Temporal Relationship Between Intimate Partner Violence and Postpartum Depression in a Sample of Low Income Women
Temporal Relationship Between Intimate Partner Violence and Postpartum Depression in a Sample of Low Income Women
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DOI：
10.1007/s10995-012-1127-3
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发表时间：
2013-09-01
影响因子：
2.3
通讯作者：
Lopes, Claudia S.
中科院分区：
文献类型：
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作者：
Faisal-Cury, Alexandre;Menezes, Paulo Rossi;Lopes, Claudia S.
探讨产后抑郁症与亲密伴侣暴力之间是否存在时间关联，以及社会支持在这一关系中的潜在作用。2006年1月至2007年3月，对巴西圣保罗公共部门初级保健单位接受产前和产后护理的701名低收入妇女进行了一项横断面研究。使用自我报告问卷（SRQ-20）评估PPD的存在。采用结构化标准化问卷评估IPV和社会支持。PPD的患病率估计为95%置信区间。使用泊松回归计算粗患病率和校正患病率，以检查PPD和暴露变量之间的关联。p < 0.05的值被认为具有统计学显著性。PPD患病率为27.9%（95%CI 24.6：31.2）。心理IPV患病率为38.6%，躯体IPV患病率为23.4%，性IPV患病率为7.1%。多变量分析表明，PPD与当前的心理和身体/性暴力密切相关，控制混杂因素后，与过去（产前或一生）IPV。社会支持是产后抑郁症的独立保护因素。查明和处理产后期间的亲密伴侣暴力行为，包括心理暴力行为，应被视为照顾新母亲的综合办法的一部分。
To estimate whether there is a temporal association between Postpartum Depression (PPD) and intimate partner violence (IPV), and to assess the potential role of social support on this relationship. A cross-sectional study was conducted between January 2006 and March 2007 with 701 low income women who received prenatal and postpartum care in primary health care units of the public sector in So Paulo, Brazil. The Self-Report Questionnaire (SRQ-20) was used to assess the presence of PPD. Structured standardized questionnaires were used to assess IPV and social support. The prevalence of PPD was estimated with a 95 % confidence interval. Crude and adjusted prevalence ratios were calculated using Poisson regression to examine the association between PPD and exposure variables. Values of p < 0.05 were considered statistically significant. The prevalence of PPD was 27.9 % (95 %CI 24.6:31.2). The prevalence of psychological IPV was 38.6 %, physical IPV 23.4 %, and sexual IPV 7.1 %. The multivariate analysis showed that PPD was strongly associated with current psychological and physical/sexual violence, after controlling for confounding factors, and less so with past (prenatal or lifetime) IPV. Presence of social support was an independent protective factor for PPD. Identifying and addressing intimate partner violence, including psychological violence, in the postpartum period should be considered as part of a comprehensive approach to caring for new mothers.