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经历亲密伴侣暴力(IPV)的女性的生活满意度、情感支持与感知健康之间的关联-2007 年行为风险因素监测系统。

The association between life satisfaction, emotional support, and perceived health among women who experienced intimate Partner violence (IPV) - 2007 behavioral risk factor surveillance system.

机构信息

Department of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

BMC Public Health. 2021 Apr 1;21(1):641. doi: 10.1186/s12889-021-10665-4.

Abstract

BACKGROUND

Intimate partner violence (IPV) is a pressing phenomenon whose consequences are associated with severe physical and mental health outcomes. Every minute, around 24 people in the United States are raped, physically injured, or emotionally abused by their intimate partner. Although having experienced IPV is not modifiable, emotional support is a protective factor to prevent victims from committing suicide. The psychological state of IPV victims is critical in post-traumatic events and this is evidenced in numerous qualitative interviews. Therefore, the objective of this study is to explore the association between IPV with emotional support, life satisfaction, and perceived health status in the United States.

METHODS

This study analyzed the data from the 2007 Behavioral Risk Factor Surveillance System. Univariate analyses, multivariable logistic regression analyses, and ordinal logistic regression analyses were used to estimate the adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) for factors associated with IPV. Analyses were conducted using SPSS version 25.

RESULTS

The analyses show that there is a strong association between IPV experience and emotional support (AOR:1.810; 95% CI = 1.626-2.015). Participants who had either physical violence or unwanted sex with an intimate partner in the past 12 months have 2.28 higher odds to receive less emotional support and 2.05 higher odds to perceive poor life satisfaction. Also, participants who reported experiencing IPV were associated with (AOR: 3.12; 95% CI =2.68-3.62) times the odds of having ≥6 days more mentally unhealthy days in a month. For perceived health outcomes, people who had been threatened with violence by a sex partner have 1.74 (95% CI =1.54-1.96) times the odds of having poor perceived general health status. IPV survivors have 3.12 (95% CI =2.68-3.62) times the odds of having ≥6 days more mentally unhealthy days in a month.

CONCLUSIONS

People reported with any IPV experience are more likely to receive less emotional support, perceive dissatisfaction in life, and poor health outcomes. This study shows the need for policies centered on the development of interventions that focus on mental health for those who have experienced IPV.

摘要

背景

亲密伴侣暴力(IPV)是一种紧迫的现象,其后果与严重的身心健康结果有关。在美国,每一分钟就有大约 24 人被他们的亲密伴侣强奸、身体伤害或情感虐待。尽管经历过 IPV 是不可改变的,但情感支持是预防受害者自杀的保护因素。IPV 受害者的心理状态在创伤后事件中至关重要,这在许多定性访谈中得到了证实。因此,本研究的目的是探讨美国 IPV 与情感支持、生活满意度和感知健康状况之间的关联。

方法

本研究分析了 2007 年行为风险因素监测系统的数据。使用单变量分析、多变量逻辑回归分析和有序逻辑回归分析来估计与 IPV 相关因素的调整优势比(AOR)和 95%置信区间(95%CI)。分析使用 SPSS 版本 25 进行。

结果

分析表明,IPV 经历与情感支持之间存在很强的关联(AOR:1.810;95%CI=1.626-2.015)。在过去 12 个月内经历过身体暴力或与亲密伴侣发生非意愿性行为的参与者获得较少情感支持的可能性高 2.28 倍,生活满意度差的可能性高 2.05 倍。此外,报告经历过 IPV 的参与者(AOR:3.12;95%CI=2.68-3.62)更有可能在一个月内出现≥6 天心理健康状况不佳的天数。对于感知健康结果,受到性伴侣暴力威胁的人患有较差的总体健康状况的可能性高 1.74(95%CI=1.54-1.96)。IPV 幸存者在一个月内出现≥6 天心理健康状况不佳的天数的可能性高 3.12(95%CI=2.68-3.62)。

结论

报告有任何 IPV 经历的人更有可能获得较少的情感支持、对生活不满和健康状况不佳。本研究表明,需要制定以发展关注经历过 IPV 的人的心理健康的干预措施为中心的政策。

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