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军人中自我报告的亲密伴侣暴力受害率:系统评价和荟萃分析。

Prevalence of Self-Reported Intimate Partner Violence Victimization Among Military Personnel: A Systematic Review and Meta-Analysis.

机构信息

Forensic and Neurodevelopmental Sciences Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.

Department of Psychological Medicine, Weston Education Centre, London, United Kingdom.

出版信息

Trauma Violence Abuse. 2020 Jul;21(3):586-609. doi: 10.1177/1524838018782206. Epub 2018 Jun 18.

Abstract

BACKGROUND

Research on intimate partner violence (IPV) in the military has tended to focus on military personnel as perpetrators and civilian partners/spouses as victims. However, studies have found high levels of IPV victimization among military personnel. This article systematically reviews studies of the prevalence of self-reported IPV victimization among military populations.

METHODS

Searches of four electronic databases (Embase, Medline, PsycINFO, and Web of Science) were supplemented by reference list screening. Meta-analyses of the available data were performed, where possible, using the random effects model.

RESULTS

This review included 28 studies with a combined sample of 69,808 military participants. Overall, similar or higher prevalence rates of physical IPV victimization were found among males compared to females and this was supported by a meta-analytic subgroup analysis: pooled prevalence of 21% (95% confidence interval [CI] = [17.4, 24.6]) among males and 13.6% among females (95% CI [9.5, 17.7]). Psychological IPV was the most prevalent type of abuse, in keeping with findings from the general population. There were no studies on sexual IPV victimization among male personnel. Evidence for the impact of military factors, such as deployment or rank, on IPV victimization was conflicting.

DISCUSSION

Prevalence rates varied widely, influenced by methodological variation among studies. The review highlighted the lack of research into male IPV victimization in the military and the relative absence of research into impact of IPV. It is recommended that future research disaggregates results by gender and considers the impact of IPV, in order that gender differences can be uncovered.

摘要

背景

有关亲密伴侣暴力(IPV)的研究往往侧重于将军事人员作为施害者,将平民伴侣/配偶作为受害者。然而,研究发现,军事人员中存在较高水平的 IPV 受害率。本文系统地回顾了有关军事人群中自我报告的 IPV 受害率的研究。

方法

对四个电子数据库(Embase、Medline、PsycINFO 和 Web of Science)进行了检索,并补充了参考文献筛选。在可能的情况下,使用随机效应模型对可用数据进行了荟萃分析。

结果

本综述共纳入 28 项研究,共有 69808 名军事参与者的合并样本。总体而言,男性中身体 IPV 受害率与女性相似或更高,这得到了荟萃分析亚组分析的支持:男性中汇总的流行率为 21%(95%置信区间[CI] = [17.4, 24.6]),女性为 13.6%(95% CI [9.5, 17.7])。心理 IPV 是最常见的虐待类型,与一般人群的发现一致。没有关于男性人员性 IPV 受害的研究。关于军事因素(如部署或军衔)对 IPV 受害的影响的证据存在冲突。

讨论

流行率差异很大,受到研究之间方法学差异的影响。该综述强调了军事中男性 IPV 受害的研究不足,以及对 IPV 影响的研究相对缺乏。建议未来的研究按性别细分结果,并考虑 IPV 的影响,以便揭示性别差异。

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