VIOLENCE DURING PREGNANCY AND SUBSTANCE USE
VIOLENCE DURING PREGNANCY AND SUBSTANCE USE
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DOI：
10.2105/ajph.80.5.575
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发表时间：
1990-05-01
影响因子：
12.7
通讯作者：
ZUCKERMAN, B
中科院分区：
文献类型：
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作者：
AMARO, H;FRIED, LE;ZUCKERMAN, B
作为一项针对 1,243 名孕妇的前瞻性研究的一部分，对暴力事件进行了评估。参与者主要是贫困的城市少数民族妇女。百分之七 (n=92) 的妇女报告在怀孕期间遭受身体或性暴力。大多数女性（94%）认识袭击她们的人。暴力受害者有抑郁史和自杀未遂的风险更大，目前有更多的抑郁症状，报告对怀孕的幸福感较低，并且在当前怀孕期间从他人那里获得的情感支持较少。受害者和非受害者的比较表明，受害者更有可能酗酒和吸毒。此外，受害者的伴侣更有可能使用大麻和可卡因。当使用多变量分析控制可能的混杂因素时，妇女在怀孕期间饮酒及其伴侣吸毒与怀孕期间成为暴力受害者的风险增加独立相关。这项研究的结果强调了评估产前护理期间遭受暴力的重要性，特别是对于酗酒或吸毒或其伴侣使用这些物质的女性。
Violent incidents were assessed as part of a prospective study of 1,243 pregnant women. Participants wer predominantly poor, urban, minority group women. Seven percent (n=92) of women reported physical or sexual violence during pregnancy. Most of the women (94 percent) knew their assailant. Victims of violence were at greater risk of having a history of depression and attempted suicide having more current depressive symptoms, reporting less happiness about being pregnant, and receiving less emotional support from others for the current pregnancy. Comparisons of victims and non-victims showed that victims were more likely to be users of alcohol and drugs. In addition, partners of victims were more likely to use marijuana and cocaine. When possible confounders were controlled using multivariable analyses, a woman''s alcohol use during pregnancy and her partner''s drug use were independently associated with an increased risk of being a victim of violence during pregnancy. Results of this study highlight the importance of assessing exposure to violence during prenatal care, especially among women who are heavy users of alcohol or drugs or whose partners use these substances.