Anderson Kayla N, Chen May S, Swedo Elizabeth A, Leemis Ruth W, Fuino Estefan Lianne, Gilbert Leah K
National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC), 4770 Buford Highway, MS S106-10, Atlanta, GA 30341, USA.
Office of Safety, Security, and Asset Management, CDC, Atlanta, GA, USA.
J Fam Violence. 2024 Aug;39(6):1145-1163. doi: 10.1007/s10896-023-00597-5.
Intimate partner violence (IPV) exposure in childhood is common, with impacts on lifespan well-being. However, there are knowledge gaps about needs and barriers to services for IPV survivors with children.
We analyzed data from adults aged ≥ 19 years who resided in the U.S., were experiencing IPV, and who contacted the National Domestic Violence Hotline from 1/1/2017-12/31/2021 ( = 599,207). Adjusted prevalence ratios (aPRs) and 95% CIs were calculated to compare differences in IPV exposure, service requests, and service access barriers for IPV survivors with and without children at home, adjusting for age, gender, and race/ethnicity. We examined time trends (2017-2021), with comparisons before and during the COVID-19 pandemic.
Many adult IPV survivors (42.6%) reported having a child at home; survivors with children reported greater polyvictimization (mean IPV types: 2.27, : 1.03) than those without children (: 2.06, : 1.04). A small proportion of those with children requested support identifying child-focused services (4.1%); a greater proportion of those with children (30.8%) requested economic stability services compared to those without children (25.2%) (aPR: 1.16, 95% CI: 1.15-1.17). Additionally, 33.1% of survivors with children at home reported having any service access barrier; this was 16% higher than adult IPV survivors without children (28.7%) (aPR: 1.16, 95% CI: 1.15-1.17). There were changes over time, including during the COVID-19 pandemic.
IPV survivors with children need additional supports; organizations serving IPV survivors with children may consider the unique needs and victimization profile of this population when designing interventions and services.
童年时期遭受亲密伴侣暴力（IPV）的情况很常见，会对一生的幸福产生影响。然而，对于有孩子的IPV幸存者的服务需求和障碍，仍存在知识空白。
我们分析了2017年1月1日至2021年12月31日期间居住在美国、遭受IPV且联系过全国家庭暴力热线的19岁及以上成年人的数据（n = 599,207）。计算调整后的患病率比（aPRs）和95%置信区间（CIs），以比较家中有孩子和没有孩子的IPV幸存者在IPV暴露、服务请求和服务获取障碍方面的差异，并对年龄、性别和种族/族裔进行了调整。我们研究了时间趋势（2017 - 2021年），并比较了新冠疫情之前和期间的情况。
许多成年IPV幸存者（42.6%）报告家中有孩子；有孩子的幸存者比没有孩子的幸存者报告的多重受害情况更严重（平均IPV类型：2.27，标准差：1.03），而没有孩子的幸存者为（2.06，标准差：1.04）。有孩子的人中，一小部分人请求获得以儿童为重点的服务支持（4.1%）；与没有孩子的人（25.2%）相比，有孩子的人中有更大比例（30.8%）请求获得经济稳定服务（aPR：1.16，95% CI：1.15 - 1.17）。此外，家中有孩子的幸存者中有33.1%报告存在任何服务获取障碍；这比没有孩子的成年IPV幸存者（28.7%）高出16%（aPR：1.16，95% CI：1.15 - 1.17）。随着时间推移出现了一些变化，包括在新冠疫情期间。
有孩子的IPV幸存者需要额外的支持；为有孩子的IPV幸存者提供服务的组织在设计干预措施和服务时，可能需要考虑这一人群的独特需求和受害情况。
