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Lee CM, Evans ML. Addressing a Leading Cause of Maternal Mortality: Intimate Partner Violence and Access to Firearms. Obstet Gynecol 2024; 144:e40-e41. [PMID: 38843527 DOI: 10.1097/aog.0000000000005636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 04/18/2024] [Indexed: 07/20/2024]
Affiliation(s)
- Charlotte M Lee
- Department of Obstetrics and Gynecology, Tufts Medical Center, Boston, Massachusetts
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Petreca VG, Dowdell EB, Harding SL, Mars M, Pudvah E, Jeune J, Burgess AW. Murdered Indigenous Women: A Comparison Study of Victim and Perpetrator Patterns and Characteristics. JOURNAL OF FORENSIC NURSING 2024; 20:174-184. [PMID: 38488389 DOI: 10.1097/jfn.0000000000000481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/21/2024]
Abstract
INTRODUCTION The rate of violent crimes against Indigenous people, including murder and rape, is significantly higher than national averages. Even more concerning, Indigenous women and girls represent a large proportion of murdered and missing individuals in the United States. In addition to the murder rate of Indigenous women being higher than the national average, they are significantly more likely to experience rape or other types of sexual violence. The main goal of this study was to gain a better understanding of cases involving the homicide of Indigenous women and identify patterns associated with the violence committed against them. METHODS Cases of Indigenous women between the ages of 18 and 55 years were pulled from the database. Cases were coded and analyzed for information pertaining to victim, perpetrator, and crime characteristics. Descriptive analysis and test of association were performed. RESULTS/FINDINGS There was a statistical association between the nature of the relationship between perpetrators and victims and whether the crime occurred on a reservation, the race/ethnicity of the perpetrator, a victim's history of domestic violence, and the method and motive of murder. DISCUSSION/CONCLUSION Indigenous women are at an increased risk of victimization, including intimate partner violence and homicide. They also represent a group that has been marginalized, receiving little attention from the media, clinicians, researchers, and policy makers. The findings in this study highlight specific factors that may help to mitigate risk factors and/or enhance culturally competent clinical and forensic nursing practice.
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Affiliation(s)
| | | | | | - Mak Mars
- Justice for Native People, Oneida Nation of Wisconsin, Fond du Lac Ojibwe
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Jones BW, Quick-Graham L, Martin SL. Perinatal Homicide in the United States: A Systematic Literature Review. TRAUMA, VIOLENCE & ABUSE 2024; 25:2452-2467. [PMID: 38160243 DOI: 10.1177/15248380231217044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
This review focused on literature from the United States evaluating homicide during the perinatal period. It was completed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Seventeen studies met the criteria for inclusion, including: describing prevalence and risk factors related to homicide deaths of pregnant or postpartum birthing individuals; being conducted in the United States; and being published in English 2007 or later. This review found that homicide is an important contributor to maternal mortality and is a leading cause of death during pregnancy and the postpartum period, especially if an individual is Black and under the age of 30. Future efforts must be made to standardize data collection efforts and resolve nuanced terminology that results in interpretation challenges. The United States should examine maternal deaths through the entirety of the perinatal period and fully invest in violence prevention efforts.
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Affiliation(s)
- Brooke W Jones
- Department of Maternal and Child Health, Gillings School of Global Public Health, UNC, Chapel Hill, NC, USA
| | | | - Sandra L Martin
- Department of Maternal and Child Health, Gillings School of Global Public Health, UNC, Chapel Hill, NC, USA
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Wallace ME, Stoecker C, Sauter S, Vilda D. States' Abortion Laws Associated With Intimate Partner Violence-Related Homicide Of Women And Girls In The US, 2014-20. Health Aff (Millwood) 2024; 43:682-690. [PMID: 38709960 DOI: 10.1377/hlthaff.2023.01098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/08/2024]
Abstract
Women who are pregnant or recently gave birth are significantly more likely to be killed by an intimate partner than nonpregnant, nonpostpartum women of reproductive age, implicating the risk of fatal violence conferred by pregnancy itself. The rapidly increasing passage of state legislation has restricted or banned access to abortion care across the US. We used the most recent and only source of population-based data to examine the association between state laws that restrict access to abortion and trends in intimate partner violence-related homicide among women and girls ages 10-44 during the period 2014-20. Using robust difference-in-differences ecologic modeling, we found that enforcement of each additional Targeted Regulation of Abortion Providers (TRAP) law was associated with a 3.4 percent increase in the rate of intimate partner violence-related homicide in this population. We estimated that 24.3 intimate partner violence-related homicides of women and girls ages 10-44 were associated with TRAP laws implemented in the states and years included in this analysis. Assessment of policies that restrict access to abortion should consider their potential harm to reproductive-age women through the risk for violent death.
