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残疾、性取向与亲密伴侣暴力对心理健康的影响:美国女性的比较研究

Disability, sexual orientation, and the mental health outcomes of intimate partner violence: A comparative study of women in the U.S.

机构信息

Gender, Sexuality and Women's Studies, Virginia Commonwealth University, Bethany M. Coston, 919 W. Franklin St., Richmond, VA, 23284, USA.

出版信息

Disabil Health J. 2019 Apr;12(2):164-170. doi: 10.1016/j.dhjo.2018.11.002. Epub 2018 Nov 9.

DOI:10.1016/j.dhjo.2018.11.002
PMID:30448101
Abstract

BACKGROUND

Research on disabled non-heterosexual women's post-intimate partner violence mental health outcomes-such as anxiety, depression, suicidal ideation, and alcohol use-is lacking.

OBJECTIVE

To examine the impact of the intersection of disability and sexual orientation on women's post-intimate partner violence mental health outcomes: including difficulty sleeping, missing school or work, or reporting some post-traumatic stress disorder symptomology and a self-reported subjective measure of overall wellbeing.

METHODS

Data come from the National Intimate Partner and Sexual Violence Survey (2010). A series of chi-square analyses were conducted (applying standardized sample weights and adjusting standard errors for both clustering and stratification for survey data).

RESULTS

Bisexual women are significantly more likely than straight women to report being disabled prior to victimization, but all disabled women-regardless of sexual orientation-are equivalently likely to rate their mental health as poor and/or actively experience difficulty sleeping, difficulty going to work or school, and/or PTSD.

CONCLUSIONS

Aligned with previous work, this study finds that bisexual women are significantly more likely than straight women to be disabled prior to experiencing all forms of intimate partner violence; and that disabled women, generally, are significantly more likely than not-disabled women to experience the negative mental health consequences of that violence. However, contrary to previous work, there are no sexual orientation disparities in said mental health outcomes among disabled women. Clinically, it is important for health care providers to be aware of the significant impact of intimate partner violence on the disabled women they regularly provide care to.

摘要

背景

关于残疾非异性恋女性遭受亲密伴侣暴力后的心理健康结果(如焦虑、抑郁、自杀意念和饮酒)的研究较少。

目的

研究残疾和性取向的交叉对女性遭受亲密伴侣暴力后的心理健康结果的影响:包括睡眠困难、缺课或旷工、或报告一些创伤后应激障碍症状和自我报告的整体幸福感的主观衡量标准。

方法

数据来自全国亲密伴侣和性暴力调查(2010 年)。进行了一系列卡方分析(适用于标准化样本权重,并对调查数据的聚类和分层进行了标准误差调整)。

结果

双性恋女性在遭受侵害之前报告残疾的可能性明显高于异性恋女性,但所有残疾女性——无论性取向如何——都同样可能将自己的心理健康评为较差,并且/或者正在经历睡眠困难、难以上班或上学,以及/或者 PTSD。

结论

与之前的研究一致,本研究发现,双性恋女性在遭受所有形式的亲密伴侣暴力之前,明显比异性恋女性更容易残疾;而且一般来说,残疾女性比非残疾女性更有可能经历这种暴力带来的负面心理健康后果。然而,与之前的研究相反,在残疾女性中,性取向在这些心理健康结果方面没有差异。从临床角度来看,卫生保健提供者必须意识到亲密伴侣暴力对他们经常护理的残疾女性的重大影响。

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