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童年逆境与成年女性亲密伴侣暴力之间的关联:来自孟加拉国城市的见解——一项横断面研究

Association Between Childhood Adversities and Intimate Partner Violence in Women During Adulthood: Insights from Urban Bangladesh-A Cross Sectional Study.

作者信息

Tasnim Anika, Fatema Khandakar, Islam Sharmin, Haque Md Atiqul

机构信息

Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

出版信息

Inquiry. 2025 Jan-Dec;62:469580251332057. doi: 10.1177/00469580251332057. Epub 2025 Apr 18.

Abstract

Intimate Partner Violence (IPV) constitutes a significant public health crisis worldwide, with profound social and economic implications. This cross-sectional study explores the linkage between childhood adversities and IPV among married women in urban Bangladesh. From January to December 2018, the research involved 230 female participants from 3 urban sub-districts of Dhaka city. Utilizing the Adverse Childhood Experiences (ACE) questionnaire alongside an IPV questionnaire from the modified version of the Abuse Assessment Screen, this study examined the prevalence and severity of physical, sexual, and psychological abuse. Multiple linear regression analysis was employed to identify predictors of IPV. Findings reveal a strikingly high prevalence of IPV, with 91.7% of participants reporting experiences of some form of IPV. The frequency of IPV varied, with substantial portions experiencing multiple forms of abuse. The regression analysis indicated that higher ACE scores ( = 0.24,  < .05), inability to pay utility bills ( = 0.41,  < .05), and smoking at home ( = 0.53,  < .05) significantly contributed to increased IPV scores. The study underscores the profound impact of childhood adversities on the likelihood of experiencing IPV in adulthood, advocating for comprehensive public health strategies that address the prevention of violence across the lifespan. It emphasizes the need for targeted interventions that not only address the immediate factors contributing to IPV but also the broader socioeconomic issues that underpin such behaviors.

摘要

亲密伴侣暴力(IPV)在全球范围内构成了重大的公共卫生危机,具有深远的社会和经济影响。这项横断面研究探讨了孟加拉国城市已婚女性童年逆境与亲密伴侣暴力之间的联系。2018年1月至12月,该研究涉及达卡市3个城市分区的230名女性参与者。本研究使用儿童期不良经历(ACE)问卷以及改良版虐待评估筛查中的亲密伴侣暴力问卷,调查了身体虐待、性虐待和心理虐待的患病率及严重程度。采用多元线性回归分析来确定亲密伴侣暴力的预测因素。研究结果显示亲密伴侣暴力的患病率极高,91.7%的参与者报告有某种形式的亲密伴侣暴力经历。亲密伴侣暴力的频率各不相同,相当一部分人遭受多种形式的虐待。回归分析表明,较高的儿童期不良经历得分(β = 0.24,p <.05)、无法支付水电费(β = 0.41,p <.05)和在家吸烟(β = 0.53,p <.05)显著导致亲密伴侣暴力得分增加。该研究强调了童年逆境对成年后遭受亲密伴侣暴力可能性的深远影响,倡导采取全面的公共卫生策略来预防一生的暴力行为。它强调需要有针对性的干预措施,不仅要解决导致亲密伴侣暴力的直接因素,还要解决支撑此类行为的更广泛的社会经济问题。

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Economic Insecurity and Intimate Partner and Sexual Violence Victimization.经济不安全与亲密伴侣和性暴力受害。
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