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Affiliation(s)
- Maeve E Wallace
- Maeve E. Wallace , Tulane University, New Orleans, Louisiana
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Keegan G, Hoofnagle M, Chor J, Hampton D, Cone J, Khan A, Rowell S, Plackett T, Benjamin A, Bhardwaj N, Rogers SO, Zakrison TL, Cirone JM. State-Level Analysis of Intimate Partner Violence, Abortion Access, and Peripartum Homicide: Call for Screening and Violence Interventions for Pregnant Patients. J Am Coll Surg 2024; 238:880-888. [PMID: 38329176 DOI: 10.1097/xcs.0000000000001019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2024]
Abstract
BACKGROUND Despite representing 4% of the global population, the US has the fifth highest number of intentional homicides in the world. Peripartum people represent a unique and vulnerable subset of homicide victims. This study aimed to understand the risk factors for peripartum homicide. STUDY DESIGN We used data from the 2018 to 2020 National Violent Death Reporting System to compare homicide rates of peripartum and nonperipartum people capable of becoming pregnant (12 to 50 years of age). Peripartum was defined as currently pregnant or within 1-year postpartum. We additionally compared state-level peripartum homicide rates between states categorized as restrictive, neutral, or protective of abortion. Pearson's chi-square and Wilcoxon rank-sum tests were used. RESULTS There were 496 peripartum compared with 8,644 nonperipartum homicide victims. The peripartum group was younger (27.4 ± 71 vs 33.0 ± 9.6, p < 0.001). Intimate partner violence causing the homicide was more common in the peripartum group (39.9% vs 26.4%, p < 0.001). Firearms were used in 63.4% of homicides among the peripartum group compared with 49.5% in the comparison (p < 0.001). A significant difference was observed in peripartum homicide between states based on policies regarding abortion access (protective 0.37, neutral 0.45, restrictive 0.64; p < 0.01); the same trend was not seen with male homicides. CONCLUSIONS Compared with nonperipartum peers, peripartum people are at increased risk for homicide due to intimate partner violence, specifically due to firearm violence. Increasing rates of peripartum homicide occur in states with policies that are restrictive to abortion access. There is a dire need for universal screening and interventions for peripartum patients. Research and policies to reduce violence against pregnant people must also consider the important role that abortion access plays in protecting safety.
