Universidad Científica del Sur, Lima, Peru.
Universidad Peruana de Ciencias Aplicadas, Lima, Peru.
Prev Med. 2022 Nov;164:107278. doi: 10.1016/j.ypmed.2022.107278. Epub 2022 Sep 23.
Intimate partner violence (IPV) is a global health problem and a violation of individual rights. The objective of this study was to assess the association between physical child abuse and current IPV in women of childbearing age in Peru. An analytical cross-sectional analysis of the data from the 2019 Demographic and Family Health Survey was carried out. IPV was constituted by emotional, physical and sexual violence, while physical child abuse was constructed from variables related to physical punishment that women of childbearing age experienced during childhood. Poisson's family generalized linear models were used for the crude and adjusted analyses to determine the association between physical child abuse and IPV. Data from a total of 21,518 women of childbearing age were included. 67.1% of women experienced physical abuse in childhood, while 57.7% experienced intimate partner violence. After adjusting for the characteristics of the woman, the partner or husband, marriage or relationship and the home, it was observed that having experienced physical abuse during childhood increased the probability of experiencing emotional (adjusted prevalence ratio [aPR] 1.15; 95% confidence interval [CI]: 1.09-1.21), physical (aPR 1.33; 95% CI: 1.20-1.47), sexual (aPR 1.57; 95% CI: 1.26-1.96) and any type of violence (aPR 1.15; 95% CI: 1.09-1.21) in adulthood. In conclusion, physical abuse during childhood is a public health issue in Peru. This study shows that women aged 15 to 49 who experienced physical abuse in childhood are more likely to experience intimate partner violence.
亲密伴侣暴力(IPV)是一个全球性的健康问题,也是对个人权利的侵犯。本研究的目的是评估秘鲁育龄妇女中身体虐待儿童与当前 IPV 之间的关联。对 2019 年人口与家庭健康调查的数据进行了分析性横断面分析。IPV 由情感、身体和性暴力构成,而身体虐待儿童则由育龄妇女在童年时期经历的与身体惩罚相关的变量构成。使用泊松家庭广义线性模型对粗分析和调整分析进行了分析,以确定身体虐待儿童与 IPV 之间的关联。共纳入了 21518 名育龄妇女的数据。67.1%的妇女在童年时经历过身体虐待,而 57.7%的妇女经历过亲密伴侣暴力。在调整了妇女、伴侣或丈夫、婚姻或关系以及家庭的特征后,发现童年时期经历过身体虐待会增加经历情感(调整后的患病率比[aPR]1.15;95%置信区间[CI]:1.09-1.21)、身体(aPR 1.33;95% CI:1.20-1.47)、性(aPR 1.57;95% CI:1.26-1.96)和任何类型暴力(aPR 1.15;95% CI:1.09-1.21)的可能性。总之,秘鲁的儿童期身体虐待是一个公共卫生问题。本研究表明,童年时期经历过身体虐待的 15 至 49 岁妇女更有可能经历亲密伴侣暴力。