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韩国已婚女性中亲密伴侣身体暴力的受害与施害情况及未满足的医疗保健需求之间的关联

The Association Between Victimization and Perpetration of Physical Intimate Partner Violence and Unmet Healthcare Needs Among Married Women in South Korea.

作者信息

Kim Ranyeong, Puno Abigail, Choo Sungsub, Kim Seung-Sup, Kim Rockli

机构信息

Korea Disabled People's Development Institute, Seoul, South Korea.

University of the Philippines Visayas, Miagao, Iloilo, Philippines.

出版信息

J Interpers Violence. 2025 Oct;40(19-20):4556-4573. doi: 10.1177/08862605241293802. Epub 2024 Nov 7.

Abstract

This study assessed physical intimate partner violence (IPV) experiences and examined their association with unmet healthcare needs among married women in South Korea. We analyzed data from a nationally representative longitudinal survey of 6,533 women at baseline. Participants were asked yes/no questions about their experiences of physical IPV victimization and perpetration over the past year. The responses were classified into four categories of IPV experience: "none," "victimization only," "perpetration only," and "both victimization and perpetration." At baseline, 0.9% reported being victimized only, and 25.9% reported both victimization and perpetration. The prevalence of unmet healthcare needs over the past year at baseline was 0.8%. Compared to women without any IPV experience, women in the IPV "victimization only" category had greater unmet healthcare needs (OR: 5.49, 95% CI [2.30, 13.12]) after adjusting for sociodemographic variables. Experiencing IPV perpetration only and both IPV victimization and perpetration were not statistically significantly associated with unmet healthcare needs. These results imply that physical IPV victims face difficulties accessing healthcare services which could exacerbate health inequalities over time. Moreover, this study suggests that it is necessary to distinguish IPV victims from those who experience IPV victimization only and those who experience both IPV victimization and perpetration.

摘要

本研究评估了身体亲密伴侣暴力(IPV)经历,并调查了其与韩国已婚女性未满足的医疗保健需求之间的关联。我们分析了来自一项全国代表性纵向调查的基线数据,该调查涉及6533名女性。参与者被问及关于过去一年中她们遭受身体IPV侵害和实施IPV行为的经历的是/否问题。回答被分为四类IPV经历:“无”、“仅受侵害”、“仅实施”以及“既受侵害又实施”。在基线时,0.9%的人报告仅遭受侵害,25.9%的人报告既遭受侵害又实施。基线时过去一年未满足的医疗保健需求患病率为0.8%。在调整社会人口学变量后,与没有任何IPV经历的女性相比,IPV“仅受侵害”类别中的女性有更大的未满足医疗保健需求(比值比:5.49,95%置信区间[2.30,13.12])。仅经历IPV实施以及既经历IPV侵害又实施与未满足的医疗保健需求在统计学上无显著关联。这些结果表明,身体IPV受害者在获得医疗保健服务方面面临困难,随着时间的推移,这可能会加剧健康不平等。此外,本研究表明,有必要将IPV受害者与仅经历IPV侵害的人以及既经历IPV侵害又实施的人区分开来。

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