Association between intimate partner violence and prenatal anxiety and depression in pregnant women: a cross-sectional survey during the COVID-19 epidemic in Shenzhen, China.

Association between intimate partner violence and prenatal anxiety and depression in pregnant women: a cross-sectional survey during the COVID-19 epidemic in Shenzhen, China.
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DOI:
10.1136/bmjopen-2021-055333
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发表时间:
2022-05-19
期刊:
影响因子:
2.9
通讯作者:
Wang, Yue-Yun
Wang, Yue-Yun
中科院分区:
医学3区
文献类型:
--
作者:
Wu, Fei;Zhou, Lin;Chen, Caiyun;Lin, Wei;Liu, Peiyi;Huang, Weikang;Zhong, Chuyan;Zhang, Minyi;Li, Qiushuang;Chen, Qing;Wang, Yue-Yun

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针对女性的亲密伴侣暴力(IPV)仍然是一个重大的全球公共卫生问题,给个人和社会带来有害后果。人们的生活方式受到了 COVID-19 大流行的极大影响。本研究调查了大流行期间中国孕妇 IPV 的患病率及其与焦虑和抑郁的关系。横断面研究。这项调查于2020年9月15日至12月15日在中国广东省深圳市进行。通过滥用评估筛查问卷对总共3434名孕妇进行筛查,以评估IPV和一般性焦虑症,以及患者健康调查问卷以评估焦虑和抑郁症状。具有深圳市妇幼保健院围产期健康记录且同意参加的孕妇纳入研究。患有精神分裂症、躁狂症或物质依赖等精神病的妇女以及拒绝参加的孕妇被排除在外。数据采用χ2检验和逻辑回归分析。孕妇IPV患病率为2.2%。精神暴力是最常见的暴力类型(2.2%),其次是身体暴力(0.6%)和性暴力(0.7%)。焦虑和抑郁症状的患病率分别为9.8%和6.9%。调整协变量后,IPV 与产前焦虑(OR=4.207,95% CI:2.469 至 7.166)和抑郁(OR=3.864,95%CI:2.095 至 7.125)之间存在统计学显着相关性。在 COVID-19 大流行期间,IPV 增加了中国孕妇产前焦虑和抑郁的风险。政府和民间社会应共同努力,推动长效产前干预,确保孕妇安全,保护孕妇心理健康。
Intimate partner violence (IPV) against women remains a major global public health problem with harmful consequences for individuals and society. People’s lifestyles have been greatly affected by the COVID-19 pandemic. This study investigated the prevalence of and relationship between IPV and anxiety and depression in pregnant Chinese women during the pandemic. Cross-sectional study. This investigation was conducted in Shenzhen City, Guangdong Province, China from 15 September to 15 December 2020. A total of 3434 pregnant women were screened with the Abuse Assessment Screen Questionnaire to evaluate IPV and General Anxiety Disorder and Patient Health Questionnaire to evaluate symptoms of anxiety and depression, respectively. Pregnant women with perinatal health records at Shenzhen District Maternity and Child Healthcare Hospitals who consented to participate were enrolled. Women with psychotic disorders such as schizophrenia, mania or substance dependence and pregnant women who refused to participate were excluded. Data were analysed with the χ2 test and by logistic regression analysis. The prevalence of IPV among pregnant women was 2.2%. Mental violence was the most common type of violence (2.2%), followed by physical (0.6%) and sexual (0.7%) violence. The prevalence of anxiety and depression symptoms was 9.8% and 6.9%, respectively. After adjusting for covariates, there was a statistically significant association between IPV and prenatal anxiety (OR=4.207, 95% CI: 2.469 to 7.166) and depression (OR=3.864, 95% CI: 2.095 to 7.125). IPV increased the risk of prenatal anxiety and depression in pregnant women in China during the COVID-19 pandemic. Efforts should be made by the government and civil society to promote long-lasting antenatal interventions to ensure the safety and protect the mental health of pregnant women.
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发表时间: 2021-08-01
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