Hashemi Ladan, Fadeeva Anastasia, Khan Nadia, McManus Sally
Violence and Society Centre, City St George's, University of London, London, UK.
School of Health and Psychological Sciences, City St George's, University of London, London, UK.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251326419. doi: 10.1177/17455057251326419. Epub 2025 Mar 25.
Gender differences in the associated health outcomes of different forms of intimate partner violence (IPV) are understudied. The long-term effects of IPV on specific physical health conditions are also under-researched in comparison to the effects on general health and mental health.
To examine gender differences in the association between IPV and specific physical health conditions, accounting for differences in the types and number of types of IPV experienced.
We used data from the 2014 Adult Psychiatric Morbidity Survey, a cross-sectional survey using a stratified, multistage random sampling design to cover the household population of England aged 16 years and older.
Descriptive and multivariable regression analyses of 4120 women and 2764 men who had ever had a partner. Lifetime IPV by types (physical, sexual, psychological, and economic), any lifetime and recent IPV, the number of IPV types experienced, and multiple chronic health conditions experienced over the past 12 months were included in the analyses.
Gender differences were observed in both the prevalence of IPV and associated health conditions. Women were more likely to experience any type and a higher number of IPV types than men. Women's exposure to any lifetime and 12-month IPV were significantly associated with an increased likelihood of reporting 12 and 11 conditions, respectively, while men's exposure to any lifetime and 12-month IPV were significantly associated with 4 and 1 conditions, respectively. Specific IPV types had varied health impacts, particularly among women. A cumulative association was evident for women but not for men.
Healthcare systems need to be mobilised to address IPV as a priority health issue for the female population. Our findings highlight the need for gender-informed approaches in IPV intervention strategies and healthcare provision, emphasising the development of IPV-responsive healthcare systems and comprehensive IPV curricula in medical and health training.
不同形式的亲密伴侣暴力（IPV）对健康的相关影响方面的性别差异研究不足。与对总体健康和心理健康的影响相比，IPV对特定身体健康状况的长期影响也研究较少。
研究IPV与特定身体健康状况之间关联的性别差异，同时考虑所经历的IPV类型和类型数量的差异。
我们使用了2014年成人精神病患病率调查的数据，这是一项采用分层、多阶段随机抽样设计的横断面调查，覆盖了英格兰16岁及以上的家庭人口。
对4120名有过伴侣的女性和2764名男性进行描述性和多变量回归分析。分析内容包括按类型（身体暴力、性暴力、心理暴力和经济暴力）划分的终生IPV、任何终生和近期的IPV、所经历的IPV类型数量，以及过去12个月内经历的多种慢性健康状况。
在IPV患病率和相关健康状况方面均观察到性别差异。女性比男性更有可能经历任何类型的IPV，且经历的IPV类型数量更多。女性经历任何终生和12个月的IPV分别与报告12种和11种状况的可能性增加显著相关，而男性经历任何终生和12个月的IPV分别与4种和1种状况显著相关。特定类型的IPV对健康有不同影响，尤其是对女性。女性存在累积关联，而男性则没有。
需要动员医疗保健系统将IPV作为女性人群的优先健康问题来处理。我们的研究结果强调了在IPV干预策略和医疗保健提供中采用性别视角方法的必要性，强调发展对IPV有应对能力的医疗保健系统以及在医学和健康培训中纳入全面的IPV课程。
