医专学生恋爱暴力与童年期虐待经历的关联

目的了解医学专科生恋爱暴力现况及其与不同形式童年期虐待的关联,为医学生恋爱暴力行为的防控提供依据。方法于2019年10-11月采用整群抽样的方法,以安徽省2所医学专科学校3727名有恋爱经历的一、二年级在校生为研究对象,了解一般人口统计学指标、童年期虐待和恋爱暴力等信息,分析不同形式童年期虐待与学生主动和被动恋爱暴力的关联。结果医学生主动恋爱暴力检出率为37.8%,被动恋爱暴力检出率为27.8%。女生童年期情感虐待检出率(61.9%)高于男生(51.6%),男生童年期躯体虐待(28.2%)和性虐待检出率(19.4%)高于女生(24.3%和10.5%)(χ~2值分别为33.84,6.33,52.97,P值均<0.01)。控制相关混杂因素的影响,童年期情感虐待、躯体虐待和性虐待均可能增加大学生恋爱关系中主动暴力OR值(OR值95%CI)分别为1.71(1.48~1.98)、1.55(1.33~1.82)、1.75(1.43~2.15)]和被动暴力的风险OR值(OR值95%CI)分别为1.84(1.43~2.16)、1.59(1.34~1.87)、1.62(1.32~2.00)](P值均<0.01)。童年期虐待和主被动恋爱暴力关联的强度性别间差异无统计学意义(P值均>0.05)。结论童年期虐待经历与医学生恋爱暴力的增加有关,减少童年期虐待有益于医学生恋爱暴力行为的防控。

Relationship between childhood abuse and dating violence perpetration and victimization among medical college students

Objective The purpose of the current study was to determinate the prevalence of dating violence perpetration and victimization and to examine its relationship with childhood abuse among medical college students.Methods Cluster sampling survey was carried out among 3727 freshmen and sophomores in two medical colleges from Anhui Province.Information with general demographic variables,childhood abuse and dating violence was obtained.Logistic regression was used to identify the relationship of different types of childhood abuse and dating violence after controlled for confounding factors.Results The rate of dating violence perpetration and victimization was 37.8%and 27.8%,respectively.Female students had higher childhood emotional abuse experience(61.9%)than male students(51.6%),while male students had higher childhood physical and sexual abuse(28.2%and19.4%)than females(24.3%and 10.5%)(χ~2=33.84,6.33,52.97,P<0.01).Results showed that increased dating violence perpetrationOR(95%CI)=1.71(1.48-1.98),1.55(1.33-1.82),1.75(1.43-2.15)]and victimizationOR(95%CI)=1.84(1.43-2.16),1.59(1.34-1.87),1.62(1.32-2.00)](P<0.01)among individuals with physical,emotional and sexual abuse after controlling for confounding variables.No gender difference was found within other groups in the relationship between childhood abuse and dating violence(P>0.05).Conclusion Childhood abuse experiences are associated with higher risk of dating violence perpetration and victimization among college students.Reducing childhood abuse is beneficial to the prevention and control of dating violence among medical college students.