台湾女性亲密伴侣暴力幸存者的心理健康结果:一项基于人口的研究。

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY
Women's health reports (New Rochelle, N.Y.) Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.1089/whr.2024.0203
Ming-Yi Li, Hong-Xun Wang, Shin-Ting Yeh
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引用次数: 0

摘要

目的:亲密伴侣暴力(IPV)显著影响妇女健康,但在过去的研究中缺乏对照组,阻碍了确定高危人群和建立循证干预措施。这项研究考察了IPV与女性心理健康结果之间的联系。方法:采用全国数据库进行病例对照研究。该研究的目标是2019年18-64岁的成年女性,采用病例对照研究设计,总样本量为71512名参与者。数据来源于卫生部登记档案、死亡原因统计以及门诊和住院索赔数据。采用卡方检验分析IPV与心理健康结果和个人特征之间的关系。此外,采用条件logistic回归模型探讨IPV对女性心理健康结果的影响。结果:与非受害者相比,经历过IPV的妇女的社会经济地位明显较低,各种心理健康结果的风险更高。其中包括双相情感障碍(校正比值比[OR] = 5.91, 95%可信区间[CI]: 4.16-8.38)、酒精和药物滥用(校正比值比= 4.84,95% CI: 2.88-8.14)、抑郁症(校正比值比= 4.67,95% CI: 3.91-5.58)、精神分裂症(校正比值比= 2.37,95% CI: 1.80-3.12)和焦虑症(校正比值比= 2.36,95% CI: 1.98-2.81)。结论:本研究确定了成年女性中几种与IPV高度相关的精神障碍,特别强调双相情感障碍、酒精和药物滥用以及抑郁症。了解高危心理健康障碍有助于临床工作人员提高对IPV的警惕性,并为IPV咨询和干预的政策规划提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining Mental Health Outcomes of Intimate Partner Violence Among Female Survivors in Taiwan: A Population-Based Study.

Objective: Intimate partner violence (IPV) significantly affects women's health, but the lack of control groups in past studies hinders identifying high-risk populations and establishing evidence-based interventions. This study examines the link between IPV and women's mental health outcomes.

Methods: A nationwide database was used in this case-control study. The study targeted adult women aged 18-64 in 2019 and employed a case-control study design with a total sample size of 71,512 participants. Data were sourced from the Ministry of Health enrollment files, cause of death statistics, and outpatient and inpatient claims data. Chi-square tests were used to analyze the association between IPV with mental health outcomes and personal characteristics. Additionally, conditional logistic regression models were applied to investigate the impact of IPV on women's mental health outcomes.

Results: Compared with nonvictims, women who experienced IPV had significantly lower socioeconomic status and were at higher risk for various mental health outcomes. These included bipolar disorder (adjusted odds ratio [OR] = 5.91, 95% confidence interval [CI]: 4.16-8.38), alcohol and substance abuse (adjusted OR = 4.84, 95% CI: 2.88-8.14), depression (adjusted OR = 4.67, 95% CI: 3.91-5.58), schizophrenia (adjusted OR = 2.37, 95% CI: 1.80-3.12), and anxiety (adjusted OR = 2.36, 95% CI: 1.98-2.81).

Conclusions: This study identified several mental disorders highly associated with IPV among adult women, with particular emphasis on bipolar disorder, alcohol and substance abuse, and depression. Insights into high-risk mental health disorders will help clinical staff be alert to IPV and provide a reference for policy planning of IPV counseling and intervention.

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CiteScore
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