Stockman Jamila K, Hayashi Hitomi, Campbell Jacquelyn C
1 Division of Global Public Health, Department of Medicine, University of California , San Diego, La Jolla, California.
J Womens Health (Larchmt). 2015 Jan;24(1):62-79. doi: 10.1089/jwh.2014.4879. Epub 2014 Dec 31.
In the United States, intimate partner violence (IPV) against women disproportionately affects ethnic minorities. Further, disparities related to socioeconomic and foreign-born status impact the adverse physical and mental health outcomes as a result of IPV, further exacerbating these health consequences. This article reviews 36 U.S. studies on the physical (e.g., multiple injuries, disordered eating patterns), mental (e.g., depression, post-traumatic stress disorder), and sexual and reproductive health conditions (e.g., HIV/STIs, unintended pregnancy) resulting from IPV victimization among ethnic minority (i.e., Black/African American, Hispanic/Latina, Native American/Alaska Native, Asian American) women, some of whom are immigrants. Most studies either did not have a sufficient sample size of ethnic minority women or did not use adequate statistical techniques to examine differences among different racial/ethnic groups. Few studies focused on Native American/Alaska Native and immigrant ethnic minority women and many of the intra-ethnic group studies have confounded race/ethnicity with income and other social determinants of health. Nonetheless, of the available data, there is evidence of health inequities associated with both minority ethnicity and IPV. To appropriately respond to the health needs of these groups of women, it is necessary to consider social, cultural, structural, and political barriers (e.g., medical mistrust, historical racism and trauma, perceived discrimination, immigration status) to patient-provider communication and help-seeking behaviors related to IPV, which can influence health outcomes. This comprehensive approach will mitigate the racial/ethnic and socioeconomic disparities related to IPV and associated health outcomes and behaviors.
在美国,针对女性的亲密伴侣暴力(IPV)对少数族裔的影响尤为严重。此外,与社会经济状况和外国出生身份相关的差异会影响IPV导致的不良身心健康结果,进一步加剧这些健康问题。本文回顾了36项美国研究,这些研究涉及少数族裔(即黑人/非裔美国人、西班牙裔/拉丁裔、美国原住民/阿拉斯加原住民、亚裔美国人)女性遭受IPV后的身体(如多处受伤、饮食失调模式)、心理(如抑郁、创伤后应激障碍)以及性与生殖健康状况(如艾滋病毒/性传播感染、意外怀孕),其中一些女性是移民。大多数研究要么没有足够数量的少数族裔女性样本,要么没有使用适当的统计技术来检验不同种族/族裔群体之间的差异。很少有研究关注美国原住民/阿拉斯加原住民和移民少数族裔女性,而且许多族裔内部群体研究将种族/族裔与收入及其他健康社会决定因素混为一谈。尽管如此,就现有数据而言,有证据表明少数族裔身份和IPV都存在健康不平等现象。为了恰当地满足这些女性群体的健康需求,有必要考虑影响医患沟通和与IPV相关的求助行为的社会、文化、结构和政治障碍(如对医疗的不信任、历史上的种族主义和创伤、感知到的歧视、移民身份),这些障碍会影响健康结果。这种全面的方法将减轻与IPV以及相关健康结果和行为有关的种族/族裔和社会经济差异。