Nhị Trần Thơ, Hạnh Nguyễn Thị Thúy, Gammeltoft Tine M
Department of Population, Institute for Preventive Medicine and Public Health, Hanoi Medical University, No.1 Ton That Tung, Khuong Thuong, Dong Da, Hanoi, Vietnam.
Department of Anthropology, University of Copenhagen, Øster Farimagsgade 5, DK-1353, Copenhagen K, Denmark.
BMC Womens Health. 2018 Apr 24;18(1):58. doi: 10.1186/s12905-018-0553-9.
Worldwide, intimate partner violence (IPV) during pregnancy is a pressing and prevalent public health problem. Existing research has found close associations between IPV and perinatal mental health, yet little is known about women's own perceptions of these associations. This study aimed to explore Vietnamese women's experiences of emotional partner violence and their perceptions of the implications of such violence for their mental health.
The data were collected through in-depth interviews with 20 women living in Hanoi, Vietnam who had reported exposure to emotional partner violence and attained high depression scores in a prospective cohort study. Ten women were pregnant and ten had recently given birth. The data were analysed by qualitative content analysis.
The women described emotional partner violence as a major life stressor. Their accounts pointed to three particularly significant dimensions of emotional violence: being ignored by the husband; being denied support; and being exposed to controlling behaviours. These experiences affected the women's sense of wellbeing profoundly, causing sadness and distress. The women's accounts indicated that experiences of emotional violence were significantly shaped by dominant kinship arrangements: practices of patrilocal residence and principles of patrilineal descent tended to aggravate women's vulnerabilities to partner violence.
This qualitative study from Vietnam documents close associations between emotional partner violence and perinatal distress, while also pointing to kinship arrangements as particularly significant structural contexts shaping women's experiences of partner violence. The study findings suggest that effective policies and programs to decrease women's vulnerability to intimate partner violence must take into account the kinship arrangements that prevail in a given society.
在全球范围内，孕期亲密伴侣暴力是一个紧迫且普遍存在的公共卫生问题。现有研究发现亲密伴侣暴力与围产期心理健康之间存在密切关联，但对于女性自身对这些关联的看法却知之甚少。本研究旨在探讨越南女性遭受情感伴侣暴力的经历以及她们对这种暴力对其心理健康影响的看法。
通过对居住在越南河内的20名女性进行深入访谈收集数据，这些女性在一项前瞻性队列研究中报告遭受过情感伴侣暴力且抑郁得分较高。其中10名女性处于孕期，10名女性刚分娩。采用定性内容分析法对数据进行分析。
这些女性将情感伴侣暴力描述为主要的生活压力源。她们的叙述指出了情感暴力三个特别显著的方面：被丈夫忽视；得不到支持；遭受控制行为。这些经历深刻影响了女性的幸福感，导致悲伤和痛苦。女性的叙述表明，情感暴力经历在很大程度上受到主导亲属关系安排的影响：从夫居习俗和父系血统原则往往会加剧女性遭受伴侣暴力的脆弱性。
这项来自越南的定性研究记录了情感伴侣暴力与围产期困扰之间的密切关联，同时也指出亲属关系安排是塑造女性伴侣暴力经历的特别重要的结构背景。研究结果表明，旨在降低女性遭受亲密伴侣暴力脆弱性的有效政策和项目必须考虑到特定社会中普遍存在的亲属关系安排。
