亲密伴侣暴力 (IPV) 与孟加拉国妇女生理、心理和社会健康结果之间的关系

Shamima Islam Nipa, Asma Islam, Fabiha Alam Disha, Veena Raigangar
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摘要

背景:亲密伴侣暴力(IPV)是一个全球性问题,影响着全球三分之一的妇女。事实证明,亲密伴侣暴力会直接影响女性的生理、心理和社会生活以及整体健康。研究目的本研究旨在探讨 IPV 报告与生理、心理和社会健康结果之间的关联,特别强调 IPV 与孟加拉国女性盆底、盆腔疼痛和尿失禁之间的关系。研究设计:采用目的取样法进行横断面研究。研究方法研究招募了 18 至 50 岁的已婚妇女。使用 "伤害-侮辱-威胁-尖叫"(HITS)筛查工具测量 IPV,使用 "复杂创伤量表"(CTI)测量复杂创伤。数据通过 SPSS 21.0 版进行分析,并以描述性统计报告。结果受访者总人数为 n = 100。受访者的平均年龄为 36.57 岁(标准偏差 ± 9.66)。根据 HITS 筛查工具,27% 的受访者报告了 IPV。IPV 的 HITS 分数与慢性病和残疾等负面健康结果之间存在明显的强相关性(r = 0.8;P ≤ .05)。HITS 分数与(1)复杂创伤的 CTI 分数、(2)盆底功能障碍和(3)婚姻持续时间之间存在直接关联。结论据报告,生活在孟加拉国的这批妇女中 IPV 发生率很高。IPV 的 HITS 分数与 CTI 中创伤后应激障碍的严重程度和强度以及腰背痛、盆底功能障碍、产后并发症和心脏问题有直接的显著关联。
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Association Between Intimate Partner Violence (IPV) and Physical, Psychological, and Social Health Outcomes for Women in Bangladesh
Background: Intimate partner violence (IPV) is a global issue impacting 1 in 3 women worldwide. IPV has been shown to have direct impact on the physical, psychological, and social aspects of life and overall well-being. Objective: The purpose of this study was to explore associations between report of IPV and physical, psychological, and social health outcomes with special emphasis on relationship of IPV to pelvic floor, pelvic pain, and urinary incontinence for Bangladeshi women. Study Design: A cross-sectional study was conducted using purposive sampling. Methods: Married women between 18 and 50 years were recruited in the study. IPV was measured using the Hurt-Insult-Threaten-Scream (HITS) screening tool and complex trauma was measured utilizing the Complex Trauma Inventory (CTI) Scale. Data were analyzed through SPSS version 21.0, and reported as descriptive statistics. Results: The total number of the respondents was n = 100. The mean age of respondents was 36.57 years (standard deviation ± 9.66). According to the HITS screening tool 27% respondents reported IPV. There was a significant, strong correlation between HITS scores for IPV and negative health outcomes of chronic disease and disability (r = 0.8; P ≤ .05). There was a direct association between HITS scores and (1) CTI scores for complex trauma, (2) pelvic floor dysfunction, and (3) duration of marriage. Conclusion: High prevalence of IPV was reported for this cohort of women living in Bangladesh. HITS scores for IPV were direct significant associations with severity and intensity of posttraumatic stress disorder on the CTI, and with low back pain, pelvic floor dysfunction, postpartum complications, and cardiac problems.
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