Murdoch M, Nichol K L
General Medicine Section, Minneapolis Veterans Affairs Medical Center, USA.
Arch Fam Med. 1995 May;4(5):411-8. doi: 10.1001/archfami.4.5.411.
Both domestic violence and sexual harassment may adversely affect women's health but often go unrecognized.
To assess women veterans' experiences with domestic violence and with sexual harassment while in the military as well as the relationship of such experiences to health and health care utilization.
We surveyed all 191 women hospitalized from March 1992 to 1993 at the Minneapolis (Minn) Veterans Affairs Medical Center and 411 randomly selected female outpatients. Data were collected using an anonymous validated questionnaire.
Results were stratified by age and analyzed using both bivariable and multivariable techniques. Twenty-four percent of respondents under age 50 years reported domestic violence in the past year and 90% reported sexual harassment while in the military. Among older respondents, 7% said they had experienced domestic violence in the past year and 37% reported a history of sexual harassment while in the military. Of those who reported domestic violence in the past year, 50% of respondents under age 50 years and 28% of older respondents said that at least one assault was life-threatening. Rates of reports of completed and attempted sexual assaults while in the military were 20 times higher than previous reports by other government employees. Respondents with a history of either domestic violence (odds ratio, 2.83; 95% confidence interval [CI], 1.38 to 5.78) or sexual harassment while in the military (odds ratio, 2.84; 95% CI, 1.22 to 6.53) were more than twice as likely to report a history of anxiety or depression, and a history of domestic violence was associated with more lifetime surgical procedures (odds ratio, 1.21; 95% CI, 1.10 to 1.33).
Histories of domestic violence within the past year and of sexual harassment while in the military are common among women veterans. Both may be associated with adverse effects on mental and physical health.
家庭暴力和性骚扰均可能对女性健康产生不利影响，但往往未被认识到。
评估女性退伍军人在军队中遭受家庭暴力和性骚扰的经历，以及这些经历与健康和医疗保健利用之间的关系。
我们对1992年3月至1993年在明尼阿波利斯（明尼苏达州）退伍军人事务医疗中心住院的所有191名女性以及411名随机抽取的女性门诊患者进行了调查。使用经过验证的匿名问卷收集数据。
结果按年龄分层，并使用双变量和多变量技术进行分析。50岁以下的受访者中有24%报告在过去一年中遭受过家庭暴力，90%报告在军队中遭受过性骚扰。在年龄较大的受访者中，7%表示在过去一年中经历过家庭暴力，37%报告在军队中有性骚扰史。在过去一年中报告遭受家庭暴力的人中，50岁以下的受访者中有50%，年龄较大的受访者中有28%表示至少有一次袭击危及生命。在军队中完成和未遂性侵犯的报告率比其他政府雇员此前报告的高出20倍。有家庭暴力史（优势比，2.83；95%置信区间[CI]，1.38至5.78）或在军队中性骚扰史（优势比，2.84；95%CI，1.22至6.53）的受访者报告焦虑或抑郁史的可能性高出两倍多，家庭暴力史与更多的终身外科手术相关（优势比，1.21；95%CI，1.10至1.33）。
在女性退伍军人中，过去一年的家庭暴力史和在军队中的性骚扰史很常见。两者都可能对身心健康产生不利影响。
