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Instituto Nacional de Salud Pública

2006, Número S2

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salud publica mex 2006; 48 (S2)


Violencia durante el noviazgo, depresión y conductas de riesgo en estudiantes femeninas (12-24 años)

Rivera-Rivera L, Allen B, Rodríguez-Ortega G, Chávez-Ayala R, Lazcano-Ponce E

Idioma: Español
Referencias bibliográficas: 109
Paginas: 288-296
Archivo PDF: 103.88 Kb.


RESUMEN

Objetivo. Conocer la prevalencia de la violencia durante el noviazgo y su nexo con la depresión y las conductas de riesgo en una muestra de estudiantes femeninas del estado de Morelos. Material y métodos. El estudio se efectuó en una cohorte de 13 293 estudiantes de 12 a 24 años de edad de escuelas públicas del estado de Morelos durante el ciclo escolar 1998-1999. Los participantes provienen de una selección aleatoria de 260 escuelas secundarias, 92 escuelas preparatorias y una universidad. Para fines de la investigación se seleccionó a un total de 4 587 alumnas, todas con el antecedente de relaciones de noviazgo. Para controlar las posibles variables de confusión, se recurrió a un análisis de regresión logística múltiple. Resultados. La prevalencia total de violencia durante el noviazgo en mujeres de escuelas públicas de Morelos fue de 28%. Las siguientes variables se vincularon con violencia durante el noviazgo: depresión (RM=1.92; IC95% 1.61-2.28); consumo de tabaco (RM=1.31; IC95% 1.06-1.60); abuso de alcohol (RM=1.30; IC95% 1.12-1.51); bajo rendimiento escolar (promedio de calificaciones de 7 o menor) (RM=1.25; IC95% 1.03-1.52); antecedente de relaciones sexuales (RM=1.52; IC95% 1.26-1.82). Conclusiones. Los resultados indican con claridad que las mujeres sufren violencia de pareja desde las relaciones de noviazgo. Los profesionales de la salud y la educación requieren establecer medidas de intervención para prevenir y atender el problema de la violencia en el noviazgo entre las estudiantes; tales medidas deben tomar en cuenta la relación entre la depresión y la violencia, además del conjunto de comportamientos riesgosos relacionados.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Makepeace JM. Courtship violence among college students. Fam Relat 1981;30:97-102.

  2. Kanin EJ. Male aggression in dating courtship relationships. Am J Sociol 1957;63:197-204.

  3. Swart LA, Mohamed-Seedat GS, Izabel R. Violence in adolescents’ romantic relationships: findings form a survey amongst school going youth in a South African community. J Adolesc 2002;25:385-395.

  4. Howard DE, Wang MQ. Risk profiles of adolescent girls who were victims of dating violence. Adolescence 2003;38:1-14.

  5. Tucker HC, Oslak SG, Young ML et al. Partner violence among adolescents in opposite-sex romantic relationships: findings from the National Longitudinal Study of Adolescent Health. Am J Public Health 2001;91:1679-1685.

  6. Wolfe AD, Scout K, Wekerle C et al. Child maltreatment: risk of adjustment problems and dating violence in adolescence. J Am Acad Child Adolesc Psychiatry 2001;40:282-289.

  7. Ackard MD, Ztainer DN, Stat HP. Dating violence among a nationally representative sample of adolescent girls boys associations with behavioral and mental health. J Gend Specif Med 2003;6:39-48.

  8. Silverman JG, Raj A, Mucci L et al. Dating violence against adolescent girl and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA 2001;286:572-579.

  9. Feiring C, Beblinger E, Hoch-Espada A et al. Romantic relationship aggression and attitudes in high school students: the role of gender, grade, and attachment and emotional styles. J Youth Adolesc 2002;31:373-385.

  10. Wingood GM, DiClemente RJ, Hubbard-McCree D et al. Dating violence

  11. and the sexual health of black adolescent females. Pediatrics 2001;107(5):e72. Disponible en: www.pediatrics.org/cgi/content/full/107/5/e72

  12. Malik S, Sorenson BS, Aneshensel SC. Community and dating violence among adolescents: perpetration and victimization. J Adolesc Health 1997;21:291-302.