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Affiliation(s)
- Grace Keegan
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | | | - Julie Chor
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - David Hampton
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Jennifer Cone
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
- Washington University, St Louis, MO (Hoofnagle)
- Carolinas Medical Center, Charlotte, NC (Cirone)
| | - Abid Khan
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Susan Rowell
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Timothy Plackett
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Andrew Benjamin
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Neha Bhardwaj
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Selwyn O Rogers
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
| | - Tanya L Zakrison
- From the University of Chicago, Chicago, IL (Keegan, Chor, Hampton, Khan, Rowell, Plackett, Benjamin, Bhardwaj, Rogers, Zakrison)
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Huang RS, Spence AR, Abenhaim HA. Non-Obstetric Maternal Mortality Trends by Race in the United States. Matern Child Health J 2024; 28:895-904. [PMID: 38147278 DOI: 10.1007/s10995-023-03862-7] [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] [Accepted: 12/11/2023] [Indexed: 12/27/2023]
Abstract
OBJECTIVES Public health interventions to reduce maternal mortality have largely focused on obstetric causes of death. However, previous studies have noted that non-obstetrics factors, such as motor vehicle accidents, substance overdoses, homicides, and suicides, may account for a large proportion of maternal deaths. The study objective was to examine trends in maternal deaths from non-obstetric causes across races in the United States (US). METHODS A population-based cross-sectional study was conducted on 80,710,348 live births using data from the "Birth Data" and "Mortality Multiple Cause" files compiled by the Centers for Disease Control and Prevention from 2000 to 2019. The annual incidence of maternal deaths attributed to non-obstetric causes (/100,000 live-births) during pregnancy and up to 42 days postpartum were calculated across racial groups. Then the effects of race on the risk of non-obstetric maternal mortality and temporal changes over the study period were examined using logistic regression models. RESULTS From 2000 to 2019, a total 7,334 women died during pregnancy, childbirth, and within 42 days postpartum from non-obstetric causes, representing 34.5% (7,334/21,241) of all maternal mortality. Of non-obstetric deaths, 31.3% were caused by transport accidents and 27.3% by accidental poisoning. American Indian women were found to have the highest risk of non-obstetric maternal mortality (OR 2.20,95% CI 1.90-2.56), and 46.1% (176/382) of all deaths among pregnant American Indian women were caused by non-obstetric complications. Risk of non-obstetric maternal mortality increased overall during the 20-year study period, with a greater increase among Black (1.15, 1.13-1.17) and American Indian women (1.17, 1.13-1.21). CONCLUSION Non-obstetric causes of death have become increasingly prevalent in the US, especially in American Indian women. Novel interventions to address these non-obstetric factors should especially target American Indian women to improve maternal outcomes.
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Affiliation(s)
- Ryan S Huang
- Division of Experimental Medicine, McGill University, Montreal, QC, Canada
| | - Andrea R Spence
- Center for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada
| | - Haim A Abenhaim
- Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, 5790 Cote-Des Neiges, Pav. H 325, Montreal, QC, H3S 1Y9, Canada.
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Huang RS, Spence AR, Abenhaim HA. Racial disparities in national maternal mortality trends in the United States from 2000 to 2019: a population-based study on 80 million live births. Arch Gynecol Obstet 2024; 309:1315-1322. [PMID: 36933039 DOI: 10.1007/s00404-023-06999-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 03/01/2023] [Indexed: 03/19/2023]
Abstract
PURPOSE In the United States (US), deaths during pregnancy and childbirth have increased over the past 2 decades compared to other high-income countries, and there have been reports that racial disparities in maternal mortality have widened. The study objective was to examine recent trends in maternal mortality in the US by race. METHODS Our population-based cross-sectional study used data from the Centers for Disease Control and Prevention's 2000-2019 "Birth Data" and "Mortality Multiple Cause" data files from the US to calculate maternal mortality during pregnancy, childbirth, and puerperium across race. Logistic regression models estimated the effects of race on the risk of maternal mortality and examined temporal changes in risk across race. RESULTS A total of 21,241 women died during pregnancy and childbirth, with 65.5% caused by obstetrical complications and 34.5% by non-obstetrical causes. Black women, compared with White women, had greater risk of maternal mortality (OR 2.13, 95% CI 2.06-2.20), as did American Indian women (2.02, 1.83-2.24). Overall maternal mortality risk increased during the 20-year study period, with an annual increase of 2.4 and 4.7/100,000 among Black and American Indian women, respectively. CONCLUSIONS Between 2000 and 2019, maternal mortality in the US increased, overall and especially in American Indian and Black women. Targeted public health interventions to improve maternal health outcomes should become a priority.
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Affiliation(s)
- Ryan S Huang
- Division of Experimental Medicine, McGill University, Montreal, QC, Canada
| | - Andrea R Spence
- Center for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada
| | - Haim A Abenhaim
- Center for Clinical Epidemiology, Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada.
- Department of Obstetrics & Gynecology, Jewish General Hospital, McGill University, 5790 Cote-Des Neiges, Pav. H 325, Montreal, QC, H3S 1Y9, Canada.
