Associations between intimate partner violence and emotional distress among pregnant women in Durban, South Africa.
Associations between intimate partner violence and emotional distress among pregnant women in Durban, South Africa.
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DOI：
10.1177/0886260511425247
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发表时间：
2012-05
影响因子：
2.5
通讯作者：
Rouse P
中科院分区：
文献类型：
--
作者：
Groves AK;Kagee A;Maman S;Moodley D;Rouse P
怀孕期间的亲密伴侣暴力 (IPV) 与母亲的多种负面健康结果有关，包括怀孕期间的情绪困扰。然而，人们对南非孕妇怀孕期间的 IPV 及其与情绪困扰的关系知之甚少。本研究的目的是确定怀孕期间情绪困扰和 IPV 的患病率，确定不同的暴力暴露和关系控制是否与怀孕期间的情绪困扰有关，并评估社会支持是否减弱了怀孕期间 IPV 和情绪困扰之间的关系。本横断面分析包括参加南非艾滋病毒产前和检测后支持研究 (SAHAPS) 并完成基线调查的孕妇。我们使用逻辑回归模型来探索所提出的协变量与情绪困扰之间的双变量和多变量关系。近四分之一的女性报告在当前怀孕期间经历过某种类型的 IPV，其中心理暴力最为普遍。调整其他协变量后，怀孕期间每增加一次心理暴力，情绪困扰的几率就会增加 1.41 倍（95% CI：1.26-1.57），而怀孕期间每增加一次性暴力，情绪困扰的几率就会增加 2.01 倍（95% CI：1.16-3.77）。在调整其他协变量后，身体暴力与情绪困扰的几率增加仅略有相关（A.O.R.：1.17，95% CI：0.99–1.38）。最后，社会支持作为主效应也略有显着，但并没有减弱 IPV 和情绪困扰之间的关系。 IPV 在南非孕妇中的高流行率及其与怀孕期间情绪困扰的相关性表明，需要采取干预措施来减少怀孕期间或怀孕前的暴力行为。此类干预措施可以对 IPV 产生积极影响，还可以改善怀孕期间不良的心理健康状况。
Intimate partner violence (IPV) during pregnancy has been associated with multiple negative health outcomes for the mother, including emotional distress during pregnancy. However, little is known about IPV during pregnancy and its association with emotional distress among pregnant women in South Africa. The objectives of this study were to determine the prevalence of both emotional distress and IPV during pregnancy, to identify whether different exposures of violence and relational control were associated with emotional distress during pregnancy, and to assess whether social support attenuated the relationship between IPV and emotional distress in pregnancy. Pregnant women enrolled in the South Africa HIV Antenatal and Post-test Support Study (SAHAPS) who completed the baseline survey were included in this cross sectional analysis. We used logistic regression models to explore bivariate and multivariate relationships between the proposed covariates and emotional distress. Nearly a quarter of women reported experiencing some type of IPV during the current pregnancy, with psychological violence being the most prevalent. The odds of emotional distress was 1.41 times (95% CI: 1.26–1.57) higher for each additional episode of psychological violence and 2.01 times (95% CI: 1.16–3.77) higher for each additional episode of sexual violence during pregnancy, adjusting for other covariates. Physical violence was only marginally associated with increased odds of emotional distress (A.O.R.: 1.17, 95% CI: .99–1.38) after adjusting for other covariates. Finally, social support was also marginally significant as a main effect, but did not attenuate the relationship between IPV and emotional distress. The high prevalence of IPV among pregnant women in South Africa and its association with emotional distress during pregnancy suggest that interventions that reduce violence during or prior to pregnancy are needed. Such interventions can positively impact IPV and may also ameliorate poor mental health in pregnancy.
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DOI：
10.1080/0954012021000031868
发表时间：
2002-12-01
影响因子：
1.7
作者：
Pulerwitz, J;Amaro, H;Rudd, R
通讯作者：
Rudd, R
影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
168.9
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Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
DOI：
10.2471/blt.09.067066
发表时间：
2010-10-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
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作者：
Fisher, Jane;Tran, Thach;Tran, Tuan
通讯作者：
Tran, Tuan