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中国成年初期人群中亲密伴侣性暴力与心理健康指标

Intimate Partner Sexual Violence and Mental Health Indicators Among Chinese Emerging Adults.

机构信息

The University of Hong Kong, Hong Kong.

The Hong Kong Polytechnic University.

出版信息

J Interpers Violence. 2021 Oct;36(19-20):NP10229-NP10254. doi: 10.1177/0886260519872985. Epub 2019 Sep 3.

Abstract

Intimate partner sexual violence (IPSV) among emerging adults, including heterosexuals and sexual minorities in the Chinese population, is poorly understood. Focusing on college students, the objectives of the present study were to estimate the prevalence of IPSV among Chinese emerging adults, examine the association between sexual orientation and IPSV, and evaluate the mental health and quality of life of survivors of IPSV. Data were collected from four university campuses in Hong Kong. A total of 1,015 participants were included in the data analysis. The prevalence of IPSV as identified by Conflict Tactics Scale (CTS)-2 was 12.1%. There was no gender difference in the prevalence of IPSV. Multiple logistic regression found that being older; having experienced childhood sexual abuse and having a smoking habit; and belonging to a sexual minority were factors associated with IPSV. Multiple linear regression found that IPSV survivors were more likely to have higher levels of anxiety and depression, more severe psychosomatic symptoms, and poorer quality of life in three domains: psychological, social relationships, and environment when compared with those without IPSV experience. The documented factors underscored the importance of awareness that men and sexual minorities might incur IPSV, which should receive more attention in IPSV prevention programs. Also, interventions for IPSV survivors should be targeted at improving their mental health and quality of life and sex education should place more emphasis on sexual consent and sexual health in dating relationships.

摘要

亲密伴侣性暴力(IPSV)在包括异性恋和性少数群体的中国新兴成年人中了解甚少。本研究以大学生为重点,旨在估计中国新兴成年人中 IPSV 的流行率,探讨性取向与 IPSV 的关系,并评估 IPSV 幸存者的心理健康和生活质量。数据来自香港的四所大学校园。共有 1015 名参与者纳入数据分析。通过冲突策略量表(CTS)-2 确定的 IPSV 患病率为 12.1%。在 IPSV 的患病率方面,男女之间没有性别差异。多变量逻辑回归发现,年龄较大;经历过儿童性虐待和有吸烟习惯;以及属于性少数群体是与 IPSV 相关的因素。多元线性回归发现,与没有 IPSV 经历的人相比,IPSV 幸存者更有可能出现更高水平的焦虑和抑郁、更严重的身心症状以及在三个领域(心理、社会关系和环境)的生活质量更差。记录的因素强调了认识到男性和性少数群体可能遭受 IPSV 的重要性,这在 IPSV 预防计划中应得到更多关注。此外,针对 IPSV 幸存者的干预措施应旨在改善他们的心理健康和生活质量,性教育应更加重视约会关系中的性同意和性健康。

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