Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA.
Department of Behavioral Medicine and Psychiatry, School of Medicine, West Virginia University, 64 Medical Center Drive, Morgantown, WV, 26506, USA.
Soc Psychiatry Psychiatr Epidemiol. 2020 Mar;55(3):393-405. doi: 10.1007/s00127-019-01703-z. Epub 2019 Apr 16.
Intimate partner violence (IPV) is a pervasive public health problem. Existing research has focused on reports from victims and few studies have considered pre-marital factors. The main objective of this study was to identify pre-marital predictors of IPV in the current marriage using information obtained from husbands and wives.
Data from were obtained from married heterosexual couples in six countries. Potential predictors included demographic and relationship characteristics, adverse childhood experiences, dating violence, and psychiatric disorders. Reports of IPV and other characteristics from husbands and wives were considered independently and in relation to spousal reports.
Overall, 14.4% of women were victims of IPV in the current marriage. Analyses identified ten significant variables including age at first marriage (husband), education, relative number of previous marriages (wife), history of one or more categories of childhood adversity (husband or wife), history of dating violence (husband or wife), early initiation of sexual intercourse (husband or wife), and four combinations of internalizing and externalizing disorders. The final model was moderately predictive of marital violence, with the 5% of women accounting for 18.6% of all cases of marital IPV.
Results from this study advance understanding of pre-marital predictors of IPV within current marriages, including the importance of considering differences in the experiences of partners prior to marriage and may provide a foundation for more targeted primary prevention efforts.
亲密伴侣暴力（IPV）是一个普遍存在的公共卫生问题。现有研究侧重于受害者的报告，很少有研究考虑婚前因素。本研究的主要目的是利用从丈夫和妻子那里获得的信息，确定当前婚姻中婚前 IPV 的预测因素。
数据来自六个国家的已婚异性恋夫妇。潜在的预测因素包括人口统计学和关系特征、不良的童年经历、约会暴力和精神障碍。丈夫和妻子对 IPV 和其他特征的报告被分别考虑，并与配偶报告相关联。
总体而言，14.4%的女性在当前婚姻中是 IPV 的受害者。分析确定了十个显著变量，包括初婚年龄（丈夫）、教育程度、前几次婚姻的相对数量（妻子）、一种或多种类别的童年逆境史（丈夫或妻子）、约会暴力史（丈夫或妻子）、性开始较早（丈夫或妻子），以及内外向障碍的四种组合。最终模型对婚姻暴力具有中等预测能力，其中 5%的女性占所有婚姻 IPV 案例的 18.6%。
本研究结果增进了对当前婚姻中婚前 IPV 预测因素的理解，包括考虑婚前伴侣经历差异的重要性，并可能为更有针对性的初级预防工作提供基础。
