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新冠疫情期间亲密伴侣暴力的增加:流行率和相关因素。

Increases in Intimate Partner Violence During COVID-19: Prevalence and Correlates.

机构信息

Department of Health Behavior and Biological Sciences, 16121University of Michigan School of Nursing, Ann Arbor, MI, USA.

University of Michigan School of Social Work, Ann Arbor, MI, USA.

出版信息

J Interpers Violence. 2022 Nov;37(21-22):NP20482-NP20512. doi: 10.1177/08862605211052586. Epub 2021 Dec 5.

Abstract

Measures to contain the global COVID-19 pandemic led to stay-at-home orders across the world, accompanied by fears of a global surge in intimate partner violence (IPV). We administered an online general-population survey to 1169 women and transgender/nonbinary individuals throughout the state of Michigan in June-August 2020 to assess changes in the prevalence, severity, and correlates of IPV during the COVID-19 pandemic. Quota sampling was used to match the racial/ethnic and urban/rural distribution of the state. More than one in seven (15.1%) participants reported physical, sexual, psychological, or technology-facilitated IPV since COVID, similar to the prevalence in the 3 months before COVID (16.2%). However, there were indications that IPV severity increased and that novel cases of IPV are occurring in relationships that previously had no abuse. A majority (64.2%) of individuals who experienced IPV since COVID reported that the IPV was new to the relationship (34.1%) or of increased severity during COVID-19 (26.6%), representing 9.7% of the overall sample. New or increased IPV was significantly more prevalent among those who were essential workers, pregnant, unable to afford rent, unemployed/underemployed or had recent changes to their job, had partners with recent changes to employment, and those who had gotten tested or tested positive for COVID-19. Urban residence, trans/nonbinary identity, and having a toddler were more strongly associated with IPV during COVID as compared to before COVID. While findings do not support significant changes in the overall prevalence of IPV, the majority of survivors reported incident IPV in relationships that had not previously been abusive, or IPV that became more severe since the start of the pandemic. Cases of new or increased IPV were more concentrated in marginalized groups. Potential touchpoints for outreach and services during future lockdowns include prenatal and pediatric settings, daycares, employers of essential workers, and COVID-19 testing centers. Policies providing rental, childcare, and unemployment support may mitigate increases in IPV during COVID-19.

摘要

为遏制全球 COVID-19 大流行,全球范围内发布了居家令,由此引发了人们对亲密伴侣暴力(IPV)全球激增的担忧。2020 年 6 月至 8 月,我们对密歇根州的 1169 名女性和跨性别/非二元个体进行了一项在线全人群调查,以评估 COVID-19 大流行期间 IPV 的流行率、严重程度和相关因素的变化。配额抽样用于匹配该州的种族/族裔和城乡分布。超过七分之一(15.1%)的参与者报告称,自 COVID 以来遭受了身体、性、心理或技术辅助的 IPV,与 COVID 前 3 个月的流行率(16.2%)相似。然而,有迹象表明 IPV 的严重程度有所增加,并且以前没有虐待关系的新案例也发生了 IPV。大多数(64.2%)自 COVID 以来遭受 IPV 的人报告称,这种 IPV 是关系中的新问题(34.1%)或 COVID-19 期间的严重程度增加(26.6%),占总样本的 9.7%。新发生或加重的 IPV 在以下人群中更为普遍:基本工作者、孕妇、无法负担租金、失业/就业不足或最近工作发生变化、伴侣最近工作发生变化、以及接受 COVID-19 检测或检测呈阳性的人。与 COVID 前相比,城市居住、跨性别/非二元身份以及有幼儿的人在 COVID 期间与 IPV 的关系更为密切。虽然调查结果不支持 IPV 的总体流行率发生重大变化,但大多数幸存者报告称,在以前没有虐待关系中发生了新的或加重的 IPV,或者自大流行开始以来 IPV 变得更加严重。新发生或加重的 IPV 案例更为集中在边缘化群体中。在未来的封锁期间,潜在的外联和服务接触点包括产前和儿科环境、日托中心、基本工作者的雇主以及 COVID-19 检测中心。提供租金、儿童保育和失业支持的政策可能会减轻 COVID-19 期间 IPV 的增加。

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