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种族和性别不平等与亲密伴侣和性暴力相关的食物、住房和医疗保健不安全。

Racial and Gender Inequalities in Food, Housing, and Healthcare Insecurity Associated with Intimate Partner and Sexual Violence.

机构信息

School of Social Work, 1259University of Michigan, Ann Arbor, MI, USA.

University of Maryland School of Social Work, Baltimore, MD, USA.

出版信息

J Interpers Violence. 2022 Dec;37(23-24):NP23202-NP23221. doi: 10.1177/08862605221077231. Epub 2022 Apr 11.

Abstract

The costs and consequences of intimate partner violence (IPV) and sexual violence (SV) are well-documented; however, little is known about how experiences of violence are connected to specific economic insecurities including food, healthcare, and housing insecurity among both men and women. This study investigates (1) the prevalence of food, healthcare, and housing insecurity across gender and racial groups exposed to IPV and SV and (2) associations between exposure to past-year IPV and SV and past-year food, healthcare, and housing insecurity controlling for confounding factors. A cross-sectional survey design was used in this study. Data from 2010 National Intimate Partner and Sexual Violence Survey (NISVS) were analyzed in a nationally representative sample of men ( = 8079) and women ( = 9970). Logistic regressions were used to model associations between past-year intimate partner and sexual violence and dependent variables of food, healthcare, and housing insecurity. Analyses were stratified by gender and included control variables of age, income, education, and race/ethnicity. Higher rates of food, housing, and healthcare insecurity were found among men and women of color exposed to violence, particularly among respondents who identified as Black/African American, Latinx, American Indian/Alaska Native, and other racial/ethnic minority groups. For men, IPV and SV was associated with higher odds for experiencing food ( = 2.40, <.001), housing ( = 2.06, <.001), and healthcare insecurity ( = 2.39, <.001). For women, IPV and SV was also associated with higher odds for experiencing food ( = 2.16, <.001), housing ( = 1.94, <.001), and healthcare insecurity ( = 2.38, <.001). Findings identify specific economic needs among survivors and suggest that the burdens of IPV and SV are not equitably shared across racial/ethnic populations. Findings can inform policy that aims to reduce inequalities in food, housing, and healthcare associated with IPV and SV.

摘要

亲密伴侣暴力(IPV)和性暴力(SV)的成本和后果有据可查;然而,对于男性和女性经历暴力与特定经济不安全之间的联系,包括食物、医疗保健和住房不安全,人们知之甚少。本研究调查了(1)在经历过 IPV 和 SV 的男性和女性群体中,食物、医疗保健和住房不安全的普遍程度,以及(2)在控制混杂因素的情况下,过去一年经历 IPV 和 SV 与过去一年食物、医疗保健和住房不安全之间的关联。本研究采用了横断面调查设计。对来自 2010 年全国亲密伴侣和性暴力调查(NISVS)的数据分析,样本包括全国代表性的男性(n=8079)和女性(n=9970)。使用逻辑回归模型分析了过去一年亲密伴侣和性暴力与食物、医疗保健和住房不安全的因变量之间的关联。分析按性别分层,并包括年龄、收入、教育和种族/族裔等控制变量。结果发现,经历过暴力的有色人种男性和女性的食物、住房和医疗保健不安全的比例较高,特别是那些自认为是非裔美国人、拉丁裔、美洲印第安人/阿拉斯加原住民和其他种族/族裔少数群体的受访者。对于男性来说,IPV 和 SV 与经历食物( = 2.40,<0.001)、住房( = 2.06,<0.001)和医疗保健不安全( = 2.39,<0.001)的几率更高相关。对于女性来说,IPV 和 SV 也与经历食物( = 2.16,<0.001)、住房( = 1.94,<0.001)和医疗保健不安全( = 2.38,<0.001)的几率更高相关。研究结果确定了幸存者的具体经济需求,并表明 IPV 和 SV 的负担在不同种族/族裔群体中并不平等。研究结果可以为旨在减少与 IPV 和 SV 相关的食物、住房和医疗保健不平等的政策提供信息。

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