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亲密伴侣暴力、与感知到的求助需求及医疗保健利用的关联:瑞典女性的一项基于人群的样本研究

Intimate partner violence, associations with perceived need for help and health care utilization: a population-based sample of women in Sweden.

作者信息

Lövestad Solveig, Vaez Marjan, Löve Jesper, Hensing Gunnel, Krantz Gunilla

机构信息

School of Public Health and Community Medicine, Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden.

Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden.

出版信息

Scand J Public Health. 2021 May;49(3):268-276. doi: 10.1177/1403494820930952. Epub 2020 Aug 27.

Abstract

To assess the association between physical intimate partner violence (physical IPV) in the past 5 years, perceived need for help and primary health care utilization due to mental health problems in a general population-based sample of women in Sweden. We performed structured follow-up interviews with 616 women between 1995 and 2015. Associations between physical IPV in the past 5 years and (i) perceived need for help and (ii) primary health care utilization due to mental health problems, were estimated by logistic regression analyses with crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs). Of the women who had experienced physical IPV in the past 5 years, 45.1% perceived a need for help but refrained from seeking care. After adjusting for sociodemographic factors, exposure to physical IPV in the past 5 years remained associated with perceived need for help (OR 3.54; CI 1.77-7.11). After adjusting for sociodemographic factors, the association between exposure to physical IPV and primary health care utilization did not remain statistically significant.

摘要

为评估瑞典普通女性人群样本中过去5年身体亲密伴侣暴力(身体亲密伴侣暴力)、感知到的求助需求与因心理健康问题而利用初级卫生保健之间的关联。我们在1995年至2015年期间对616名女性进行了结构化随访访谈。通过逻辑回归分析,以粗比值比和调整后的比值比(OR)以及95%置信区间(CI)来估计过去5年身体亲密伴侣暴力与(i)感知到的求助需求以及(ii)因心理健康问题而利用初级卫生保健之间的关联。在过去5年经历过身体亲密伴侣暴力的女性中,45.1%感知到需要帮助,但未寻求护理。在对社会人口学因素进行调整后,过去5年暴露于身体亲密伴侣暴力仍与感知到的求助需求相关(OR 3.54;CI 1.77 - 7.11)。在对社会人口学因素进行调整后,暴露于身体亲密伴侣暴力与初级卫生保健利用之间的关联不再具有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e679/8056709/71f154e4b22d/10.1177_1403494820930952-fig1.jpg

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