Frederick Rivara ( fpr@uw. edu ) is the Seattle Children's Guild Endowed Chair in Pediatric Research and a professor in the Department of Pediatrics at the University of Washington, in Seattle.
Avanti Adhia is a senior fellow in the Department of Pediatrics, University of Washington.
Health Aff (Millwood). 2019 Oct;38(10):1622-1629. doi: 10.1377/hlthaff.2019.00480.
Violence in its many forms can affect the health of people who are the targets, those who are the perpetrators, and the communities in which both live. In this article we review the literature on the health consequences of many forms of violence, including child physical and sexual abuse, intimate partner violence, elder abuse, sexual violence, youth violence, and bullying. The biological effects of violence have become increasingly better understood and include effects on the brain, neuroendocrine system, and immune response. Consequences include increased incidences of depression, anxiety, posttraumatic stress disorder, and suicide; increased risk of cardiovascular disease; and premature mortality. The health consequences of violence vary with the age and sex of the victim as well as the form of violence. People can be the victims of multiple forms of violence, and the health effects can be cumulative.
暴力的多种形式都会影响到受害者、施暴者及其所在社区人群的健康。本文综述了多种形式暴力(包括儿童身体和性虐待、亲密伴侣暴力、虐待老人、性暴力、青少年暴力和欺凌)对健康造成的后果。暴力对人体产生的生物学效应已得到更深入的了解,包括对大脑、神经内分泌系统和免疫反应的影响。其后果包括抑郁、焦虑、创伤后应激障碍和自杀的发生率增加;心血管疾病风险增加;以及过早死亡。暴力对健康的影响因受害者的年龄、性别和暴力形式而异。人们可能会成为多种形式暴力的受害者,且健康影响可能会累加。