The Graduate Center and Colin Powell School at City College, City University of New York, 160 Convent Ave, New York, NY, 10031, USA.
School of Social Work, University at Buffalo, SUNY, 685 Baldy Hall, Amherst, NY, 14260, USA.
Int J Public Health. 2018 Nov;63(8):913-921. doi: 10.1007/s00038-018-1139-x. Epub 2018 Jul 5.
We examined the association between intimate partner violence (IPV) and screening for depression in Bangladesh, a country with high prevalence of IPV and lack of data, awareness and provider infrastructure for mental illness.
We used data from a representative sample of 11,202 women from the 2006 Bangladesh Urban Health Survey. Elements of social learning theory were used to examine the association. Additionally, we examined the interaction effect of experiencing IPV and justification of IPV on screening for mental health disorders.
Results indicate that women who experienced IPV were significantly more likely to be screened for mental health disorders (AOR = 2.09; 95% CI = 1.86-2.34). However, the direction of this association is reversed for women who justify various forms of IPV to varying degrees.
These findings reflect the importance of how women's perception of violence may influence their mental health. Our results indicate a counter-intuitive association, given that we found that women's justification of IPV is adaptive for them in terms of preventing symptoms of mental health problems and have potential to inform future public health policy and research.
本研究旨在探讨孟加拉国亲密伴侣暴力（IPV）与抑郁筛查之间的关系。孟加拉国是一个 IPV 发生率较高、精神疾病数据、意识和服务提供基础设施缺乏的国家。
我们使用了来自 2006 年孟加拉国城市健康调查的 11202 名女性的代表性样本数据。采用社会学习理论的要素来检验两者之间的关联。此外，我们还检验了经历 IPV 和对 IPV 的合理化这两个因素与心理健康障碍筛查之间的交互效应。
结果表明，经历过 IPV 的女性更有可能接受心理健康障碍的筛查（AOR=2.09；95%CI=1.86-2.34）。然而，对于那些在不同程度上合理化各种形式 IPV 的女性来说，这种关联的方向则相反。
这些发现反映了女性对暴力的看法可能影响其心理健康的重要性。我们的研究结果表明，这是一种反直觉的关联，因为我们发现女性对 IPV 的合理化对预防心理健康问题的症状是适应性的，并有可能为未来的公共卫生政策和研究提供信息。
