Scott-Storey Kelly, O'Donnell Sue, Perrin Nancy, Wuest Judith
Faculty of Nursing, University of New Brunswick, Fredericton, NB Canada.
School of Nursing, Johns Hopkins University, Baltimore, MD USA.
J Fam Violence. 2024;39(4):665-680. doi: 10.1007/s10896-023-00502-0. Epub 2023 Feb 9.
Among men, violence is pervasive and associated with poor mental health, but little is known about which men are most vulnerable. Our purpose is to address this gap by exploring mental health and social determinants of health (SDOH) including gender role conflict (GRC) in heterogenous groups of men with distinct patterns of cumulative lifetime violence (CLV) as target and perpetrator.
Latent class analysis was conducted using means of 64 indicators of CLV severity collected from a community sample of 685 eastern Canadian men, ages 19 to 65 years. Class differences by SDOH, and depression, anxiety, and posttraumatic stress disorder (PTSD) were explored with Chi-square and analysis of variance.
A 4-class solution was optimal. Class 1 had the lowest CLV severity; were more likely to be better educated, employed, and have little difficulty living on their incomes; and had better mental health than other classes. Class 2, characterized by moderate psychological violence as both target and perpetrator, had mean depression and PTSD scores at clinical levels, and more difficulty living on income than Class 1. Classes 3 and 4 were typified by high severity CLV as target but differentiated by Class 4 having the highest perpetration severity, higher GRC, and being older. In both classes, mean mental health scores were above cut-offs for clinical symptomology and higher than Classes 1 and 2.
This is the first evidence that distinct patterns of CLV severity among men intersect with GRC and SDOH and are uniquely associated with mental health.
在男性中，暴力行为普遍存在且与心理健康状况不佳相关，但对于哪些男性最易受影响却知之甚少。我们的目的是通过探索心理健康和健康的社会决定因素（SDOH），包括在具有不同累积终身暴力（CLV）模式的异质男性群体（作为目标受害者和施暴者）中的性别角色冲突（GRC），来填补这一空白。
使用从685名年龄在19至65岁的加拿大东部男性社区样本中收集的64项CLV严重程度指标进行潜在类别分析。通过卡方检验和方差分析探讨SDOH、抑郁、焦虑和创伤后应激障碍（PTSD）的类别差异。
四类解决方案最为理想。第1类的CLV严重程度最低；更有可能受过良好教育、有工作，且在收入方面生活困难较小；心理健康状况比其他类别更好。第2类的特点是作为目标受害者和施暴者都存在中度心理暴力，其抑郁和PTSD平均得分处于临床水平，且在收入方面的生活困难比第1类更大。第3类和第4类的典型特征是作为目标受害者的CLV严重程度较高，但第4类的施暴严重程度最高、GRC更高且年龄更大，从而与第3类有所区别。在这两类中，心理健康平均得分均高于临床症状的临界值，且高于第1类和第2类。
这是首个证据表明男性中不同的CLV严重程度模式与GRC和SDOH相互交织，并与心理健康存在独特关联。
