000			04880nab a22004097a 4500
999			_c8024 _d8024
005			20250625151631.0
008			230306s2023 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aMellar, Brooklyn M. _911655
245			_aAssociation between men’s exposure to intimate partner violence and self-reported health outcomes in New Zealand _cBrooklyn M. Mellar, Pauline J. Gulliver, Vanessa Selak, Ladan Hashemi, Tracey K.D. McIntosh and Janet L. Fanslow
260			_bJAMA Network, _c2023
500			_aJAMA Network Open, 2023, 6(1):e2252578
520			_aImportance Health implications of intimate partner violence (IPV) against men is relatively underexplored, although substantial evidence has identified associations between IPV and long-term physical health problems for women. Given the gendered differences in IPV exposure patterns, exploration of men’s IPV exposure and health outcomes using population-based samples is needed. Objective To assess the association between men’s lifetime IPV exposure and self-reported health outcomes. Design, Setting, and Participants This cross-sectional study analyzed data from the 2019 New Zealand Family Violence Study, which was conducted across 3 regions of New Zealand. The representative sample included ever-partnered men aged 16 years or older. Data analysis was performed between May and September 2022. Exposures Lifetime IPV against men by types (physical [severe or any], sexual, psychological, controlling behaviors, and economic abuse), any IPV (at least 1 type), and number of IPV types experienced. Main Outcomes and Measures The 7 health outcomes were poor general health, recent pain or discomfort, recent use of pain medication, frequent use of pain medication, recent health care consultation, any diagnosed physical health condition, and any diagnosed mental health condition. Results The sample comprised 1355 ever-partnered men (mean [SD] age, 51.3 [16.9] years), who predominantly identified as heterosexual (96.9%; 95% CI, 95.7%-97.8%). Half of the sample (49.9%) reported experiencing any lifetime IPV, of whom 62.1% reported at least 2 types. Of all sociodemographic subgroups, unemployed men had the greatest prevalence of reporting exposure to any IPV (69.2%) and all IPV types. After adjustment for sociodemographic factors, men’s exposure to any lifetime IPV was associated with an increased likelihood of reporting 4 of the 7 assessed health outcomes: poor general health (adjusted odds ratio [AOR], 1.78; 95% CI, 1.34-2.38), recent pain or discomfort (AOR, 1.65; 95% CI, 1.21-2.25), recent use of pain medication (AOR, 1.27; 95% CI, 1.00-1.62), and any diagnosed mental health condition (AOR, 1.66; 95% CI, 1.11-2.49). Specific IPV types were inconsistently associated with poor health outcomes. Any physical IPV exposure was associated with poor general health (AOR, 1.80; 95% CI, 1.33-2.43), recent pain or discomfort (AOR, 2.23; 95% CI, 1.64-3.04), and frequent use of pain medication (AOR, 1.69; 95% CI, 1.08-2.63), which appeared to be associated with exposure to severe physical IPV. Exposure to sexual IPV, controlling behaviors, and economic abuse was not associated with any assessed outcomes after sociodemographic adjustment. Experience of a higher number of IPV types did not show a clear stepwise association with number of health outcomes. Conclusions and Relevance Results of this study indicate that exposure to IPV can adversely affect men’s health but is not consistently a factor in men’s poor health at the population level. These findings do not warrant routine inquiry for IPV against men in clinical settings, although appropriate care is needed if IPV against men is identified. (Authors' abstract). Record #8024
650			_aABUSED MEN _924
650			_aCOERCIVE CONTROL _95771
650			_aDOMESTIC VIOLENCE _9203
650			_aECONOMIC ABUSE _93432
650			_aHEALTH _9283
650			_aINTIMATE PARTNER VIOLENCE _9431
650		4	_9439 _aPHYSICAL ABUSE
650			_aRISK FACTORS _9505
650		4	_aSEXUAL VIOLENCE _9531
650			_aSURVEYS _9592
650		0	_99837 _a2019 NZ Family Violence Study | He Koiora Matapopore
650		4	_aVICTIMS OF DOMESTIC VIOLENCE _9624
651		4	_aNEW ZEALAND _92588
700			_92705 _aGulliver, Pauline
700			_aSelak, Vanessa _911656
700			_aHashemi, Ladan _99605
700			_aMcIntosh, Tracey. _92985
700			_aFanslow, Janet L. _91129
773	0		_tJAMA Network Open, 2023, 6(1):e2252578
830			_aJAMA Network Open _911657
856			_uhttps://dx.doi.org/10.1001/jamanetworkopen.2022.52578 _zDOI: 10.1001/jamanetworkopen.2022.52578 (Open access)
856			_uhttps://www.scoop.co.nz/stories/GE2303/S00012/partner-violence-is-making-kiwis-sick.htm _yRead related media release (4/3/2023)
942			_2ddc _cARTICLE _hnews118