doi: 10.1186/1472-6874-13-20.
Mental health problems are the major cause of disability in poor countries, and women are the individuals most affected. The World Health Organization points out that violence against women is the leading cause of mental health problems. This study seeks to identify explanatory factors for women's mental health problems, highlighting situations of violence suffered by them during childhood, when living with a partner and in the community.
A cross-sectional analysis was conducted with 389 mothers with schoolchildren in a city in the state of Rio de Janeiro (Brazil). Profile variables and childhood and adult life experiences were researched and organized in three analytical blocks. A binary logistic regression model was used, divided into hierarchical blocks.
The final model shows that women who were the victims of severe physical violence by their partner were more likely (OR = 8.2) to suffer from mental health problems than those who had never been exposed to this type of violence. The mothers of children with behavior problems are more likely to have mental health problems (OR = 3.0) than mothers whose children do not manifest behavioral problems.
This study shows that women's mental health problems are particularly related to the experience of physical violence, especially that occurring in intimate partner relationships. Based on this premise, this work recommends that multidimensional issues need to be included in women's health assistance programs duly incorporating the specificity of victimization by violence.
精神健康问题是贫穷国家残疾人的主要成因,而女性是受影响最大的人群。世界卫生组织指出,针对妇女的暴力是造成精神健康问题的主要原因。本研究旨在找出导致女性精神健康问题的解释性因素,重点关注她们在童年、与伴侣共同生活以及在社区中所经历的暴力情况。
对里约热内卢州(巴西)一城市中的 389 名有学龄儿童的母亲进行了横断面分析。研究并组织了个人资料变量以及童年和成年生活经历,分为三个分析模块。使用二项逻辑回归模型,分为分层模块。
最终模型显示,遭受伴侣严重身体暴力的女性比从未遭受过这种类型暴力的女性更有可能出现精神健康问题(OR=8.2)。其子女有行为问题的母亲比子女没有表现出行为问题的母亲更有可能出现精神健康问题(OR=3.0)。
本研究表明,女性的精神健康问题尤其与身体暴力的经历有关,尤其是与亲密伴侣关系中的暴力有关。基于这一前提,这项工作建议多维问题需要纳入妇女健康援助计划中,充分纳入暴力受害的特殊性。