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Sleep Disturbance Partially Mediates the Relationship Between Intimate Partner Violence and Physical/Mental Health in Women and Men

机译：睡眠障碍部分介导了亲密伴侣暴力与男女身体/心理健康之间的关系

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Intimate partner violence (IPV) is a worldwide health concern and an important risk factor for poor mental/physical health in both women and men. Little is known about whether IPV leads to sleep disturbance. However, sleep problems may be common in the context of IPV and may mediate relationships with mental/physical health. Data from the 2006 Behavioral Risk Factor Surveillance System (BRFSS) were used (N = 34,975). IPV was assessed in female and male participants for any history of being threatened by, physically hurt by, or forced to have sex with an intimate partner (THREAT, HURT, and SEX, respectively), and, further, as being forced to have sex with or physically injured by an intimate partner within the past year (SEXyr and HURTyr, respectively). These survey items were coded yeso. Sleep disturbance was assessed as difficulty falling asleep, staying asleep, or sleeping too much at least 6 of the last 14 days. Logistic regression analyses, adjusted for age, sex, race, income, education, and physical/mental health, assessed whether IPV predicted sleep disturbance. Sobel–Goodman tests assessed whether relationships between IPV and physical/mental health were partially mediated by sleep disturbance. All IPV variables were associated with sleep disturbance, even after adjusting for the effects of age, sex, race/ethnicity, income, education, employment, marital status, physical health and mental health. THREAT was associated with sleep disturbance (odds ratio [OR] = 2.798, p < .0001), as was HURT (OR = 2.683, p < .0001), SEX (OR = 3.237, p < .0001), SEXyr (OR = 7.741, p < .0001), and HURTyr (OR = 7.497, p < .0001). In mediation analyses, all IPV variables were associated with mental health (p < .0001), and all were associated with physical health (p < .007) except SEXyr. Sleep disturbance partially mediated all relationships (Sobel p < .0005 for all tests). Mediation was around 30%, ranging from 18% (HURTyr and mental health) to 41% (HURT and physical health). IPV was strongly associated with current sleep disturbance above the effect of demographics and overall mental/physical health, even if the IPV happened in the past. Furthermore, sleep disturbance partially mediates the relationship between IPV and mental/physical health. Sleep interventions may potentially mitigate negative effects of IPV.
机译：亲密伴侣暴力（IPV）是世界范围内对健康的关注，并且是男女心理/身体健康状况不佳的重要危险因素。对IPV是否会导致睡眠障碍知之甚少。但是，在IPV中，睡眠问题可能很常见，并且可能介导与心理/身体健康的关系。使用了2006年行为风险因素监测系统（BRFSS）的数据（N = 34,975）。在女性和男性参与者中对IPV进行了评估，以了解是否有过与亲密伴侣（分别为THREAT，HURT和SEX）发生过威胁，受到肢体伤害或被迫与之发生性关系的历史，此外，还被迫进行了性行为在过去一年中，有亲密伴侣遭受或遭受身体伤害（分别为SEXyr和HURTyr）。这些调查项目编码为是/否。睡眠障碍被评估为入睡，保持入睡或在过去14天内至少有6天睡眠过多的困难。根据年龄，性别，种族，收入，教育程度和身心健康进行逻辑回归分析，评估IPV是否可以预测睡眠障碍。 Sobel–Goodman测试评估了IPV与身体/心理健康之间的关系是否部分由睡眠障碍引起。即使调整了年龄，性别，种族/民族，收入，教育，就业，婚姻状况，身体健康和精神健康的影响，所有IPV变量都与睡眠障碍相关。威胁与睡眠障碍相关（比值比[OR] = 2.798，p <.0001），而HURT（OR = 2.683，p <.0001），SEX（OR = 3.237，p <.0001），SEXyr（OR = 7.741，p <.0001）和HURTyr（OR = 7.497，p <.0001）。在调解分析中，除SEXyr外，所有IPV变量均与心理健康相关（p <.0001），而所有与IPH变量均与身体健康相关（p <.007）。睡眠障碍部分地介导了所有关系（所有测试的Sobel p <.0005）。调解约为30％，范围从18％（HURTyr和精神健康）到41％（HURT和身体健康）。 IPV与当前的睡眠障碍密切相关，超过了人口统计学和整体心理/身体健康的影响，即使IPV发生在过去。此外，睡眠障碍部分介导了IPV与心理/身体健康之间的关系。睡眠干预可能会减轻IPV的负面影响。

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