Intimate partner violence among pregnant women in Rwanda.
Intimate partner violence among pregnant women in Rwanda.
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DOI：
10.1186/1472-6874-8-17
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发表时间：
2008-10-10
期刊：
影响因子：
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通讯作者：
Rudatsikira, Emmanuel
中科院分区：
文献类型：
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作者：
Ntaganira, Joseph;Muula, Adamson S;Rudatsikira, Emmanuel
背景技术背景：亲密伴侣暴力（IPV），定义为当前或以前的伴侣实际或威胁的身体，性，心理和情感虐待，是一个全球性的公共卫生问题。在卢旺达，亲密伴侣对孕妇的暴力行为的普遍程度和决定因素尚未得到描述。进行了一项研究，以确定变量与IPV之间的卢旺达孕妇women.METHODS：一个方便的样本600名孕妇参加产前检查诊所进行了问卷调查，其中包括项目的人口统计学，艾滋病病毒感染状况，IPV，和酒精使用的男性伴侣。评估不同组的平均年龄和IPV比例。IPV的赔率估计使用Logistic回归analysis.RESULTS：在600名受访者中，35.1%的报告IPV在过去的12个月。艾滋病毒阳性孕妇遭受各种形式的静脉注射暴力的比率高于艾滋病毒阴性孕妇：拔毛（44.3% vs. 20.3%），掌掴（32.0% vs. 15.3%），用拳头踢（36.3%vs.19.7%）、摔在地上和用脚踢（23.3%vs.12.7%）、用热液体烫伤（4.1%vs.3.5%）。HIV阳性受试者报告身体IPV的可能性是HIV阴性受试者的两倍多（OR = 2.38; 95% CI [1.59，3.57]）。与身体IPV呈正相关的其他因素包括14岁以前的性虐待（OR = 2.69; 95%CI [1.69，4.29]），有饮酒男性伴侣（偶尔饮酒者OR = 4.10; 95% CI [2.48，6.77]，重度饮酒者OR = 3.37; 95% CI [2.05，5.54]），男性伴有其他性伴（OR = 1.53; 95% CI [1.15，2.20]。教育与终生IPV呈负相关。结论：我们报告了在卢旺达，中非参加产前保健的孕妇中IPV暴力的患病率。我们主张IPV筛查是艾滋病毒和艾滋病护理以及常规产前护理的组成部分。还应向被殴打的妇女提供服务。
BACKGROUND: Intimate partner violence (IPV), defined as actual or threatened physical, sexual, psychological, and emotional abuse by current or former partners is a global public health concern. The prevalence and determinants of intimate partner violence (IPV) against pregnant women has not been described in Rwanda. A study was conducted to identify variables associated with IPV among Rwandan pregnant women.METHODS: A convenient sample of 600 pregnant women attending antenatal clinics were administered a questionnaire which included items on demographics, HIV status, IPV, and alcohol use by the male partner. Mean age and proportions of IPV in different groups were assessed. Odds of IPV were estimated using logistic regression analysis.RESULTS: Of the 600 respondents, 35.1% reported IPV in the last 12 months. HIV+ pregnant women had higher rates of all forms of IVP violence than HIV- pregnant women: pulling hair (44.3% vs. 20.3%), slapping (32.0% vs. 15.3%), kicking with fists (36.3% vs. 19.7%), throwing to the ground and kicking with feet (23.3% vs. 12.7%), and burning with hot liquid (4.1% vs. 3.5%). HIV positive participants were more than twice likely to report physical IPV than those who were HIV negative (OR = 2.38; 95% CI [1.59, 3.57]). Other factors positively associated with physical IPV included sexual abuse before the age of 14 years (OR = 2.69; 95% CI [1.69, 4.29]), having an alcohol drinking male partner (OR = 4.10; 95% CI [2.48, 6.77] for occasional drinkers and OR = 3.37; 95% CI [2.05, 5.54] for heavy drinkers), and having a male partner with other sexual partners (OR = 1.53; 95% CI [1.15, 2.20]. Education was negatively associated with lifetime IPV.CONCLUSION: We have reported on prevalence of IPV violence among pregnant women attending antenatal care in Rwanda, Central Africa. We advocate that screening for IPV be an integral part of HIV and AIDS care, as well as routine antenatal care. Services for battered women should also be made available.