Albright David L, McDaniel Justin, Godfrey Kelli, Carlson Catherine, Fletcher Kari L, Thomas Kate Hendricks
School of Social Work, University of Alabama.
Department of Public Health, Southern Illinois University.
Traumatology (Tallahass Fla). 2024 Mar;30(1):1-5. doi: 10.1037/trm0000236. Epub 2020 Jan 2.
Among military service members and veterans (SMVs), factors unique to military service may contribute to an elevated risk of experiencing intimate partner violence (IPV) victimization. Although rurality has been established as a risk factor for IPV, differences in IPV victimization by rural- urban dwelling location, SMV status, and sex have not been explored. The purpose of this study was to estimate the rate of IPV victimization in rural and urban areas in the United States by SMV status and sex. We obtained Behavioral Risk Factor Surveillance System data (BRFSS; = 18,755); fit a mixed-effects, multilevel generalized linear model to the data for IPV victimization; and linked the model to U.S. Census Bureau population count data. We generated predicted estimates of IPV for SMVs and civilians separately by sex in rural and urban areas. The direct IPV victimization prevalence rate for the entire BRFSS sample was 16.90%. Substantial variation in model-based IPV prevalence was observed across subgroups. Female SMVs (rural = 23.54%, 95% confidence interval [CI] [17.33, 30.02]; urban = 23.34%, 95% CI [17.48, 30.17]) had higher IPV victimization rates than female civilians (rural = 14.55%, 95% CI [13.06, 16.37]; urban = 14.50%, 95% CI [13.19, 16.34]), whereas male civilians (rural = 8.06%, 95% CI [7.19, 9.08]; urban = 8.02%, 95% CI [7.27, 9.02]) had higher IPV victimization rates than male SMVs (rural = 7.21%, 95% CI [6.03, 8.47]; urban = 7.17%, 95% CI [6.00, 8.41]). Programming for preventing and assisting in recovering from IPV exposure should target rural-dwelling female SMVs.
在军人和退伍军人（SMV）中，军事服役特有的因素可能会导致亲密伴侣暴力（IPV）受害风险升高。虽然农村地区已被确定为IPV的一个风险因素，但尚未探讨农村-城市居住地点、SMV身份和性别在IPV受害方面的差异。本研究的目的是按SMV身份和性别估计美国农村和城市地区IPV受害率。我们获取了行为风险因素监测系统数据（BRFSS；n = 18,755）；对IPV受害数据拟合了一个混合效应、多级广义线性模型；并将该模型与美国人口普查局的人口计数数据相链接。我们分别按性别在农村和城市地区生成了SMV和平民的IPV预测估计值。整个BRFSS样本的直接IPV受害患病率为16.90%。在各亚组中观察到基于模型的IPV患病率存在很大差异。女性SMV（农村 = 23.54%，95%置信区间[CI][17.33, 30.02]；城市 = 23.34%，95% CI[17.48, 30.17]）的IPV受害率高于女性平民（农村 = 14.55%，95% CI[13.06, 16.37]；城市 = 14.50%，95% CI[13.19, 16.34]），而男性平民（农村 = 8.06%，95% CI[7.19, 9.08]；城市 = 8.02%，95% CI[7.27, 9.02]）的IPV受害率高于男性SMV（农村 = 7.21%，95% CI[6.03, 8.47]；城市 = 7.17%，95% CI[6.00, 8.41]）。预防IPV暴露并协助从中恢复的项目应针对居住在农村的女性SMV。
