Association of childhood physical and sexual abuse with intimate partner violence, poor general health and depressive symptoms among pregnant women.
Association of childhood physical and sexual abuse with intimate partner violence, poor general health and depressive symptoms among pregnant women.
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童年时期的身体和性虐待与亲密伴侣的暴力，孕妇的一般健康状况不佳和抑郁症状的关联。
DOI：
10.1371/journal.pone.0116609
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Williams MA
中科院分区：
文献类型：
--
作者：
Barrios YV;Gelaye B;Zhong Q;Nicolaidis C;Rondon MB;Garcia PJ;Sanchez PA;Sanchez SE;Williams MA
我们研究了儿童时期身体虐待和性虐待与亲密伴侣暴力（IPV）风险的关系。我们还评估了在秘鲁孕妇队列中儿童期虐待与自我报告的一般健康状况和产前抑郁症状的关联程度。对1,521名怀孕早期妇女进行了面对面访谈，以收集有关儿童虐待史和IPV的信息。采用患者健康问卷-9对产前抑郁症状进行评估。采用多变量logistic回归程序估计校正优势比（aOR）和95%置信区间（95% ci）。任何儿童期虐待都与终身IPV的几率增加2.2倍相关（95%CI: 1.72-2.83）。与未报告儿童期虐待的妇女相比，报告儿童期身体虐待和性虐待的妇女一生中患身体和性IPV的风险是7.14倍（95%CI: 4.15-12.26）。在过去一年中遭受亲密伴侣身体虐待和性虐待的几率在儿童时期有身体虐待和性虐待史的妇女中比在儿童时期没有受到虐待的妇女高3.33倍（95%CI 1.60-6.89）。儿童虐待与怀孕早期自我报告健康状况不佳的几率较高相关（aOR = 1.32, 95%CI: 1.04-1.68），与产前抑郁症状相关（aOR = 2.07, 95%CI: 1.58-2.71）。这些数据表明，儿童期的性虐待和身体虐待与IPV、一般健康状况不佳和怀孕早期的抑郁症状有关。儿童创伤的高发生率及其对妇女健康的持久影响要求全球在预防暴力方面作出协调一致的卫生努力。
We examined associations of childhood physical and sexual abuse with risk of intimate partner violence (IPV). We also evaluated the extent to which childhood abuse was associated with self-reported general health status and symptoms of antepartum depression in a cohort of pregnant Peruvian women. In-person interviews were conducted to collect information regarding history of childhood abuse and IPV from 1,521 women during early pregnancy. Antepartum depressive symptomatology was evaluated using the Patient Health Questionnaire-9. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (95%CI). Any childhood abuse was associated with 2.2-fold increased odds of lifetime IPV (95%CI: 1.72–2.83). Compared with women who reported no childhood abuse, those who reported both, childhood physical and sexual abuse had a 7.14-fold lifetime risk of physical and sexual IPV (95%CI: 4.15–12.26). The odds of experiencing physical and sexual abuse by an intimate partner in the past year was 3.33-fold higher among women with a history of childhood physical and sexual abuse as compared to women who were not abused as children (95%CI 1.60–6.89). Childhood abuse was associated with higher odds of self-reported poor health status during early pregnancy (aOR = 1.32, 95%CI: 1.04–1.68) and with symptoms of antepartum depression (aOR = 2.07, 95%CI: 1.58–2.71). These data indicate that childhood sexual and physical abuse is associated with IPV, poor general health and depressive symptoms in early pregnancy. The high prevalence of childhood trauma and its enduring effects of on women’s health warrant concerted global health efforts in preventing violence.
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影响因子：
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