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Caira-Chuquineyra B, Fernandez-Guzman D, Cortez-Soto AG, Urrunaga-Pastor D, Bendezu-Quispe G, Toro-Huamanchumo CJ. Association between intimate partner violence and pregnancy intention: evidence from the Peruvian demographic and health survey. BMC Womens Health 2024; 24:140. [PMID: 38402397 PMCID: PMC10893598 DOI: 10.1186/s12905-024-02958-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 02/07/2024] [Indexed: 02/26/2024] Open
Abstract
BACKGROUND Intimate partner violence (IPV) in Peru represents a significant public health challenge. IPV can influence women's reproductive and social behaviors, undermining fertility control, and exacerbating unintended pregnancies. Our objective was to assess the association between IPV and pregnancy intention among Peruvian women of reproductive age. METHODS We conducted a secondary analysis of Peru's 2020 Demographic and Family Health Survey data. The independent variable in this study was IPV against women, which includes psychological IPV, sexual IPV, and physical IPV. If a respondent experienced any of these three forms of IPV, the IPV variable was labeled as "yes"; if none were present, it was labeled as "no". The dependent variable was pregnancy intention (no vs. yes). We utilized a generalized linear model (GLM) from the Poisson family with a log link function to assess the relationship between IPV occurrences (total and each IPV type) and pregnancy intention. We report crude and adjusted prevalence ratios (aPR) with 95% confidence intervals (95%CI). RESULTS We analyzed data from 8466 women aged 15 to 49. The prevalence of any IPV was 49.6% (psychological IPV: 45.8%; physical IPV: 22.2%; and sexual IPV: 4.3%). Exposure to physical IPV (aPR: 1.05; 95% CI: 1.03-1.07), psychological IPV (aPR: 1.04; 95% CI: 1.02-1.06), and sexual IPV (aPR: 1.09; 95% CI: 1.04-1.13), as well as a history of any IPV (aPR: 1.05; 95% CI: 1.02-1.07), were associated with a higher probability of not intending to become pregnant. This association persisted after adjusting for confounders like age, marital status, educational attainment, education level of the child's father, place of residence, wealth, ethnicity, and parity. CONCLUSION One in two Peruvian women reported experiencing IPV. An association was observed between IPV exposure and a higher probability of not holding an intention to become pregnant.
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Affiliation(s)
| | - Daniel Fernandez-Guzman
- Carrera de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru
| | - Andrea G Cortez-Soto
- Sociedad Científica de Estudiantes de Medicina de Ica (SOCEMI), Universidad Nacional San Luis Gonzaga, Ica, Peru
| | - Diego Urrunaga-Pastor
- Carrera de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.
| | - Guido Bendezu-Quispe
- Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru
| | - Carlos J Toro-Huamanchumo
- Escuela de Medicina, Facultad de Ciencias Médicas, Universidad César Vallejo, Trujillo, Peru
- OBEMET Center for Obesity and Metabolic Health, Lima, Peru
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Rathnayake JC, Mat Pozian N, Carroll JA, King J. Barriers Faced by Australian and New Zealand Women When Sharing Experiences of Family Violence with Primary Healthcare Providers: A Scoping Review. Healthcare (Basel) 2023; 11:2486. [PMID: 37761683 PMCID: PMC10531433 DOI: 10.3390/healthcare11182486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 08/22/2023] [Accepted: 08/24/2023] [Indexed: 09/29/2023] Open
Abstract
Despite the Australian Government's attempts to reduce domestic violence (DV) incidences, impediments within the social and health systems and current interventions designed to identify DV victims may be contributing to female victims' reluctance to disclose DV experiences to their primary healthcare providers. This scoping review aimed to provide the state of evidence regarding reluctance to disclose DV incidents, symptoms and comorbidities that patients present to healthcare providers, current detection systems and interventions in clinical settings, and recommendations to generate more effective responses to DV. Findings revealed that female victims are reluctant to disclose DV because they do not trust or believe that general practitioners can help them to solve their issues, and they do not acknowledge that they are in an abusive relationship, and are unaware that they are in one, or have been victims of DV. The most common symptoms and comorbidities victims present with are sleep difficulties, substance use and anxiety. Not all GPs are equipped with knowledge about comorbidities signalling cases of DV. These DV screening programs are the most prominent intervention types within Australian primary health services and are currently not sufficiently nuanced nor sensitive to screen with accuracy. Finally, this scoping review provides formative evidence that in order for more accurate and reliable data regarding disclosure in healthcare settings to be collected, gender power imbalances in the health workforce should be redressed, and advocacy of gender equality and the change of social structures in both Australia and New Zealand remain the focus for reducing DV in these countries.
