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法国一家法医机构十年间亲密伴侣身体暴力(IPV)的情况

A ten-year experience of physical Intimate partner violence (IPV) in a French forensic unit.

作者信息

Savall Frédéric, Lechevalier Agathe, Hérin Fabrice, Vergnault Marion, Telmon Norbert, Bartoli Christophe

机构信息

Service de Médecine Légale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France.

Département Universitaire de Médecine Générale, Centre Hospitalier Universitaire Rangueil, avenue du Professeur Jean Poulhès, 31059 Toulouse Cedex 9, France.

出版信息

J Forensic Leg Med. 2017 Feb;46:12-15. doi: 10.1016/j.jflm.2016.12.007. Epub 2016 Dec 24.

Abstract

Forensic units have a central role to play in healthy public policy, by the collection and management of violence. This study aims to describe the characteristics of physical Intimate Partner Violence (IPV) against men reported over 10 years in the forensic unit of Toulouse (France) and to compare them with the characteristics of physical IPV against women over the same period. All the medico-legal reports of male victims over 18 years of age between 2005 and 2014 were analyzed. Female victims over 18 years of age in the same period were randomized by year in order to study a similar number of individuals. We analyzed 712 forensic reports of male victims and 865 forensic reports of female victims. Repeated consultation concerned 20.5% of women and 7.5% of men (p < 0.001). More male victims than female victims consulted in an emergency unit (p < 0.001). The most frequently alleged manner of attack was punching for male victims (34.1%) and grabbing or pushing for female victims (86.7%). There were fewer wounds and vascular or visceral injuries for female victims (p = 0.001). There were more reports of no injury for female victims (p < 0.001) and fewer reports with at least two injuries (p = 0.002). The most common injuries were superficial skin injuries (abrasion, bruise or hematoma) for both groups. On the one hand, physical IPV against women was more frequent than against men, while physical IPV against men seemed to be more severe than against women. The distribution of alleged manners of attack and injuries were consistent with previous studies. However, the mechanisms of the origin of the process of violence are difficult to apprehend in such a dyadic context. The findings should be interpreted with caution, but they provide original and substantial material, which can be useful in recognizing victims and in developing preventive strategies. With this aim, forensic units have a central role to play in the collection of violence and in individualized management. In France, this subject has not been extensively studied and future research is needed to emphasize the characteristics of IPV in order to better understand the phenomenon and to create and assess public policies in order to prevent it.

摘要

法医部门通过收集和管理暴力事件,在健全公共政策方面发挥着核心作用。本研究旨在描述法国图卢兹法医部门报告的10年间男性遭受亲密伴侣身体暴力(IPV)的特征,并将其与同期女性遭受亲密伴侣身体暴力的特征进行比较。对2005年至2014年间18岁以上男性受害者的所有法医报告进行了分析。同期18岁以上女性受害者按年份随机抽取,以便研究数量相近的个体。我们分析了712份男性受害者的法医报告和865份女性受害者的法医报告。多次咨询的情况在女性中占20.5%,在男性中占7.5%(p<0.001)。在急诊室咨询的男性受害者比女性受害者更多(p<0.001)。男性受害者最常被指控的攻击方式是拳击(34.1%),而女性受害者是抓或推(86.7%)。女性受害者的伤口以及血管或内脏损伤较少(p=0.001)。女性受害者无损伤报告更多(p<0.001),至少有两处损伤的报告更少(p=0.002)。两组最常见损伤均为浅表皮肤损伤(擦伤、瘀伤或血肿)。一方面,女性遭受的亲密伴侣身体暴力比男性更频繁,而男性遭受的亲密伴侣身体暴力似乎比女性更严重。被指控的攻击方式和损伤的分布与先前研究一致。然而,在这种二元关系背景下,暴力过程的起源机制难以理解。研究结果应谨慎解读,但它们提供了原始且重要的资料,可用于识别受害者以及制定预防策略。出于这一目的,法医部门在收集暴力事件和进行个体化管理方面发挥着核心作用。在法国,这一主题尚未得到广泛研究,未来需要开展研究以强调亲密伴侣暴力的特征,以便更好地理解这一现象,并制定和评估预防该现象的公共政策。

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