美国退伍军人的童年家庭暴力经历与成年亲密伴侣暴力行为
Childhood Histories of Family Violence and Adult Intimate Partner Violence Use Among U.S. Military Veterans.
作者信息
Stover Carla Smith, Relyea Mark, Presseau Candice, Brandt Cynthia A, Haskell Sally G, Portnoy Galina
机构信息
Yale University School of Medicine Child Study Center, New Haven, CT.
VA Connecticut Healthcare System, West Haven, CT.
出版信息
Psychol Violence. 2024;15(2):214-223. doi: 10.1037/vio0000555.
OBJECTIVE
There is ample evidence for associations among childhood family violence and adult intimate partner violence (IPV) use. This study was designed to examine potential differential associations between childhood physical abuse, childhood sexual abuse, witnessing parental IPV, posttraumatic stress symptom (PTSS) severity, and IPV use for men and women veterans.
METHOD
Survey data from 825 veterans who participated in a longitudinal multisite investigation of post-9/11 veterans who completed measures of childhood family violence history, PTSS, IPV use and experiences were used. Moderation analysis in hierarchical linear regression tested whether men veterans with childhood family violence had higher rates of IPV use than women veterans. A gender-stratified causal mediation was conducted to test whether PTSS severity mediated the relationships among childhood family violence types and IPV use for men and women.
RESULTS
Women veterans reported significantly higher rates of all forms of childhood family violence than men, but there were no significant gender differences in rates of reported IPV use. PTSS severity did not mediate the association between childhood family violence types and adult IPV use for men or women. For men PTSS severity was the only factor significantly positively associated with IPV use. Childhood sexual abuse was the only factor significantly positively associated with IPV use for women.
CONCLUSIONS
These differential findings for men and women veterans support screening and intervention based on gender for veterans accessing VA healthcare and the need for interventions that address childhood trauma, PTSS and IPV within the VA healthcare system.
目的
有充分证据表明童年家庭暴力与成年亲密伴侣暴力行为之间存在关联。本研究旨在探讨童年身体虐待、童年性虐待、目睹父母亲密伴侣暴力行为、创伤后应激症状(PTSS)严重程度与退伍军人男女亲密伴侣暴力行为之间潜在的差异关联。
方法
使用了825名退伍军人的调查数据,这些退伍军人参与了一项针对9·11事件后退伍军人的纵向多地点调查,他们完成了童年家庭暴力史、PTSS、亲密伴侣暴力行为及经历的测量。分层线性回归中的调节分析检验了有童年家庭暴力史的男性退伍军人的亲密伴侣暴力行为发生率是否高于女性退伍军人。进行了性别分层的因果中介分析,以检验PTSS严重程度是否介导了童年家庭暴力类型与退伍军人男女亲密伴侣暴力行为之间的关系。
结果
女性退伍军人报告的所有形式童年家庭暴力发生率均显著高于男性,但报告的亲密伴侣暴力行为发生率在性别上无显著差异。PTSS严重程度并未介导童年家庭暴力类型与成年男女亲密伴侣暴力行为之间的关联。对于男性,PTSS严重程度是与亲密伴侣暴力行为显著正相关的唯一因素。童年性虐待是与女性亲密伴侣暴力行为显著正相关的唯一因素。
结论
退伍军人男女的这些差异结果支持在退伍军人接受退伍军人事务部医疗保健时基于性别进行筛查和干预,以及在退伍军人事务部医疗保健系统内开展针对童年创伤、PTSS和亲密伴侣暴力行为的干预措施的必要性。
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