Universidad de Lima, Peru.
J Interpers Violence. 2021 Jun;36(11-12):NP6465-NP6491. doi: 10.1177/0886260518815133. Epub 2018 Nov 28.
The objective of this study is to assess the effects that a specific type of severe violence-violence with femicide risk (VFR)-has on women's physical and mental health, as well as the physical health of their children. I focus on Peru, a country in which 7 out of 10 women have been victims of some form of intimate partner violence. In Latin America, Peru is one of the countries with the highest rates of violence against women. Methodological gaps in the existing literature (sampling size, selection bias, and reverse causality) are covered using an important nationally representative sample (Demographic and Health Survey: = 84,136) and the use of propensity score matching. Results show that VFR increases symptoms of depression, as well as alcohol and tobacco consumption. The children of victims of VFR had significantly more recent episodes of bloody stool, diarrhea, fever, and coughing. These effects are heterogeneous. They vary based on violence characteristics (history of sexual violence) and on victims' socioeconomic status. According to the relevant literature, these effects can be understood to stem from somatization, stress, substance use (as a facilitator of violence), and neurological damage due to exposure to this type of violence. Results suggest VFR may have life-course altering effects given victims' distinct coping strategies.
本研究旨在评估一种特定类型的严重暴力——具有杀女性风险的暴力(VFR)对女性身心健康以及其子女身体健康的影响。我关注的是秘鲁,这个国家有 7 成女性曾遭受某种形式的亲密伴侣暴力。在拉丁美洲,秘鲁是暴力侵害妇女发生率最高的国家之一。利用一个重要的全国代表性样本(人口与健康调查:n=84136)和倾向得分匹配来解决现有文献中的方法学差距(样本量、选择偏差和反向因果关系)。研究结果表明,VFR 增加了抑郁症状以及酒精和烟草的使用。VFR 受害者的子女近期出现血便、腹泻、发烧和咳嗽的情况明显更多。这些影响是异质的。它们取决于暴力特征(性暴力史)和受害者的社会经济地位。根据相关文献,这些影响可以归因于躯体化、压力、物质使用(作为暴力的促进因素)以及因暴露于这种类型的暴力而导致的神经损伤。研究结果表明,鉴于受害者独特的应对策略,VFR 可能具有改变人生轨迹的影响。