Identifying health correlates of intimate partner violence against pregnant women.
Identifying health correlates of intimate partner violence against pregnant women.
复制标题
确定亲密伴侣暴力侵害孕妇的健康相关性。
DOI：
10.1007/s13755-020-00124-6
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发表时间：
2020
影响因子：
6
通讯作者：
Karakurt,Günnur
中科院分区：
文献类型：
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作者：
Yılmaz,Serhan;Alghamdi,Bushra;Singuri,Srinidhi;Hacialiefendioglu,AhmetMert;Özcan,Tülin;Koyutürk,Mehmet;Karakurt,Günnur
怀孕期间对妇女的暴力行为是一个严重的公共卫生问题，因为它对母亲和婴儿的健康都有严重的不利影响。本研究的目的是系统地确定常见的健康问题和协同健康相关的亲密伴侣暴力（IPV），特别是影响孕妇MethodsWe挖掘大规模的电子健康记录（EHR）数据从IBM探索数据库，以确定健康问题是普遍存在的IPV和怀孕人群，以及那些协同相关的存在IPV在怀孕期间。为了这个目的，我们开发的方法，通过构建置信区间，考虑到系统的偏差和测量误差，除了在estimation.ResultsWe的方差确定高置信度668和2750条款，分别是普遍存在于IPV和怀孕人群中，提高了统计可靠性的模式。在这些术语中，279个是常见的。我们还确定了16个协同健康相关的高信心。我们的研究结果表明，心理健康，药物滥用和泌尿生殖系统并发症是暴露于IPV的孕妇中普遍存在的。我们确定的协同术语揭示了可能是创伤直接后果的潜在条件（例如，胫骨骨折），长期健康后果（例如，慢性鼻炎），与受影响人群的人口统计学相关的标志物（例如，痤疮），以及可能增加怀孕期间脆弱性的风险因素（例如，注意力和运动控制障碍）。结论我们的研究结果表明，IPV显着影响孕妇的福祉在多个方面。本研究结果可作为孕妇IPV筛查的参考依据。最后，这里提出的方法也可以用于调查其他医疗条件之间的协同作用，使用EHR数据库与隐私约束。
PurposeViolence against women during pregnancy is a serious public health concern due to its significant adverse health consequences for both the mother and the baby. This study aims to systematically identify common health problems and synergistic health correlates of intimate partner violence (IPV) that specifically affect pregnant women.MethodsWe mine large-scale electronic health record (EHR) data from the IBM Explorys database to identify health problems that are prevalent in both IPV and pregnancy populations, as well those that are synergistically associated with the presence of IPV during pregnancy. For this purpose, we develop methods that enhance the statistical reliability of identified patterns by constructing confidence intervals that take into account systematic bias and measurement errors in addition to the variance in estimation.ResultsWe identify with high confidence 668 and 2750 terms that are respectively prevalent in respectively IPV and pregnancy populations. Of these terms, 279 are common. We also identify 16 synergistic health correlates with high confidence. Our results suggest that mental health, substance abuse, and genitourinary complications are prevalent among pregnant women exposed to IPV. The synergistic terms we identify reveal potential conditions that can be direct consequences of trauma (e.g., tibial fracture), long-term health consequences (e.g., chronic rhinitis), markers associated with the demograhics of affected populations (e.g., acne), and risk factors that potentially increase vulnerability during pregnancy (e.g., disorders of attention and motor control).ConclusionsOur results indicate that IPV significantly affects the well-being of pregnant women in multiple ways. The findings of this study can be useful for screening of IPV in pregnant women. Finally, the methodology presented here can also be useful for investigating the synergy between other medical conditions using EHR databases with privacy constraints.