  13. Flannery DJ, Singer MI, Wester K. Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry 2001;40(4):435-42.

  14. Marshall LL, Rose P. Premarital violence: the impact of family of origin violence, stress, and reciprocity. Violence Vict 1990;5(1):51-64

  15. Wekerle C, Wolfe DA, Hawkins DL et al. Childhood maltreatment, posttraumatic stress symptomatology, and adolescent dating violence: considering the value of adolescent perceptions of abuse and a trauma mediational model. Dev Psychopathol 2001;13(4):847-71.

  16. Magdol L, Moffitt TE, Caspi A, et al. Gender differences in partner violence in a birth cohort of 21 year olds: bridging the gap between clinical and epidemiological approaches. J Consult Clin Psychol 1997;65:68-72.

  17. Berman L. Dating violence among high school students. Soc Work 1992;37:21-27.

  18. Roscoe B, Benaske N. Courtship violence experienced by abused wives: similarities in patterns of abuse. Fam Relat 1985;34:419-424.

  19. O’Leary KD, Barling J, Arias J et al. Prevalence and stability of physical aggression between spouses: a longitudinal analysis. J Consult Clin Psychol 1989;547:263-268.

  20. Valdez R y Shrader E. Violencia doméstica en una micro región en Ciudad Nezahualcoyotl. En: La luna a veces tiene miedo. México, D.F.: Cecovid Ediciones, 1992.

  21. Ramírez JC y Uribe G. Mujer y violencia: un hecho cotidiano. Salud Publica Mex 1993; 35:148-160.

  22. Granados Shiroma M y Madrigal R. Salud reproductiva y violencia contra la mujer. Un análisis desde la perspectiva de género (el caso de la zona metropolitana de Monterrey). En: Los silencios de la salud reproductiva: violencia, sexualidad y derechos reproductivos. México: Asociación Mexicana de Población (AMEP) / Fundación John D. y Catherine T. MacArthur 1998:55-106.

  23. Alvarado-Zaldívar G, Salvador Moysén J, Estrada Martínez S et al. Prevalencia de violencia doméstica en la ciudad de Durango. Salud Publica Mex 1998;40: 481-486.

  24. Rivera-Rivera L, Lazcano-Ponce E, Salmerón-Castro J et al. Prevalence and determinants of male partner violence against Mexican women: A population-based study. Salud Publica Mex 2004;46:113-122.

  25. Lazcano-Ponce EC, Hernández B, Cruz-Valdez A et al. Chronic disease risk factors among healthy adolescents attending public schools in the state of Morelos, Mexico. Arch Med Res 2003;34(3):222-236.

  26. Bronfman M, Guiscafré H, Castro V et al. La medición de la desigualdad: una estrategia metodológica, análisis de las características socioeconómicas de la muestra. Arch Invest Med (Mex) 1988;19:351-360.

  27. Zung WWK. A self-rating depression scale. Arch Gen Psychiatry 1983;4:467-482.

  28. Flay BR, Hu FB, Richardson J. Psychosocial predictors of different stages of cigarette smoking among high school students. Prev Med 1998;27:A9-A18.

  29. Arillo-Santillán E, Lazcano-Ponce E, Hernández-Ávila M et al. Associations between individual and contextual factors and smoking in 13 293 Mexican students. Am J Prev Med 2005;28(1):41-51.

  30. Strauss MA, Gelles RJ. Societal change and change in family violence from 1975 to 1985 as revealed by two national surveys. J Marriage Fam 1986;48:465-479.

  31. Rivera-Rivera L, Lazcano-Ponce E, Salmerón-Castro J, Salazar-Martínez E, Castro-Pérez R, Hernández-Avila M. Prevalence and determination of gender violence among mexican women. Salud Publica Mex 2004;46:113-122.

  32. Caballero-Gutiérez MA, Ramos-Lira L. Violencia: una revisión del tema dentro del marco de trabajo de investigación en el Instituto Nacional de Psiquiatría. Salud Mental 2004;27(2):21-30.

  33. Jessor R. Risk behaviors in adolescence a psychological framework for understanding and action. J Adolesc Health 1991;12:597-605.

  34. Symons PY, Groer MW, Kepler-Youngblood P et al. Prevalence and predictors of adolescent dating violence. J Child Adolesc Psychiatry Mental Health Nurs 1994;7:14-23.

  35. Kreiter S, Krowchuk D, Woods C et al. Gender differences in risk behaviors among adolescents who experience date fighting. Pedriatrics 1999;104:1286-1292.

  36. Coker AL, McKeown RE, Sanderson M et al. Severe dating violence and quality of life among South Carolina high school students. Am J Prev Med 2000;19:220-7.

