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埃及伊斯梅利亚农村地区遭受暴力的已婚女性中焦虑症的患病率及相关因素:一项横断面研究

Prevalence and factors associated with anxiety disorder among married women exposed to violence in rural area, Ismailia, Egypt: A cross-sectional study.

作者信息

Salim Almaza A, Elsayed Mona, Mohamed Mohamed Hafez, Yousef Heba, Hemeda Mohamed S, Ramadan Alaa, Kengo Nathan Ezie, Abu Bakr Elsaid Noha M

机构信息

Lecturer of Family Medicine, Faculty of Medicine, Port Said University, Port Said, Egypt.

Psychiatry, Faculty of Medicine, Suez Canal University, Suez Canal, Egypt.

出版信息

Glob Epidemiol. 2024 Feb 12;7:100139. doi: 10.1016/j.gloepi.2024.100139. eCollection 2024 Jun.

Abstract

BACKGROUND

Domestic abuse is a widespread health issue that negatively impacts both mental health and quality of life.

OBJECTIVES

To determine the prevalence of domestic violence and anxiety among women visiting primary healthcare facilities in the rural Ismailia governorate.

METHODS

Between October 2021 and December 2021, a cross-sectional study was conducted. Simple random methods were used to choose the participants from those who attended a clinic. 350 married women were included in the estimated sample size. By using an interview questionnaire, data were gathered including the following parts: The socio-demographic data, designed scale for assessment of violence and anxiety symptoms were assessed by the Hamilton anxiety scale.

RESULTS

The prevalence of domestic violence was 41% and both physical and sexual abuse was 43%. The most predominant sexual abuse was practice without consent (63%). The prevalence of anxiety was 76%, the predominance was mild degree 46% followed by mild to moderate 18%. The significant predictors for anxiety in the total sample were the increase in age of women, rural residence, and exposure to abuse (OR = 11.2 (4.9-25.4). The use of the husband's stimulant drugs was the most predictor factor for women's abuse (OR = 2.3 (1.4-3.9).

CONCLUSION

forty-one of the women exposed to every form of violence, anxiety was present in more than three-quarters of the studied women. It is essential to screen any wife attending primary health care for the manifestation of domestic violence especially in rural areas and increase the awareness of family physicians towards screening of mental health problems.

摘要

背景

家庭虐待是一个普遍存在的健康问题,对心理健康和生活质量都会产生负面影响。

目的

确定访问伊斯梅利亚省农村地区初级医疗保健机构的女性中家庭暴力和焦虑症的患病率。

方法

在2021年10月至2021年12月期间进行了一项横断面研究。采用简单随机方法从就诊的患者中选取参与者。估计样本量为350名已婚女性。通过访谈问卷收集数据,包括以下部分:社会人口统计学数据、用于评估暴力和焦虑症状的设计量表,采用汉密尔顿焦虑量表进行评估。

结果

家庭暴力的患病率为41%,身体和性虐待的患病率为43%。最主要的性虐待形式是未经同意的行为(63%)。焦虑症的患病率为76%,主要为轻度(46%),其次是轻度至中度(18%)。总样本中焦虑的显著预测因素是女性年龄的增加、农村居住以及遭受虐待(比值比=11.2(4.9-25.4))。丈夫使用刺激性药物是女性遭受虐待的最主要预测因素(比值比=2.3(1.4-3.9))。

结论

每四名遭受各种形式暴力的女性中就有一名,超过四分之三的被研究女性存在焦虑症。对任何到初级卫生保健机构就诊的妻子进行家庭暴力表现的筛查至关重要,尤其是在农村地区,并提高家庭医生对心理健康问题筛查的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3e6/10899053/ce4fd1fd8436/gr1.jpg

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