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首页> 外文期刊>Women & health >Pathways and trajectories linking housing instability and poor health among low-income women experiencing intimate partner violence (IPV): Toward a conceptual framework
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Pathways and trajectories linking housing instability and poor health among low-income women experiencing intimate partner violence (IPV): Toward a conceptual framework

机译：在经历亲密伴侣暴力（IPV）的低收入妇女中，住房不稳定和健康状况不佳相关的途径和轨迹：建立一个概念框架

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We used grounded theory to understand pathways and trajectories to housing instability (HI) and poor health among low-income women with experiences of intimate partner violence (IPV). We conducted in-depth interviews during 2010-11 with forty-one women (ages 18-45years) living in Ontario, Canada. All women reported depressive symptoms in combination with other health problems. In addition to the direct pathway of IPV to poor health, thematic analysis revealed an indirect multi-tiered pathway with complex trajectories among IPV, HI, and poor health. These trajectories included material HI (homelessness, high mobility, evictions, problems paying rent, hiding, and landlord discrimination), psychological HI (feeling unsafe, low self-esteem, and poor control), and social trajectories (financial problems, loss of employment, income, or social networks, and leaving school). These trajectories elevated stress and decreased self-care (unhealthy behaviors, substance abuse, and reduced medical compliance) and exacerbated poor health already compromised by IPV. Depending on her specific context, each woman experienced these pathways and trajectories differently. Moreover, the women's experiences differed across three time periods: before, immediately after, and long after leaving an abusive relationship. Finally, we found that for these women, achieving stable housing was crucial for stabilizing their health.
机译：我们使用扎根的理论来了解经历亲密伴侣暴力（IPV）的低收入女性中住房不稳定（HI）和健康不良的途径和轨迹。我们在2010-11年期间对居住在加拿大安大略省的41名妇女（年龄在18-45岁之间）进行了深入访谈。所有妇女均报告有抑郁症状，并伴有其他健康问题。除了IPV导致健康不良的直接途径之外，主题分析还显示了IPV，HI和不良健康之间具有复杂轨迹的间接多层途径。这些轨迹包括物质HI（无家可归，流动性强，迁离，支付租金，躲藏和房主歧视的问题），心理HI（感到不安全，自尊心和控制力差）和社会轨迹（财务问题，失业） ，收入或社交网络，然后离开学校）。这些轨迹增加了压力，减少了自我保健（不良行为，药物滥用和医疗依从性降低），加剧了IPV已经危害的不良健康状况。根据她的特定背景，每个女人经历这些途径和轨迹的方式都不同。此外，妇女的经历在三个时间段上有所不同：在离开虐待关系之前，之后和之后很长一段时间。最后，我们发现对于这些妇女而言，获得稳定的住房对于稳定她们的健康至关重要。

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