Physical Violence Against US Women Around the Time of Pregnancy, 2004-2007
Physical Violence Against US Women Around the Time of Pregnancy, 2004-2007
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DOI：
10.1016/j.amepre.2009.11.013
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发表时间：
2010-03-01
影响因子：
5.5
通讯作者：
D'Angelo, Denise V.
中科院分区：
文献类型：
--
作者：
Chu, Susan Y.;Goodwin, Mary M.;D'Angelo, Denise V.
背景：以前的研究表明，怀孕期间亲密伴侣暴力（IPV）的发生率从4%到9%不等，但没有研究区分前伴侣和现任伴侣的虐待率。目的：本研究旨在估计美国妇女在怀孕前不久和怀孕期间的IPV患病率，并比较现任伴侣虐待的发生率和预测因素与前任伴侣虐待的发生率和预测因素。方法：利用来自27个州和纽约市的数据，估计了2004-2007年间134,955名分娩一胎足月婴儿的妇女中，现任和前任亲密男性伴侣身体虐待的流行程度。采用多变量logistic回归来确定预测IPV风险的人口统计学、妊娠相关因素和应激因素。结果：来自前任或现任伴侣的IPV患病率在怀孕前为5.3%，在怀孕期间为3.6%。前伴侣虐待的发生率始终高于现任伴侣虐待的发生率。妊娠期IPV的三个最强预测因子是女性的伴侣不希望怀孕（当前：AOR=3.47, 95% CI=3.13, 3.85；前：AOR=3.22, 95% CI=2.90, 3.76）；最近离婚或分居（当前：AOR=3.23, 95% CI=2.92, 3.58；前：AOR=3.54, 95% CI=3.20, 3.91）；与有吸毒或酗酒问题的人关系密切（当前：AOR=3.05, 95% CI=2.78, 3.36；前：AOR=2.97, 95% CI=2.70, 127）。母亲特征（年龄、受教育程度、种族、婚姻状况、女性不想怀孕）是不太重要的预测因素。结论：对虐待的评估应该明确询问现任和前任伴侣的行为。（Am J Prev Med 2010;38(3):317-322） Elsevier Inc.代理美国《预防医学杂志》出版
Background: Previous research shows that the prevalence of intimate partner violence (IPV) around the time of pregnancy varies from 4% to 9%, but no studies have distinguished between abuse rates by former versus current partners.Purpose: This study aims to estimate the prevalence of IPV among U.S. women shortly before and during pregnancy and to compare the rates and predictors of abuse perpetrated by current partners with the rates and predictors of abuse perpetrated by former partners.Methods: Using data from 27 states and New York City, the prevalence of physical abuse by current and former intimate male partners was estimated among 134,955 women who delivered a singleton, full-term infant in 2004-2007. Multivariable logistic regression was used to determine the demographic, pregnancy-related, and stress factors that predicted the risk of IPV.Results: Prevalence of IPV from either a former or current partner was 5.3% before and 3.6% during pregnancy. Prevalence of abuse by a former partner was consistently higher than the prevalence of abuse by a current partner. The three strongest predictors of IPV during pregnancy were the woman's partner not wanting the pregnancy (current: AOR=3.47, 95% CI=3.13, 3.85; former: AOR=3.22, 95% CI=2.90, 3.76); having had a recent divorce or separation (current: AOR=3.23, 95% CI=2.92, 3.58; former: AOR=3.54, 95% CI=3.20, 3.91); and being close to someone having a drug or alcohol problem (current: AOR=3.05, 95% CI=2.78, 3.36; former: AOR=2.97, 95% CI=2.70, 127). Maternal characteristics (age, education, race, marital status, woman did not want the pregnancy) were less important predictors.Conclusions: Assessments of abuse should ask specifically about actions by both current and ex-partners. (Am J Prev Med 2010;38(3):317-322) Published by Elsevier Inc. on behalf of American journal of Preventive Medicine