首页> 中文期刊> 《世界核心医学期刊文摘:儿科学分册》 >美国青少年和年轻成人女性抑郁症可作为暴露于亲密伴侣暴力的预测因子

美国青少年和年轻成人女性抑郁症可作为暴露于亲密伴侣暴力的预测因子

         

摘要

Objective: To examine whether depressive symptomatology is predictive of subsequent intimate partner violence victimization among a national prospective sample of female adolescents and young adults. Design: Home interview data from 2 waves of the school-based National Longitudinal Study of Adolescent Health were used to examine whether baseline depressive symptomatology was associated with increased risk of pastyear exposure to physical abuse by a current partner at 5-year follow-up,controlling for age,race/ethnicity,parental education,retrospective childhood physical and sexual abuse,and baseline dating violence and forced sex. Setting: A stratified random sample of 80 US high schools and 52 middle schools. Participants: All young women (n = 1659) were in a current opposite-sex relationship at follow-up. Main Exposure: Baseline past-week depressive symptomatology,measured as both a dichotomous and continuous variable. Main Outcome Measures: Past-year exposure to mild and moderate to severe physical abuse by a current intimate partner. Results: In adjusted models with dichotomous depressive symptoms,high baseline symptom levels were associated with 1.86 times the odds of subsequent exposure to moderate to severe partner violence (95% confidence interval,1.05-3.29). In adjusted models with continuous depressive symptoms,an increase of 1 SD in baseline symptom levels was associated with a 24% increase in odds of exposure to mild partner violence and a 24% increase in the odds of exposure to moderate to severe partner violence. Conclusions: The findings of this study suggest that depressive symptomatology among girls during adolescence is associated with increased risk of subsequent exposure to physical partner violence. Prevention,identification,and treatment of depressive symptomatology among adolescent girls may help to reduce the like-lihood of subsequent victimization.

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