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首页> 外文期刊>Global Health Action >Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes
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Intimate partner violence among African American and African Caribbean women: prevalence, risk factors, and the influence of cultural attitudes

机译：非裔美国人和非洲加勒比妇女之间的亲密伴侣暴力：患病率，危险因素和文化态度的影响

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Background: Women of African descent are disproportionately affected by intimate partner abuse; yet, limited data exist on whether the prevalence varies for women of African descent in the United States and those in the US territories.Objective: In this multisite study, we estimated lifetime and 2-year prevalence of physical, sexual, and psychological intimate partner abuse (IPA) among 1,545 women of African descent in the United States and US Virgin Islands (USVI). We also examined how cultural tolerance of physical and/or sexual intimate partner violence (IPV) influences abuse.Design: Between 2009 and 2011, we recruited African American and African Caribbean women aged 18–55 from health clinics in Baltimore, MD, and St. Thomas and St. Croix, USVI, into a comparative case-control study. Screened and enrolled women completed an audio computer-assisted self-interview. Screening-based prevalence of IPA and IPV were stratified by study site and associations between tolerance of IPV and abuse experiences were examined by multivariate logistic regression analysis.Results: Most of the 1,545 screened women were young, of low-income, and in a current intimate relationship. Lifetime prevalence of IPA was 45% in St. Thomas, 38% in St. Croix, and 37% in Baltimore. Lifetime prevalence of IPV was 38% in St. Thomas, 28% in St. Croix, and 30% in Baltimore. Past 2-year prevalence of IPV was 32% in St. Thomas, 22% in St. Croix, and 26% in Baltimore. Risk and protective factors for IPV varied by site. Community and personal acceptance of IPV were independently associated with lifetime IPA in Baltimore and St. Thomas.Conclusions: Variance across sites for risk and protective factors emphasizes cultural considerations in sub-populations of women of African descent when addressing IPA and IPV in given settings. Individual-based interventions should be coupled with community/societal interventions to shape attitudes about use of violence in relationships and to promote healthy relationships.
机译：背景：非洲人后裔受到亲密伴侣虐待的影响最大;然而，关于美国和美国领土上的非洲裔女性的患病率是否存在的数据有限。目的：在这项多地点研究中，我们估算了生理，性和心理亲密伴侣的终生和两年患病率美国和美属维尔京群岛（USVI）的1,545名非洲裔妇女中的性虐待（IPA）。我们还研究了身体和/或性亲密伴侣暴力（IPV）的文化容忍度如何影响虐待。设计：2009年至2011年，我们从马里兰州巴尔的摩和圣保罗州的健康诊所招募了18至55岁的非洲裔美国人和非洲加勒比妇女托马斯和圣克鲁瓦（USVI）进行了比较病例对照研究接受筛选和录取的妇女完成了音频计算机辅助的自我访谈。通过研究地点对基于IPA和IPV筛查的患病率进行分层，并通过多因素Logistic回归分析检查IPV的耐受性与虐待经历之间的关联性。结果：1,545名筛查妇女中的大多数为年轻，低收入和现时女性。亲密关系。在圣托马斯，IPA的终身患病率为45％，在圣克鲁瓦为38％，在巴尔的摩为37％。 IPV的终生流行率在圣托马斯州为38％，在圣克鲁瓦为28％，在巴尔的摩为30％。在过去的2年中，圣托马斯的IPV患病率为32％，圣克鲁瓦为22％，巴尔的摩为26％。 IPV的风险和保护因素因地点而异。巴尔的摩和圣托马斯的IPA社区和个人接受度与终生IPA独立相关。基于个人的干预措施应与社区/社会干预措施相结合，以塑造有关在关系中使用暴力的态度并促进健康的关系。

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