怀疑针对成年人的人际暴力对健康的影响:回顾性队列研究
Rui Barbosa1, Rita Lopes2, Tiago Taveira-Gomes2,3,4,5,6
1Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, Porto, Portugal.
JMIR public health and surveillance
|October 30, 2025
概括
人际暴力 (IV) 显著增加了药物滥用,精神健康障碍和身体状况的风险. 这项研究强调了暴力暴露在成年人的广泛健康后果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 临床医学 临床医学
背景情况:
- 人际暴力 (IV) 是一个重大的公共卫生问题,对健康有深远的影响.
- 根据暴力特征,幸存者,虐待者和累积暴露的情况,健康结果有所不同.
研究的目的:
- 估计怀疑IV的成年人负面健康结果的可能性.
- 具体的结果包括药物滥用,精神健康障碍和身体状况.
主要方法:
- 使用电子健康记录 (EHR) 的回顾性观察队列研究.
- 将暴力队列 (疑似IV幸存者) 与对照队列 (18-59岁) 进行了比较.
- 使用了因年龄和性别而调整的考克斯比例危险模型;10年后续.
主要成果:
- 疑似IV幸存者显示出更高的酒精滥用 (3.05),药物滥用 (6.03),自杀念头 (5.50) 和主要精神疾病 (4.46) 的危险比率.
- 观察到慢性疼痛 (3.70),睡眠障碍 (3.57),抗抑郁药 (3.57) 和抗焦虑药 (2.98) 的风险增加.
- 与代谢功能障碍相关的脂肪性肝病 (6.91),慢性免疫炎症障碍 (3.68),喘 (2.64),CKD (2.49),高胆固醇血症 (2.16),以及早期心脏病 (2.01) 发现了重要的关联.
结论:
- 暴力暴露与增加有害物质滥用,精神和体质健康结果密切相关.
- 这些发现加深了对暴力对健康负担的理解,确定了新的和验证了现有的IV健康结果关系.
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