The University of Alabama, Tuscaloosa, USA.
University of Louisville, KY, USA.
J Interpers Violence. 2020 Feb;35(3-4):899-923. doi: 10.1177/0886260517691519. Epub 2017 Feb 13.
Mental health correlates of intimate partner violence (IPV) victimization including negative physical and mental health outcomes are well documented. However, certain subgroups of African American women, such as those living in impoverished, urban communities, are underrepresented in most studies and may experience IPV at higher rates. Furthermore, the circumstances of this women including poverty makes them at risk to IPV and its consequences. The present study estimated the prevalence of IPV victimization and its association with depression in a sample of low-income African American women participating in the Mobile Youth and Poverty Study. Participants in this study were caregivers of adolescents living in extremely impoverished conditions and were part of the Mobile Youth Survey, a community-based, longitudinal, multiple cohort survey conducted between the years 1998 and 2011. Data for the current study were collected between the years 2001 and 2010. The dependent variable was depressive symptoms as measured by the Center for Epidemiological Studies-Depression Scale (CES-D). The independent variable was IPV measured using a subsample of items from the Conflict Tactics Scale. Nearly three quarters (73.6%, = 489) of the sample experienced some form of IPV and 49.1% ( = 326) had a CES-D depression score of 16 or greater indicating mild to severe depression symptoms. The highest proportion of women who met the CES-D criteria for depression were those experiencing the most severe IPV irrespective of category (i.e., physical, psychological, or combined). Logistic regression analyses showed that women reporting the most severe abuse, irrespective of category, were significantly more likely to meet the CES-D criteria for depression. In addition, low education and receipt of economic assistance were significantly associated with depressive symptoms. The combination of poor economic conditions and IPV may predispose African American women living in impoverished, urban communities to mental health outcomes such as depression.
心理健康与亲密伴侣暴力（IPV）受害有关，包括负面的身心健康结果已有充分记录。然而，某些非裔美国妇女亚群，如生活在贫困的城市社区中的妇女，在大多数研究中代表性不足，并且可能经历更高的 IPV 发生率。此外，这些妇女的贫困状况使她们面临 IPV 及其后果的风险。本研究估计了在参与“移动青年与贫困研究”的低收入非裔美国妇女样本中，IPV 受害的流行率及其与抑郁的关联。该研究的参与者是生活在极度贫困条件下的青少年的照顾者，是“移动青年调查”的一部分，这是一项基于社区的、纵向的、多队列调查，于 1998 年至 2011 年进行。本研究的数据收集于 2001 年至 2010 年。因变量为使用流行病学研究中心抑郁量表（CES-D）测量的抑郁症状。自变量为使用冲突策略量表的子样本测量的 IPV。近四分之三（73.6%，n=489）的样本经历过某种形式的 IPV，49.1%（n=326）的 CES-D 抑郁得分为 16 或更高，表明存在轻度至重度抑郁症状。符合 CES-D 抑郁标准的女性中，比例最高的是经历最严重 IPV 的女性，不论类别如何（即身体、心理或综合）。逻辑回归分析表明，报告最严重虐待的女性，不论类别如何，更有可能符合 CES-D 抑郁标准。此外，低教育程度和获得经济援助与抑郁症状显著相关。贫困经济状况和 IPV 的结合可能使生活在贫困城市社区的非裔美国妇女容易出现心理健康结果，如抑郁。
