親密伴侶暴力之傷害型態與危險因子

Injury Pattern and Risk Factors of Intimate Partner Violence

林英欽(Lin Ying-Chin)

指導教授 ： 林茂榮

臺北醫學大學/公共衛生暨營養學院/傷害防治學研究所/碩士(2005年)

摘要

親密伴侶暴力已經成為一個世界性的公衛議題，我們以病例對照研究(case control study)的方法，自八家區域級以上醫院急診室收集病例，描述及分析親密伴侶暴力的傷害情境、傷害型態、傷害嚴重度，以及導致親密伴侶暴力發生的危險因子。結果共完成了100個病例及200個對照問卷訪問。多變項配對邏輯式回歸分析結果顯示，受暴者的最近失業(勝算比1004.3)、無收入、有墮胎經驗(勝算比29.6)、個人或家庭有負債(勝算比8.06)、童年有被父母虐打(勝算比81.4)、童年有目睹暴力經驗(勝算比241.7)等因子；親密伴侶有一般民間信仰(勝算比0.02)、每月收入2-4萬(勝算比0.00)與A 型血型(勝算比0.13)與常打小孩習慣(勝算比1881.2)等因子均與親密伴侶暴力的發生有關；傷害型態的單變項分析則發現發生現場有人在場(勝算比7.12)、有頭頸部受傷(勝算比129.5)、瘀傷或擦傷的傷害型態(勝算比19.0)、傷害部位總數較多(大於4部位勝算比83.8)等現象。本結果可作為預防親密伴侶暴力及第一線急診醫療人員面對親密伴侶暴力受暴者治療的參考。

關鍵字

親密伴侶暴力 ； 傷害型態 ； 傷害嚴重度 ； 危險因子

並列摘要

Intimate partner violence has been a worldwide public problem. We conduct a case control study, collecting data from emergency department of eight hospitals. We describe the pre-violent injury condition, injury pattern and injury sites, and analyze the risk factors. The questionnaires of 100 cases and 200 controls were completed. The results of multivariate analysis of conditional logistic regression shows that recent unemployed (OR=1004.3),no income, abortion experience (OR=29.6), personal or family debt (OR=8.06), child abused experience(OR=81.4), witness violence experience(OR=241.7) are independently associated with intimate partner violence. Otherwise, the intimate partner’s religion (OR=0.02), income and blood type A(OR=0.13),child battering (OR=1881.2) are also independently associated. The results of Chi-square analysis of injury pattern revealed that someone attend (OR=7.12)、head-neck injury (OR=129.5)、bruise or abrasion(OR=19.0)、multiple injuries(≧4 sites, OR=83.8) are associated. These factors may provide the information about prevention for the intimate partner violence.

並列關鍵字

intimate partner violence ； injury pattern ； injury severity ； risk factor

參考文獻

52.黃志中，陳三能，黃文儀、張淳茜、鄧淑如、陳建州、黃瑛琪、張高賓:婚姻暴力受虐婦女的身體症狀。台灣家醫誌，2004；14:25-34。

22.章英華、傅仰止:台灣地區社會變遷基本調查計劃:第四期第二次調查計劃執行報告。台北:中央研究院社會學研究所，2002。

65.陳若璋:台灣婚姻暴力之本質、歷程與影響。婦女與兩性學刊1992;3:117-47。

67.侯玟里:受虐婦女之生命威脅狀況、創傷後反應與身心症狀之相關。高雄醫學大學護理學研究所碩士論文，2001，109頁。

28.Tjaden P, Thoennes N. Extent, nature, and consequences of intimate partner violence: findings from the National Violence Against Women Survey, research report. Washington (DC): U.S. Department of Justice; 2000a. Report for grant 93-IJ-CX-0012, funded by the U.S. Department of Justice, National Institute of Justice; and the Centers for Disease Control and Prevention. Publication No. NCJ 181867. Available at http://www.ojp.usdoj.gov/nij/pubs-sum/181867.htm