Faculty of Medicine, Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia.
Economics Discipline, Social Science School, Khulna University, Khulna, Bangladesh.
Qual Life Res. 2022 Nov;31(11):3153-3164. doi: 10.1007/s11136-022-03190-3. Epub 2022 Aug 8.
This study aims to investigate the effect of physical violence and serious injury on health-related quality of life in the Australian adult population.
This study utilised panel data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey. HRQoL was measured through the physical component summary (PCS), mental component summary (MCS), and short-form six-dimension utility index (SF-6D) of the 36-item Short-Form Health Survey (SF-36). Longitudinal fixed-effect regression models were fitted using 19 waves of the HILDA Survey spanning from 2002 to 2020.
This study found a negative effect of physical violence and serious injury on health-related quality of life. More specifically, Australian adults exposed to physical violence and serious injury exhibited lower levels of health-related quality of life. Who experienced physical violence only had lower MCS (β = -2.786, 95% CI: -3.091, -2.481) and SF-6D (β = -0.0214, 95% CI: -0.0248, -0.0181) scores if switches from not experiencing physical violence and serious injury. Exposed to serious injury had lower PCS (β = -5.103, 95% CI: -5.203, -5.004), MCS (β = -2.363, 95% CI: -2.480, -2.247), and SF-6D (β = -0.0585, 95% CI: -0.0598, -0.0572) score if the adults not experiencing physical violence and serious injury. Further, individuals exposed to both violence and injury had substantially lower PCS (β = -3.60, 95% CI: -4.086, -3.114), MCS (β = -6.027, 95% CI: -6.596, -5.459), and SF-6D (β = -0.0716, 95% CI: -0.0779, -0.0652) scores relative to when the individuals exposed to none.
Our findings indicate that interventions to improve Australian adults' quality of life should pay particular attention to those who have experienced physical violence and serious injury. Our findings suggest unmet mental health needs for victims of physical violence and serious injuries, which calls for proactive policy interventions that provide psychological and emotional therapy.
本研究旨在探讨澳大利亚成年人群体中身体暴力和严重伤害对健康相关生活质量的影响。
本研究利用澳大利亚家庭、收入和劳动力动态调查（HILDA）的面板数据。通过 36 项简明健康调查问卷（SF-36）的身体成分综合评分（PCS）、心理成分综合评分（MCS）和简短六维度效用指数（SF-6D）来衡量健康相关生活质量。使用 HILDA 调查的 19 个波次，从 2002 年到 2020 年进行纵向固定效应回归模型拟合。
本研究发现身体暴力和严重伤害对健康相关生活质量有负面影响。具体来说，澳大利亚成年人遭受身体暴力和严重伤害会导致更低的健康相关生活质量。仅经历过身体暴力的成年人的 MCS（β=-2.786，95%CI：-3.091，-2.481）和 SF-6D（β=-0.0214，95%CI：-0.0248，-0.0181）评分更低，如果他们从没有经历过身体暴力和严重伤害的情况切换过来。经历过严重伤害的成年人的 PCS（β=-5.103，95%CI：-5.203，-5.004）、MCS（β=-2.363，95%CI：-2.480，-2.247）和 SF-6D（β=-0.0585，95%CI：-0.0598，-0.0572）评分更低，如果他们从没有经历过身体暴力和严重伤害的情况切换过来。此外，如果成年人同时经历身体暴力和伤害，他们的 PCS（β=-3.60，95%CI：-4.086，-3.114）、MCS（β=-6.027，95%CI：-6.596，-5.459）和 SF-6D（β=-0.0716，95%CI：-0.0779，-0.0652）评分会明显低于没有经历过这两种情况的成年人。
我们的研究结果表明，改善澳大利亚成年人生活质量的干预措施应特别关注那些经历过身体暴力和严重伤害的人群。我们的研究结果表明，身体暴力和严重伤害的受害者存在未满足的心理健康需求，这需要积极的政策干预措施，提供心理和情感治疗。
