背景:关于女性退伍军人在COVID-19大流行期间的亲密伴侣暴力(IPV)经历或与大流行相关的压力对她们身心健康的影响知之甚少。
目的:为了确定大流行之前和期间退伍军人中的IPV经历,与流行病相关的压力源,并检查他们各自对身心健康的贡献。
方法:从一个更大的基于网络的纵向研究中抽取的全国女性退伍军人样本。最近的IPV和大流行相关的压力源之间的关系进行了线性回归检验,控制大流行前IPV和身心健康症状,人口统计学,和军事相关的协变量。
方法:一百四十二名女性退伍军人(法师=58.8岁)。
方法:我们评估了IPV(CTS-2),PTSD(PCL-5),抑郁症(CESD),焦虑(DASS-A),身体健康(PHQ-15),大流行前(2016年6月至2016年12月/2017年1月)和大流行研究期间(2020年3月至2020年12月/2021年1月)的身体健康相关生活质量(SF-12)。我们在大流行研究期间评估了与大流行相关的应激源(EPII)。
结果:超过三分之一(38.7%)的参与者在大流行研究期间经历了IPV(心理:35.9%,实物:9.9%,性:4.2%)。整体利率,频率,在大流行前和大流行研究期间,IPV经历的严重程度没有显著差异.很少有参与者COVID-19检测呈阳性(4.2%);然而,大多数参与者报告在生活领域经历了与大流行相关的应激源(例如,社交活动:88%,身体健康:80.3%,情绪健康:68.3%)。大流行期间的IPV和与大流行相关的应激源都与更大的PTSD和抑郁症状相关。与大流行相关的压力源与更严重的焦虑和身体健康症状有关。大流行期间的IPV或与大流行相关的压力源都与身体健康相关的生活质量无关。
结论:大流行期间的IPV经历在退伍军人中很常见,与大流行相关的压力源也是如此。尽管在COVID-19的背景下,IPV没有增加,但大流行期间的IPV经历和与大流行相关的压力源与较差的身心健康有关。
Little is known about women veterans\' intimate partner violence (IPV) experiences during the COVID-19 pandemic or the impacts of pandemic-related stress on their mental and physical health.
To identify IPV experiences among women veterans prior to and during the pandemic, pandemic-related stressors, and examine their respective contributions to mental and physical health.
National sample of women veterans drawn from a larger web-based longitudinal study. Relationships between recent IPV and pandemic-related stressors were tested with linear regressions, controlling for pre-pandemic IPV and mental and physical health symptoms, demographic, and military-related covariates.
One hundred forty-two women veterans (Mage=58.8 years).
We assessed IPV (CTS-2), PTSD (PCL-5), depression (CESD), anxiety (DASS-A), physical health (PHQ-15), and physical health-related quality of life (SF-12) prior to the pandemic (June 2016-December 2016/January 2017) and during the pandemic study period (March 2020-December 2020/January 2021). We assessed pandemic-related stressors (EPII) during the pandemic study period.
Over a third (38.7%) of participants experienced IPV during the pandemic study period (psychological: 35.9%, physical: 9.9%, sexual: 4.2%). Overall rates, frequency, and severity of IPV experience did not significantly differ between the pre-pandemic and pandemic study periods. Few participants tested positive for COVID-19 (4.2%); however, most participants reported experiencing pandemic-related stressors across life domains (e.g., social activities: 88%, physical health: 80.3%, emotional health: 68.3%). IPV during the pandemic and pandemic-related stressors were both associated with greater PTSD and depressive symptoms. Pandemic-related stressors were associated with worse anxiety and physical health symptoms. Neither IPV during the pandemic nor pandemic-related stressors were associated with physical health-related quality of life.
IPV experiences during the pandemic were common among women veterans, as were pandemic-related stressors. Although IPV did not increase in the context of COVID-19, IPV experiences during the pandemic and pandemic-related stressors were linked with poorer mental and physical health.