  37. Choquet M, Darves-Bornoz JM, Ledoux S et al. Self-reported health and behavioral problems among adolescent victims of rape in France: results of a cross-sectional survey. Child Abuse Negl 1997;21(9):823-32.

  38. Symons PY, Groer MW, Kepler-Youngblood P et al. Prevalence and predictors of adolescent dating violence. J Child Adolesc Psychiatry Nurs 1994;7:14-23.

  39. Schwartz M, O’Leary SG, Kendziora KT. Dating aggression among high school students. Violence Vict 1997;124:295-305.

  40. Foshee VA, Linder F, MacDougall J et al. Gender differences in the longitudinal predictors of adolescent dating violence. Prev Med 2001;32: 128-141.

  41. Foshee VA, Barman KE, Arriaga XB et al. An evaluation of safe dates, an adolescent dating violence prevention program. Am J Public Health 1998;88(1):45-50.

  42. Jaffe PG, Sudermann M, Reitzel D et al. An evaluation of a secondary school primary prevention program on violence in intimate relationships. Violence Vict 1992;7(2):129-46.

  43. MacGowan MJ. An evaluation of a dating violence prevention program for middle school students. Violence Vict 1997;12(3):223-35.

  44. DuRant RH, Altman D, Wolfson M et al. Exposure to violence and victimization, depression, substance use, and the use of violence by young adolescents. J Pediatr 2000;137:707-13.

  45. Taylor RR, Jason LA. Chronic fatigue, abuse-related traumatization, and psychiatric disorders in a community-based sample. Soc Sci Med 2002;55:247-256.

  46. Ramos BM, Carlson BE, McNutt LA. Lifetime abuse, mental health, and african american women. J Fam Violence 2004;19(3):153-164.

  47. Johnson JG, Cohen P, Gould MS et al. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry 2002;59:741-749.

  48. Gorcey M, Santiago JM, McCall-Perez F. Psychological consequences for women sexually abused in childhood. Soc Psychiatry 1986;21:129-33.

  49. González-Forteza C, Ramos-Lira L, Caballero-Gutierrez MA et al. Correlatos psicosociales de depresión e intento suicida en adolescentes mexicanos. Psicothema 2003;15(4):524-532.

  50. Ramos-Lira L, Saltijeral MT, Caballero MA. Impacto de la violencia en la salud mental. Estado actual y perspectivas. Salud Mental 1996;19(suppl.):19-32.

  51. Ackar DM, Neumark-Sztainer D. Date violence and date rape among adolescents: associations with disordered eating behaviors and psychological health. Child Abuse Negl 2002;26(5):455-73.

  52. Hibbard RA, Ingersoll GM, Orr DP. Behavioral risk, emotional risk, and child abuse among adolescents in a nonclinical setting. Pediatrics 1990;86(6):896-901.

  53. Flannery DJ, Singer MI, Wester K. Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry 2001;40(4):435-42.

  54. Marshall LL, Rose P. Premarital violence: the impact of family of origin violence, stress, and reciprocity. Violence Vict 1990;5(1):51-64.

  55. Wekerle C, Wolfe DA, Hawkins DL et al. Childhood maltreatment, posttraumatic stress symptomatology, and adolescent dating violence: considering the value of adolescent perceptions of abuse and a trauma mediational model. Dev Psychopathol 2001;13(4):847-71.

  56. Makepeace JM. Courtship violence among college students. Fam Relat 1981;30:97-102.

  57. Kanin EJ. Male aggression in dating courtship relationships. Am J Sociol 1957;63:197-204.

  58. Swart LA, Mohamed-Seedat GS, Izabel R. Violence in adolescents’ romantic relationships: findings form a survey amongst school going youth in a South African community. J Adolesc 2002;25:385-395.

  59. Howard DE, Wang MQ. Risk profiles of adolescent girls who were victims of dating violence. Adolescence 2003;38:1-14.

  60. Tucker HC, Oslak SG, Young ML et al. Partner violence among adolescents in opposite-sex romantic relationships: findings from the National Longitudinal Study of Adolescent Health. Am J Public Health 2001;91:1679-1685.

  61. Wolfe AD, Scout K, Wekerle C et al. Child maltreatment: risk of adjustment problems and dating violence in adolescence. J Am Acad Child Adolesc Psychiatry 2001;40:282-289.

  62. Ackard MD, Ztainer DN, Stat HP. Dating violence among a nationally representative sample of adolescent girls boys associations with behavioral and mental health. J Gend Specif Med 2003;6:39-48.

