Intimate partner violence during pregnancy and adverse birth outcomes: a case-control study
Intimate partner violence during pregnancy and adverse birth outcomes: a case-control study
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DOI：
10.1186/s12978-019-0670-4
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发表时间：
2019-02-25
影响因子：
3.4
通讯作者：
Kidane, Genet
中科院分区：
文献类型：
--
作者：
Berhanie, Eskedar;Gebregziabher, Dawit;Kidane, Genet
背景亲密伴侣暴力是埃塞俄比亚家庭中的一种常见现象。大约81%的妇女认为丈夫殴打妻子是正当的。大约30-60%的家庭受到他们的亲密关系的影响。妇女遭受亲密伴侣的身体、情感、性和经济暴力。它往往仍然是为了家庭的秘密，文化规范，或由于恐惧，羞耻和社会的不情愿对家庭事务和社会shortgage.The的目的，本研究的目的是研究亲密伴侣之间的关联在怀孕期间的暴力行为和不良的出生outcomes.MethodsA医院为基础的不匹配的病例对照研究进行了提格雷地区的四个分区医院。共有954名研究参与者（318名病例和636名对照）。采用系统抽样方法选择病例组和对照组。道德间隙获得整个studyperiod.ResultOut的954位受访母亲，389（40.8%）经历了亲密伴侣暴力在其指数怀孕期间。超过三分之二（68.6%）的案件曾遭受亲密伴侣暴力。多变量Logistic回归分析显示，妊娠期间遭受亲密伴侣暴力的女性发生低出生体重（AOR=3.1; CI 95% [1.470，6.618]）和早产（AOR=2.5; CI 95% [2.198-2.957]）的可能性是其他女性的3倍。据观察，在怀孕期间遭受身体暴力的妇女出生时体重不足的可能性是其他妇女的五倍。（AOR=4.767; CI 95% [2.515，9.034]）和早产（AOR=5.3; CI 95%：（3.95-7.094）结论与提示孕妇接触一种以上的放射性物质，早产和低出生体重儿的危险性增加亲密伴侣暴力和怀孕期间的身体暴力。因此，解决孕产妇和新生儿健康问题的努力需要包括暴力侵害妇女问题。
BackgroundIntimate partner violence is a common phenomenon in Ethiopia families. About 81% of women believed that a husband is justified in beating his wife. About 30-60% of families were affected by their intimates. Women suffer physical, emotional, sexual and economic violence by their intimate partners. It often remains either for the sake of family secrecy, cultural norms or, due to fear, shame and community's reluctance on domestic affair and social stigma.The objective of this study is to examine the association between intimate partner violence during pregnancy and adverse birth outcomes.MethodsA hospital based unmatched case control study was conducted in four zonal hospitals of Tigray region. A total of 954 study participants (318 cases and 636 controls) were taken. Systematic sampling was used to select the cases and controls. Ethical clearance was obtained throughout the study period.ResultOut of 954 interviewed mothers, 389 (40.8%) had experienced intimate partner violence during their index pregnancy period. More than two third (68.6%) of cases had been exposed to intimate partner violence. Multivariable logistic regression analysis showed that, women exposed to intimate partner violence during pregnancy were three times more likely to experience low birth weight (AOR=3.1; CI 95% [1.470,6.618]) and preterm birth (AOR=2.5; CI 95% [2.198-2.957]). It was observed that women who had been exposed to physical violence during pregnancy were five times more likely to experience low birth weight (AOR=4.767; CI 95% [2.515, 9.034]) and preterm birth (AOR=5.3; CI 95%: 3.95-7.094).Conclusion and recommendationIt was found that the risk of preterm birth and low birth weight was increased when the pregnant women were exposed to more than one type of intimate partner violence and physical violence during pregnancy. Therefore, Efforts to address maternal and newborn health need to include issues of violence against women.