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Affiliation(s)
| | | | - Julie-Anne Carroll
- School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Kelvin Grove Campus, Victoria Park Road, Kelvin Grove, QLD 5069, Australia; (J.C.R.); (N.M.P.); (J.K.)
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Hamrick JE, Ahmed AE, Witkop CT, Manetz KE, Mancuso JD. Unintended pregnancy among U.S. military active duty servicemembers: Estimates for 2018 and trends since 2005. Contraception 2023; 119:109894. [PMID: 36243127 DOI: 10.1016/j.contraception.2022.09.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 09/25/2022] [Accepted: 09/30/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To evaluate the prevalence of and factors associated with unintended pregnancy in the past 12 months among women and men in the United States (U.S.) military in 2018, as well as trends in unintended pregnancy between 2005 and 2018. STUDY DESIGN This was a cross-sectional study using the 2018 Department of Defense Health Related Behaviors Survey of active duty servicemembers. We selected a stratified random sample from members of all military service branches and used weighted logistic regression models to identify associated independent factors. A 9.6% weighted response rate to the online survey resulted in 16,806 active duty servicemembers analyzed; 4993 women aged 17 to 44 years and 11,813 men aged 17 to 45+ years. We used data from five independent surveys: 2005, 2008, 2011, 2015, and 2018 to examine trends over time. RESULTS A total of 5.6% (95% CI: 4.5%-6.7%) of servicewomen reported unintended pregnancy and 2.4% (95% CI: 1.9%-2.9%) of servicemen reported to have caused unintended pregnancy. Unintended pregnancy was associated with contraception nonuse, younger age, and being either married or cohabiting. CONCLUSION The decrease in prevalence of unintended pregnancy among U.S. servicemembers since 2005 mirrors the general U.S. POPULATION Differing contraception policies during basic training across military services may influence rates of unintended pregnancy. Unintended pregnancies place a large burden on the military healthcare system, as the majority of women serving in the military are of reproductive age, and thus require care before, during, and for years after giving birth. IMPLICATIONS Unintended pregnancy among U.S. military servicewomen relatively mirrors that seen in the U.S. POPULATION Contraceptive policies affect unintended pregnancy throughout servicemembers' duration of service. As they are more likely to live in states which restrict access to abortion services, servicewomen with unintended pregnancy may face increased obstacles to care.
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Affiliation(s)
- Jaqueline E Hamrick
- School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - Anwar E Ahmed
- Department of Preventive Medicine & Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - Catherine T Witkop
- Department of Preventive Medicine & Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States; Department of Gynecologic Surgery & Obstetrics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - Kyle E Manetz
- School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, United States
| | - James D Mancuso
- Department of Preventive Medicine & Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD, United States.
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Pérez Sánchez B, Burgos Padilla JJ, Alveal-Álamos C, Concha-Salgado A, Jara Sepúlveda L, Rodríguez Díaz FJ. Design and study of psychometric properties of the Community Attitude to Abortion Scale (CAAS) with the Chilean population: Autonomy and Stigma. Front Psychol 2022; 13:1008492. [PMID: 36619109 PMCID: PMC9822711 DOI: 10.3389/fpsyg.2022.1008492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 11/04/2022] [Indexed: 12/25/2022] Open
Abstract
Introduction Attitudes toward abortion are related to structural, cultural, and direct gender-based violence. This violence can affect women's mental, physical and reproductive health. Therefore, it is essential to know the nature of community attitudes toward abortion. Since we currently do not have an instrument that measures attitudes towards abortion in Chile, we set the objective of this study to design the Community Attitude to Abortion Scale (CAAS) and analyze its psychometric properties in a Chilean community population. Methods This work is an instrumental design study. Using a sampling of panelists by sociodemographic quotas, we obtained a sample of 1,223 participants with a mean age of 36.7 years (SD = 13.56). Results As a result, we obtained a scale of 18 items and two correlated factors, Autonomy and Stigma. This structure fits better as an Exploratory Structural Equations Model (ESEM). Both factors have excellent internal consistency. In addition, we obtained evidence of concurrent and discriminant validity: The scores on the factors of the Universal Religious Involvement Scale (I-E12) correlated negatively with Autonomy and positively with Stigma; participants with low levels of identification with a right-wing political orientation, with high levels of identification with a leftwing, pro-feminist, pro-LGBTQ +, and pro-euthanasia political orientation, obtained higher mean scores on Autonomy and lower on Stigma. Discussion The CAAS is an adequate tool for use with the Chilean community population, with evidence of consistency and validity. La CAAS is the first tool to measure attitudes to abortion in this country.
