Intimate partner violence and growth outcomes through infancy: A longitudinal investigation of multiple mediators in a South African birth cohort.
Intimate partner violence and growth outcomes through infancy: A longitudinal investigation of multiple mediators in a South African birth cohort.
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DOI：
10.1111/mcn.13281
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发表时间：
2022-01
影响因子：
3.4
通讯作者：
Stein DJ
中科院分区：
文献类型：
--
作者：
Barnett W;Nhapi R;Zar HJ;Halligan SL;Pellowski J;Donald KA;Stein DJ
亲密伴侣暴力(IPV)与胎儿和婴儿发育不良有关。然而，这种关系背后的因素并不是很清楚，特别是在出生后的时间段。在南非的一个队列中，我们调查了(1)怀孕期间的IPV与出生时的生长以及出生后12个月的IPV与儿童生长之间的关系，以及(2)母亲抑郁、吸烟或饮酒或婴儿住院是否调节了IPV-生长关系。母亲们参加了怀孕登记。母亲的IPV在怀孕期间和产后10周被测量；抑郁、酒精和烟草的使用在怀孕期间和产后6个月被测量。在出生时和12个 月时测量儿童的体重和身长，并转换为z分数进行分析。线性回归和结构方程模型研究了IPV和IPV-生长关系的潜在中介之间的相互关系。在出生时，在1111对母婴中，母亲的情感和身体IPV与年龄体重z分数(WFAZ)的降低有关。只有生理IPV与出生时的年龄长度z分数(LFAZ)相关。产前使用酒精和烟草调节出生时的IPV增长关系。出生后，在783对母婴中，情感和身体上的IPV与12个 月时WFAZ的减少有关。在12个 月时，只有情绪性IPV与LFAZ相关。母亲吸烟在出生后起到了中介作用。研究结果强调了身体和情绪IPV作为胎儿和婴儿发育受损的风险因素的作用。研究结果强调了解决危害婴儿生长的相互关联的风险因素的方案的重要性，特别是在高风险环境中普遍存在的IPV和物质使用。
Intimate partner violence (IPV) has been linked to poor fetal and infant growth. However, factors underlying this relationship are not well understood, particularly in the postnatal time period. In a South African cohort, we investigated (1) associations between IPV in pregnancy and growth at birth as well as postnatal IPV and child growth at 12 months and (2) whether maternal depression, tobacco or alcohol use or infant hospitalizations mediated IPV‐growth relationships. Mothers were enrolled in pregnancy. Maternal IPV was measured during pregnancy and 10 weeks postpartum; depression, alcohol and tobacco use were measured during pregnancy and at 6 months postpartum. Child weight and length were measured at birth and 12 months and converted to z‐scores for analysis. Linear regression and structural equation models investigated interrelationships between IPV and potential mediators of IPV‐growth relationships. At birth, among 1,111 mother–infant pairs, maternal emotional and physical IPV were associated with reduced weight‐for‐age z‐scores (WFAZ). Only physical IPV was associated with length‐for‐age z‐scores (LFAZ) at birth. Antenatal maternal alcohol and tobacco use mediated IPV‐growth relationships at birth. Postnatally, among 783 mother–infant pairs, emotional and physical IPV were associated with reduced WFAZ at 12 months. Only emotional IPV was associated with LFAZ at 12 months. Maternal tobacco use was a mediator postnatally. Findings highlight the role of physical and emotional IPV as risk factors for compromised fetal and infant growth. Findings underscore the importance of programmes to address interrelated risk factors for compromised infant growth, specifically IPV and substance use, which are prevalent in high‐risk settings.
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影响因子：
168.9
作者：
Adair, Linda S.;Fall, Caroline H. D.;Osmond, Clive;Stein, Aryeh D.;Martorell, Reynaldo;Ramirez-Zea, Manuel;Sachdev, Harshpal Singh;Dahly, Darren L.;Bas, Isabelita;Norris, Shane A.;Micklesfield, Lisa;Hallal, Pedro;Victora, Cesar G.
通讯作者：
Victora, Cesar G.
影响因子：
8.1
作者：
Fawzi, Mary C. Smith;Andrews, Kathryn G.;Fawzi, Wafaie W.
通讯作者：
Fawzi, Wafaie W.
在一项前瞻性队列研究中，南非妇女的情绪，身体或性亲密伴侣暴力和抑郁症状的联系。
影响因子：
2.5
作者：
Okafor CN;Barnett W;Zar HJ;Nhapi R;Koen N;Shoptaw S;Stein DJ
通讯作者：
Stein DJ
影响因子：
168.9
作者：
Jewkes, R
通讯作者：
Jewkes, R
影响因子：
2.8
作者：
Hasselmann, Maria H.;Reichenheim, Michael E.
通讯作者：
Reichenheim, Michael E.