Department of Community Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, USA
California Center for Population Research, University of California, Los Angeles, Los Angeles, CA, USA.
Arch Dis Child. 2020 Mar;105(3):223-228. doi: 10.1136/archdischild-2019-317663. Epub 2020 Jan 16.
Around a quarter of Cambodian women reported being victim to intimate partner violence (IPV) from their current partner. Children's exposure to familial IPV impacts psychosocial well-being and emerging research indicates associations with physical health.
Investigate associations between maternal experience of IPV and common childhood illnesses in Cambodia.
DESIGN, SETTING, PARTICIPANTS: Analysis of the Cambodia Demographic and Health Survey (2000, 2005, 2014) using logistic regression, including 5025 children under 5 years of age whose mothers responded to questions about experience of emotional, physical and sexual violence by current partner.
Report of diarrhoea, acute respiratory infection (ARI) or fever, respectively, in children in the two weeks preceding the survey.
Children of mothers with experience of any type of IPV had estimated elevated odds of diarrhoea (adjusted OR (aOR)=1.65, 95% CI 1.39 to 1.97), estimated odds of ARI (aOR=1.78, 95% CI 1.47 to 2.16) and estimated odds of fever (aOR=1.51, 95% CI 1.31 to 1.76) compared with children of mothers without reported IPV experience. Exposure to any form of IPV corresponded to an estimated 2.65 times higher odds (95% CI 2.01 to 3.51) for reporting having both diarrhoea and ARI.
Our findings support the notion that children's susceptibility to diarrhoea, ARI and fever may be affected by mothers' experience of IPV, including emotional violence. Maternal and child health programmes should train healthcare professionals to identify domestic violence and children at risk, and link victims to appropriate health and legal services.
约四分之一的柬埔寨女性报告称遭受现任伴侣的亲密伴侣暴力（IPV）。儿童暴露于家庭内 IPV 会影响心理社会健康，新兴研究表明其与身体健康有关。
调查柬埔寨母婴 IPV 经历与常见儿童疾病之间的关联。
设计、地点、参与者：使用逻辑回归分析 2000 年、2005 年和 2014 年柬埔寨人口与健康调查（DHS）数据，包括 5025 名 5 岁以下儿童，其母亲对当前伴侣情绪、身体和性暴力经历做出了回应。
在调查前两周内，儿童分别报告腹泻、急性呼吸道感染（ARI）或发热。
与母婴 IPV 经历无关的儿童相比，母婴 IPV 经历任何类型 IPV 的儿童腹泻（调整后的比值比[aOR]=1.65，95%置信区间[CI]为 1.39 至 1.97）、ARI（aOR=1.78，95%CI 为 1.47 至 2.16）和发热（aOR=1.51，95%CI 为 1.31 至 1.76）的可能性更高。暴露于任何形式的 IPV 与报告同时患有腹泻和 ARI 的可能性增加 2.65 倍（95%CI 为 2.01 至 3.51）相关。
我们的研究结果支持这样一种观点，即儿童易患腹泻、ARI 和发热的可能性可能受到母亲 IPV 经历的影响，包括情感暴力。母婴健康计划应培训医疗保健专业人员识别家庭暴力和处于风险中的儿童，并将受害者与适当的健康和法律服务联系起来。
