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可视化女性在生育后头 10 年里遭受亲密伴侣暴力的模式。

Visualising Patterns in Women's Experiences of Intimate Partner Violence in the First 10 years of Motherhood.

机构信息

34361Murdoch Children's Research Institute, Melbourne, VIC, Australia.

2281University of Melbourne, Melbourne, VIC, Australia.

出版信息

J Interpers Violence. 2023 Feb;38(3-4):3055-3087. doi: 10.1177/08862605221104518. Epub 2022 Jun 1.

DOI:10.1177/08862605221104518
PMID:35642495
Abstract

Intimate partner violence (IPV) can involve patterns of physical, sexual and emotional abuse. Women typically experience physical IPV in combination with emotional IPV, while emotional IPV is often experienced in the absence of other types of IPV. There is very little known about women's experiences of these different types of IPV over time. The primary aim of this paper is to describe patterns in women's individual experiences of physical and/or emotional IPV across the first 10 years of motherhood. Data were drawn from a prospective pregnancy cohort of 1507 first-time mothers in Melbourne, Australia. Emotional, physical, and combined physical and emotional IPV were reported in the first, fourth and tenth year of motherhood using the Composite Abuse Scale. The overall prevalence of each type of IPV remained consistent across the three time-points, with emotional IPV alone being the most prevalent. There was substantial variability in women's experiences of IPV over time and there was no common progression from one type of IPV to another. Women were more likely to report IPV at more than one time-point if they experienced combined physical and emotional IPV, while for women who reported emotional or physical IPV alone this was more likely to be at a single time-point. A number of socio-demographic characteristics in early pregnancy were associated with a higher risk of reporting IPV at all three time-points, including being unemployed (RRR = 3.6; 95% CI: 2.1, 6.2) and being aged 18-24 years (RRR = 3.1; 95% CI: 1.8, 5.4). Knowledge of the variability and persistence of IPV in the first 10 years of motherhood, and factors associated with these experiences, can help tailor effective health and social service responses.

摘要

亲密伴侣暴力(IPV)可能包括身体、性和情感虐待模式。女性通常经历身体 IPV 与情感 IPV 的结合,而情感 IPV 往往在没有其他类型 IPV 的情况下发生。关于女性在不同时间段内经历这些不同类型 IPV 的情况知之甚少。本文的主要目的是描述女性在成为母亲的头 10 年内个体经历身体和/或情感 IPV 的模式。数据来自澳大利亚墨尔本的一项前瞻性妊娠队列研究,共纳入了 1507 名首次生育的女性。使用综合虐待量表在母亲生育后的第一年、第四年和第十年报告情感、身体和身体与情感联合的 IPV。在这三个时间点,每种类型的 IPV 的总体患病率保持一致,其中情感 IPV 最为常见。随着时间的推移,女性经历 IPV 的情况存在很大的差异,而且没有从一种类型的 IPV 向另一种类型的 IPV 普遍进展的情况。如果女性经历了身体与情感联合的 IPV,她们更有可能在多个时间点报告 IPV,而那些仅报告情感或身体 IPV 的女性更有可能在单个时间点报告 IPV。在妊娠早期的一些社会人口特征与报告 IPV 的风险增加相关,包括失业(RRR=3.6;95%CI:2.1,6.2)和年龄在 18-24 岁(RRR=3.1;95%CI:1.8,5.4)。了解母亲生育后的头 10 年内 IPV 的变异性和持续性,以及与这些经历相关的因素,有助于量身定制有效的卫生和社会服务响应。

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