Arumugaperumal Rathibala, Ravichandhiran Gowthamkarthic, Agadi Soumya, Muthuchamy Vigneshsamy, D Raja, S Suganthi, Maruthupandian Jasmine
Department of Community Medicine, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, IND.
Department of Community Medicine, KLE Jagadguru Gangadhar Mahaswamigalu Moorsavirmath Medical College (JGMMMC), KLE Academy of Higher Education and Research, Hubballi, IND.
Cureus. 2024 May 7;16(5):e59825. doi: 10.7759/cureus.59825. eCollection 2024 May.
Background Intimate partner violence is one of the major problems experienced by women all over the world. Almost one in three women have experienced one or more forms of violence at least once in their lifetime. These estimates confirm that physical and sexual intimate partner violence remains pervasive in the lives of women across the globe. Intimate partner violence has been found to have a severe impact on mental health such as depression symptoms. This study aimed to assess the prevalence of intimate partner violence in terms of controlling behavior, sexual, and physical violence, and its association with depression in women of Chengalpattu district, India. Methods It is a community-based cross-sectional study conducted in 12 villages under the field practicing area of the rural health training center of Chettinad Health and Research Institute in Kelambakkam, India, by simple random sampling among 190 women participants ever married or partnered of age ≥18 years. A pre-tested, semi-structured questionnaire was used which included the WHO Violence Against Women Instrument (VAWI) in the English language and Patient Health Questionnaire 9 (PHQ 9). The collected data was entered in Microsoft Office Excel (Microsoft Corporation, Redmond, United States) and analyzed using IBM SPSS Statistics for Windows, Version 21 (Released 2012; IBM Corp., Armonk, New York, United States). A probability value (p-value) of less than 0.05 was considered statistically significant. Results The mean (SD) age of the study participants was 34 (±8) years. Among the 190 participants, 57.4% reported controlling behavior, 31.1% reported physical violence and 7.4% reported sexual violence by the intimate partner at least once in the past 12 months. About 34.7% were found to have mild depression and 21.6% with moderate depression. There was a significant association between intimate partner violence and depression in women (p < 0.001) Conclusion The present study found that there is a huge impact of intimate partner violence on the mental health of women whether it is psychological, physical, or sexual. There is a need for awareness and effective management of violence against women, especially in rural areas. Strategies focusing on women's education, leadership, empowerment, decision-making, and financial independence are very much needed.
背景 亲密伴侣暴力是全球女性面临的主要问题之一。几乎每三名女性中就有一人在其一生中至少经历过一种或多种形式的暴力。这些估计数据证实,身体和性方面的亲密伴侣暴力在全球女性的生活中仍然普遍存在。已发现亲密伴侣暴力会对心理健康产生严重影响,如出现抑郁症状。本研究旨在评估印度钦加尔帕图地区女性中亲密伴侣在控制行为、性暴力和身体暴力方面的暴力发生率及其与抑郁的关联。
方法 这是一项基于社区的横断面研究,在印度凯兰巴卡姆切蒂纳德健康与研究所农村健康培训中心实地作业区域内的12个村庄进行,通过简单随机抽样选取了190名年龄≥18岁的已婚或有伴侣的女性参与者。使用了经过预测试的半结构化问卷,其中包括英文的世界卫生组织针对妇女的暴力行为量表(VAWI)和患者健康问卷9(PHQ 9)。收集到的数据录入到微软办公软件Excel(微软公司,美国雷德蒙德)中,并使用IBM SPSS Statistics for Windows版本21(2012年发布;IBM公司,美国纽约阿蒙克)进行分析。概率值(p值)小于0.05被认为具有统计学意义。
结果 研究参与者的平均(标准差)年龄为34(±8)岁。在190名参与者中,57.4%报告曾遭受亲密伴侣至少一次的控制行为,31.1%报告曾遭受身体暴力,7.4%报告曾遭受性暴力(在过去12个月内)。约34.7%的女性被发现有轻度抑郁,21.6%有中度抑郁。女性中亲密伴侣暴力与抑郁之间存在显著关联(p < 0.001)
结论 本研究发现,亲密伴侣暴力对女性心理健康有巨大影响,无论是心理、身体还是性方面的暴力。有必要提高对针对妇女暴力行为的认识并进行有效管理,尤其是在农村地区。非常需要注重妇女教育、领导力、赋权、决策和经济独立的策略。