Marianne Sipilä, Mika Helminen, Tuovi Hakulinen, Eija Paavilainen
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引用次数: 0
Abstract
Objective: Existing research has shown that parental exposure to violence has negative consequences on health outcomes, but the effect of such exposure on unmet health care and social service need is unknown. This study aims to investigate the association between unmet health care and social services and parental violence exposure among parents with children.
Study design: This study used the data of 6289 parents aged 18-60 years who had at least one child under 18 years living in the same household. Parental violence exposure was measured. Unmet child and adult health care and social service need was operationalized through questions on the services needed, those that had not been received, and those that were considered inadequate.
Results: Parents who experienced any kind of violence had more unmet service need. There were more women among parents with violence experience (65.4%) than those with no violence experience (51.9%). Violence experience increased the odds of unmet need for general adult healthcare services (OR 2.02, CI 1.64-2.57), maternity and child health clinics (OR 2.52, CI 2.00-3.18), family guidance clinics and home help (OR 2.38, CI 1.60-3.54), mental health or child welfare services (OR 2.05, CI 1.52-2.75), and school health care (OR 1.99, 1.50-2.65). After adjusting for sociodemographic factors, the associations between exposure to violence experience and unmet needs for healthcare and social services remained statistically significant.
Conclusion: Violence in close relationships profoundly impacts health and well-being. By addressing unmet health care needs and supporting parents, we can break the cycle of violence and promote better mental health outcomes. Preventive policies and early interventions are essential to mitigate the consequences of violence in families.
目的:现有研究表明,父母接触暴力对健康结果有负面影响,但这种接触对未满足的卫生保健和社会服务需求的影响尚不清楚。本研究旨在探讨未满足的卫生保健和社会服务与有子女的父母暴力暴露之间的关系。研究设计:本研究使用了6289对年龄在18-60岁之间的父母的数据,他们在同一家庭中至少有一个18岁以下的孩子。对父母暴力暴露进行了测量。儿童和成人的保健和社会服务需求未得到满足,通过询问需要的服务、没有得到的服务和被认为不足的服务来处理。结果:经历过任何形式暴力的父母有更多未满足的服务需求。有暴力经历的父母中女性(65.4%)多于没有暴力经历的父母(51.9%)。暴力经历增加了对一般成人医疗保健服务(OR 2.02, CI 1.64-2.57)、妇幼保健诊所(OR 2.52, CI 2.00-3.18)、家庭指导诊所和家政服务(OR 2.38, CI 1.60-3.54)、心理健康或儿童福利服务(OR 2.05, CI 1.52-2.75)和学校卫生保健(OR 1.99, 1.50-2.65)需求未满足的几率。在对社会人口因素进行调整后,接触暴力经历与未满足的保健和社会服务需求之间的关联在统计上仍然显著。结论:亲密关系中的暴力严重影响健康和幸福。通过解决未得到满足的卫生保健需求并支持父母,我们可以打破暴力循环,促进更好的心理健康结果。预防政策和早期干预对于减轻家庭暴力的后果至关重要。
期刊介绍:
Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment
Innovative MCH service initiatives
Implementation of MCH programs
MCH policy analysis and advocacy
MCH professional development.
Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology.
Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.