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Affiliation(s)
- Beatriz Pérez Sánchez
- Department of Psychology, University of La Frontera, Temuco, Chile,Department of Psychology, University of Oviedo, Oviedo, Spain,*Correspondence: Beatriz Pérez Sánchez,
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Ankerstjerne LBS, Laizer SN, Andreasen K, Normann AK, Wu C, Linde DS, Rasch V. Landscaping the evidence of intimate partner violence and postpartum depression: a systematic review. BMJ Open 2022; 12:e051426. [PMID: 35584869 PMCID: PMC9119188 DOI: 10.1136/bmjopen-2021-051426] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To assess the evidence of the association between exposure to intimate partner violence (IPV) and postpartum depression. IPV during pregnancy can have immediate and long-term physical and mental health consequences for the family. Therefore, it has been hypothesised that IPV may affect the risk of developing postpartum depression. METHODS A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Embase, Global Health Library, Scopus and Google scholar were searched for published studies without restrictions on language, time or study design (up to May 2020). Studies were included if they assessed postpartum depression using the Edinburg Postnatal Depression Scale (cut-off≥10), among women who had been exposed to IPV (emotional, physical and/or sexual abuse). The quality of studies was judged according to the Newcastle-Ottawa scale. RESULTS A total of 33 studies were included in the review (participants n=131 131). The majority of studies found an association between exposure to IPV and the development of signs of postpartum depression. Overall, studies measured both exposure and outcome in various ways and controlled for a vast number of different confounders. Thirty percent of the studies were set in low-income and lower-middle-income countries while the rest were set in upper-middle-income and high-income countries and the association did not differ across settings. Among the studies reporting adjusted OR (aOR) (n=26), the significant aOR ranged between 1.18 and 6.87 (95% CI 1.12 to 11.78). The majority of the studies were judged as 'good quality' (n=20/33). CONCLUSION We found evidence of an association between exposure to IPV and the development of signs of postpartum depression. Meta-analysis or individual patient data meta-analysis is required to quantify the magnitude of the association between IPV and postpartum depression. PROSPERO REGISTRATION NUMBER CRD42020209435.
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Affiliation(s)
- Lea Bo Sønderlund Ankerstjerne
- Department of Gynaecology and Obstetrics, Odense University Hospital, Odense, Denmark
- Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Sweetness Naftal Laizer
- Kilimanjaro Christian Medical University College, Kilimanjaro Clinical Research Institute, Moshi, United Republic of Tanzania
| | - Karen Andreasen
- Gynaecology and Obstetrics, Odense Universitetshospital, Odense, Denmark
| | - Anne Katrine Normann
- Deparment of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark
| | - Chunsen Wu
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Obstetrics and Gynaecology, Odense Universitetshospital, Odense, Denmark
| | - Ditte Søndergaard Linde
- Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
- Obstetrics and Gynaecology, Odense Universitetshospital, Odense, Denmark
| | - Vibeke Rasch
- Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
- Department of Gynaecology and Obstetrics, Odense Universitets hospital, Odense, Denmark
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Kamal SMM, Ulas E. The association between marital violence and reproductive and sexual health outcomes of women: A multi-country study of South Asia. Health Care Women Int 2021; 43:914-930. [PMID: 34669548 DOI: 10.1080/07399332.2021.1972302] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
In this study, we examined the relationship between marital violence(MV) and reproductive and sexual health outcomes of women of Bangladesh, India, Nepal and Pakistan. The lifetime MV inflicted by husbands on their wives was highest at 53% in Bangladesh, India(37%), Pakistan(28%) and Nepal(28%) respectively. Overall, our results in this study suggest that MV perpetrated by husbands on their wife is significantly associated with unintended pregnancy, pregnancy termination, current use of any modern contraceptive methods and sexually transmitted infections, but inconsistent associations are appeared across countries. Lifetime sexual violence and physical-sexual force were significantly and positively associated with unintended pregnancy and pregnancy termination respectively, whereas, all types of MV were significantly and positively related with the symptom of sexually transmitted diseases in the women. Appropriate measures should be undertaken to combat Violence against women(VAW) and necessary services should be provided to the victimized women to uphold their reproductive and sexual rights.
