Stephenie C Lemon, Wendy Verhoek-Oftedahl, Edward F Donnelly
{"title":"罗德岛州遭受亲密伴侣暴力的妇女的预防性保健使用、吸烟和饮酒情况。","authors":"Stephenie C Lemon, Wendy Verhoek-Oftedahl, Edward F Donnelly","doi":"10.1089/152460902760277912","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Intimate partner violence (IPV) poses major health threats to women, including increased risk for several chronic health conditions. The impact of IPV on use of preventive health services is not well understood. Although several studies indicate that female victims of IPV have higher rates of alcohol abuse, this has not been replicated in population-based studies. The association of IPV with smoking has not been a major research focus. The purpose of this study was to examine the association between physical and psychological IPV in the past 12 months and preventive healthcare use, smoking, and alcohol use among women.</p><p><strong>Methods: </strong>Data on 1643 women aged 18-54 from the 1999 Rhode Island Behavioral Risk Factor Surveillance System were analyzed. Logistic regression, controlling for age, race, marital status, education, insurance status, and functional disability, was used to model the associations of IPV with (1) checkups, (2) clinical breast examinations (CBEs), (3) Pap smear screening, (4) cigarette smoking, and (5) high-risk alcohol use.</p><p><strong>Results: </strong>Prevalence of physical IPV was 4.1%. The prevalence of psychological IPV, in the absence of physical IPV was 4.5%. Physical IPV was associated with receiving regular Pap smears odds ratio ([OR] = 2.39, 95% confidence interval [CI] 1.01-5.70), current smoking (OR = 2.07, 95% CI 1.03-4.18), and high-risk alcohol use (OR = 4.85, 95% CI 2.02-11.60). Psychological IPV was associated with high-risk alcohol use (OR = 3.22, 95% CI 1.46-7.09).</p><p><strong>Conclusions: </strong>Women experiencing IPV regularly access preventive healthcare, providing healthcare providers with opportunities to assess and counsel women for IPV in addition to smoking and high-risk alcohol use.</p>","PeriodicalId":80044,"journal":{"name":"Journal of women's health & gender-based medicine","volume":"11 6","pages":"555-62"},"PeriodicalIF":0.0000,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1089/152460902760277912","citationCount":"106","resultStr":"{\"title\":\"Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence.\",\"authors\":\"Stephenie C Lemon, Wendy Verhoek-Oftedahl, Edward F Donnelly\",\"doi\":\"10.1089/152460902760277912\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Intimate partner violence (IPV) poses major health threats to women, including increased risk for several chronic health conditions. The impact of IPV on use of preventive health services is not well understood. Although several studies indicate that female victims of IPV have higher rates of alcohol abuse, this has not been replicated in population-based studies. The association of IPV with smoking has not been a major research focus. The purpose of this study was to examine the association between physical and psychological IPV in the past 12 months and preventive healthcare use, smoking, and alcohol use among women.</p><p><strong>Methods: </strong>Data on 1643 women aged 18-54 from the 1999 Rhode Island Behavioral Risk Factor Surveillance System were analyzed. Logistic regression, controlling for age, race, marital status, education, insurance status, and functional disability, was used to model the associations of IPV with (1) checkups, (2) clinical breast examinations (CBEs), (3) Pap smear screening, (4) cigarette smoking, and (5) high-risk alcohol use.</p><p><strong>Results: </strong>Prevalence of physical IPV was 4.1%. The prevalence of psychological IPV, in the absence of physical IPV was 4.5%. Physical IPV was associated with receiving regular Pap smears odds ratio ([OR] = 2.39, 95% confidence interval [CI] 1.01-5.70), current smoking (OR = 2.07, 95% CI 1.03-4.18), and high-risk alcohol use (OR = 4.85, 95% CI 2.02-11.60). Psychological IPV was associated with high-risk alcohol use (OR = 3.22, 95% CI 1.46-7.09).</p><p><strong>Conclusions: </strong>Women experiencing IPV regularly access preventive healthcare, providing healthcare providers with opportunities to assess and counsel women for IPV in addition to smoking and high-risk alcohol use.</p>\",\"PeriodicalId\":80044,\"journal\":{\"name\":\"Journal of women's health & gender-based medicine\",\"volume\":\"11 6\",\"pages\":\"555-62\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2002-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1089/152460902760277912\",\"citationCount\":\"106\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of women's health & gender-based medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/152460902760277912\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of women's health & gender-based medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/152460902760277912","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 106
摘要
目标:亲密伴侣暴力对妇女的健康构成重大威胁,包括增加患几种慢性疾病的风险。IPV对使用预防性保健服务的影响尚不清楚。虽然几项研究表明,IPV的女性受害者有较高的酒精滥用率,但这在基于人群的研究中尚未得到证实。IPV与吸烟的关系一直不是主要的研究焦点。本研究的目的是研究过去12个月内女性的生理和心理IPV与预防性保健使用、吸烟和饮酒之间的关系。方法:对1999年罗德岛州行为危险因素监测系统中1643名18-54岁女性的数据进行分析。采用Logistic回归,控制年龄、种族、婚姻状况、教育程度、保险状况和功能障碍,对IPV与(1)体检、(2)临床乳房检查(CBEs)、(3)子宫颈抹片检查、(4)吸烟和(5)高危饮酒的关系进行建模。结果:物理IPV患病率为4.1%。在没有物理IPV的情况下,心理IPV的患病率为4.5%。物理IPV与定期接受子宫颈抹片检查的优势比([OR] = 2.39, 95%可信区间[CI] 1.01-5.70)、当前吸烟(OR = 2.07, 95% CI 1.03-4.18)和高危饮酒(OR = 4.85, 95% CI 2.02-11.60)相关。心理IPV与高危酒精使用相关(OR = 3.22, 95% CI 1.46-7.09)。结论:经历IPV的妇女定期获得预防性保健,为医疗保健提供者提供了评估和咨询妇女IPV的机会,除了吸烟和高风险饮酒。
Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence.
Objective: Intimate partner violence (IPV) poses major health threats to women, including increased risk for several chronic health conditions. The impact of IPV on use of preventive health services is not well understood. Although several studies indicate that female victims of IPV have higher rates of alcohol abuse, this has not been replicated in population-based studies. The association of IPV with smoking has not been a major research focus. The purpose of this study was to examine the association between physical and psychological IPV in the past 12 months and preventive healthcare use, smoking, and alcohol use among women.
Methods: Data on 1643 women aged 18-54 from the 1999 Rhode Island Behavioral Risk Factor Surveillance System were analyzed. Logistic regression, controlling for age, race, marital status, education, insurance status, and functional disability, was used to model the associations of IPV with (1) checkups, (2) clinical breast examinations (CBEs), (3) Pap smear screening, (4) cigarette smoking, and (5) high-risk alcohol use.
Results: Prevalence of physical IPV was 4.1%. The prevalence of psychological IPV, in the absence of physical IPV was 4.5%. Physical IPV was associated with receiving regular Pap smears odds ratio ([OR] = 2.39, 95% confidence interval [CI] 1.01-5.70), current smoking (OR = 2.07, 95% CI 1.03-4.18), and high-risk alcohol use (OR = 4.85, 95% CI 2.02-11.60). Psychological IPV was associated with high-risk alcohol use (OR = 3.22, 95% CI 1.46-7.09).
Conclusions: Women experiencing IPV regularly access preventive healthcare, providing healthcare providers with opportunities to assess and counsel women for IPV in addition to smoking and high-risk alcohol use.