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印度中部农村已婚妇女中的亲密伴侣暴力与心理健康问题:一项基于社区的横断面研究

Intimate Partner Violence and Mental Health Problems in Married Women in Rural Central India: A Community-based Cross-sectional Study.

作者信息

Sathe Harshal S, Maliye Chetna H, Varma Poonam S, Garg Bishan S, Shahare Kalyani, Rathod Roshan

机构信息

Department of Psychiatry, Mahatma Gandhi Institute of Medical Sciences, Maharashtra, India.

Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Maharashtra, India.

出版信息

Indian J Community Med. 2024 Nov-Dec;49(6):866-872. doi: 10.4103/ijcm.ijcm_677_22. Epub 2024 Oct 17.

Abstract

Intimate partner violence (IPV) is a significant social issue affecting women in rural India, with deleterious consequences for their physical and mental health. The "mental health problems and psychosocial factors associated with IPV" is an under-researched topic in Central India. The cross-sectional observational descriptive study was part of a project aimed at strengthening the health sector response to gender-based violence. Eighty consenting women from 19 villages in a district in Central India, who acknowledged experiencing IPV, participated in the study. A predesigned and pretested sociodemographic questionnaire, the WHO multicountry women's questionnaire, and self-report scales for depression, anxiety, stress, and post-traumatic stress disorder (PTSD) were used to interview the women. The mean age of the respondents was 31.13 ± 6.96 years. The majority of the women (95%) experienced severe physical violence. In addition, a majority of these women simultaneously faced emotional abuse, whereas more than one-third suffered from sexual abuse from their partners. Self-reporting measures showed that nearly two-thirds of the participants had PTSD and moderate-to-severe depression and anxiety. A substantial number of study participants believed that IPV is a private matter for a couple and justified violence if the wife was unfaithful, disobedient, or neglectful of children and household duties. The under-reporting of IPV, presence of misconceptions, and high prevalence of associated mental health problems among IPV-affected women highlight the need for interventions tailored to the needs of battered women.

摘要

亲密伴侣暴力(IPV)是一个影响印度农村妇女的重大社会问题,对她们的身心健康产生有害影响。“与亲密伴侣暴力相关的心理健康问题和社会心理因素”在印度中部是一个研究不足的课题。这项横断面观察性描述性研究是一个旨在加强卫生部门对基于性别的暴力应对措施的项目的一部分。来自印度中部一个地区19个村庄的80名同意参与研究的妇女承认遭受过亲密伴侣暴力,她们参与了这项研究。使用一份预先设计和预先测试的社会人口学问卷、世界卫生组织多国药调查问卷以及抑郁、焦虑、压力和创伤后应激障碍(PTSD)的自我报告量表对这些妇女进行访谈。受访者的平均年龄为31.13±6.96岁。大多数妇女(95%)遭受过严重身体暴力。此外,这些妇女中的大多数同时还面临情感虐待,而超过三分之一的妇女遭受过伴侣的性虐待。自我报告测量结果显示,近三分之二的参与者患有创伤后应激障碍以及中度至重度抑郁和焦虑。相当数量的研究参与者认为亲密伴侣暴力是夫妻之间的私事,如果妻子不忠、不听话或忽视子女及家务,暴力就是合理的。亲密伴侣暴力报告不足、存在误解以及受亲密伴侣暴力影响的妇女中相关心理健康问题的高患病率凸显了针对受虐妇女需求制定干预措施的必要性。

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