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Affiliation(s)
| | - Efehan Ulas
- Department of Statistics, Cankiri Karatekin University, Cankiri, Turkey
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Social Determinants of Violence on Pregnant Women against Their Husbands. JOURNAL OF EDUCATION AND COMMUNITY HEALTH 2021. [DOI: 10.52547/jech.8.3.181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Flaathen EME, Lukasse M, Cvancarova Småstuen M, Garnweidner-Holme L, Henriksen L. Intimate partner violence and the association of pregnancy intendedness - A cross-sectional study in southeastern Norway. SEXUAL & REPRODUCTIVE HEALTHCARE 2021; 29:100651. [PMID: 34364196 DOI: 10.1016/j.srhc.2021.100651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 07/06/2021] [Accepted: 07/28/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Unintended pregnancy in the context of intimate partner violence (IPV) is a public health issue. It is associated with increased health risks for women and their children. Our objective was to investigate the association between unintended pregnancy and emotional, physical and sexual IPV in a multi-cultural population attending routine antenatal care. STUDY DESIGN A prospective cross-sectional study of 1788 pregnant women who filled out a questionnaire during pregnancy as part of a randomized controlled trial conducted in southeastern Norway. MAIN OUTCOME MEASURES Pregnancy intendedness was measured by asking women if their pregnancy was planned or not. The Abuse Assessment Screen and the Composite Abuse Scale R-SF, consisting of descriptive questions, were used to measure IPV. Chi-square tests, a Mann-Whitney U test, and binary logistic regression analysis were used. RESULTS Almost one in five women (17.4%) reported that their current pregnancy was unintended. Women with unintended pregnancy were significantly younger, had lower educational backgrounds, more limited economic resources and were more likely to be non-native Norwegian speakers. A total of 15.3% of the women reported some experience of IPV in their lifetime. These women were significantly more likely to experience an unintended pregnancy than women who had not experienced IPV, after adjusting for confounding factors: AOR = 1.74 (95% CI [1.23-2.47]). CONCLUSIONS Women who had experienced IPV were significantly more likely to have an unintended pregnancy than women who had not experienced IPV. It is of major importance to identify those women and offer appropriate services during pregnancy.
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Affiliation(s)
- Eva Marie Engebakken Flaathen
- Department of Nursing and Health Promotion, Oslo Metropolitan University, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway.
| | - Mirjam Lukasse
- Department of Nursing and Health Promotion, Oslo Metropolitan University, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway; Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, University of South-Eastern Norway, PO Box 235, 3603 Kongsberg, Norway.
| | - Milada Cvancarova Småstuen
- Department of Nursing and Health Promotion, Oslo Metropolitan University, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway.
| | - Lisa Garnweidner-Holme
- Department of Nursing and Health Promotion, Oslo Metropolitan University, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway.
| | - Lena Henriksen
- Department of Nursing and Health Promotion, Oslo Metropolitan University, P.O. Box 4 St. Olavs plass, 0130 Oslo, Norway; Division of General Gynaecology and Obstetrics, Oslo University Hospital, P.O Box 4950 Nydalen, N-0424 Oslo, Norway.