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D'Angelo DV, Liu Y, Basile KC, Smith SG, Chen J, Friar NW, Stevens M. Rape and Sexual Coercion Related Pregnancy in the United States. Am J Prev Med 2024; 66:389-398. [PMID: 37935321 PMCID: PMC10951889 DOI: 10.1016/j.amepre.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 11/01/2023] [Accepted: 11/02/2023] [Indexed: 11/09/2023]
Abstract
INTRODUCTION Sexual violence is a major public health problem in the U.S. that is associated with numerous health impacts, including pregnancy. U.S. population-based estimates (2010-2012) found that three million women experienced a rape-related pregnancy during their lifetimes. The current study presents more recent estimates of rape and sexual coercion-related pregnancy and examines prevalence by demographic characteristics. METHODS Data years 2016/2017 were pooled from the National Intimate Partner and Sexual Violence Survey, a random-digit-dial telephone survey of U.S. non-institutionalized adults 18 years and older. The analysis, conducted in 2023, examined lifetime experience of rape-related pregnancy, sexual coercion-related pregnancy, or both among U.S. women. Authors calculated prevalence estimates with 95% CIs and conducted pairwise chi-square tests (p-value<0.05) to describe experiences by current age, race/ethnicity, and region of residence among U.S. women overall and among victims. RESULTS One in 20 women in the U.S., or over 5.9 million women, experienced a pregnancy from either rape, sexual coercion, or both during their lifetimes. Non-Hispanic Multiracial women experienced a higher prevalence of all three outcomes compared with non-Hispanic White, non-Hispanic Black, and Hispanic women. Among victims who experienced pregnancy from rape, 28% experienced a sexually transmitted disease, 66% were injured, and over 80% were fearful or concerned for their safety. CONCLUSIONS Pregnancy as a consequence of rape or sexual coercion is experienced by an estimated six million U.S. women. Prevention efforts may include healthcare screenings to identify violence exposure and use of evidence-based prevention approaches to reduce sexual violence.
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Affiliation(s)
- Denise V D'Angelo
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
| | - Yang Liu
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Kathleen C Basile
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Sharon G Smith
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Jieru Chen
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Norah W Friar
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Mark Stevens
- Division of Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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Lewis PC, Kaslow NJ, Cheong YF, Evans DP, Yount KM. Femicide in the United States: a call for legal codification and national surveillance. Front Public Health 2024; 12:1338548. [PMID: 38481840 PMCID: PMC10933122 DOI: 10.3389/fpubh.2024.1338548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 02/12/2024] [Indexed: 03/19/2024] Open
Affiliation(s)
- Patricia C. Lewis
- Department of Health Sciences, Sacred Heart University, Fairfield, CT, United States
| | - Nadine J. Kaslow
- Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United States
| | - Yuk Fai Cheong
- Department of Psychology, Emory University, Atlanta, GA, United States
| | - Dabney P. Evans
- Hubert Department of Global Health, Emory University, Atlanta, GA, United States
| | - Kathryn M. Yount
- Hubert Department of Global Health, Department of Sociology, Emory University, Atlanta, GA, United States
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Austin AE, Naumann RB, DiPrete BL, Geary S, Proescholdbell SK, Jones-Vessey K. Pregnancy-associated homicide, suicide and unintentional opioid-involved overdose deaths, North Carolina 2018-2019. Inj Prev 2024:ip-2023-045112. [PMID: 38195655 PMCID: PMC11231051 DOI: 10.1136/ip-2023-045112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Accepted: 12/20/2023] [Indexed: 01/11/2024]
Abstract
