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家庭贫困与亲密伴侣暴力的成年经历:一项队列研究。

Family poverty over the early life course and adult experiences of intimate partner violence: a cohort study.

机构信息

School of Public Health, University of Queensland, Herston Queensland 4006, Australia.

School of Public Health, University of Queensland, Herston Queensland 4006, Australia.

出版信息

Public Health. 2024 Sep;234:143-151. doi: 10.1016/j.puhe.2024.06.020. Epub 2024 Jul 15.

DOI:10.1016/j.puhe.2024.06.020
PMID:39013235
Abstract

OBJECTIVES

This study aimed to determine whether family poverty over the early childhood, adolescent, and adult periods of the life course independently predicts experiences of intimate partner violence (IPV) in adulthood.

STUDY DESIGN

This was a birth cohort study in Brisbane, Australia, with pregnant women recruited at their first booking-in visit and their children, followed up to 30 and 40 years of age.

METHODS

Family income was obtained from the mother when the child was 6 months, 5 and 14 years of age. Offspring reported their own family income at 21, 30, and 40 years of age. The offspring completed the Composite Abuse Scale at 30 and 40 years. Adjusted logistic regression models are used to predict experiences of IPV at 30 (n = 2157) and 40 (n = 1438) years.

RESULTS

The findings at 30 and 40 years of age are consistent. Only poverty experienced concurrently with the assessment of IPV is strongly associated. At the 40-year follow-up, family poverty predicts higher ratios of all four forms of IPV; severe combined abuse (odds ratio [OR] = 2.24, 95% confidence interval [CI] = 1.24, 4.05), physical abuse (OR = 3.37, 95% CI = 1.95, 5.82), emotional abuse (OR = 2.09, 95% CI = 2.58, 8.57) and harassment (OR = 4.70, 95% CI = 2.58, 8.57).

CONCLUSION

Concurrent family poverty is strongly and consistently associated with patterns of IPV. These associations are for cross-sectionally collected data with the prospectively collected data not replicating these findings. Although it is not possible to identify a specific causal pathway, the findings suggest that the immediate consequences of poverty are strongly associated with IPV. Programmes that address poverty reduction provide the best prospect for reducing societal levels of IPV.

摘要

目的

本研究旨在确定生命历程中儿童期、青少年期和成年期的家庭贫困是否独立预测成年期亲密伴侣暴力(IPV)的经历。

研究设计

这是澳大利亚布里斯班的一项队列研究,在孕妇首次预约就诊时招募孕妇,并对其子女进行随访,随访至 30 岁和 40 岁。

方法

在儿童 6 个月、5 岁和 14 岁时,从母亲那里获取家庭收入。子女在 21 岁、30 岁和 40 岁时报告自己的家庭收入。子女在 30 岁和 40 岁时完成综合虐待量表。使用调整后的逻辑回归模型预测 30 岁(n=2157)和 40 岁(n=1438)时发生 IPV 的经历。

结果

30 岁和 40 岁时的发现结果一致。仅与 IPV 评估同时发生的贫困与结果强相关。在 40 年随访时,家庭贫困预测所有四种形式的 IPV 的发生率更高;严重混合虐待(比值比[OR] = 2.24,95%置信区间[CI] = 1.24,4.05)、身体虐待(OR = 3.37,95%CI = 1.95,5.82)、情感虐待(OR = 2.09,95%CI = 2.58,8.57)和骚扰(OR = 4.70,95%CI = 2.58,8.57)。

结论

同期家庭贫困与 IPV 模式强烈且一致相关。这些关联是基于横截面收集的数据,而前瞻性收集的数据并未复制这些发现。虽然不可能确定特定的因果途径,但研究结果表明,贫困的直接后果与 IPV 密切相关。解决贫困问题的方案为降低社会层面的 IPV 提供了最佳前景。

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