Guo Pengfei, Wang Rizhen, Li Jiacheng, Qin Yinghua, Meng Nan, Shan Linghan, Liu Huan, Liu Jingjing, Wu Qunhong
Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, People's Republic of China.
Shenzhen Third People's Hospital, Second Hospital Affiliated to Southern University of Science and Technology, Guangdong, People's Republic of China.
Eur J Psychotraumatol. 2024;15(1):2386226. doi: 10.1080/20008066.2024.2386226. Epub 2024 Oct 2.
There is a strong causal relationship between intimate partner violence and major depressive disorder, which partly endangers women's safety across the life course and potentially affects the development of future generations. The international community has placed a high priority on addressing the intimate partner violence and the resulting burden of mental illness. Data collection needs to be captured across the temporal trend and spatial distribution for major depressive disorder attributed to intimate partner violence, to reflect the priorities and expectations of survivors. This research obtained raw disability-adjusted life years (DALYs) information for major depressive disorder attributed to intimate partner violence from the Global Burden of Disease 2019. Using estimated annual percentage change and two-way fixed effects models, a secondary spatio-temporal analysis of the age-standardized DALYs rate from 1990 to 2019 was performed. In 2019, DALYs lost among women experiencing major depressive disorder (3.16 million) accounted for 37.18% of the DALYs lost worldwide due to intimate partner violence. The age-standardized DALYs rate of major depressive disorder attributed to intimate partner violence was 108.57 per 100,000. The highest was concentrated in the menopausal transition (45-55), with 133.61 per 100,000, and particularly distributed in Uganda (429.31 per 100,000). The early reproductive period (15-19) showed the increasing age-standardized DALYs rate from 1990 to 2019, which was mainly driven by Malaysia (3.73% per year). Furthermore, countries with higher initial levels of the age-standardized DALYs rate were growing faster than those with lower levels. The burden of major depressive disorder attributed to intimate partner violence showed biological and spatial inequality, prioritized intervention should be targeted at vulnerable stage women in their early reproductive period and menopausal transition. Combined political, socio-cultural as well as medical measures to prevent violence and treat major depressive disorder should be implemented and developed.
亲密伴侣暴力与重度抑郁症之间存在着紧密的因果关系，这在一定程度上危及女性一生的安全，并可能影响后代的发展。国际社会高度重视解决亲密伴侣暴力问题以及由此产生的精神疾病负担。需要收集归因于亲密伴侣暴力的重度抑郁症在时间趋势和空间分布方面的数据，以反映幸存者的优先事项和期望。本研究从《2019年全球疾病负担》中获取了归因于亲密伴侣暴力的重度抑郁症的原始伤残调整生命年（DALYs）信息。使用估计的年度百分比变化和双向固定效应模型，对1990年至2019年年龄标准化的DALYs率进行了二次时空分析。2019年，经历重度抑郁症的女性损失的DALYs（316万）占全球因亲密伴侣暴力损失的DALYs的37.18%。归因于亲密伴侣暴力的重度抑郁症的年龄标准化DALYs率为每10万人108.57。最高值集中在围绝经期过渡阶段（45 - 55岁），每10万人中有133.61，尤其在乌干达分布最多（每10万人中有429.31）。1990年至2019年，早期生育期（15 - 19岁）的年龄标准化DALYs率呈上升趋势，这主要由马来西亚推动（每年3.73%）。此外，年龄标准化DALYs率初始水平较高的国家比水平较低的国家增长更快。归因于亲密伴侣暴力的重度抑郁症负担呈现出生物学和空间上的不平等，优先干预应针对处于早期生育期和围绝经期过渡阶段的脆弱女性。应实施并制定综合的政治、社会文化以及医疗措施来预防暴力和治疗重度抑郁症。
