Objectives A paucity of studies assesses the intersection of physical health (injury and illness), mental health and experiences of interpersonal violence (IV, also known as harassment and abuse) in sport. The objectives of this study were to examine the (a) frequency of self-reported physical and mental health problems of elite athletes in the 12 months prior to the survey, (b) differences in physical and mental health between male and female athletes and (c) relationship of athlete health with experiences of IV. Methods Elite adult athletes from four sports were approached at eight international events to answer an online questionnaire on their physical and mental health, as well as experiences of IV in sport within the past 12 months. Results A total of 562 athletes completed the questionnaire. Overall, 75% reported at least one physical symptom, most commonly headache and fatigue (n=188; 33.5% each), followed by musculoskeletal symptoms (n=169; 29.4%). 65.1% reported at least one mental health symptom, mostly of anxiety or depression. More female than male athletes reported physical (F:81.9%; M:68.3%; p<0.001) and mental (F:71.9%; M:58.4%; p<0.001) health problems, while addiction problems were more frequent in male athletes (F:1.8%; M:6.4%; p=0.006. 53.0% of the female and 42.3% of the male participants reported having experienced at least one form of IV. Linear regression analysis demonstrated that all forms of IV, except physical IV (all p’s<0.001), were associated with an increasing number of physical and mental health symptoms. In addition, the analysis showed that female athletes had a higher increase in symptoms in response to IV than male athletes. Conclusions This study demonstrates the relationship of elite athlete physical and mental health with IV. Injury and illness prevention programmes in international sport should include strategies to reduce IV. Data are available on reasonable request.

中文翻译：

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自我报告的健康问题与体育运动中人际暴力的关联：对世界级表现运动员的横断面研究


目标 缺乏研究评估身体健康（伤害和疾病）、心理健康和体育运动中人际暴力（IV，也称为骚扰和虐待）经历的交叉点。本研究的目的是检查 （a） 精英运动员在调查前 12 个月内自我报告的身心健康问题的频率，（b） 男女运动员之间身心健康的差异，以及 （c） 运动员健康与 IV 经历的关系。方法 在 8 项国际赛事中接触了来自 4 项运动的精英成年运动员，以回答关于其身心健康状况以及过去 12 个月内 IV 运动经历的在线问卷。结果 共有 562 名运动员完成了问卷调查。总体而言，75% 的患者报告了至少一种身体症状，最常见的是头痛和疲劳 （n=188;各 33.5%），其次是肌肉骨骼症状 （n=169;29.4%）。65.1% 的人报告了至少一种心理健康症状，主要是焦虑或抑郁。报告身体状况的女性运动员多于男性运动员 （F：81.9%;市议员：68.3%;p<0.001） 和精神 （F：71.9%;男性：58.4%;p<0.001） 健康问题，而成瘾问题在男性运动员中更常见 （F：1.8%;男性：6.4%;p = 0.006 。53.0% 的女性和 42.3% 的男性参与者报告至少经历过一种形式的 IV。线性回归分析显示，除躯体 IV 外，所有形式的 IV （均 p's<0.001） 与越来越多的身心健康症状相关。此外，分析表明，女运动员对 IV 的反应症状增加高于男运动员。结论 本研究证明了精英运动员身心健康与 IV 的关系。 国际体育运动中的伤病预防计划应包括减少 IV 的策略。数据可应合理要求提供。