Cao Jiepin, Lee Chi-Young, Liu Xu, Gonzalez-Guarda Rosa M
School of Nursing, Duke University, Durham, NC, USA.
School of Nursing & Health Studies, University of Washington Bothell, WA, USA.
Trauma Violence Abuse. 2023 Apr;24(2):407-419. doi: 10.1177/15248380211030235. Epub 2021 Jul 9.
Intimate partner violence (IPV) is a global health challenge leading to various detrimental health outcomes. Chinese women are a vulnerable population often overlooked in IPV research. Guided by the social-ecological model, this systematic review aims to synthesize literature on the risk and protective factors for IPV among Chinese women. A comprehensive search was conducted in nine major English and Chinese databases for articles with data collected since 2006 on adult Chinese women, leading to 29 papers in the final analysis. Risk and protective factors associated with IPV identified in this review include factors at the individual level such as demographics (e.g., a younger age, unplanned pregnancy, abortion, having children, and migration), socioeconomic status (e.g., income and partners' education level), attitudinal factors (e.g., attitudes justifying IPV and traditional beliefs about gender roles), behavioral factors (e.g., alcohol use of women, partners' alcohol use and frequency, and partners' high frequency of gambling), adverse childhood experiences (e.g., witnessed violence in childhood), and other personal characteristics (e.g., chronic illness and good health status). Factors at the relationship level include conflicts, power in intimate relationships, and social capital (e.g., the size of social networks, network participation of women and their partners, and social control). Community-level factors related to geographic locations were also explored while no factors were identified at the societal level. None of the included studies examined the intersections of factors within the same level or across different levels. Recommendations for future research, practice, and policy are also discussed.
亲密伴侣暴力(IPV)是一项全球性的健康挑战,会导致各种有害的健康后果。中国女性是亲密伴侣暴力研究中经常被忽视的弱势群体。本系统综述以社会生态模型为指导,旨在综合关于中国女性亲密伴侣暴力风险和保护因素的文献。我们在九个主要的中英文数据库中进行了全面检索,查找自2006年以来收集的有关成年中国女性数据的文章,最终纳入分析的有29篇论文。本综述中确定的与亲密伴侣暴力相关的风险和保护因素包括个体层面的因素,如人口统计学特征(例如年龄较小、意外怀孕、流产、育有子女和移民)、社会经济地位(例如收入和伴侣的教育水平)、态度因素(例如对亲密伴侣暴力的正当化态度和对性别角色的传统观念)、行为因素(例如女性饮酒、伴侣饮酒及频率,以及伴侣的高赌博频率)、童年不良经历(例如童年目睹暴力)和其他个人特征(例如慢性病和良好的健康状况)。关系层面的因素包括冲突、亲密关系中的权力以及社会资本(例如社交网络规模、女性及其伴侣的网络参与度和社会控制)。还探讨了与地理位置相关的社区层面因素,而在社会层面未发现相关因素。纳入的研究均未考察同一层面或不同层面因素之间的交叉情况。本文还讨论了对未来研究、实践和政策的建议。