The University of Melbourne, Melbourne, Australia.
The Royal Women's Hospital, Melbourne, Australia.
BMC Public Health. 2024 Aug 22;24(1):2290. doi: 10.1186/s12889-024-19680-7.
Domestic, family and sexual violence is a prevalent health and social issue. Nurses may be exposed to higher rates of this violence in their personal lives compared to the community, but little is known about their polyvictimisation experiences or health and well-being impacts.
An online descriptive, cross-sectional survey of women nurses, midwives and carer members of the Australian Nursing and Midwifery Federation (ANMF) (Victorian Branch) (response rate: 15.2% of nurses sent an invitation email/28.4% opened the email). Violence survey measures included: intimate partner violence (Composite Abuse Scale); child abuse and sexual violence (Australian Bureau of Statistics Personal Safety Survey items). Health measures included: Short Form-12; Fast Alcohol Screening Test; Patient Health Questionnaire-4; Short Screening for DSM-IV Posttraumatic Stress Disorder; well-being measures included: Connor-Davidson Resilience Scale, social support, and financial stress. Proportions were used to describe the prevalence of violence by sociodemographic characteristics and health and well-being issues; logistic regression predicted the odds of experiencing overlapping types of violence and of experiencing health and well-being outcomes.
5,982 participants (from a parent study of 10,674 nurses, midwives and carers) had experienced at least one type of lifetime violence; half (50.1%) had experienced two or three types (polyvictimisation). Survivors of child abuse were three times more likely to experience both intimate partner violence and non-partner adult sexual assault. Any violence was associated with poorer health and well-being, and the proportion of affected participants increased as the types of violence they had experienced increased. Violence in the last 12-months was associated with the poorest health and well-being.
Findings suggest a cumulative, temporal and injurious life course effect of domestic, family and sexual violence. The polyvictimisation experiences and health and well-being associations reported by survivor nurses, midwives and carers underscores the need for more accessible and effective workplace interventions to prevent and mitigate psychosocial ill health, especially in the recent aftermath of violence.
在国内，家庭和性暴力是一个普遍存在的健康和社会问题。与社区相比，护士在个人生活中可能更容易遭受这种暴力，但人们对他们的多受害者经历或健康和福祉影响知之甚少。
对澳大利亚护理和助产士联合会（ANMF）（维多利亚分会）的女性护士、助产士和护理员成员进行了在线描述性、横断面调查（回应率：发送邀请电子邮件的护士占 15.2%/打开电子邮件的护士占 28.4%）。暴力调查措施包括：亲密伴侣暴力（综合虐待量表）；儿童虐待和性暴力（澳大利亚统计局个人安全调查项目）。健康措施包括：简明健康调查问卷-12 项；快速酒精筛查测试；患者健康问卷-4 项；DSM-IV 创伤后应激障碍简易筛查；幸福措施包括：Connor-Davidson 韧性量表、社会支持和财务压力。使用比例描述了社会人口特征和健康与福祉问题中暴力的发生率；逻辑回归预测了经历重叠类型暴力和经历健康与福祉结果的几率。
5982 名参与者（来自对 10674 名护士、助产士和护理员进行的一项父母研究）至少经历过一种类型的终身暴力；一半（50.1%）经历过两种或三种类型（多受害者）。儿童虐待幸存者经历亲密伴侣暴力和非伴侣成人性侵犯的可能性是三倍。任何暴力都与较差的健康和幸福感相关，随着他们经历的暴力类型的增加，受影响参与者的比例也在增加。过去 12 个月的暴力与最差的健康和幸福感相关。
研究结果表明，家庭、性暴力具有累积性、时间性和伤害性的生命历程效应。经历过这种暴力的护士、助产士和护理员报告的多受害者经历和健康与幸福感关联强调了需要更易获得和更有效的工作场所干预措施，以预防和减轻心理健康不良，尤其是在最近遭受暴力之后。
