Health morbidities in carers with experience of domestic violence and abuse.

IF 3.5 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-07-16 DOI:10.1007/s00127-025-02959-4

Emilie K Wildman, Hannah Dickson, Deirdre MacManus, Sally McManus, Elizabeth Kuipers, Juliana Onwumere

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引用次数: 0

Abstract

Background: The poor health of unpaid carers is well-documented. Evidence also highlights that carers can experience high levels of domestic violence and abuse (DVA). However, links between DVA victimisation and health outcomes in carers remains largely overlooked. We examined DVA prevalence in carers and non-carers, and the relationship between carers' DVA experience and health morbidities.

Methods: We analysed data from a general population probability sample survey of 6,971 adults (aged ≥ 16 years) in England. Multivariable logistic regression models examined associations between caregiving, DVA experience, and mental and physical health morbidities (i.e., common mental disorders (CMD), probable post-traumatic stress disorder (PTSD), harmful alcohol use and chronic physical health conditions), adjusting for demographic and socioeconomic factors.

Results: One person in five reported caring responsibilities. Caring was associated with higher odds of CMD and chronic physical health conditions. One in three carers reported experiencing DVA in adulthood, and carers were more likely to be victims of DVA than non-carers. In carers who experienced DVA, compared to carers reporting no DVA, adjusted odds of CMD (aOR 2.88, 95% CI 2.11-3.95); probable PTSD (aOR 5.67, 95% CI 3.12-10.30); hazardous alcohol use (aOR 1.53, 95% CI 1.09-2.15) and chronic physical health conditions (aOR 1.53, 95% CI 1.14-2.06), were significantly higher.

Conclusions: The risk of DVA victimisation among carers and the associated vulnerability to poorer health outcomes were highlighted. The need for greater awareness and identification of carers' risk of DVA, and better provision of support for the negative health consequences are emphasised.

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经历过家庭暴力和虐待的护理人员的健康发病率。

背景：无薪照护者的健康状况不佳是有据可查的。证据还强调，护理人员可能遭受高度的家庭暴力和虐待（DVA）。然而，DVA受害与护理人员健康结果之间的联系在很大程度上仍被忽视。我们检查了DVA在护理者和非护理者中的患病率，以及护理者DVA经历与健康发病率之间的关系。方法：我们分析了来自英国6971名成年人（年龄≥16岁）的一般人群概率抽样调查数据。多变量logistic回归模型检验了护理、DVA经历与精神和身体健康发病率（即常见精神障碍（CMD）、可能的创伤后应激障碍（PTSD）、有害酒精使用和慢性身体健康状况）之间的关联，并对人口统计学和社会经济因素进行了调整。结果：五分之一的人表示有照顾他人的责任。关爱与CMD和慢性身体健康状况的高几率相关。三分之一的护理人员报告在成年期经历过DVA，护理人员比非护理人员更有可能成为DVA的受害者。在经历DVA的护理人员中，与没有DVA的护理人员相比，调整后的CMD几率（aOR 2.88, 95% CI 2.11-3.95）；可能为PTSD (aOR 5.67, 95% CI 3.12-10.30)；危险酒精使用（aOR 1.53, 95% CI 1.09-2.15）和慢性身体健康状况（aOR 1.53, 95% CI 1.14-2.06）的发生率显著升高。结论：在护理人员中，DVA受害的风险和相关的较差健康结果的脆弱性被强调。强调有必要提高认识和确定护理人员的DVA风险，并更好地为负面健康后果提供支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.