The prevalence of domestic violence against pregnant women in a Chinese community
The prevalence of domestic violence against pregnant women in a Chinese community
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DOI：
10.1016/s0020-7292(99)00053-3
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发表时间：
1999-07-01
影响因子：
3.8
通讯作者：
Ho, PC
中科院分区：
文献类型：
--
作者：
Leung, WC;Leung, TW;Ho, PC
目的：了解当地某教学医院产前门诊孕妇家庭暴力发生率。研究设计：1998年8月11日至11月3日期间，一名指定的研究护士（Y.Y.J.L.）使用标准问卷（虐待评估筛选）对所有在Tsan Yuk医院首次产前门诊就诊的孕妇进行了访谈，以发现家庭暴力的发生率、暴力的性质、暴力的频率和施暴者。采用学生t检验和卡方检验比较施虐组与非施虐组的人口学因素。结果：受访孕妇631例；其中有虐待史的113人（17.9%）；99名妇女（15.7%）在去年遭受过虐待；其中27人（4.3%）在怀孕期间曾受到虐待；去年有59名妇女（9.4%）遭受过性虐待。在大多数情况下，丈夫是犯罪者。怀孕期间的暴力行为主要是心理上的，形式是威胁虐待，但没有任何身体伤害。危险因素包括意外怀孕（P = 0.002）和丈夫/伴侣失业或从事体力劳动的妇女（P < 0.05）。出乎意料的是，本地常住居民家庭暴力发生率高于新移民（P < 0.05）。结论：本研究可能是首次对中国社区孕妇家庭暴力发生率进行研究。发病率与美国的研究相当。在产前检查期间，有必要用结构化问题进行例行检查，以便确定受虐待妇女，以防止潜在的创伤和中断现有的虐待。(C) 1999年国际妇产科联合会。
Objective: To study the incidence of domestic violence in pregnant women attending the antenatal clinic of a local teaching hospital. Study design: All pregnant women attending their first antenatal clinic in Tsan Yuk Hospital between 11th August and 3rd November, 1998 were interviewed by a designated research nurse (Y.Y.J.L.) using a standard questionnaire (Abuse Assessment Screen) to detect the incidence of domestic violence, the nature of violence, the frequency of violence and the perpetrator of abuse. Demographic factors of the abused group were compared with those of the non-abused group using student's t-test and chi-square test. Results: Pregnant women (631) were interviewed; 113 of them (17.9%) had a history of abuse; 99 women (15.7%) had been abused in the last year; 27 of them (4.3%) had been abused during their current pregnancy; 59 women (9.4%) had been sexually abused in the last year. The husband was the perpetrator in the majority of cases. The nature of violence during pregnancy was mainly psychological in the form of threats of abuse without any physical injury. Risk factors included unplanned pregnancy (P = 0.002) and women with husbands/partners who were unemployed or manual workers (P < 0.05). Unexpectedly, domestic violence occurred more commonly in permanent local residents rather than new immigrants (P < 0.05). Conclusion: This is probably the first study on the incidence of domestic violence in pregnant women in a Chinese community. The incidence is comparable to that from American studies. Routine screening with structured questions during the antenatal visits is necessary in order to identify the abused women so as to prevent potential trauma and to interrupt existing abuse. (C) 1999 International Federation of Gynecology and Obstetrics.