Assari Shervin, Jeremiah Rohan D
Department of Psychiatry, University of Michigan, Ann Arbor, MI, United States.
Center for Research on Ethnicity, Culture and Health, School of Public Health, University of Michigan, Ann Arbor, MI, United States.
Front Psychiatry. 2018 May 8;9:160. doi: 10.3389/fpsyt.2018.00160. eCollection 2018.
Although male partners' socioeconomic status (SES) and substance use is associated with worse health of female partners, the mechanism behind this link is still unknown. To investigate whether intimate partner violence (IPV) is a mechanism by which male partners' SES and substance use influence female partners' self-rated health (SRH) as victims and survivors of IPV. Fragile Families and Child Wellbeing Study (FFCWS) is an ongoing population-based cohort. Male and female partners' SES, anxiety, depression, and substance use, and their relationship status were measured at baseline. IPV victimization was also asked among female partners' at baseline. Female partners' subjective health was measured 3 times (baseline-1998, 3 years later-2001, and 5 years later-2003). Using AMOS, we fitted two structural equation models (SEM) for data analysis. In we tested direct paths from male partners' SES and mental health to female partners' SRH, in the absence of IPV. In the we conceptualized female partners' IPV victimization between male partners' SES and mental health and female partners' SRH. In both models we controlled for the effect of female partners' SES and mental health. In , male partners' poor SES and substance use were associated with worse trajectory of SRH of female partner. In , male to female IPV was the mechanism by which male partners' SES and substance use were associated with female partners' SRH. IPV is one of the mechanisms by which male partners' SES and substance use can influence female partners' health. That is, IPV may operate as a vehicle by which male partners' social and psychological risk factors impact female partners' health. Thus, this study demonstrates how male partners' socio-ecological risk factors such as low SES and substance use impact female partners' health. Therefore, there is a need for broader socio-ecological approach to IPV prevention and intervention that recognizes the relationship between male partners' risk factors and their female partners' health outcomes. Such approach can inform prevention and treatment of IPV and enhance partner wellbeing.
尽管男性伴侣的社会经济地位（SES）和物质使用与女性伴侣较差的健康状况相关，但这种关联背后的机制仍不明确。为了调查亲密伴侣暴力（IPV）是否是男性伴侣的SES和物质使用影响女性伴侣自评健康（SRH）的一种机制，这些女性伴侣是IPV的受害者和幸存者。脆弱家庭与儿童福利研究（FFCWS）是一项正在进行的基于人群的队列研究。在基线时测量了男性和女性伴侣的SES、焦虑、抑郁和物质使用情况，以及他们的关系状况。在基线时还询问了女性伴侣中的IPV受害情况。对女性伴侣的主观健康进行了3次测量（基线——1998年、3年后——2001年、5年后——2003年）。使用AMOS，我们拟合了两个结构方程模型（SEM）进行数据分析。在第一个模型中，我们测试了在不存在IPV的情况下，从男性伴侣的SES和心理健康到女性伴侣SRH的直接路径。在第二个模型中，我们将女性伴侣的IPV受害情况纳入男性伴侣的SES和心理健康与女性伴侣的SRH之间进行概念化。在两个模型中，我们都控制了女性伴侣的SES和心理健康的影响。在第一个模型中，男性伴侣较差的SES和物质使用与女性伴侣SRH的较差轨迹相关。在第二个模型中，男性对女性的IPV是男性伴侣的SES和物质使用与女性伴侣的SRH相关联的机制。IPV是男性伴侣的SES和物质使用能够影响女性伴侣健康的机制之一。也就是说，IPV可能作为一种媒介，通过它男性伴侣的社会和心理风险因素影响女性伴侣的健康。因此，本研究展示了男性伴侣的社会生态风险因素，如低SES和物质使用，如何影响女性伴侣的健康。因此，需要一种更广泛的社会生态方法来预防和干预IPV，这种方法要认识到男性伴侣的风险因素与其女性伴侣的健康结果之间的关系。这种方法可以为IPV的预防和治疗提供信息，并增进伴侣的幸福感。
