This study assessed physical intimate partner violence (IPV) experiences and examined their association with unmet healthcare needs among married women in South Korea. We analyzed data from a nationally representative longitudinal survey of 6,533 women at baseline. Participants were asked yes/no questions about their experiences of physical IPV victimization and perpetration over the past year. The responses were classified into four categories of IPV experience: “none,” “victimization only,” “perpetration only,” and “both victimization and perpetration.” At baseline, 0.9% reported being victimized only, and 25.9% reported both victimization and perpetration. The prevalence of unmet healthcare needs over the past year at baseline was 0.8%. Compared to women without any IPV experience, women in the IPV “victimization only” category had greater unmet healthcare needs (OR: 5.49, 95% CI [2.30, 13.12]) after adjusting for sociodemographic variables. Experiencing IPV perpetration only and both IPV victimization and perpetration were not statistically significantly associated with unmet healthcare needs. These results imply that physical IPV victims face difficulties accessing healthcare services which could exacerbate health inequalities over time. Moreover, this study suggests that it is necessary to distinguish IPV victims from those who experience IPV victimization only and those who experience both IPV victimization and perpetration.

中文翻译：

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韩国已婚妇女受害与实施亲密伴侣身体暴力与未满足的医疗保健需求之间的关联


本研究评估了身体亲密伴侣暴力 （IPV） 经历，并检查了它们与韩国已婚妇女未满足的医疗保健需求的关系。我们分析了基线时对 6,533 名女性进行的具有全国代表性的纵向调查的数据。参与者被问及有关他们在过去一年中遭受 IPV 身体受害和实施的经历的“是/否”问题。回答分为四类 IPV 经历：“无”、“仅受害”、“仅肇事”和“受害和诂事”。在基线时，0.9% 的人报告仅受害，25.9% 的人报告受害和施暴。过去一年基线时未满足的医疗保健需求的患病率为 0.8%。与没有任何 IPV 经验的女性相比，在调整社会人口学变量后，IPV“仅受害”类别的女性有更大的未满足医疗保健需求 （OR： 5.49， 95% CI [2.30， 13.12]）。仅经历 IPV 实施以及 IPV 受害和实施与未满足的医疗保健需求没有统计学显著相关性。这些结果表明，实际 IPV 受害者在获得医疗保健服务方面面临困难，随着时间的推移，这可能会加剧健康不平等。此外，这项研究表明，有必要将 IPV 受害者与仅经历 IPV 受害的人以及同时经历 IPV 受害和犯罪的人区分开来。