Xiangya Nursing School, Central South University, Changsha, China.
Rory Meyers College of Nursing, New York University, New York City, USA.
J Interpers Violence. 2021 Jun;36(11-12):NP6304-NP6322. doi: 10.1177/0886260518814264. Epub 2018 Nov 28.
The wives of men who have sex with men, known as "" in China, have increasingly attracted public attention due to their potential risks of suicide and sexually transmitted infections and HIV. However, few studies have explored the association between intimate partner violence (IPV) and suicide risk or the mediating effect of coping style on these associations among in China. To describe these relationships, a cross-sectional online survey was conducted in China from February 2016 to February 2017. A questionnaire, which consisted of the Revised Conflict Tactics Scales, the Simplified Coping Style Questionnaire, the Beck Scale for Suicidal Ideation, and reports of suicide attempts, was completed by 178 Chinese . Bootstrap tests were performed to determine the mediating role of coping styles on the association between IPV and suicide risks. The median IPV score was 14 (range: 0-50), with the domain of negotiation ranking highest. The average coping style score was .37±.73; 61.2% of have had suicidal ideation, and 11.8% had attempted suicide. IPV was significantly correlated with suicidal ideation ( = .19, < .01) and suicide attempts ( = .29, < .001). Participants with a negative coping style had higher suicidal ideation ( = -.39, < .01) and suicide attempts ( = -.22, < .01). Coping style had a full mediating effect on the association between IPV and suicidal ideation and a partial mediating effect on suicide attempts. Chinese experienced high level of IPV and suicide risks. IPV contributed to the suicide risks of Chinese , but these associations were mediated by coping style. Therefore, interventions to improve mental health and prevent suicide risks of Chinese should focus on helping them develop a positive coping style to achieve the goal of Healthy China in 2030.
中国的男男性行为者的妻子（被称为“MSM 的妻子”），由于其自杀和性传播感染以及 HIV 的潜在风险，越来越受到公众关注。然而，很少有研究探讨亲密伴侣暴力（IPV）与自杀风险之间的关联，以及应对方式在这些关联中的中介作用。为了描述这些关系，我们于 2016 年 2 月至 2017 年 2 月在中国进行了一项横断面在线调查。调查采用修订后的冲突策略量表、简化应对方式问卷、贝克自杀意念量表和自杀企图报告，由 178 名中国 MSM 的妻子完成。Bootstrap 检验用于确定应对方式在 IPV 与自杀风险之间的关联中的中介作用。IPV 得分中位数为 14（范围：0-50），协商领域得分最高。平均应对方式得分为.37±.73；61.2%的人有自杀意念，11.8%的人曾试图自杀。IPV 与自杀意念显著相关（ =.19， <.01）和自杀企图（ =.29， <.001）。采用消极应对方式的参与者自杀意念较强（ = -.39， <.01）和自杀企图（ = -.22， <.01）。应对方式对 IPV 与自杀意念之间的关联具有完全中介作用，对自杀企图具有部分中介作用。中国 MSM 的妻子经历了较高水平的 IPV 和自杀风险。IPV 导致了中国 MSM 的妻子的自杀风险，但这些关联是通过应对方式来介导的。因此，改善中国 MSM 的妻子心理健康和预防自杀风险的干预措施应重点帮助他们发展积极的应对方式，以实现 2030 年健康中国的目标。