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Al Shidhani NA, Al Kendi AA, Al Kiyumi MH. Prevalence, Risk Factors and Effects of Domestic Violence Before and During Pregnancy on Birth Outcomes: An Observational Study of Literate Omani Women. Int J Womens Health 2020; 12:911-925. [PMID: 33149702 PMCID: PMC7604256 DOI: 10.2147/ijwh.s272419] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 10/12/2020] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Domestic violence against women before and/or during pregnancy is a concerning public health issue. It has a deleterious impact on both the mother and the baby. AIM The aim of this study is to identify the prevalence and predictors of emotional and physical domestic violence during three periods (lifelong, one year before pregnancy and during pregnancy). Moreover, it evaluates the effects of domestic violence on the outcomes of pregnancy, including miscarriages, birth weight of the baby, gestational age at delivery, and mode of delivery. METHODOLOGY This is a prospective observational study of literate pregnant women, attending four primary health-care centers in Muscat, from 1st April 2019 to 31st March 2020. Subjects with twin pregnancies were excluded from the study. The validated Arabic NorVold Domestic Abuse Questionnaire (NORAQ) was used to determine the prevalence of emotional and physical domestic violence. The recruited subjects were re-evaluated for birth outcomes at 2-4 weeks postpartum. RESULTS A total of 960 women participated in the study, with the mean age of 30.3 ± 5.4 years. Overall, experiences of lifelong domestic violence were reported by 161 women (16.8%), and the prevalence rate declined substantially in the one-year period preceding pregnancy and during pregnancy, 2.7% and 1.6%, respectively. Women who reported any type of domestic violence one year before pregnancy were at a higher risk of experiencing it again during pregnancy. A multivariate analysis of the obtained data revealed a strong association between physical domestic violence one year before pregnancy and unplanned pregnancy. Subjects with lifelong domestic violence reported higher rates of depression, insomnia, and somatic symptoms. No significant association was found between domestic violence, across any periods, and birth outcomes. CONCLUSION The rates of domestic violence are relatively lower during pregnancy and one year before pregnancy compared to those of the lifelong period among Omani women. A significant association was found between domestic violence and depression, insomnia, somatic symptoms, and unplanned pregnancy. Screening for domestic violence during the perinatal period, using high-quality surveys, is of utmost importance.
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Affiliation(s)
| | | | - Maisa Hamed Al Kiyumi
- Department of Family Medicine and Public Health, Sultan Qaboos University Hospital, Muscat, Oman
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Ghodrati F. Controversial Issues of Abortion License According to Religious and Jurisprudential Laws in Iran: A Systematic Review. CURRENT WOMEN S HEALTH REVIEWS 2020. [DOI: 10.2174/1573404816666200206112854] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background :
Increase in the number of unwanted pregnancies has been considered to be
among the health indices of the society. A large number of children, illegitimate children, and undesirable
fetal gender might increase the prevalence of illegal abortions.
Objective:
The present study aimed to investigate the abortion license according to religious and
jurisprudential laws in Iran.
Methods:
In this review, the related articles were found through searching of PubMed, Scopus,
Google Scholar, SID, and Magiran databases as well as Muslim authorities’ sites using the following
keywords: ethics, religious, abortion, and Islamic jurists’ fatwas, without any time limitations.
Results:
The majority of Islamic jurisprudents have considered abortion to be forbidden and nonreligious
at any stage of development in case there is no justifiable reason. In case of fetal anomalies
or threats to the mother’s life, abortion is allowed, based on the jurisprudential law (al-'usr wa
el-haraj) and written permission by the department of forensic medicine. However, abortion is not
permitted after ensoulment to the fetus, according to all scholars, with the exception of a few jurisprudents.
Conclusion:
The prohibition of abortion, in the view of most jurists, is not an absolute issue and
might include exceptions. According to jurisprudential laws (al-'usr wa el-haraj), the prohibition of
abortion has been abolished. Harassment and conflict in maternal-fetal life can also provide a license
for abortion.
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Affiliation(s)
- Fatemeh Ghodrati
- Department of Theology, Faculty of Humanities Science College, Yasouj University, Yasouj, Iran
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Sebert Kuhlmann A, Shato T, Fu Q, Sierra M. Intimate partner violence, pregnancy intention and contraceptive use in Honduras. Contraception 2019; 100:137-141. [DOI: 10.1016/j.contraception.2019.03.050] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Revised: 03/14/2019] [Accepted: 03/20/2019] [Indexed: 11/30/2022]
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Poor antenatal care attendance is associated with intimate partner violence: Multivariate analysis of a pregnancy cohort. Eur J Obstet Gynecol Reprod Biol 2019; 237:204-208. [PMID: 31075561 DOI: 10.1016/j.ejogrb.2019.05.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2019] [Revised: 04/27/2019] [Accepted: 05/01/2019] [Indexed: 11/20/2022]
Abstract
OBJECTIVE Intimate partner violence (IPV) is a common, neglected public health problem and pregnancy is a period of vulnerability. We evaluated the relationship of attendance for antenatal care with the experience of psychological and physical IPV. STUDY DESIGN We established a cohort of 779 consecutive mothers who received antenatal care and gave birth in 15 public hospitals, Andalusia, Spain. Trained midwives gathered IPV data using the Index of Spouse Abuse validated in the Spanish language (score ranges: 0-100, higher scores reflect more severe IPV; cut-offs: physical IPV = 10, psychological IPV = 25). Less than eight visits defined the threshold for poor antenatal care attendance. Multivariate logistic regression estimated crude (COR) and adjusted odds ratios (AOR), with 95% confidence intervals (CI), of the relationship between antenatal care attendance and psychological and physical IPV, controlling for socio-demographic and other pregnancy characteristics. RESULTS Response rate was 92.2%. Poor antenatal clinic attendance, observed in 76 (9.8%) women, was associated with both physical IPV (n = 26, 39% vs 9%; COR = 6.2, 95%CI = 2.7-14.3; AOR = 3.3, 95%CI = 1.1-9.4) and psychological IPV (n = 149, 20% vs 8%; COR = 2.9, 95%CI = 1.7-4.8; AOR = 1.6, 95%CI = 0.9-3.1), though the latter was not significant in multivariate analysis. CONCLUSION Women with a poor antenatal care attendance have higher risk of suffering physical IPV during pregnancy. Clinicians should be vigilant about the risk of IPV in mothers with poor attendance for antenatal care.
