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经济、身体及心理虐待对心理健康的影响:一项基于菲律宾女性人群的研究。

The effect of economic, physical, and psychological abuse on mental health: a population-based study of women in the Philippines.

作者信息

Antai Diddy, Oke Ayo, Braithwaite Patrick, Lopez Gerald Bryan

机构信息

Centre for Public Health Research, School of Health Sciences, City University London, Northampton Square, London EC1V 0HB, UK ; Division of Global Health & Inequalities, The Angels Trust-Nigeria, Abuja, Nigeria.

Division of Global Health & Inequalities, The Angels Trust-Nigeria, Abuja, Nigeria.

出版信息

Int J Family Med. 2014;2014:852317. doi: 10.1155/2014/852317. Epub 2014 Nov 27.

Abstract

Background. The comparative effect of economic abuse and other forms of abuse in predicting depression and other mental health disorders has not been previously investigated despite its relevance for mental illness prevention. Objective. To determine the differential association of economic abuse on psychological distress and suicide attempts. Study Design. We used cross-sectional data from women aged 15-49 years in the 2008 Philippines Demographic and Health Surveys (PDHS) (N = 9,316). Results. Adjusting for sociodemographic confounders revealed positive associations between economic, physical, or psychological abuse and suicide attempts and psychological distress. Psychological and economic abuse were the strongest predictors of suicide attempts and psychological distress, respectively. Economic abuse was also negatively associated with psychological distress. Comorbidity with one mental health disorder greatly increased the odds of reporting the other mental health disorder. Conclusion. Overall, the results elucidate the differential effects of these forms of abuse on women's mental health.

摘要

背景。尽管经济虐待与其他形式的虐待对预防精神疾病具有相关性,但此前尚未对它们在预测抑郁症和其他心理健康障碍方面的比较效果进行过研究。目的。确定经济虐待与心理困扰及自杀未遂之间的差异关联。研究设计。我们使用了2008年菲律宾人口与健康调查(PDHS)中15至49岁女性的横断面数据(N = 9316)。结果。在对社会人口学混杂因素进行调整后发现,经济、身体或心理虐待与自杀未遂及心理困扰之间存在正相关。心理虐待和经济虐待分别是自杀未遂和心理困扰的最强预测因素。经济虐待也与心理困扰呈负相关。患有一种心理健康障碍会大大增加报告另一种心理健康障碍的几率。结论。总体而言,研究结果阐明了这些虐待形式对女性心理健康的不同影响。

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