OBJECTIVE Rates of death due to homicide, suicide and overdose during pregnancy and the first year postpartum have increased substantially in the USA in recent years. The aims of this study were to use 2018-2019 data on deaths identified for review by the North Carolina Maternal Mortality Review Committee (NC-MMRC), data from the North Carolina Violent Death Reporting System (NC-VDRS) and data from the Statewide Unintentional Drug Overdose Reporting System (NC-SUDORS) to examine homicide, suicide and unintentional opioid-involved overdose deaths during pregnancy and the first year postpartum. METHODS We linked data from the 2018-2019 NC-MMRC to suicide and homicide deaths among women ages 10-50 years from the 2018-2019 NC-VDRS and to unintentional opioid-involved overdose deaths among women ages 10-50 years from the 2018-2019 NC-SUDORS. We conducted descriptive analyses to examine the prevalence of demographic characteristics and the circumstances surrounding each cause of death. RESULTS From 2018 to 2019 in North Carolina, there were 23 homicides, nine suicides and 36 unintentional opioid-involved overdose deaths (9.7, 3.8 and 15.1 per 100 000 live births, respectively) during pregnancy and the first year postpartum. Most homicide deaths (87.0%) were by firearm, and more than half (52.5%) were related to intimate partner violence. More than two-thirds of women who died by suicide had a current mental health problem (77.8%). Less than one-fourth (22.2%) of those who died by unintentional opioid-involved overdose had a known history of substance use disorder treatment. CONCLUSION Our approach to quantifying and describing these causes of pregnancy-associated death can serve as a framework for other states to inform data-driven prevention.
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Affiliation(s)
- Anna E Austin
- Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Rebecca B Naumann
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Bethany L DiPrete
- Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Shana Geary
- Injury and Violence Prevention Branch, North Carolina Division of Public Health, Raleigh, North Carolina, USA
| | - Scott K Proescholdbell
- Injury and Violence Prevention Branch, North Carolina Division of Public Health, Raleigh, North Carolina, USA
| | - Kathleen Jones-Vessey
- North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA
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Ragavan MI, Culyba AJ. Intimate Partner Violence-Related Firearm Child Homicides: An Urgent Call to Action. Pediatrics 2023; 152:e2023063805. [PMID: 37927100 PMCID: PMC10657772 DOI: 10.1542/peds.2023-063805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/20/2023] [Indexed: 11/07/2023] Open
Affiliation(s)
| | - Alison J. Culyba
- Division of Adolescent and Young Adult Medicine, University of Pittsburgh and UPMC Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania
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12
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Kozhimannil KB, Lewis VA, Interrante JD, Chastain PL, Admon L. Screening for and Experiences of Intimate Partner Violence in the United States Before, During, and After Pregnancy, 2016-2019. Am J Public Health 2023; 113:297-305. [PMID: 36701660 PMCID: PMC9932386 DOI: 10.2105/ajph.2022.307195] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2022] [Indexed: 01/27/2023]
Abstract
Objectives. To measure rates of intimate partner violence (IPV) screening during the perinatal period among people experiencing physical violence in the United States. Methods. We used 2016-2019 Pregnancy Risk Assessment Monitoring System data (n = 158 338) to describe the incidence of physical IPV before or during pregnancy. We then assessed the prevalence of IPV screening before, during, or after pregnancy and predictors of receiving screening among those reporting violence. Results. Among the 3.5% (n = 6259) of respondents experiencing violence, 58.7%, 26.9%, and 48.3% were not screened before, during, or after pregnancy, respectively. Those reporting Medicaid or no insurance at birth, American Indian/Alaska Native people, and Spanish-speaking Hispanic people faced increased risk of not having a health care visit during which screening might occur. Among those attending a health care visit, privately insured people, rural residents, and non-Hispanic White respondents faced increased risk of not being screened. Conclusions. Among birthing people reporting physical IPV, nearly half were not screened for IPV before or after pregnancy. Public health efforts to improve maternal health must address both access to care and universal screening for IPV. (Am J Public Health. 2023;113(3):297-305. https://doi.org/10.2105/10.2105/AJPH.2022.307195).
