亲密关系中男性躯体施暴行为影响因素分析

Influencing factors for male physical violence in intimate partners

目的从生态理论的角度，探讨影响亲密伴侣暴力中男性躯体施暴行为的相关因素。方法采用分层整群方便抽样的方法，在新疆地区对900名18-65岁有过婚恋经历的人群进行横断面调查的基础上，采用1：1匹配对照研究设计，以132名亲密关系中男性施暴者为研究组，132名非施暴者作为对照组，采用一般情况调查表、简版冲突策略量表（CTS2）、人格诊断问卷（PDQ-4＋）进行问卷调查。结果单因素分析结果显示，受教育程度（X^2=13．67，P=0．03）、最近1年工作状况（X^2=10．70，P=0．01）、儿时目睹父亲打母亲（X^22=7．02，P=0．03）、儿时经历父亲忽视（X^2=9．34，P=0．01）、伴侣间相处方式（X^2=7．96，P：0．02）、婚外情（X^2=12．11，P=0．01）、个性因素（X^2=11．00，P=0．00）、社区对IPV的态度（X^2=10．79，P=0．01）、对伴侣实施行为控制（X^2=18．18，P=0．00）及经济控制（X^2=61．88，P=0．00）是亲密关系暴力（IPV）中男性躯体施暴行为的危险因素；结合专业解释，将个体对IPV的态度（X^2=7．45，P=0．06）与上述10个因素作为自变量进行多因素配对logistic回归分析，结果显示，无固定工作（OR=7．51，95％CI=1．51～37．23）、儿时经历父亲忽视（OR=3．74，95％CI=1．59-8．79）、对亲密伴侣暴力持赞同态度（OR=5．7，95％CI=1．50～21．10）及对伴侣实施经济控制（OR=10．64，95％C1=4．02～28．14）为男性实施躯体暴力行为的危险因素。结论无固定工作、儿时经历父亲忽视、对暴力持赞同的态度、对伴侣有经济控制行为是男性实施躯体暴力的主要危险因素。

Objective To investigate the factors associated with physical intimate partner violence （IPV）perpetra tion among men using ecological model. Methods A 1 ： 1 case-control design was adopted and 132 men who perpetrated physicall acts of IPV were taken as the study group and 132 normal controls were matched in age and in the same neigh- borhood with the study group. All participants were assessed with brief Conflict Tactics Scale 2rd（CTS2） and Personality Diagnostic Questionnaire - 4 ＋ （ PDQ - 4 ＋ ）. Results Ten predictive variables found to be significant by univariate analysis were men with low education （X^2= 13.67, P = 0. 03 ）, men with unstable job （X^2 = 10. 70, P = 0. 01 ）, witnessing mother beaten by father in childhood （X^2 = 7.02, P = 0. 03 ）, experiencing neglect by father in childhood （X^2= 9. 34, P =0. 01 ）, partner＇ s communication pattern （X^2 = 7.96, P - 0. 02 ）, presence of extramarital affairs （X^2 = 12. 11, P = 0. 01 ）, neighbor＇s attitude toward perpetration（X^2 = 10. 79, P = 0. 01 ）, personality （X^2 = 11.00, P = 0. 00 ）, behavior control（X^2 = 18. 18, P = 0. 00）, and economic control （X^2 = 61.88, P = 0. 00 ）. Combined with professional interpretation and including individual＇s favorable attitude toward perpetration （X^2 = 7.45, P = 0. 06 ）, the results of matched pair logistic regression showed that the main risk factors contributing to male-perpetrated physical violence were men with unstable job （ odds ratio [ OR 1 = 7.51 ;95 % confidence interval [ 95 % CI] ： 1.51 - 37.23 ）, experiencing neglect by father in child hood （ OR = 3.74 ;95 % CI： 1.59 - 8.79 ）, individual＇ s favorable attitude toward perpetration （ OR = 5.70 ;95 % CI： 1.50 - 21.10） ,and economic control（ OR = 10. 64 ;95% CI：4. 02 - 28.14）. Conclusion Man with unstable job, experiencing neglect by father in chidhood, individual＇s favorable attitude toward perpetration, and economic control are major influen cing factors for intimate partner violence.