University of Michigan, Ann Arbor, USA.
University of Minnesota Medical School, Duluth, USA.
J Interpers Violence. 2021 Jul;36(13-14):NP6725-NP6746. doi: 10.1177/0886260518821463. Epub 2019 Jan 7.
Elevated rates of intimate partner violence (IPV) have been documented among American Indian (AI) populations and multiple negative health outcomes are associated with IPV among the general population. The aims of this study were to examine associations between IPV and health outcomes among AI women and men ( = 192) in five reservations in the upper Midwest and test for possible moderating roles of social support and communal mastery. Data were from quantitative survey results from the Gathering for Health study, a community-based participatory research project investigating the impact of stress on health among AI adults living with type 2 diabetes. Computer-assisted surveys measured IPV with current or most recent partner, depressive symptoms, adverse physical health conditions frequently co-occurring with type 2 diabetes, drug abuse, and self-reported levels of social support and communal mastery. Forty-eight percent of women and 43% of men reported IPV in their current or most recent relationship. Higher IPV scores were positively associated with depressive symptoms, physical health, and drug abuse and negatively associated with social support and communal mastery. Social support was negatively associated with depressive symptoms and drug abuse, and communal mastery and depressive symptoms were inversely correlated. Ordinary least squares regression analyses demonstrated positive relationships between IPV and all three adverse health outcomes, but communal mastery was not significantly related to any of the outcomes in multivariate models. Social support moderated the effects of IPV on depressive symptoms only and communal mastery demonstrated no moderating effect. Findings suggest that social support may be protective against negative health outcomes among this population and corroborate previous scientific literature on the negative health outcomes specifically related to IPV. Interventions seeking to increase social support may be an area in which to focus IPV preventive and treatment efforts.
已记录到美国印第安人（AI）人群中亲密伴侣暴力（IPV）的发生率较高，并且一般人群中 IPV 与多种负面健康结果相关。本研究的目的是检验在中西部上五个保留地的 AI 女性和男性（=192）中，IPV 与健康结果之间的关联，并检验社会支持和社区掌控力是否可能起到调节作用。数据来自 Gathering for Health 研究的定量调查结果，这是一项基于社区的参与式研究项目，旨在调查压力对 2 型糖尿病患者中 AI 成年人健康的影响。计算机辅助调查使用当前或最近的伴侣衡量 IPV、抑郁症状、与 2 型糖尿病经常同时发生的不良身体健康状况、药物滥用以及自我报告的社会支持和社区掌控力水平。48%的女性和 43%的男性报告在当前或最近的关系中存在 IPV。较高的 IPV 得分与抑郁症状、身体健康和药物滥用呈正相关，与社会支持和社区掌控力呈负相关。社会支持与抑郁症状和药物滥用呈负相关，而社区掌控力与抑郁症状呈负相关。普通最小二乘法回归分析表明，IPV 与所有三种不良健康结果之间存在正相关关系，但在多变量模型中，社区掌控力与任何结果均无显著关系。社会支持仅调节了 IPV 对抑郁症状的影响，而社区掌控力没有表现出调节作用。研究结果表明，社会支持可能对该人群的负面健康结果具有保护作用，并且与之前关于 IPV 特定相关的负面健康结果的科学文献一致。旨在增加社会支持的干预措施可能是集中精力预防和治疗 IPV 的一个领域。
