Background 

Cardiovascular disease (CVD) and intimate partner violence (IPV) are 2 major chronic problems that prevalently affect women's health and quality of life in the United States. However, whether female IPV survivors are at risk for developing adverse cardiovascular outcomes has not been clearly understood.

Objective 

This integrative review was conducted to bridge the literature gap by examining cardiovascular health in female adults with a history of IPV experience.

Methods 

Three electronic databases including PubMed, CINAHL, and Web of Science were used to search for studies published between 1998 and 2019. The search process followed the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines.

Results 

Of the 229 records retrieved from the literature, 19 met the criteria for review. All included studies were quantitative research. Although the overall findings showed a mixed relationship between IPV and CVD, women who experienced abuse were more likely to engage in unhealthy behaviors, have higher levels of CVD biomarkers, experience cardiovascular symptoms, and exhibit long-term cardiovascular complications when compared with nonabused women.

Conclusions 

Intimate partner violence is a stressor that directly and indirectly influences women's cardiovascular health. Therefore, it is essential for healthcare providers to routinely screen IPV status in clinical practice. Targeted interventions, such as assessing women's coping strategies and evaluating their cardiovascular health using a total risk factor approach, are recommended to prevent or reduce the deleterious effects of violence on this large, vulnerable group of women.

中文翻译：

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经历过亲密伴侣暴力的女性的心血管风险和结果：综合评价。

背景 

心血管疾病 (CVD) 和亲密伴侣暴力(IPV) 是在美国普遍影响女性健康和生活质量的两大慢性问题。然而，女性 IPV 幸存者是否有发生不良心血管结局的风险尚不清楚。

目标 

本综合综述旨在通过检查有 IPV 经历的女性成年人的心血管健康状况来弥补文献空白。

方法 

使用包括 PubMed、CINAHL 和 Web of Science 在内的三个电子数据库来搜索 1998 年至 2019 年间发表的研究。搜索过程遵循系统评价和元分析的首选报告项目指南。

结果 

在从文献中检索到的 229 条记录中，有 19 条符合审查标准。所有纳入的研究均为定量研究。尽管总体研究结果显示 IPV 与 CVD 之间存在混合关系，但与未受虐待的女性相比，遭受虐待的女性更有可能从事不健康的行为、具有更高水平的 CVD 生物标志物、出现心血管症状并出现长期心血管并发症。

结论 

亲密伴侣暴力是一种直接或间接影响女性心血管健康的压力源。因此，医疗保健提供者在临床实践中常规筛查 IPV 状态至关重要。建议采取有针对性的干预措施，例如评估妇女的应对策略和使用总体风险因素方法评估她们的心血管健康，以预防或减少暴力对这一庞大的弱势妇女群体的有害影响。