  63. Silverman JG, Raj A, Mucci L et al. Dating violence against adolescent girl and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA 2001;286:572-579.

  64. Feiring C, Beblinger E, Hoch-Espada A et al. Romantic relationship aggression and attitudes in high school students: the role of gender, grade, and attachment and emotional styles. J Youth Adolesc 2002;31:373-385.

  65. Wingood GM, DiClemente RJ, Hubbard-McCree D et al. Dating violence and the sexual health of black adolescent females. Pediatrics 2001;107(5):e72. Disponible en: www.pediatrics.org/cgi/content/full/107/5/e72

  66. Malik S, Sorenson BS, Aneshensel SC. Community and dating violence among adolescents: perpetration and victimization. J Adolesc Health 1997;21:291-302.

  67. Flannery DJ, Singer MI, Wester K. Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry 2001;40(4):435-42.

  68. Marshall LL, Rose P. Premarital violence: the impact of family of origin violence, stress, and reciprocity. Violence Vict 1990;5(1):51-64

  69. Wekerle C, Wolfe DA, Hawkins DL et al. Childhood maltreatment, posttraumatic stress symptomatology, and adolescent dating violence: considering the value of adolescent perceptions of abuse and a trauma mediational model. Dev Psychopathol 2001;13(4):847-71.

  70. Magdol L, Moffitt TE, Caspi A, et al. Gender differences in partner violence in a birth cohort of 21 year olds: bridging the gap between clinical and epidemiological approaches. J Consult Clin Psychol 1997;65:68-72.

  71. Berman L. Dating violence among high school students. Soc Work 1992;37:21-27.

  72. Roscoe B, Benaske N. Courtship violence experienced by abused wives: similarities in patterns of abuse. Fam Relat 1985;34:419-424.

  73. O’Leary KD, Barling J, Arias J et al. Prevalence and stability of physical aggression between spouses: a longitudinal analysis. J Consult Clin Psychol 1989;547:263-268.

  74. Valdez R y Shrader E. Violencia doméstica en una micro región en Ciudad Nezahualcoyotl. En: La luna a veces tiene miedo. México, D.F.: Cecovid Ediciones, 1992.

  75. Ramírez JC y Uribe G. Mujer y violencia: un hecho cotidiano. Salud Publica Mex 1993; 35:148-160.

  76. Granados Shiroma M y Madrigal R. Salud reproductiva y violencia contra la mujer. Un análisis desde la perspectiva de género (el caso de la zona metropolitana de Monterrey). En: Los silencios de la salud reproductiva: violencia, sexualidad y derechos reproductivos. México: Asociación Mexicana de Población (AMEP) / Fundación John D. y Catherine T. MacArthur 1998:55-106.

  77. Alvarado-Zaldívar G, Salvador Moysén J, Estrada Martínez S et al. Prevalencia de violencia doméstica en la ciudad de Durango. Salud Publica Mex 1998;40: 481-486.

  78. Rivera-Rivera L, Lazcano-Ponce E, Salmerón-Castro J et al. Prevalence and determinants of male partner violence against Mexican women: A population-based study. Salud Publica Mex 2004;46:113-122.

  79. Lazcano-Ponce EC, Hernández B, Cruz-Valdez A et al. Chronic disease risk factors among healthy adolescents attending public schools in the state of Morelos, Mexico. Arch Med Res 2003;34(3):222-236.

  80. Bronfman M, Guiscafré H, Castro V et al. La medición de la desigualdad: una estrategia metodológica, análisis de las características socioeconómicas de la muestra. Arch Invest Med (Mex) 1988;19:351-360.

  81. Zung WWK. A self-rating depression scale. Arch Gen Psychiatry 1983;4:467-482.

  82. Flay BR, Hu FB, Richardson J. Psychosocial predictors of different stages of cigarette smoking among high school students. Prev Med 1998;27:A9-A18.

  83. Arillo-Santillán E, Lazcano-Ponce E, Hernández-Ávila M et al. Associations between individual and contextual factors and smoking in 13 293 Mexican students. Am J Prev Med 2005;28(1):41-51.

  84. Strauss MA, Gelles RJ. Societal change and change in family violence from 1975 to 1985 as revealed by two national surveys. J Marriage Fam 1986;48:465-479.

