Mathew Savan Sara, Goud Ramakrishna B, Pradeep Johnson
Department of Community Health, St. John's Medical College, Bengaluru, Karnataka, India.
Department of Psychiatry, St. John's Medical College, Bengaluru, Karnataka, India.
Indian J Community Med. 2019 Oct;44(Suppl 1):S70-S73. doi: 10.4103/ijcm.IJCM_72_19.
Intimate partner violence (IPV) is a risk factor for depression among women. Spousal alcoholism and marital quality are associated with both depression and spousal abuse Knowledge about the factors contributing to IPV in depression will enable us to have interventions to address IPV in tandem with treating depression.
(1) To estimate the prevalence of IPV in women treated for depression in a rural community health-care facility in Bengaluru Urban District. (2) To assess the association between IPV and various other factors in women treated for depression in a rural community health care facility.
A cross-sectional study was conducted among ever-married women above 18 years, registered under mental health program in the mental health clinic in Mugalur, Karnataka, and currently on treatment for depression. The women who consented were interviewed using structured questionnaires - WHOQOL-BREF, standard of living index, Hamilton Depression Rating Scale, Index of Spouse Abuse, family interview for genetic studies for reported alcohol use, and marital quality scale.
The mean age of the study participants was 49.7 ± 13.2 years. The prevalence of physical IPV and non-physical IPV was found to be 18% and 7%, respectively. Marital quality was significantly lower among women who experienced IPV. Women with husbands who ever used alcohol were found to have six times more risk of experiencing physical IPV, odd ratio 6.193 (1.595, 24.047).
Health education, involvement of self-help groups, and awareness programs are required to alleviate IPV.
亲密伴侣暴力(IPV)是女性患抑郁症的一个风险因素。配偶酗酒和婚姻质量与抑郁症及配偶虐待均有关联。了解导致抑郁症患者发生亲密伴侣暴力的因素,将使我们能够在治疗抑郁症的同时采取干预措施来解决亲密伴侣暴力问题。
(1)估计班加罗尔市区一家农村社区卫生保健机构中接受抑郁症治疗的女性中亲密伴侣暴力的患病率。(2)评估一家农村社区卫生保健机构中接受抑郁症治疗的女性中亲密伴侣暴力与其他各种因素之间的关联。
对年龄在18岁以上、在卡纳塔克邦穆加卢尔心理健康诊所的心理健康项目中登记且目前正在接受抑郁症治疗的已婚女性进行了一项横断面研究。对同意参与的女性使用结构化问卷进行访谈,这些问卷包括世界卫生组织生活质量简表(WHOQOL-BREF)、生活水平指数、汉密尔顿抑郁量表、配偶虐待指数、关于报告饮酒情况的遗传研究家庭访谈以及婚姻质量量表。
研究参与者的平均年龄为49.7±13.2岁。发现身体暴力型亲密伴侣暴力和非身体暴力型亲密伴侣暴力的患病率分别为18%和7%。经历过亲密伴侣暴力的女性的婚姻质量显著更低。发现丈夫曾饮酒的女性遭受身体暴力型亲密伴侣暴力的风险高出六倍,比值比为6.193(1.595,24.047)。
需要开展健康教育、让自助团体参与以及提高认识的项目来减轻亲密伴侣暴力。