绝经期妇女亲密伴侣暴力与生活质量的关系研究

M. Ghazanfarpour, Z. Dolatabadi, Masumeh Saeedi, Shahin Shojania, M. Kiani, Mohsen Mohsen Abadi, Masoudeh Babakhanian
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摘要

背景:本研究旨在探讨更年期妇女亲密伴侣暴力(IPV)与生活质量(QOL)的关系。方法:对202名在不同医疗保健中心就诊的绝经后妇女进行横断面研究。主要数据收集工具为修订后的冲突策略量表(CTS2)和更年期特异性生活质量量表(MENQOL)。结果:绝经后妇女202例,平均年龄52.14±5.93岁。分析显示,70.8%的女性年龄在45 - 55岁之间,29.2%的女性年龄在56 - 65岁之间,62.7%的参与者有两个以上的孩子。与不吸烟的参与者相比,吸烟的女性报告了更多的伤害暴力(P = 0.008)。在本研究中,夫妻受教育程度对IPV的影响不显著。绝经期妇女或其配偶在再婚后遭受更多的心理暴力(P = 0.008)和伤害暴力(P = 0.01)。目前的研究结果表明,三种类型的暴力,包括心理(P < 0.001)、身体(P = 0.003)和伤害(P < 0.001),报告了更高程度的心理症状。经历过心理暴力(P < 0.001)和性暴力(P = 0.012)的妇女在更年期报告的身体问题比没有暴力史的妇女更严重。结论:本研究对绝经期妇女的生活质量与暴力类型之间的关系提供了更深刻的见解。在家庭暴力下,绝经后妇女的生活质量显著下降。建议对医疗保健提供者进行检测和管理IPV以及相应的生理和心理问题方面的培训。
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On the Relationship Between Intimate Partner Violence and Quality of Life Among Menopausal Women
Background: This study aimed to assess the relationship between intimate partner violence (IPV) and quality of life (QOL) among menopausal women. Methods: The present cross-sectional study was conducted on 202 postmenopausal women admitted to different healthcare centers. The primary data collection tools were the revised Conflict Tactics Scale (CTS2) and Menopause-Specific Quality of Life (MENQOL). Results: The participants encompassed 202 postmenopausal women with the mean age of 52.14 ± 5.93 years. The analysis revealed that 70.8% of women were 45 - 55 years, 29.2% of women were 56 - 65 years, and 62.7% of the participants had more than two children. Compared to the non-smoking participants, the smoking women reported more injury violence (P = 0.008). In this study, the effect of the husband and wife’s level of education on IPV was not significant. The menopausal women or their spouses experienced more psychological (P = 0.008) and injury (P = 0.01) violence following their second marriage. The present findings suggested that three types of violence, including psychological (P < 0.001), physical (P = 0.003), and injury (P < 0.001), reported higher levels of psychological symptoms. The women experiencing psychological (P < 0.001) and sexual (P = 0.012) violence reported more severe physical problems than those with no history of violence in menopause. Conclusions: This study provided more profound insights into the relationship between menopause-related quality of life and types of violence among menopausal women. The quality of life in postmenopausal women is significantly declined under domestic violence. Healthcare providers are recommended to be trained on detecting and managing IPV and the corresponding physical and psychological problems.
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