Stressful life events and physical abuse among pregnant women in North Carolina.
Stressful life events and physical abuse among pregnant women in North Carolina.
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DOI：
10.1023/a:1011339716244
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发表时间：
2001-09-01
影响因子：
2.3
通讯作者：
Buescher, P A
中科院分区：
文献类型：
--
作者：
Martin, S L;Griffin, J M;Buescher, P A
目的：本研究估计的患病率有压力的生活事件和身体虐待之间的北卡罗来纳州妇女在婴儿分娩前，并探讨潜在的协会之间的虐待和其他stresss.METHODS：数据来自北卡罗来纳州怀孕风险评估监测系统，全州范围内的代表性调查超过2,600产后妇女。这项调查评估了妇女的社会人口特征及其在分娩前遭受身体虐待和其他13种压力性生活事件的经历。估计每种生活事件和滥用的发生率。Logistic回归模型的概率，妇女有高水平的压力生活事件的身体虐待和sociodemographics.RESULTS：大多数妇女已婚，白色，高中毕业生，年龄20岁或以上。最常见的压力性生活事件是搬家、与丈夫/伴侣争吵增加、家庭成员住院、经济困难和亲人死亡。14%的女性有高水平的压力事件（5个或更多），近9%的人受到身体虐待。虐待与增加与丈夫/伴侣的争论，身体上的战斗，有一个接近酒精/毒品问题的人，分居/离婚和经济困难呈正相关。Logistic回归分析显示，高水平的压力性生活事件在孕前和孕期都受到虐待的妇女中更有可能发生（OR = 11.94），在妊娠前而非妊娠期间受虐待的妇女中，（OR = 14.19）。妇女生活中频繁发生的多种压力事件和虐待表明，妇女保健提供者应该向她们的病人询问这些问题，并为有需要的人提供适当的转介/干预。
OBJECTIVES: This study estimates the prevalence of stressful life events and physical abuse among North Carolina women prior to infant delivery, and examines potential associations between abuse and the other stressors.METHODS: Data were from the North Carolina Pregnancy Risk Assessment Monitoring System, a statewide representative survey of over 2,600 postpartum women. The survey assessed women's sociodemographic characteristics and their experiences of physical abuse and 13 other stressful life events before delivery. The prevalences of each life event and abuse were estimated. Logistic regression modeled the probability of women having high levels of stressful life events in relation to physical abuse and sociodemographics.RESULTS: Most women were married, white, high school graduates, aged 20 or older. The most common stressful life events were residential moves, increased arguing with husbands/partners, family member hospitalizations, financial hardship, and deaths of loved ones. Fourteen percent of women had high levels of stressful events (5 or more), and almost 9% were physically abused. Abuse was positively associated with increased arguing with husbands/partners, physical fighting, having someone close with an alcohol/drug problem, becoming separated/divorced, and financial hardship. Logistic regression analysis showed that a high level of stressful life events was significantly more likely among women abused both before and during pregnancy (OR = 11.94) and among women abused before but not during pregnancy (OR = 14.19).CONCLUSIONS: The high frequency of multiple stressful events and abuse in women's lives suggests that women's care providers should ask their patients about these issues, and offer appropriate referral/interventions to those in need.