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西班牙初级保健服务机构中针对年轻女性的暴力行为:患病率及健康后果

Violence against young women attending primary care services in Spain: prevalence and health consequences.

作者信息

Martín-Baena David, Montero-Piñar Isabel, Escribà-Agüir Vicenta, Vives-Cases Carmen

机构信息

Department of Health Inequalities, Epidemiology and Public Health Network Biomedical Research Consortium (CIBERESP), Madrid, Spain,

Department of Health Inequalities, Epidemiology and Public Health Network Biomedical Research Consortium (CIBERESP), Madrid, Spain, Department of Psychiatry, University of Valencia, Valencia, Spain.

出版信息

Fam Pract. 2015 Aug;32(4):381-6. doi: 10.1093/fampra/cmv017. Epub 2015 May 14.

Abstract

BACKGROUND

There are a significant number of studies assessing the negative health consequences of violence against women. However, a limited number of studies analyse the health consequences of violence committed against young women by different types of aggressors.

OBJECTIVES

The goal of this study is to assess the prevalence of interpersonal violence against young women in Spain and analyse its impact on the physical and mental health of the victims.

METHODS

A total of 1076 women aged 18-25 years attending Spanish primary care services were selected. We estimated the prevalence of interpersonal violence and compared the health data and demographic characteristics of abused and non-abused young women, multi-logistic regression models were fitted. The Wald test was used to assess whether there were differences in the negative health consequences of intimate partner (IPV) versus non-IPV.

RESULTS

As many as 27.6% young women reported a history of abuse, of whom 42.7% had been assaulted by their partner, 41.1% by someone other than their partner and 16.2% both by their partner and another person. The distribution of social and demographic characteristics was similar for IPV and non-IPV victims. Young abused women were three times more likely to suffer psychological distress and have somatic complaints, and they were four times more likely to use medication as compared to non-abused women.

CONCLUSION

Our results suggest that all forms of violence compromise young women's health seriously. Including patients' history of abuse in their health record may help make more informed clinical decisions and provide a more integrated care.

摘要

背景

有大量研究评估了暴力侵害妇女行为对健康的负面影响。然而,仅有少数研究分析了不同类型攻击者对年轻女性实施暴力行为所产生的健康后果。

目的

本研究旨在评估西班牙针对年轻女性的人际暴力发生率,并分析其对受害者身心健康的影响。

方法

选取了1076名年龄在18至25岁之间、前往西班牙初级医疗服务机构就诊的女性。我们估算了人际暴力的发生率,并比较了受虐和未受虐年轻女性的健康数据及人口统计学特征,拟合了多元逻辑回归模型。采用Wald检验评估亲密伴侣暴力(IPV)与非亲密伴侣暴力在负面健康后果方面是否存在差异。

结果

多达27.6%的年轻女性报告有受虐史,其中42.7%曾遭到伴侣袭击,41.1%遭非伴侣的其他人袭击,16.2%既遭伴侣袭击又遭他人袭击。IPV受害者和非IPV受害者的社会和人口统计学特征分布相似。与未受虐女性相比,受虐年轻女性出现心理困扰和躯体不适的可能性高出三倍,使用药物的可能性高出四倍。

结论

我们的研究结果表明,所有形式的暴力都会严重损害年轻女性的健康。将患者的受虐史纳入其健康记录可能有助于做出更明智的临床决策,并提供更全面的护理。

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