Association of physical violence by an intimate partner around the time of pregnancy with inadequate gestational weight gain.
Association of physical violence by an intimate partner around the time of pregnancy with inadequate gestational weight gain.
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DOI：
10.1016/j.socscimed.2011.01.006
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发表时间：
2011-03
影响因子：
5.4
通讯作者：
Beydoun, May A.
中科院分区：
文献类型：
--
作者：
Beydoun, Hind A.;Tamim, Hala;Lincoln, Alicia M.;Dooley, Suzanna D.;Beydoun, May A.
亲密伴侣的暴力行为以前曾在许多怀孕、分娩和分娩结果方面进行过审查。根据医学研究所（IOM）的指导方针，我们评估了在怀孕期间遭受亲密伴侣身体暴力的妇女是否不太可能实现体重增加。使用2000-2006年俄克拉荷马州妊娠风险评估监测调查（PRAMS）数据对20岁及以上的产后妇女进行了横断面研究。近6.5%的妇女在怀孕前和/或怀孕期间遭受亲密伴侣的身体暴力。这些妇女中体重增加适当的占38.8%，不足的占28.4%，过度的占32.8%。在调整了母亲的年龄，婚姻状况，教育，怀孕意图，紧张的生活事件，晚期使用烟草和酒精和分娩时的胎龄后，怀孕期间亲密伴侣的身体暴力与妊娠期体重增加过多（但不不足）呈正相关，但无显着性。按年龄组分层后，仅在35岁及以上的妇女中观察到怀孕期间亲密伴侣的身体暴力与妊娠期体重增加不足之间存在积极和显著的关联。除年龄≥ 35岁的母亲外，妊娠期体重增加不足和过度与分娩前亲密伴侣的身体暴力经历无关。需要进行前瞻性队列研究，以确定其他形式的暴力，包括情感和性虐待，是否会影响妊娠期体重增加，以及妊娠期体重增加是否会介导身体，性和情感虐待对妊娠，分娩和分娩结果的影响。
Intimate partner violence has been previously examined in relation to numerous pregnancy, labor and delivery outcomes. We evaluated whether women who experienced physical violence by their intimate partners around the time of pregnancy were less likely to achieve weight gain according to Institute of Medicine (IOM) guidelines. A cross-sectional study was conducted using the 2000–2006 Oklahoma Pregnancy Risk Assessment Monitoring Survey (PRAMS) data for post-partum women, 20 years and older. Physical violence perpetrated by an intimate partner before and/or during pregnancy was prevalent in nearly 6.5% of women. Weight gain was adequate in 38.8%, deficient in 28.4% and excessive in 32.8% of these women, respectively. After adjusting for maternal age, marital status, education, pregnancy intention, stressful life events, third-trimester use of tobacco and alcohol and gestational age at delivery, physical violence by an intimate partner around the time of pregnancy was positively but non-significantly associated with excessive (but not deficient) gestational weight gain. After stratifying by age group, positive and significant associations between physical violence by an intimate partner around the time of pregnancy and inadequate gestational weight gain were observed only among women 35 years and older. With the exception of mothers ≥ 35 years of age, deficient and excessive gestational weight gains were not significantly related to experiences with physical violence by an intimate partner prior to delivery. Prospective cohort studies are needed to establish whether other forms of violence, including emotional and sexual abuse, can affect gestational weight gain and whether gestational weight gain can mediate the effect of physical, sexual and emotional abuse on pregnancy, labor and delivery outcomes.
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影响因子：
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作者：
Janssen, PA;Holt, VL;Henderson, AD
通讯作者：
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