Dardis Christina M, Shipherd Jillian C, Iverson Katherine M
a National Center for PTSD , VA Boston Healthcare System , Boston , Massachusetts , USA.
b Department of Psychiatry , Boston University School of Medicine , Boston , Massachusetts , USA.
Women Health. 2017 Aug;57(7):775-791. doi: 10.1080/03630242.2016.1202884. Epub 2016 Jun 20.
National estimates suggest intimate partner violence (IPV) rates are equal or higher among lesbian, bisexual, or questioning (LBQ)-identified women than heterosexual-identified women. Women veterans are a population at high risk for IPV, yet the occurrence of lifetime and past-year IPV experiences by sexual orientation have not been examined in this population. Lifetime and past-year IPV experiences and current IPV-related posttraumatic stress disorder (PTSD) symptoms were assessed with validated screening measures as part of a 2014 web-based national survey of women veterans. Among 403 respondents, 9.7% (n = 39) identified as LBQ, and 90.3% (n = 364) identified as heterosexual. When controlling for age, LBQ-identified women veterans were significantly more likely to report lifetime sexual and physical IPV and lifetime intimate partner stalking. In the past year, LBQ-identified veterans were twice as likely to endorse emotional mistreatment and physical IPV, and three times more likely to endorse sexual IPV, than were heterosexual-identified women veterans. However, sexual orientation was unrelated to IPV-related PTSD symptoms, when controlling for age, race, and number IPV forms experienced. IPV is prevalent among LBQ-identified women veterans, suggesting the need to understand the potentially unique contextual factors and health-care needs of this group.
全国性估计数据表明，自我认定为女同性恋、双性恋或性取向存疑（LBQ）的女性遭受亲密伴侣暴力（IPV）的比例等于或高于自我认定为异性恋的女性。退伍女兵是遭受亲密伴侣暴力的高危人群，但尚未对该群体中按性取向划分的终生及过去一年亲密伴侣暴力经历进行研究。作为2014年一项针对退伍女兵的全国性网络调查的一部分，采用经过验证的筛查方法对终生及过去一年的亲密伴侣暴力经历以及当前与亲密伴侣暴力相关的创伤后应激障碍（PTSD）症状进行了评估。在403名受访者中，9.7%（n = 39）自我认定为LBQ，90.3%（n = 364）自我认定为异性恋。在控制年龄因素后，自我认定为LBQ的退伍女兵报告终生性暴力和身体暴力亲密伴侣暴力及终生亲密伴侣跟踪行为的可能性显著更高。在过去一年中，自我认定为LBQ的退伍军人认可情感虐待和身体亲密伴侣暴力的可能性是自我认定为异性恋的退伍女兵的两倍，认可性亲密伴侣暴力的可能性则是其三倍。然而，在控制年龄、种族和经历的亲密伴侣暴力形式数量后，性取向与亲密伴侣暴力相关的创伤后应激障碍症状无关。亲密伴侣暴力在自我认定为LBQ的退伍女兵中普遍存在，这表明有必要了解该群体潜在的独特背景因素和医疗需求。
