Affiliation:
1. Institute of Applied Health Research College of Medical and Dental Sciences University of Birmingham United Kingdom
2. Warwick Medical School University of Warwick Coventry United Kingdom
3. School of Nursing College of Medical and Dental Sciences University of Birmingham United Kingdom
4. Birmingham Women's and Children's Hospitals NHS Foundation Trust Birmingham United Kingdom
5. The Department of Economics University of Birmingham United Kingdom
Abstract
Background
Domestic abuse (
DA
) against women is a global public health problem. Although the possible health burden could be substantial, the associations between
DA
and subsequent cardiometabolic disease (cardiovascular disease, hypertension, and type 2 diabetes mellitus) and all‐cause mortality are poorly understood.
Methods and Results
This retrospective cohort study consisted of
UK
‐based primary care patients between January 1, 1995, to December 1, 2017. Overall, 18 547 women exposed to
DA
were matched to 72 231 unexposed women by age and lifestyle factors. The main outcomes, presented as adjusted incidence rate ratios (
IRRs
), were the risk of developing cardiovascular disease, hypertension, type 2 diabetes mellitus, and all‐cause mortality. In total, 181 exposed women experienced a cardiovascular disease event compared with 644 of the unexposed control group, relating to an increased adjusted
IRR
of 1.31 (95%
CI
, 1.11–1.55;
P
=0.001). There was also an increased risk of subsequent type 2 diabetes mellitus (adjusted IRR: 1.51; 95%
CI
, 1.30–1.76;
P
<0.001) and all‐cause mortality (adjusted IRR: 1.44; 95%
CI
, 1.24–1.67;
P
<0.001) following exposure to
DA
. This observation was not seen with hypertension (adjusted
IRR
: 0.99; 95%
CI
, 0.88–1.12;
P
=0.873).
Conclusions
There is an increased risk of subsequent cardiovascular disease, type 2 diabetes mellitus, and all‐cause mortality in female survivors of
DA
. However, there is no association with the development of hypertension in this group, in keeping with previous literature. Considering the high prevalence of
DA
, clinicians should be made aware of the disproportionally increased risk and thus are encouraged to manage modifiable risk factors actively in this group.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Cardiology and Cardiovascular Medicine
Reference44 articles.
1. Flatley J. Intimate Personal Violence and Partner Abuse. UK: Office for National Statistics (2016). Available at: https://www.istat.it/it/files/2017/11/Intimate-personal-violence-and-partner-abuse.pdf.
2. The world report on violence and health
3. Recent intimate partner violence against women and health: a systematic review and meta-analysis of cohort studies
Cited by
61 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献