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超越身心健康:亲密伴侣暴力对退伍军人男女心理社会福祉的更广泛影响

Beyond Physical and Mental Health: The Broader Impacts of Intimate Partner Violence on Psychosocial Well-Being Among Women and Men Veterans.

作者信息

Taverna Emily, Iverson Katherine M, Kumar Shaina A, Vogt Dawne, Mitchell Karen S

机构信息

Women's Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA.

Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.

出版信息

Stress Health. 2025 Feb;41(1):e3526. doi: 10.1002/smi.3526.

Abstract

Research on the consequences of experiencing intimate partner violence (IPV) has predominantly focused on specific physical and mental health outcomes and have emphasized the impacts for women. Fewer studies have comprehensively documented IPV impacts on other aspects of psychosocial well-being and examined effects for both women and men. A sample of 1133 veterans (52.3% women) completed two web-based surveys approximately one year apart. Women did not differ from men with respect to their odds of experiencing past year overall IPV (OR = 1.06, 95% CI [0.81, 1.38]) but were more likely to experience overall IPV prior to the past year (OR = 1.52, 95% CI [1.19, 1.95]). Gender-stratified multivariate regressions revealed that greater frequency of past year IPV experiences was associated with lower psychosocial well-being with respect to finances (β = -0.22, p < 0.001), health (β = -0.19, p < 0.001), intimate relationships (β = -0.14, p = 0.007), and broader social relationships (β = -0.17, p = 0.018), whereas greater frequency of IPV prior to the past year was associated with lower psychosocial well-being with respect to employment (β = -0.17, p = 0.002), finances (β = -0.14, p = 0.020), and health (β = -0.16, p = 0.012) among women. For men, nonsignificant associations were observed for all associations of IPV with psychosocial well-being outcomes. Results point to the importance of attending to broader aspects of psychosocial well-being that may represent modifiable intervention targets among women who have experienced IPV. Further research is needed to better understand the psychosocial well-being impacts of IPV for men.

摘要

关于经历亲密伴侣暴力(IPV)后果的研究主要集中在特定的身心健康结果上,并且强调了对女性的影响。较少有研究全面记录IPV对心理社会幸福感其他方面的影响,也较少研究对男性和女性的影响。1133名退伍军人(52.3%为女性)参与了一项研究,他们在大约一年的时间里完成了两项基于网络的调查。在过去一年中,女性和男性经历总体IPV的几率没有差异(OR = 1.06,95%置信区间[0.81, 1.38]),但女性在过去一年之前更有可能经历总体IPV(OR = 1.52,95%置信区间[1.19, 1.95])。按性别分层的多变量回归显示,过去一年中IPV经历频率越高,在财务(β = -0.22,p < 0.001)、健康(β = -0.19,p < 0.001)、亲密关系(β = -0.14,p = 0.007)和更广泛的社会关系(β = -0.17,p = 0.018)方面的心理社会幸福感越低,而在过去一年之前IPV经历频率越高,女性在就业(β = -0.17,p = 0.002)、财务(β = -0.14,p = 0.020)和健康(β = -0.16,p = 0.012)方面的心理社会幸福感越低。对于男性,IPV与心理社会幸福感结果之间的所有关联均无显著相关性。结果表明,关注心理社会幸福感的更广泛方面很重要,这些方面可能是经历过IPV的女性中可改变的干预目标。需要进一步研究以更好地了解IPV对男性心理社会幸福感的影响。

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