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