Puno Abigail, Kim Ranyeong, Jeong Joshua, Kim Jinho, Kim Rockli
Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea.
Division of Biological Sciences, University of the Philippines Visayas, Miagao, Iloilo, Philippines.
SSM Popul Health. 2023 Jun 13;23:101392. doi: 10.1016/j.ssmph.2023.101392. eCollection 2023 Sep.
Intimate partner violence (IPV) substantially harms women's overall health worldwide. The intergenerational cycle of IPV among women remains underexplored from the perspective of victimization and perpetration, and by types of subsequent IPV. The 2017 Philippines National Demographic and Health Survey dataset of 12,248 currently in-union (married or cohabiting) women aged 15 to 49 were utilized in this study. The main exposure variable was measured by the question: "as far as you know, did your father ever beat your mother?". Multivariate logistic regression was performed to investigate the association between being ever exposed to parental IPV and (1) women's IPV victimization (by types: any, physical, sexual, and emotional) and (2) IPV perpetration (physical) by women against their husbands or male partners. Further, multinomial logistic regression examined the association between exposure to parental IPV and the experience of being an IPV victim only, perpetrator only, or both. We have found that women who were exposed to parental IPV were more likely to experience IPV victimization (OR: 2.1, 95% CI: 1.9, 2.4 for any IPV; OR: 2.3, 95% CI: 2.0, 2. for physical IPV; OR: 2.0, 95% CI: 1.6, 2.4 for sexual IPV; and OR: 2.0, 95% CI: 1.8, 2.2 for emotional IPV), and also perpetrate physical IPV themselves (OR: 2.1, 95% CI: 1.9, 2.4) compared to those unexposed to parental IPV. Moreover, women exposed to parental IPV were three times more likely to be both a perpetrator and a victim of IPV (OR: 3.1, 95% CI: 2.7, 3.7), much higher than the odds of being a victim only (OR: 1.9, 95% CI: 1.8, 2.2) or a perpetrator only (OR: 1.9, 95% CI: 1.6, 2.). In summary, exposure to parental IPV was associated with Filipino women being victims and perpetrators of IPV themselves. The integration of violence prevention within parenting and community programs can be considered to prevent the perpetuation of the intergenerational cycle of IPV.
亲密伴侣暴力（IPV）在全球范围内对女性的整体健康造成了严重危害。从受害和施暴的角度以及后续IPV的类型来看，女性中IPV的代际循环仍未得到充分研究。本研究使用了2017年菲律宾全国人口与健康调查数据集，该数据集涵盖了12248名年龄在15至49岁之间、目前处于婚姻或同居关系的女性。主要暴露变量通过以下问题来衡量：“据你所知，你的父亲曾经打过你的母亲吗？”。进行多变量逻辑回归以研究曾遭受父母IPV与（1）女性的IPV受害情况（按类型：任何形式、身体暴力、性暴力和情感暴力）以及（2）女性对其丈夫或男性伴侣实施的IPV（身体暴力）之间的关联。此外，多项逻辑回归检验了遭受父母IPV与仅为IPV受害者、仅为施暴者或两者皆是的经历之间的关联。我们发现，与未遭受父母IPV的女性相比，遭受父母IPV的女性更有可能经历IPV受害（任何形式的IPV：OR = 2.1，95% CI：1.9，2.4；身体暴力的IPV：OR = 2.3，95% CI：2.0，2.；性暴力的IPV：OR = 2.0，95% CI：1.6，2.4；情感暴力的IPV：OR = 2.0，95% CI：1.8，2.2），并且自己也实施身体暴力的IPV（OR = 2.1，95% CI：1.9，2.4）。此外，遭受父母IPV的女性成为IPV施暴者和受害者的可能性是未遭受父母IPV女性的三倍（OR = 3.1，95% CI：2.7，3.7），远高于仅为受害者（OR = 1.9，95% CI：1.8，2.2）或仅为施暴者（OR = 1.9，95% CI：1.6，2.）的几率。总之，遭受父母IPV与菲律宾女性自身成为IPV的受害者和施暴者有关。可以考虑将预防暴力纳入育儿和社区项目中，以防止IPV代际循环的延续。
