Marital Violence and Access to Health Care : How Does Socioeconomic Status Affect the Association?

by 麻希 梅田

Institution: University of Tokyo
Year: 2013
Record ID: 1236424
Full text PDF: http://hdl.handle.net/2261/55607


This study exploratorily examined the socioeconomic conditions that affect the health care utilization in marital violence. As a part of this study, the scales that measure intimate partner violence (IPV), the Revised Conflict Tactics Scales Short Form (CTS2SF), was translated into Japanese and its reliability and validity were examined by an internet survey. The internal consistency of the Japanese version of CTS2 Short Form (J-CTS2SF) was generally low because of the small number of items that measure different levels/types of IPV. The test-retest reliability was high, and the concurrent validity indicated the good ability of J-CTS2SF to capture the incidences of IPV. Secondary analysis was conducted on the data derived from the Japanese Study of Stratification, Health, Income, and Neighborhood (J-SHINE). Multiple logistic regression and mediation analysis were conducted on the data of 2,984 male and female community residents aged 25 to 50 years. The likelihood of using health care among those experiencing marital violence was 1.36 higher than that among those without marital violence (p = 0.002). The likelihood of health care utilization in the presence of marital violence to the absence of marital violence was lower among those out of employment compared to among those in employment at the 0.10 level (OR = 0.66, p = 0.086). Mastery, health literacy, instrumental support, and informational support did not account for the moderation by the socioeconomic conditions. Gender difference was found in the moderating effect of employment. Factors that explain the moderating effect of employment and its gender difference need to be explored in future studies. 報告番号: ; 学位授与年月日: 2013-03-25 ; 学位の種別: 課程博士 ; 学位の種類: 博士(保健学) ; 学位記番号: ; 研究科・専攻: 医学系研究科健康科学・看護学専攻