School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand.
Center of Excellence for the Hill Tribe Health Research, Mae Fah Lung University, Chiang Rai, Thailand.
PLoS One. 2021 Mar 15;16(3):e0248587. doi: 10.1371/journal.pone.0248587. eCollection 2021.
Domestic violence significantly affects physical and mental health, particularly among children, women, and the elderly. Living in certain family environments could lead to victimization by domestic violence, especially among families with a poor socioeconomic status, such as the Lahu hill tribe people in Thailand. This study aimed to estimate the prevalence of and determine the factors associated with domestic violence among Lahu children, women, and the elderly.
A cross-sectional study was conducted of participants who belonged to the Lahu hill tribe and lived in 20 selected villages in Chiang Rai Province, Thailand. A validated questionnaire was used to collect personal information and information regarding experiences related to domestic violence in the past year from children (aged 5-15 years), women (aged 16-59 years), and the elderly (aged 60 years and over). A binary logistic regression was used to detect associations between the variables.
A total of 646 participants were recruited into the study, specifically, 98 children aged 5-15 years, 430 women aged 16-59 years, and 118 elderly people. Children who smoked (AOR = 8.70; 95%CI = 1.27-59.45) had greater odds of experiencing domestic violence than children who did not smoke. Women who had a role as a family member (AOR = 1.59; 95%CI = 1.02-2.50), used alcohol (AOR = 3.36; 95%CI = 2.27-4.99), lived in a family with financial problems (AOR = 4.01; 95%CI = 2.52-7.66), and lived with a family member who uses alcohol (AOR = 2.87; 95%CI = 2.20-5.63) had greater odds of suffering domestic violence than women who did not share these characteristics. The elderly who used alcohol (AOR = 3.25, 95%CI = 1.08-9.81), lived with a family member who uses alcohol (AOR = 3.31; 95%CI = 1.26-7.34), or lived in a family with financial problems in the past year (AOR = 2.16; 95%CI = 1.16-8.77) had greater odds of facing domestic violence than the elderly who did not have these characteristics.
Family financial problems and substance use are associated with domestic violence in Lahu families in Thailand. Health interventions to reduce the use of substances, including training programs to respond to domestic violence, should be promoted for Lahu children, women, and the elderly.
家庭暴力对身心健康有重大影响，尤其是对儿童、妇女和老年人。生活在某些家庭环境中可能会导致遭受家庭暴力，特别是在社会经济地位较差的家庭中，如泰国的拉祜族部落。本研究旨在评估拉祜族儿童、妇女和老年人中家庭暴力的流行率，并确定与家庭暴力相关的因素。
本研究采用横断面研究，对象为属于拉祜族部落并居住在泰国清莱府 20 个选定村庄的参与者。使用经过验证的问卷收集个人信息和过去一年中与家庭暴力相关的经历信息，参与者包括儿童（5-15 岁）、妇女（16-59 岁）和老年人（60 岁及以上）。使用二元逻辑回归检测变量之间的关联。
共招募了 646 名参与者，其中 98 名 5-15 岁的儿童、430 名 16-59 岁的妇女和 118 名 60 岁及以上的老年人。与不吸烟的儿童相比，吸烟的儿童（AOR=8.70；95%CI=1.27-59.45）遭受家庭暴力的可能性更高。有家庭成员角色（AOR=1.59；95%CI=1.02-2.50）、饮酒（AOR=3.36；95%CI=2.27-4.99）、家庭经济问题（AOR=4.01；95%CI=2.52-7.66）和与饮酒的家庭成员同住（AOR=2.87；95%CI=2.20-5.63）的妇女遭受家庭暴力的可能性更高。过去一年中饮酒的老年人（AOR=3.25，95%CI=1.08-9.81）、与饮酒的家庭成员同住（AOR=3.31；95%CI=1.26-7.34）或家庭经济问题（AOR=2.16；95%CI=1.16-8.77）的老年人遭受家庭暴力的可能性更高。
家庭经济问题和物质使用与泰国拉祜族家庭中的家庭暴力有关。应针对拉祜族儿童、妇女和老年人开展减少物质使用的健康干预措施，包括应对家庭暴力的培训计划。