  85. Rivera-Rivera L, Lazcano-Ponce E, Salmerón-Castro J, Salazar-Martínez E, Castro-Pérez R, Hernández-Avila M. Prevalence and determination of gender violence among mexican women. Salud Publica Mex 2004;46:113-122.

  86. Caballero-Gutiérez MA, Ramos-Lira L. Violencia: una revisión del tema dentro del marco de trabajo de investigación en el Instituto Nacional de Psiquiatría. Salud Mental 2004;27(2):21-30.

  87. Jessor R. Risk behaviors in adolescence a psychological framework for understanding and action. J Adolesc Health 1991;12:597-605.

  88. Symons PY, Groer MW, Kepler-Youngblood P et al. Prevalence and predictors of adolescent dating violence. J Child Adolesc Psychiatry Mental Health Nurs 1994;7:14-23.

  89. Kreiter S, Krowchuk D, Woods C et al. Gender differences in risk behaviors among adolescents who experience date fighting. Pedriatrics 1999;104:1286-1292.

  90. Coker AL, McKeown RE, Sanderson M et al. Severe dating violence and quality of life among South Carolina high school students. Am J Prev Med 2000;19:220-7.

  91. Choquet M, Darves-Bornoz JM, Ledoux S et al. Self-reported health and behavioral problems among adolescent victims of rape in France: results of a cross-sectional survey. Child Abuse Negl 1997;21(9):823-32.

  92. Symons PY, Groer MW, Kepler-Youngblood P et al. Prevalence and predictors of adolescent dating violence. J Child Adolesc Psychiatry Nurs 1994;7:14-23.

  93. Schwartz M, O’Leary SG, Kendziora KT. Dating aggression among high school students. Violence Vict 1997;124:295-305.

  94. Foshee VA, Linder F, MacDougall J et al. Gender differences in the longitudinal predictors of adolescent dating violence. Prev Med 2001;32: 128-141.

  95. Foshee VA, Barman KE, Arriaga XB et al. An evaluation of safe dates, an adolescent dating violence prevention program. Am J Public Health 1998;88(1):45-50.

  96. Jaffe PG, Sudermann M, Reitzel D et al. An evaluation of a secondary school primary prevention program on violence in intimate relationships. Violence Vict 1992;7(2):129-46.

  97. MacGowan MJ. An evaluation of a dating violence prevention program for middle school students. Violence Vict 1997;12(3):223-35.

  98. DuRant RH, Altman D, Wolfson M et al. Exposure to violence and victimization, depression, substance use, and the use of violence by young adolescents. J Pediatr 2000;137:707-13.

  99. Taylor RR, Jason LA. Chronic fatigue, abuse-related traumatization, and psychiatric disorders in a community-based sample. Soc Sci Med 2002;55:247-256.

  100. Ramos BM, Carlson BE, McNutt LA. Lifetime abuse, mental health, and african american women. J Fam Violence 2004;19(3):153-164.

  101. Johnson JG, Cohen P, Gould MS et al. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry 2002;59:741-749.

  102. Gorcey M, Santiago JM, McCall-Perez F. Psychological consequences for women sexually abused in childhood. Soc Psychiatry 1986;21:129-33.

  103. González-Forteza C, Ramos-Lira L, Caballero-Gutierrez MA et al. Correlatos psicosociales de depresión e intento suicida en adolescentes mexicanos. Psicothema 2003;15(4):524-532.

  104. Ramos-Lira L, Saltijeral MT, Caballero MA. Impacto de la violencia en la salud mental. Estado actual y perspectivas. Salud Mental 1996;19(suppl.):19-32.

  105. Ackar DM, Neumark-Sztainer D. Date violence and date rape among adolescents: associations with disordered eating behaviors and psychological health. Child Abuse Negl 2002;26(5):455-73.

  106. Hibbard RA, Ingersoll GM, Orr DP. Behavioral risk, emotional risk, and child abuse among adolescents in a nonclinical setting. Pediatrics 1990;86(6):896-901.

  107. Flannery DJ, Singer MI, Wester K. Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry 2001;40(4):435-42.

  108. Marshall LL, Rose P. Premarital violence: the impact of family of origin violence, stress, and reciprocity. Violence Vict 1990;5(1):51-64.

  109. Wekerle C, Wolfe DA, Hawkins DL et al. Childhood maltreatment, posttraumatic stress symptomatology, and adolescent dating violence: considering the value of adolescent perceptions of abuse and a trauma mediational model. Dev Psychopathol 2001;13(4):847-71.




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