Prevalence, rates and correlates of intimate partner violence among South African women during pregnancy and the postpartum period.

Prevalence, rates and correlates of intimate partner violence among South African women during pregnancy and the postpartum period.
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DOI:
10.1007/s10995-014-1528-6
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发表时间:
2015-03
影响因子:
2.3
通讯作者:
Maman S
Maman S
中科院分区:
医学4区
文献类型:
--
作者:
Groves AK;Moodley D;McNaughton-Reyes L;Martin SL;Foshee V;Maman S

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亲密伴侣暴力(IPV)是南非的一个重大公共卫生问题。然而,南非对妊娠期间和产后 IPV 的研究有限。本研究的目的是描述南非妇女在怀孕期间和产后前九个月的 IPV 患病率、发生率和相关性。数据来自于 2008 年至 2010 年间在德班一家公共诊所招募的怀孕期间女性的纵向研究。我们使用世界卫生组织 IPV 量表的修改版本来估计怀孕期间、产后四个月和产后九个月的 IPV 患病率和发生率,并使用逻辑回归来评估这段时间内 IPV 的相关性。超过 20% 的女性在怀孕期间至少经历过一种身体、心理或性 IPV 行为。近四分之一的女性在产后前 9 个月内至少经历过一次身体、心理或性 IPV 行为。心理性 IPV 是怀孕期间和产后前四个月最常见的 IPV 类型。年龄和以前关系中的暴力行为与怀孕期间的 IPV 和产后期间的 IPV 相关。怀孕期间和产后时期 IPV 的高水平突出表明需要专门针对这个时期制定筛查和干预策略。此外,不仅应对妇女进行身体暴力筛查,还应对心理暴力进行筛查,因为心理暴力可能会导致明显的负面后果。
Intimate partner violence (IPV) is a significant public health problem in South Africa. However, limited research exists on IPV during pregnancy and the postpartum period in South Africa. The purpose of this study is to describe the prevalence, rates and correlates of IPV among South African women during pregnancy and the first nine months postpartum. Data are from a longitudinal study with women recruited during pregnancy between 2008 and 2010 at a public clinic in Durban. We used a modified version of the World Health Organization’s IPV scale to estimate prevalence and rates of IPV during pregnancy, at four months postpartum and nine months postpartum and we used logistic regression to assess the correlates of IPV during this time. More than 20% of all women experienced at least one act of physical, psychological or sexual IPV during pregnancy. Nearly one-quarter of all women experienced at least one act of physical, psychological or sexual IPV during the first nine months postpartum. Psychological IPV was the most prevalent type of IPV during pregnancy and the first four months postpartum. Age and previous violence within the relationship were associated with IPV during pregnancy and IPV during the postpartum period. The high levels of IPV during pregnancy and the postpartum period highlight the need to develop screening and intervention strategies specifically for this time. Further, women should be screened not only for physical violence but also psychological violence given that psychological violence may result in distinct negative consequences.
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