Shields Margot, Tonmyr Lil, Pollock Nathaniel J, Gonzalez Andrea, McKinnon Britt, Joshi Divya, Crompton Lindsay, MacMillan Harriet L
Family Violence Epidemiology Section, Centre for Surveillance and Applied Research, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Prev Med Rep. 2025 Feb 17;51:103011. doi: 10.1016/j.pmedr.2025.103011. eCollection 2025 Mar.
Intimate Partner Violence (IPV) is recognized as a public health problem that has profound negative consequences for physical and mental health and well-being. Previous research has focused primarily on physical and sexual IPV; non-physical IPV has been understudied, particularly among men.
Using data from Statistic Canada's 2018 Survey of Safety in Public and Private Spaces, we examined associations between non-physical IPV and nine heath status variables: fair/poor mental health, fair/poor general health, dissatisfaction with life, pain, use of medication, suicidal thoughts, mood disorder, anxiety disorder, and PTSD.
Women (13.3 %) and men (12.6 %) were equally likely to report non-physical IPV in the past year, often without co-occurring physical/sexual IPV. Bivariate analyses revealed that non-physical IPV increased the risk of reporting all negative health status variables except pain. When associations were examined in relation to the frequency of non-physical IPV, a gradient was observed. In multivariable analyses that controlled for potential confounders, most associations observed in the bivariate analyses persisted, but associations were somewhat attenuated when controlling for co-occurring physical/sexual IPV.
Non-physical IPV, particularly if it happens frequently, is strongly associated with negative health, often independent of co-occurring physical/sexual IPV. Longitudinal studies have found that non-physical IPV is a predictor of subsequent physical/sexual IPV, further increasing the risk of negative health. This underscores the importance of specifically addressing non-physical IPV through public health prevention programs and the need for it to be recognized as a form of IPV that is as important as physical and sexual IPV.
亲密伴侣暴力(IPV)被视为一个公共卫生问题,对身心健康及幸福有着深远的负面影响。以往的研究主要集中在身体暴力和性暴力形式的亲密伴侣暴力;非身体暴力形式的亲密伴侣暴力研究不足,尤其是在男性中。
利用加拿大统计局2018年公共和私人空间安全调查的数据,我们研究了非身体暴力形式的亲密伴侣暴力与九个健康状况变量之间的关联:心理健康状况一般/较差、总体健康状况一般/较差、对生活不满意、疼痛、用药情况、自杀念头、情绪障碍、焦虑症和创伤后应激障碍。
在过去一年中,女性(13.3%)和男性(12.6%)报告遭受非身体暴力形式的亲密伴侣暴力的可能性相同,且通常不存在同时发生的身体暴力/性暴力。双变量分析显示,非身体暴力形式的亲密伴侣暴力增加了报告除疼痛外所有负面健康状况变量的风险。当研究与非身体暴力形式的亲密伴侣暴力频率相关的关联时,观察到一种梯度关系。在控制了潜在混杂因素的多变量分析中,双变量分析中观察到的大多数关联仍然存在,但在控制了同时发生的身体暴力/性暴力后,关联有所减弱。
非身体暴力形式的亲密伴侣暴力,尤其是频繁发生时,与负面健康密切相关,通常独立于同时发生的身体暴力/性暴力。纵向研究发现,非身体暴力形式的亲密伴侣暴力是随后身体暴力/性暴力的一个预测因素,进一步增加了负面健康的风险。这凸显了通过公共卫生预防计划专门解决非身体暴力形式的亲密伴侣暴力的重要性,以及将其视为与身体暴力和性暴力同样重要的亲密伴侣暴力形式的必要性。