Salvador-Oscco Edison, Santander-Cahuantico Ana Claudia, Fernandez-Guzman Daniel, Bendezu-Quispe Guido
Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa, Peru.
Escuela Profesional de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Cusco, Peru.
Int J Soc Psychiatry. 2024 May;70(3):470-481. doi: 10.1177/00207640231216357. Epub 2023 Dec 27.
To evaluate the factors associated with non-help-seeking in victims of physical or sexual intimate partner violence (IPV) in Peru.
This was an analytical cross-sectional study of 3-year data from the Peruvian Demographic and Health Survey. The sample comprised women aged 18 to 49 who had experienced physical or sexual IPV at some time in their lives. The dependent variable was non-help-seeking after suffering physical or sexual IPV. Adjusted prevalence ratios (aPR) with their 95% confidence interval (CI) were calculated to assess the factors associated with non-help-seeking. In addition, a sensitivity analysis was carried out in which only women who suffered physical or sexual IPV in the last year were considered.
Data from 15,265 female victims of physical or sexual IPV were analyzed. It was found that 57.4% did not seek help after suffering physical or sexual IPV. The main reasons for non-help-seeking included thinking it was unnecessary (42.3%) and embarrassment (14.9%). Age between 30 and 49 years old (PRa:1.15; 95%CI [1.06, 1.25]) and residing in a rural area (PRa:1.07; 95%CI [1.00, 1.13]) were associated with a higher probability of non-help-seeking. On the other hand, having a secondary education level (PRa:0.91; 95% CI [0.86, 0.97]) or higher (PRa:0.90; 95%CI [0.82, 0.99]), having a partner who drinks alcohol (PRa:0.94; 95%CI [0.89, 0.99]), having experienced physical or sexual IPV during a pregnancy (PRa:0.87; 95%CI [0.80, 0.94]), and having experienced moderate (PRa:0.81; 95%CI [0.76, 0.86]), or severe physical or sexual IPV (PRa:0.74; 95%CI [0.67, 0.82]), were associated with a lower probability of non-help-seeking. These associations were consistent in the sensitivity analysis.
Half of the women who experience physical or sexual IPV do not seek help. There are sociodemographic factors related to this non-seeking of help that are useful for identifying and prioritizing interventions to reduce IPV and improve the health status of women.
评估秘鲁身体或性方面亲密伴侣暴力（IPV）受害者不寻求帮助的相关因素。
这是一项对秘鲁人口与健康调查三年数据的分析性横断面研究。样本包括18至49岁在生活中曾经历过身体或性方面IPV的女性。因变量是遭受身体或性方面IPV后不寻求帮助。计算调整患病率比（aPR）及其95%置信区间（CI）以评估与不寻求帮助相关的因素。此外，进行了一项敏感性分析，其中仅考虑过去一年遭受身体或性方面IPV的女性。
分析了15265名身体或性方面IPV女性受害者的数据。发现57.4%的人在遭受身体或性方面IPV后未寻求帮助。不寻求帮助的主要原因包括认为没有必要（42.3%）和感到尴尬（14.9%）。30至49岁（PRa：1.15；95%CI[1.06，1.25]）以及居住在农村地区（PRa：1.07；95%CI[1.00，1.13]）与不寻求帮助的较高概率相关。另一方面，具有中等教育水平（PRa：0.91；95%CI[0.86，0.97]）或更高水平（PRa：0.90；95%CI[0.82，0.99]）、有饮酒的伴侣（PRa：0.94；95%CI[0.89，0.99]）、在孕期经历过身体或性方面IPV（PRa：0.87；95%CI[0.80，0.94]）以及经历过中度（PRa：0.81；95%CI[0.76，0.86]）或重度身体或性方面IPV（PRa：0.74；95%CI[0.67，0.82]）与不寻求帮助的较低概率相关。这些关联在敏感性分析中是一致的。
经历身体或性方面IPV的女性中有一半不寻求帮助。存在与这种不寻求帮助相关的社会人口学因素，这些因素有助于确定减少IPV及改善女性健康状况的干预措施并确定其优先顺序。
