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首页> 外文期刊>Journal of women’s health >Lifetime interpersonal violence and self-reported chlamydia trachomatis diagnosis among California women.
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Lifetime interpersonal violence and self-reported chlamydia trachomatis diagnosis among California women.

机译：加利福尼亚妇女一生中的人际关系暴力和自我报告的沙眼衣原体诊断。

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OBJECTIVE: To examine the relationship between cumulative exposure to various types of interpersonal violence throughout the life span and self-reported history of Chlamydia trachomatis (CT) diagnosis in a population-based sample of California women. METHODS: This was a cross-sectional analysis of a population-based survey of California women aged 18-44 years (n = 3521). Participants reported their experience of multiple types of interpersonal violence: physical or sexual abuse in childhood or adulthood and intimate partner violence (IPV) in the past 12 months. Current posttraumatic stress disorder (PTSD) and depressive symptoms were also reported. Separate logistic regression models assessed the association between experiencing each type of interpersonal violence, as well as women's cumulative exposure to violence, and past CT diagnosis, adjusting for age, race/ethnicity, and poverty, as well as mental health problems. RESULTS: Six percent of women reported a past diagnosis of CT, and 40.8% reported experiencing at least one type of interpersonal violence in their lifetime. All types of violence were significantly associated with higher odds of having a past CT diagnosis even after controlling for sociodemographics. Women who reported experiencing four or more types of violence experiences had over five times the odds of reporting a lifetime CT diagnosis compared with women who never experienced interpersonal violence (adjusted odds ratio = 5.71, 95% CI 3.27-9.58). Current PTSD and depressive symptoms did not significantly affect the relationship between a woman's cumulative experience of violence and her risk of past CT diagnosis. CONCLUSIONS: There is a robust association between experiencing multiple forms of violence and having been diagnosed with CT. Women who seek treatment for sexually transmitted diseases (STDs), such as CT, should be assessed for their lifetime history of violence, especially violence in their current intimate relationships. Sexual risk reduction counseling may also be important for women who have a history of risky sexual behaviors and who are likely to be reinfected.
机译：目的：在以人口为基础的加利福尼亚州女性样本中，研究整个生命周期中各种类型人际暴力的累积暴露与自我报告的沙眼衣原体（CT）诊断历史之间的关系。方法：这是一项针对18-44岁（n = 3521）的加利福尼亚妇女进行的基于人口调查的横断面分析。参与者报告了他们在多种类型的人际暴力中的经历：在过去的12个月中，儿童或成年后遭受身体或性虐待以及亲密伴侣暴力（IPV）。目前还报告了创伤后应激障碍（PTSD）和抑郁症状。单独的逻辑回归模型评估了经历每种类型的人际暴力以及妇女的累积暴力暴露与过去的CT诊断（针对年龄，种族/民族，贫困和心理健康问题进行调整）之间的关联。结果：6％的女性报告过CT诊断，40.8％的女性一生中经历过至少一种人际暴力。即使控制了社会人口统计学资料，所有类型的暴力都与过去接受CT诊断的可能性更高。与从未经历过人际暴力的妇女相比，报告经历过四种或更多类型暴力经历的妇女报告一生CT诊断的几率是未经历人际暴力的妇女的五倍以上（调整后的优势比= 5.71，95％CI 3.27-9.58）。当前的创伤后应激障碍和抑郁症状并未显着影响妇女的累积暴力经历与过去接受CT诊断的风险之间的关系。结论：经历多种形式的暴力与被诊断出患有CT之间存在密切的关联。寻求治疗诸如CT等性传播疾病（STD）的妇女，应评估其一生的暴力史，尤其是其当前亲密关系中的暴力史。性风险降低咨询对于具有高风险性行为史并可能被再次感染的女性也可能很重要。

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