斯里兰卡亲密伴侣暴力,自杀和自我伤害:对国家数据的分析
Piumee Bandara1,2,3, Andrew Page3, Thilini Rajapakse2,4
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
PloS one
|March 21, 2024
概括
亲密伴侣暴力 (IPV) 在斯里兰卡显著增加了自我伤害的风险,特别是在冲突后的地区. 解决IPV对于全国自杀预防工作至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 亲密伴侣暴力 (IPV) 越来越多地与全球和南亚的自我伤害有关.
- IPV,自杀和自我伤害之间的关联需要进一步研究,特别是在国家层面.
研究的目的:
- 调查斯里兰卡IPV,自杀和自我伤害的区域级变化.
- 探索个人暴露于过去一年的IPV和家庭层面的自我伤害之间的联系.
主要方法:
- 使用了斯里兰卡的国家数据集.
- 采用多级逻辑回归模型,根据年龄进行调整.
- 检查了区域层面的分布和个人层面的协会.
主要成果:
- 在冲突后的地区 (巴蒂卡洛亚,基利诺奇,穆拉伊蒂夫) 的IPV和自杀率更高.
- 过去一年的IPV暴露与家庭自我伤害有很强的相关性 (AOR=3.83).
- 身体/性虐待 (AOR=5.17) 和心理虐待 (AOR=4.64) 显示出显著的关联.
- 在滥用频率和自我伤害风险之间观察到剂量反应关系.
结论:
- 在斯里兰卡,IPV是导致自杀行为的重要危险因素.
- 解决IPV应该是国家预防自杀战略的优先事项.
- 在冲突后的环境中,以减轻自伤风险,创伤为基础的护理是必不可少的.
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