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2003 年和 2019 年在新西兰进行的两项横断面研究中,亲密伴侣对女性的心理和经济虐待以及控制行为的流行率变化。

Change in prevalence of psychological and economic abuse, and controlling behaviours against women by an intimate partner in two cross-sectional studies in New Zealand, 2003 and 2019.

机构信息

Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand

Social and Community Health, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.

出版信息

BMJ Open. 2021 Mar 23;11(3):e044910. doi: 10.1136/bmjopen-2020-044910.

Abstract

OBJECTIVES

Changes in reported lifetime prevalence of psychological abuse, controlling behaviours and economic abuse between 2003 and 2019, and past 12-month prevalence of psychological abuse by an intimate partner were examined.

DESIGN

Cross-sectional analysis.

SETTING AND PARTICIPANTS

Data came from two surveys of family violence in New Zealand, conducted in 2003 and 2019. Respondents were ever partnered women aged 18-64 years old (2003 n=2673; 2019 n=935).

MAIN OUTCOME MEASURES

Prevalence rates for psychological abuse, controlling behaviours and economic abuse were compared between the two study years using logistic regression. Sociodemographic and economic correlates of each abuse subtype were investigated. Interactions were examined between sociodemographic factors and the study year for reported prevalence rates.

RESULTS

There was a reduction in reported past 12-month experience of two or more acts of psychological intimate partner violence (IPV) from 8.4% (95% CI 7.3 to 9.6) in 2003 to 4.7% (95% CI 3.2 to 6.2) in 2019. The reported lifetime prevalence of two or more acts of controlling behaviours increased from 8.2% in 2003 (95% CI 7.0 to 9.5) to 13.4% in 2019 (95% CI 11.0 to 15.7). Lifetime prevalence of economic IPV also increased from 4.5% in 2003 (95% CI 3.5 to 5.5) to 8.9% in 2019 (95% CI 6.7 to 11.1). Those who were divorced/separated or cohabiting, and those living in the most deprived areas were more likely to report past year psychological IPV, lifetime controlling behaviours and economic abuse. A higher proportion of women who were married or cohabiting reported controlling behaviours in 2019 compared with 2003.

CONCLUSION

While the reduction in reported past year psychological IPV is encouraging, the increase in the lifetime prevalence of controlling behaviours and economic abuse from 2003 to 2019 is worth critical evaluation. Results highlight potential gaps in current IPV prevention programmes, the need to identify and address underlying drivers of abusive behaviour and the importance of measuring multiple forms of IPV independently.

摘要

目的

检查 2003 年至 2019 年期间报告的终身心理虐待、控制行为和经济虐待发生率的变化,以及过去 12 个月亲密伴侣心理虐待的发生率。

设计

横断面分析。

地点和参与者

数据来自新西兰两次家庭暴力调查,分别于 2003 年和 2019 年进行。受访者为年龄在 18-64 岁之间的有过伴侣的女性(2003 年 n=2673;2019 年 n=935)。

主要结果指标

使用逻辑回归比较这两年研究中心理虐待、控制行为和经济虐待的发生率。研究了每种虐待亚型的社会人口统计学和经济相关性。调查了社会人口统计学因素与报告流行率之间的研究年份的相互作用。

结果

报告的过去 12 个月内经历过两次或两次以上心理亲密伴侣暴力(IPV)行为的比例从 2003 年的 8.4%(95%可信区间 7.3 至 9.6)降至 2019 年的 4.7%(95%可信区间 3.2 至 6.2)。2003 年报告的两次或两次以上控制行为的终生患病率从 8.2%(95%可信区间 7.0 至 9.5)上升到 2019 年的 13.4%(95%可信区间 11.0 至 15.7)。经济 IPV 的终生患病率也从 2003 年的 4.5%(95%可信区间 3.5 至 5.5)上升到 2019 年的 8.9%(95%可信区间 6.7 至 11.1)。离婚/分居或同居者以及生活在最贫困地区者更有可能报告过去一年的心理 IPV、终生控制行为和经济虐待。与 2003 年相比,2019 年更多已婚或同居的妇女报告了控制行为。

结论

尽管报告的过去一年心理 IPV 减少令人鼓舞,但 2003 年至 2019 年期间控制行为和经济虐待的终生患病率增加值得批判性评估。结果突出了当前 IPV 预防计划中的潜在差距,需要确定和解决虐待行为的潜在驱动因素,以及独立测量多种形式的 IPV 的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/623d/7993235/9519d3946bc0/bmjopen-2020-044910f01.jpg

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