Department of Epidemiology and Biostatics. National School of Public Health, Institute of Health Carlos III. Madrid, Spain.
Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), Madrid, Spain.
PLoS One. 2019 Oct 9;14(10):e0221049. doi: 10.1371/journal.pone.0221049. eCollection 2019.
The effect of age on intimate partner violence (IPV) against women has received little attention. The objective of this study is to analyze the prevalence, risk factors and health impact of current IPV in different life stages.
We analyzed a sub-sample of 8,935 ever-partnered women aged 16 years and older from the Spanish Macrosurvey on Gender Violence of 2014. Main outcomes: current physical/ sexual IPV and current psychological-only IPV. The impact of IPV on health was analyzed using the variables self-perceived health, mental health and activity limitations. Risk factors were assessed using the prevalence ratio (PR) from Poisson regression models with robust variance. Analyses were stratified by age (young people, adults, and elderly people).
Abuse in childhood increases the likelihood of IPV in any life stage. A higher education level decreases the probability of physical/sexual IPV across all ages. Unemployment increases the probability of IPV in adult women (physical/sexual-IPV, PR:1.7; psychological-IPV, PR:1.3). Being an immigrant increases the likelihood of physical/sexual IPV in adult women (PRwomen:1.91). Women exposed to current physical/sexual IPV have a greater likelihood of reporting poor self-perceived health (PRyoungpeople:2.59; PRadults:1.68; PRelderly:1.28), poor mental health (PRyoungpeople:3.10; PRadults:2.61; PRedlerly:2.17) and activity limitations (PRyoungpeople:2.44; PRadults:1.98). For psychological IPV only, there is an increase in the probability of poor self-perceived health (PRadults:1.37; PRelderly:1.19), poor mental health (PRyoungpeople:2.24; PRadults:2.16; PRelderly:1.69), and activity limitations (PRadults:1.30; PRelderly:1.18).
We found both common factors and differential factors when looking at IPV by age group. This shows the need to link gender violence prevention with the social circumstances of the population across different life stages.
年龄对亲密伴侣暴力(IPV)对女性的影响尚未得到充分关注。本研究旨在分析不同生命阶段当前 IPV 的流行率、危险因素和健康影响。
我们分析了 2014 年西班牙性别暴力宏观调查中 8935 名年龄在 16 岁及以上的曾经有伴侣的女性的亚样本。主要结局:当前身体/性 IPV 和当前心理仅 IPV。使用自我感知健康、心理健康和活动受限的变量分析 IPV 对健康的影响。使用泊松回归模型的患病率比(PR)评估危险因素,该模型具有稳健方差。分析按年龄(年轻人、成年人和老年人)分层。
童年时期的虐待会增加任何生命阶段发生 IPV 的可能性。较高的教育水平降低了所有年龄段发生身体/性 IPV 的概率。失业增加了成年女性发生 IPV 的可能性(身体/性 IPV,PR:1.7;心理 IPV,PR:1.3)。移民身份增加了成年女性发生身体/性 IPV 的可能性(PR 女性:1.91)。遭受当前身体/性 IPV 的女性更有可能报告自我感知健康状况不佳(PR 年轻人:2.59;PR 成年人:1.68;PR 老年人:1.28)、心理健康状况不佳(PR 年轻人:3.10;PR 成年人:2.61;PR 老年人:2.17)和活动受限(PR 年轻人:2.44;PR 成年人:1.98)。仅针对心理 IPV,自我感知健康状况不佳的可能性增加(PR 成年人:1.37;PR 老年人:1.19)、心理健康状况不佳(PR 年轻人:2.24;PR 成年人:2.16;PR 老年人:1.69)和活动受限(PR 成年人:1.30;PR 老年人:1.18)。
我们发现按年龄组观察 IPV 时既有共同因素,也有差异因素。这表明需要将性别暴力预防与不同生命阶段人口的社会环境联系起来。