Wang L L, Chang X N, Yang S B, Du Y K, Shen M
Department of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2016 Dec 10;37(12):1574-1577. doi: 10.3760/cma.j.issn.0254-6450.2016.12.004.
To understand the prevalence of domestic violence and the correlation between domestic violence and posttraumatic stress disorder (PTSD) so as to improve the mental health status of women in Wuhan city of China. A cross-sectional study was conducted in the community health service center in Wuhan. Participants were women who came to the center for gynecological examination. Data on general condition, social support, injury, epidemiological characteristics of domestic violence and PTSD were gathered. -square, student- and Cochran-Armitage trend tests were employed to compare the distribution of each characteristic variable between PTSD and non-PTSD group. Binary logistic regression was used to analyze the correlation between domestic violence and PTSD. A total of 1 015 women were effectively surveyed. The life-time incidence rates of events related to domestic, psychological, physical and sexual violence were 29.36%, 28.28%, 6.60% and 3.55%, respectively. The overall prevalence rate of PTSD was 4.73%. Women who suffered from domestic violence had higher risk of PTSD (=2.11, 95: 1.04-4.29) than those who never experiencing domestic violence. Women who suffered from psychological or physical violence were 5.06 times more likely to suffer from PTSD (=5.06, 95: 1.91-13.42). A strong correlation between domestic violence and PTSD was seen. Victims who suffered from domestic violence should be provided with psychological counseling to reduce the risk of PTSD.
了解家庭暴力的患病率以及家庭暴力与创伤后应激障碍(PTSD)之间的相关性,以改善中国武汉市女性的心理健康状况。在武汉市的社区卫生服务中心进行了一项横断面研究。参与者为前来该中心进行妇科检查的女性。收集了关于一般状况、社会支持、伤害、家庭暴力的流行病学特征和创伤后应激障碍的数据。采用卡方检验、学生检验和 Cochr an - Armitage 趋势检验比较创伤后应激障碍组和非创伤后应激障碍组各特征变量的分布。采用二元逻辑回归分析家庭暴力与创伤后应激障碍之间的相关性。共有效调查了1015名女性。与家庭、心理、身体和性暴力相关事件的终生发生率分别为29.36%、28.28%、6.60%和3.55%。创伤后应激障碍的总体患病率为4.73%。遭受家庭暴力的女性患创伤后应激障碍的风险(比值比 = 2.11,95%置信区间:1.04 - 4.29)高于从未经历过家庭暴力的女性。遭受心理或身体暴力的女性患创伤后应激障碍的可能性是未遭受此类暴力女性的5.06倍(比值比 = 5.06,95%置信区间:1.91 - 13.42)。可见家庭暴力与创伤后应激障碍之间存在很强的相关性。应对遭受家庭暴力的受害者提供心理咨询,以降低患创伤后应激障碍的风险。