Psychological distress, intimate partner violence and substance use in a representative sample from Mexico

A structural equation model

Bibliographic Data

ID22085175
AuthorsPaola Adanari Ortega Ceballos, Paola Adanari Ortega-Ceballos (0000-0002-6989-727X, Universidad Autonoma Del Estado De Morelos), Leonor Rivera Rivera (Instituto Nacional de Salud Pública, corresponding author), Luz Myriam Reynales-Shigematsu (0000-0002-5350-0928, Instituto Nacional de Salud Pública), Luz Myriam Reynales Shigematsu, Fernando Austria‐Corrales (0000-0003-2854-5726), Fernando Austria Corrales, Filiberto Toledano‐Toledano (0000-0002-7126-5351, Hospital Infantil de México Federico Gómez), Berenice Pérez Amezcua (0000-0001-8513-5905, Universidad Autonoma Del Estado De Morelos)
Year2023
Volume11
Pages1101487-1101487
Publication date2023-03-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1101487
PMID36935665
OpenAlexW4322772453
LanguageEN
References cited35

Introduction Intimate Partner Violence (IPV) is a public health concern associated with multiple adverse health outcomes, including psychological distress (PD). Objective To assess the association of IPV and psychological distress, and the mediation of tobacco and alcohol consumption in a national representative sample from Mexico. Material and methods Data from the Encuesta Nacional de Consumo de Drogas, Tabaco y Alcohol (ENCODAT) were analyzed. The sample included 34,864 people between the ages of 12 and 65 with a partner. Using Structural Equation Modeling (SEM), the association between IPV, use alcohol, tobacco and psychological distress was measured. Results The population was composed of women (51.9%) and men (48.1%); 15.1% (women = 18.2% and men = 11.9%) reported IPV in the last year. The prevalence of psychological distress in the last year was 3.3%, being 3.8% in women, and 2.7% in men. Results from the SEM in women indicated a direct positive effect of the IPV construct on psychological distress (β = 0.298, p < 0.01); these findings confirmed that IPV tended to systematically increase psychological distress. Likewise, the presence of IPV increased the consumption of tobacco (β = 0.077, p < 0.01) and alcohol (β = 0.072, p < 0.01). The SEM results in men showed that alcohol and tobacco consumption tended to increase in the presence of IPV (β = 0.121, p < 0.01, and β = 0.086, p < 0.01, respectively), and in turn, alcohol consumption and tobacco tended to increase psychological distress (β = 0.024, p < 0.01, and β = 0.025, p < 0.01, respectively). Conclusion This study indicated that in women, IPV had a direct effect on psychological distress and on alcohol and tobacco consumption. Meanwhile in men, alcohol and tobacco consumption had a mediating effect between IPV and psychological distress. The empirical findings of this study will contribute toward the design of public health policies for the prevention and attention of IPV, alcohol and tobacco consumption, and consequently address the mental health consequences derived from these problems

Distress · Domestic violence · Environmental health · Mediation · Mental health · Poison control · Population · Psychiatry · Psychological distress · Structural equation modeling · Suicide prevention · Clinical Psychology · Demography · Elder Abuse and Neglect · Intimate Partner and Family Violence · Medicine · Psychology · Various Academic Research Studies

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