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Russo A, Reginelli A, Pignatiello M, Cioce F, Mazzei G, Fabozzi O, Parlato V, Cappabianca S, Giovine S. Imaging of Violence Against the Elderly and the Women. Semin Ultrasound CT MR 2018; 40:18-24. [PMID: 30686363 DOI: 10.1053/j.sult.2018.10.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Emergency department assessment is a critical opportunity to identify elder abuse and violence against women, which represent a growing problem, requiring the attention of health care systems. Elder abuse is most frequently perpetrated by family members because of the higher levels of stress, burnout, and financial problems affecting the caregivers that can even lead to deadly consequences. Intimate partner violence is defined as physical, sexual, or psychological harm caused to another by a current or former partner or spouse, and can range from a single acute hit to chronic battering, varying in frequency and severity. Radiologists have a critical role in detecting those injury findings suggestive of abuse and violence. When appropriate, additional information about the social circumstances in which an injury took place, linked with imaging findings, may also be helpful in diagnosing abuse. The purpose of this article is to highlight the role of diagnostic imaging in the detection of lesions compatible with domestic abuse in elderly patients and women, and to allow the recognition of the alterations most frequently associated with this type of violence.
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Affiliation(s)
- Anna Russo
- Department of Radiology, SG Moscati Hospital, Aversa Caserta, Italy
| | - Alfonso Reginelli
- Department of Precision Medicine, Radiology and Radiotherapy, University of Campania Luigi Vanvitelli. Piazza Miraglia, Naples Italy.
| | - Maria Pignatiello
- Department of Precision Medicine, Radiology and Radiotherapy, University of Campania Luigi Vanvitelli. Piazza Miraglia, Naples Italy
| | - Fabrizio Cioce
- Department of Precision Medicine, Radiology and Radiotherapy, University of Campania Luigi Vanvitelli. Piazza Miraglia, Naples Italy
| | - Giovanni Mazzei
- School of Medicine, University St. Kliment Ohridski, Sofia, Bulgaria
| | - Olimpia Fabozzi
- Department of Radiology, SG Moscati Hospital, Aversa Caserta, Italy
| | - Vincenzo Parlato
- Department of Precision Medicine, Radiology and Radiotherapy, University of Campania Luigi Vanvitelli. Piazza Miraglia, Naples Italy
| | - Salvatore Cappabianca
- Department of Precision Medicine, Radiology and Radiotherapy, University of Campania Luigi Vanvitelli. Piazza Miraglia, Naples Italy
| | - Sabrina Giovine
- Department of Radiology, SG Moscati Hospital, Aversa Caserta, Italy
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Martínez-Galiano JM. Mother-newborn health indicators in possible victims of gender-based violence during pregnancy. Appl Nurs Res 2017; 34:48-51. [DOI: 10.1016/j.apnr.2017.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Revised: 01/03/2017] [Accepted: 02/01/2017] [Indexed: 11/28/2022]
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Bianchi AL, Cesario SK, McFarlane J. Interrupting Intimate Partner Violence During Pregnancy With an Effective Screening and Assessment Program. J Obstet Gynecol Neonatal Nurs 2016; 45:579-91. [DOI: 10.1016/j.jogn.2016.02.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2016] [Indexed: 10/21/2022] Open
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Cha S, Masho SW, Heh V. Partner violence victimization and unintended pregnancy in Latina and Asian American women: Analysis using structural equation modeling. Women Health 2016; 57:430-445. [DOI: 10.1080/03630242.2016.1170094] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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