Murdoch Children's Research Institute, Parkville, Victoria, Australia.
University of Melbourne, Victoria, Australia.
J Interpers Violence. 2022 Feb;37(3-4):NP2147-NP2176. doi: 10.1177/0886260520934426. Epub 2020 Jul 1.
Intimate partner violence (IPV) can comprise physical, sexual, and emotional abuse, and is a widespread public health concern. Despite increasing recognition that women experience different types of IPV, the majority of research has focused on physical IPV. The present study aims to examine associations between different types of IPV (physical, emotional, physical, and emotional) and women's mental, physical, and sexual health by analyzing longitudinal data from a prospective pregnancy cohort of 1,507 first-time mothers in Melbourne, Australia. Questionnaires included validated measures of physical and mental health (Short Form Health Survey, Edinburgh Postnatal Depression Scale) and IPV (Composite Abuse Scale). Emotional IPV alone was the most commonly reported type of IPV ( = 128, 9.5%), followed by both physical and emotional IPV ( = 76, 5.7%), and then physical IPV alone ( = 30, 2.2%). Women reporting emotional IPV or physical and emotional IPV had increased odds of poor health compared with women reporting no IPV. Experience of physical and emotional IPV was most strongly associated with mental health issues, including depressive symptoms (adjusted odds ratio [OR] 4.6, 95% confidence interval [CI] = [2.9, 7.1]) and self-reported anxiety (adjusted OR 2.9, 95% CI = [1.9, 4.4]). Experience of emotional IPV alone was associated with poor mental health as well as physical factors, including poor general physical health (adjusted OR 1.9, 95% CI = [1.2, 3.1]), and pain during sex (adjusted OR 1.8, 95% CI = [1.2, 2.7]). Increased odds of poor body image were also observed for women reporting emotional IPV alone and physical and emotional IPV. These findings highlight the need for greater awareness of the diversity in women's experiences of IPV among health care providers. This includes understanding the prevalence of emotional IPV among new mothers, and the range of health problems that are more common for women experiencing IPV.
亲密伴侣暴力（IPV）包括身体、性和情感虐待，是一个广泛存在的公共卫生问题。尽管越来越多的人认识到女性经历不同类型的 IPV，但大多数研究都集中在身体 IPV 上。本研究旨在通过分析澳大利亚墨尔本的一项前瞻性首次生育队列 1507 名初产妇的纵向数据，探讨不同类型的 IPV（身体、情感、身体和情感）与女性的心理健康、身体健康和性健康之间的关联。问卷包括身体和心理健康的验证性测量（简短健康调查、爱丁堡产后抑郁量表）和 IPV（综合虐待量表）。单独的情感 IPV 是最常见的 IPV 类型（n = 128，9.5%），其次是身体和情感 IPV（n = 76，5.7%），然后是单独的身体 IPV（n = 30，2.2%）。与没有 IPV 的女性相比，报告情感 IPV 或身体和情感 IPV 的女性出现健康状况不佳的几率增加。经历身体和情感 IPV 与心理健康问题最密切相关，包括抑郁症状（调整后的优势比 [OR] 4.6，95%置信区间 [CI] = [2.9, 7.1]）和自我报告的焦虑（调整后的 OR 2.9，95% CI = [1.9, 4.4]）。单独经历情感 IPV 与心理健康以及身体因素有关，包括一般身体健康状况不佳（调整后的 OR 1.9，95% CI = [1.2, 3.1]）和性疼痛（调整后的 OR 1.8，95% CI = [1.2, 2.7]）。单独报告情感 IPV 和身体和情感 IPV 的女性也更有可能出现身体形象不佳的情况。这些发现强调了卫生保健提供者需要更加意识到女性在经历 IPV 方面的多样性。这包括了解新妈妈中情感 IPV 的流行程度，以及经历 IPV 的女性更常见的一系列健康问题。
