目的:比较湖南省不同地区家庭暴力的发生状况,为不同地区的家庭暴力预防提供依据。方法:采用多级分层抽样方法,在湖南省境内的城市、工业地区和农村分别抽取3087户、3070户和3294户家庭,共涉及32720人。以多种形式的线索调查与深入细致的入户调查相结合的方式进行家庭暴力现况调查。结果:城市、工业和农村三地区之间不同类型的家庭暴力发生率和年内发生率差异均具有统计学显著性(P〈0.01),其中夫妻暴力(12.4%、14.5%、3.3%)、虐待儿童发生率(5.9%、16.3%、0.5%)均以工业地区最高,虐待老人以农村最高(6.8%、1.0%、2.6%)。但在夫妻独子和夫妻多子家庭中,夫妻暴力以城市最高(15.7%、16.0%,P〈0.01)。在多代大家庭中,虐待老人以城市最高(12.6%、P〈0.05)。夫妻暴力、虐待儿童和虐待老人的共发生率以农村最高,但三地区的差异无统计学显著性(P〉0.05)。一年中农村的家庭暴力发生频率高于城市(7.9±7.4/5.9±6.6,P〈0.05)。结论:不同地区不同类型的家庭暴力发生率有所不同。工业区和城市的家庭暴力发生率较高,农村虐待老人的发生率较高。但在夫妻独子和夫妻多子家庭中,夫妻暴力以城市最高,在多代大家庭中,虐待老人也以城市最高。农村家庭暴力的发生频率以及三种类型的共发生率均较高。
Objective: To compare the current status of domestic violence (DV) by geographic settings in Hunan province. Methods. Using a multi-stage sampling strategy, 3087 households in urban, 3070 in rural areas and 3294 in industrial district in Hunan were surveyed. Multiform clue investigation and face-to-face interviews were combined to investigate the current status of DV. Results: The lifetime and 12-month prevalence of spousal abuse, child abuse and elder abuse varied significantly by geographic settings (P 〈 0. 01 ) . Spousal and child abuse were significantly higher (14. 5%, 16. 3%), elder abuse was significantly less common among industrial district and urban households compared to rural households ( 1.0%, 0. 8%, 2.6%, P 〈 0. 01 ) . However spousal abuse was significandy higher in urban households of couples with one and more than child ( 15.7%, 16.0%, P 〈0. 011 , and elder abuse was significantly higher in urban households of multigenerational families ( 12.6%, 3.9%, 3.3%, P 〈0. 05 ) . The frequency of DV was higher in rural compared to urban households (7. 9 ± 7.4/5.9 ±6.6, P 〈 0. 05 ) . Conclusions: The prevalence of DV varied significantly by geographic settings. The prevalence of DV is low. However elder abuse is higher in rural households among geographic settings, with higher frequency of DV, higher rate of spousal, child and eider abuse.