School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Health and Community Systems, School of Nursing, University of Pittsburgh, Pennsylvania, PA, USA.
BMC Public Health. 2024 Apr 16;24(1):1060. doi: 10.1186/s12889-024-18350-y.
Intimate partner violence (IPV) is a serious public health problem associated with countless adverse physical and mental health outcomes. It places an enormous economic and public health burden on communities. The aim of this study was to examine the associations between psychological states (such as depression or hopeless) and help-seeking experiences of IPV survivors after experiencing IPV, based on the Allegheny County Health Survey (ACHS).
Data from 2015 to 2016 Allegheny County Health Survey with N = 8,012 adults were analyzed. The 6-item version of the Kessler Psychological Stress Scale, located in Module 11 of the ACHS questionnaire, was used to measure psychological stress in participants. Module 12 of the ACHS questionnaire collected information on participants' experiences of intimate partner violence and help-seeking in the past 12 months. Descriptive statistical analysis, Pearson's chi-square or two sample independent t-tests statistical analysis, and multivariate binary logistic regression models were used to analyze the relationship between IPV experience and psychological distress.
A total of 212 of the 8,012 participants had IPV experience, with age, marital status, education, income, and race significantly different from those without IPV experience. The psychological stress of participants feeling hopeless (OR = 2.02, 95% CI = 1.37-2.99), restless or fidgety (OR = 1.83, 95% CI = 1.27-2.65), perceiving everything was an effort (OR = 1.55, 95% CI = 1.08-2.22) and worthless (OR = 1.49, 95% CI = 1.01-2.20) was associated with the IPV experience. Help-seeking behaviors of IPV survivors were associated with psychological distress, such as hopelessness (OR = 6.71, 95% CI = 1.38-32.60).
This study explored the association between IPV experience, help-seeking and psychological distress, and the need to expand community support. It is necessary to implement targeted interventions, enhance training of professionals, and promote the identification of early IPV cases as well as collaboration between healthcare and social support departments to reduce the occurrence of IPV or psychological distress following IPV.
亲密伴侣暴力（IPV）是一个严重的公共卫生问题，与无数身心不良后果有关。它给社区带来了巨大的经济和公共卫生负担。本研究的目的是基于阿勒格尼县健康调查（ACHS），研究 IPV 幸存者在经历 IPV 后心理状态（如抑郁或绝望）与寻求帮助经历之间的关联。
分析了 2015 年至 2016 年阿勒格尼县健康调查中 8012 名成年人的数据。ACHS 问卷第 11 模块中的 6 项凯斯勒心理压力量表用于测量参与者的心理压力。ACHS 问卷第 12 模块收集了参与者在过去 12 个月内亲密伴侣暴力和寻求帮助的经历信息。采用描述性统计分析、皮尔逊卡方检验或两样本独立 t 检验统计分析和多变量二项逻辑回归模型，分析 IPV 经历与心理困扰之间的关系。
在 8012 名参与者中，共有 212 名有 IPV 经历，其年龄、婚姻状况、教育程度、收入和种族与无 IPV 经历者显著不同。参与者感到绝望（OR=2.02，95%CI=1.37-2.99）、烦躁不安（OR=1.83，95%CI=1.27-2.65）、感到一切都很费力（OR=1.55，95%CI=1.08-2.22）和没有价值（OR=1.49，95%CI=1.01-2.20）的心理压力与 IPV 经历有关。IPV 幸存者的求助行为与心理困扰有关，如绝望（OR=6.71，95%CI=1.38-32.60）。
本研究探讨了 IPV 经历、寻求帮助与心理困扰之间的关系，以及扩大社区支持的必要性。有必要实施针对性干预措施，加强专业人员培训，促进早期识别 IPV 病例，加强医疗保健和社会支持部门之间的合作，以减少 IPV 或 IPV 后的心理困扰的发生。
