Viitanen Päivi, Vartiainen Heikki, Aarnio Jorma, von Gruenewaldt Virpi, Lintonen Tomi, Mattila Aino K, Wuolijoki Terhi, Joukamaa Matti
Päivi Viitanen is Chief Physician, Prison Hospital, Health Care Services, Criminal Sanctions Agency, Hämeenlinna, Finland.
Int J Prison Health. 2011;7(4):17-25. doi: 10.1108/17449201111256871.
In a health survey of Finnish prisoners in 2006, the authors aimed to study frequency and gender differences in childhood physical and sexual abuse, and the connections of maltreatment in childhood to substance abuse and mental health among female and male prisoners.
DESIGN/METHODOLOGY/APPROACH: The sample consisted of 101 female prisoners, with 309 male prisoners for comparison. The subjects participated in a comprehensive field study consisting of several questionnaires, interviews, the Structured Clinical Interview for DSM-IV Axis I and II Disorders (SCID I, II) and a clinical medical examination including ICD-10 diagnoses.
Both forms of abuse were more common among females than males (childhood physical abuse 25 per cent versus 15 per cent and childhood sexual abuse 32 per cent versus 7 per cent). Associations of childhood abuse with substance abuse and mental health were different among males and females. Family integrity was important only for males and in connection with drug dependence and antisocial personality disorder. The gender differences did not concur with those reported in studies on general populations.
ORIGINALITY/VALUE: This is a part of the first comprehensive health survey of Finnish prisoners.
在2006年对芬兰囚犯进行的一项健康调查中，作者旨在研究童年期身体虐待和性虐待的频率及性别差异，以及童年期虐待与男女囚犯药物滥用和心理健康之间的联系。
设计/方法/途径：样本包括101名女性囚犯，并选取309名男性囚犯作为对照。研究对象参与了一项综合实地研究，该研究包括多份问卷、访谈、《精神疾病诊断与统计手册》第四版轴I和轴II障碍的结构化临床访谈（SCID I、II）以及包括国际疾病分类第10版诊断的临床体检。
两种形式的虐待在女性中都比男性更常见（童年期身体虐待：女性为25%，男性为15%；童年期性虐待：女性为32%，男性为7%）。童年期虐待与药物滥用和心理健康之间的关联在男性和女性中有所不同。家庭完整性仅对男性以及与药物依赖和反社会人格障碍相关时才重要。这些性别差异与一般人群研究中报告的情况不一致。
原创性/价值：这是对芬兰囚犯进行的首次全面健康调查的一部分。
