Aim:

The long-term effects of intimate partner violence (IPV) on physical health outcomes and health-related behaviors are underresearched in comparison to the effects on mental health and pregnancy. This systematic review examines the recent research in this area from 2012 through 2019.

Methods:

SCOPUS, PubMed, EBSCOhost, and gray literature were searched using the key words “intimate partner violence” and “health.” To meet inclusion criteria, studies needed to be original research and focus on IPV during adulthood and its effects on the physical health or health-related behaviors of women. Fifty-two studies were qualitatively analyzed, with results grouped into broad categories of effects, including cardiovascular, endocrine, infectious diseases, and health screening.

Results:

IPV was shown to have negative effects on physical health outcomes for women, including worsening the symptoms of menopause and increasing the risk of developing diabetes, contracting sexually transmitted infections, engaging in risk-taking behaviors including the abuse of drugs and alcohol, and developing chronic diseases and pain. It also has significant effects on human immunodeficiency virus outcomes, worsening CD4+ cell depletion. Results varied regarding the effects of IPV on cardiovascular health outcomes.

Conclusion:

The result of this review demonstrates that women who have experienced violence and abuse are at significantly increased risk of poor health outcomes in a variety of areas and so require specialized and tailored primary care. This review highlights significant gaps in this field of research, particularly in relation to cardiovascular disease, endocrine dysfunction, and neurological symptoms and conditions. It demonstrates a need for additional long-term studies in this field to better inform the health care of women who have experienced IPV and to establish the physiological mediators of these outcomes.

中文翻译：

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亲密伴侣暴力对女性身体健康和健康相关行为的影响：文献系统回顾

目标：

与对心理健康和怀孕的影响相比，亲密伴侣暴力 (IPV) 对身体健康结果和健康相关行为的长期影响研究不足。本系统综述回顾了 2012 年至 2019 年该领域的最新研究。

方法：

使用关键词“亲密伴侣暴力”和“健康”搜索 SCOPUS、PubMed、EBSCOhost 和灰色文献。为了满足纳入标准，研究需要是原创性研究，并关注成年期的 IPV 及其对女性身体健康或健康相关行为的影响。对 52 项研究进行了定性分析，结果分为广泛的影响类别，包括心血管、内分泌、传染病和健康筛查。

结果：

IPV 被证明对女性的身体健康结果有负面影响，包括恶化更年期症状和增加患糖尿病的风险、感染性传播感染、从事包括滥用药物和酒精在内的冒险行为以及发展为慢性疾病和疼痛。它还对人类免疫缺陷病毒的结果产生显着影响，使 CD4+ 细胞耗竭恶化。关于 IPV 对心血管健康结果的影响，结果各不相同。

结论：

本次审查的结果表明，遭受暴力和虐待的妇女在各个领域的健康状况不佳的风险显着增加，因此需要专门和量身定制的初级保健。这篇综述强调了这一研究领域的重大差距，特别是在心血管疾病、内分泌功能障碍以及神经系统症状和状况方面。它表明需要在该领域进行更多的长期研究，以更好地告知经历过 IPV 的女性的医疗保健，并确定这些结果的生理介质。