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[亲密伴侣暴力。墨西哥金塔纳罗奥州坎昆初级保健健康用户中的类型与风险]

[Intimate partner violence. Types and risk in primary care health users in Cancun, Quintana Roo, Mexico].

作者信息

Sandoval-Jurado Luis, Jiménez-Báez María Valeria, Rovira Alcocer Gloria, Vital Hernandez Omar, Pat Espadas Fany Guadalupe

机构信息

Coordinación Auxiliar Médica de Investigación en Salud, Delegación Quintana Roo, Cancún, Quintana Roo, México.

Coordinación Auxiliar Médica de Investigación en Salud, Delegación Quintana Roo, Cancún, Quintana Roo, México.

出版信息

Aten Primaria. 2017 Oct;49(8):465-472. doi: 10.1016/j.aprim.2016.09.013. Epub 2017 Feb 1.

DOI:10.1016/j.aprim.2016.09.013
PMID:28161071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6876034/
Abstract

OBJECTIVE

To identify the prevalence and type of intimate partner violence in women assigned at primary care health and estimates the risks for violence.

DESIGN

Case (incident cases)-control.

LOCATION

Primary health care unit in Cancun, Quintana Roo, Mexico.

PARTICIPANTS

Women over 18years old living in couple at last 12months.

MAIN MEASUREMENTS

Validated violence scale for Mexican population was evaluated: total partner violence, physical, psychological and sexual violence. History of violence and sociodemographic variables. Chi square for categorical variables and odds ratio (OR) for risk estimate was determined.

RESULTS

The total intimate partner violence was 15.05%, psychological violence in 37.3%. Overall violence, age differences, socioeconomic status, marital status, history of violence and alcohol intake by the partner (P<.05) were observed. The risk increased in over 40 years old (OR: 2.09; 95%CI: 1.07 to 4.11), history of violence (OR: 5.9; 95%CI: 2.8 to 12.44) and alcohol intake by partner (OR=12.38; 95%CI: 2.15 to 29.59). Low socioeconomic status (OR: 0.384; 95%CI: 0.19 to 0.74) and free union (OR: 0.507; 95%CI: 0.27 to 0.95) were relation factors to lower intimate violence partner.

CONCLUSIONS

Sexual violence predominated among users of primary health care and the risk that present this behavior increases with the consumption of alcoholic beverages in the couple and a history of violence, but the free union and socioeconomic status were possibility protected for violence.

摘要

目的

确定在初级保健机构就诊的女性中亲密伴侣暴力的患病率及类型,并评估暴力风险。

设计

病例(事件病例)对照研究。

地点

墨西哥金塔纳罗奥州坎昆的初级卫生保健单位。

参与者

过去12个月处于恋爱关系中的18岁以上女性。

主要测量指标

评估墨西哥人群有效的暴力量表:伴侣总体暴力、身体暴力、心理暴力和性暴力。暴力史及社会人口统计学变量。确定分类变量的卡方检验及风险估计的比值比(OR)。

结果

亲密伴侣总体暴力发生率为15.05%,心理暴力发生率为37.3%。观察到总体暴力、年龄差异、社会经济地位、婚姻状况、暴力史及伴侣饮酒情况(P<0.05)。40岁以上(OR:2.09;95%CI:1.07至4.11)、有暴力史(OR:5.9;95%CI:2.8至12.44)及伴侣饮酒(OR=12.38;95%CI:2.15至29.59)时风险增加。低社会经济地位(OR:0.384;95%CI:0.19至0.74)及自由结合关系(OR:0.507;95%CI:0.27至0.95)是亲密伴侣暴力发生率较低的相关因素。

结论

在初级卫生保健机构的就诊者中性暴力占主导,伴侣饮酒及有暴力史会增加这种行为的风险,但自由结合关系和社会经济地位可能对暴力有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa79/6876034/86d43785e11e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa79/6876034/86d43785e11e/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa79/6876034/86d43785e11e/fx1.jpg

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