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美国亲密伴侣及性暴力幸存者在新冠疫情期间的经济压力源研究

A Study on Economic Stressors During the COVID-19 Pandemic Among Intimate Partner and Sexual Violence Survivors in the United States.

作者信息

Ruvalcaba Yanet, Ruíz Elena, Berenstain Nora

机构信息

Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Research Institute for Structural Change, Michigan State University, 479 W. Circle Dr., East Lansing, MI, 48824, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Jul 11. doi: 10.1007/s40615-024-02090-1.

Abstract

Systemic racism and racialized poverty are socially produced structural determinants that shape health outcomes during infectious disease outbreaks. Public health emergencies compound vulnerabilities for survivors of intimate partner violence (IPV) and sexual violence (SV) and those who self-identify as people from racial and ethnic minority groups. We describe findings from an online survey designed to collect data on financial conditions faced by survivors of IPV and SV to understand these conditions during the COVID-19 pandemic. Our analyses were limited to a sample of women in the United States (91.4%, n = 523) who reported IPV or SV to whom we refer as survivors. We characterize the differences of economic stressors across White and aggregated categories of self-identified race, i.e., Black and Brown Latinx women and non-Black or non-Brown Latinx women of color, to highlight disparities between White and non-White populations in our sample. Logistic regressions were used to examine the relationships among racial categories, food insecurity, housing insecurity, and economic insecurity during the COVID-19 pandemic. Black and Brown Latinx women survivors were twice as likely as White women to report housing, financial, and economic insecurity during the COVID-19 pandemic. Approximately one-third of all survivors anticipated taking on more debt than they would want to cover their expenses due to COVID-19. The results of this study have implications for public health responses that involve coordinating economic relief measures among populations disparately affected by public health crises and disasters to ensure that the economic needs of the most impacted are addressed.

摘要

系统性种族主义和种族化贫困是社会产生的结构性决定因素,在传染病爆发期间影响健康结果。公共卫生紧急情况加剧了亲密伴侣暴力(IPV)和性暴力(SV)幸存者以及那些自我认同为少数种族和族裔群体的人的脆弱性。我们描述了一项在线调查的结果,该调查旨在收集IPV和SV幸存者面临的财务状况数据,以了解COVID-19大流行期间的这些状况。我们的分析仅限于美国的女性样本(91.4%,n = 523),这些女性报告遭受过IPV或SV,我们将她们称为幸存者。我们描述了白人以及自我认同的种族汇总类别(即黑人、棕色拉丁裔女性以及非黑人或非棕色有色拉丁裔女性)之间经济压力源的差异,以突出我们样本中白人和非白人人群之间的差距。使用逻辑回归来检验COVID-19大流行期间种族类别、粮食不安全、住房不安全和经济不安全之间的关系。在COVID-19大流行期间,黑人及棕色拉丁裔女性幸存者报告住房、财务和经济不安全的可能性是白人女性的两倍。由于COVID-19,所有幸存者中约有三分之一预计会承担比他们愿意承担的更多债务来支付开支。这项研究的结果对公共卫生应对措施具有启示意义,这些措施涉及协调受公共卫生危机和灾难影响程度不同的人群之间的经济救济措施,以确保满足受影响最严重人群的经济需求。

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