家庭暴力对流动人口已婚育龄妇女性与生殖健康的影响

目的：了解丈夫的身体暴力或性暴力对流动人口已婚育龄妇女性与生殖健康的影响。方法：在上海市某中心城区采用以社区为基础的多阶段整群抽样方法对符合条件的流动人口已婚育龄妇女进行问卷调查，共收回有效问卷958份。结果：曾经或最近1年遭受过身体暴力或性暴力的对象有不良妊娠结局、曾经或最近1年有生殖道感染症状、性生活不和谐、曾经感到缺乏性欲和最近1年感到缺乏性欲的比例显著高于同一时期从未遭受过任何暴力的对象。Logistic回归分析发现，遭受过身体暴力或性暴力的对象有不良妊娠结局、生殖道感染、妇科疾病、性生活不和谐和缺乏性欲的危险性是未遭受过任何暴力对象的2.05～4.79倍。结论：身体暴力或性暴力对流动人口已婚育龄妇女的性与生殖健康状况有显著影响。

Effect of Domestic Violence on the Sexual and Reproductive Health of Married Migrant Women of Reproductive Age

Objective： To explore the effect of physical and/or sexual violence from husbands on the sexual and reproductive health outcomes of those married migrant women of reproductive age. Methods: A total of 958 eligible married migrant women of reproductive age were interviewed. Respondents were selected through the community-based multiple-stage sampling method in one urban district in Shanghai. Results: Respondents who had ever experienced physical or sexual violence lifetime or in the past year were significantly more likely to report that they had adverse pregnancy outcomes, symptoms of reproductive tract infections, gynecological diseases, scarce sexual desire, and sexual disharmony than women who had never experienced physical or sexual violence in the same period. After adjusting for potential influencing factors, respondents who had ever experienced physical or sexual violence lifetime or in the past year were 2.05 to 4.79 times more likely to report those above-mentioned sexual and reproductive health outcomes than women who had never experienced physical or sexual violence in the same period. Conclusions: Physical or sexual violence was strongly associated with sexual and reproductive health outcomes among those married migrant women of reproductive age.