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Affiliation(s)
- Katy B Kozhimannil
- Katy B. Kozhimannil, Julia D. Interrante, and Phoebe L. Chastain are with the University of Minnesota School of Public Health, Minneapolis. Valerie A. Lewis is with the University of North Carolina at Chapel Hill. Lindsay Admon is with the University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor
| | - Valerie A Lewis
- Katy B. Kozhimannil, Julia D. Interrante, and Phoebe L. Chastain are with the University of Minnesota School of Public Health, Minneapolis. Valerie A. Lewis is with the University of North Carolina at Chapel Hill. Lindsay Admon is with the University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor
| | - Julia D Interrante
- Katy B. Kozhimannil, Julia D. Interrante, and Phoebe L. Chastain are with the University of Minnesota School of Public Health, Minneapolis. Valerie A. Lewis is with the University of North Carolina at Chapel Hill. Lindsay Admon is with the University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor
| | - Phoebe L Chastain
- Katy B. Kozhimannil, Julia D. Interrante, and Phoebe L. Chastain are with the University of Minnesota School of Public Health, Minneapolis. Valerie A. Lewis is with the University of North Carolina at Chapel Hill. Lindsay Admon is with the University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor
| | - Lindsay Admon
- Katy B. Kozhimannil, Julia D. Interrante, and Phoebe L. Chastain are with the University of Minnesota School of Public Health, Minneapolis. Valerie A. Lewis is with the University of North Carolina at Chapel Hill. Lindsay Admon is with the University of Michigan Institute for Healthcare Policy and Innovation, Ann Arbor
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Räsänen J, Gothreau C, Lippert-Rasmussen K. Does overruling Roe discriminate against women (of colour)? JOURNAL OF MEDICAL ETHICS 2022; 48:952-956. [PMID: 36180204 DOI: 10.1136/jme-2022-108504] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 09/16/2022] [Indexed: 06/16/2023]
Abstract
On 24 July 2022, the landmark decision Roe v. Wade (1973), that secured a right to abortion for decades, was overruled by the US Supreme Court. The Court decision in Dobbs v. Jackson Women's Health Organisation severely restricts access to legal abortion care in the USA, since it will give the states the power to ban abortion. It has been claimed that overruling Roe will have disproportionate impacts on women of color and that restricting access to abortion contributes to or amounts to structural racism. In this paper, we consider whether restricting abortion access as a consequence of overruling Roe could be understood as discrimination against women of color (and women in general). We argue that banning abortion is indirectly discriminatory against women of color and directly (but neither indirectly, nor structurally) discriminatory against women in general.
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Affiliation(s)
- Joona Räsänen
- CEPDISC - Centre for the Experimental-Philosophical Study of Discrimination, Department of Political Science, Aarhus University, Aarhus, Denmark
| | - Claire Gothreau
- CEPDISC - Centre for the Experimental-Philosophical Study of Discrimination, Department of Political Science, Aarhus University, Aarhus, Denmark
| | - Kasper Lippert-Rasmussen
- CEPDISC - Centre for the Experimental-Philosophical Study of Discrimination, Department of Political Science, Aarhus University, Aarhus, Denmark
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Affiliation(s)
- Rebecca B Lawn
- Department of Epidemiology, Harvard T H Chan School of Public Health, Boston, MA, USA
| | - Karestan C Koenen
- Department of Epidemiology, Harvard T H Chan School of Public Health, Boston, MA, USA
- Psychiatric and Neurodevelopmental Genetics Unit, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
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Hitchens BK, Aviles AM, McCallops K. Mothering in the Streets: The Familial Adaptation Strategies of Street-Identified Black American Mothers. JOURNAL OF MARRIAGE AND THE FAMILY 2022; 84:1270-1290. [PMID: 36439403 PMCID: PMC9698362 DOI: 10.1111/jomf.12848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 04/26/2022] [Accepted: 04/28/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVE Using components of the Family Adjustment and Adaptation Response Model, Critical Race Feminism, and Sites of Resilience this study explored how street-identified Black American mothers engage in street life, while juggling the pressures of childrearing, family, and home life within a distressed, urban Black community. BACKGROUND Street-identified Black American mothers are vilified for their intersecting identities of being Black women who are experiencing poverty, and who may also be involved in illegal activity. Black mothers are disproportionately represented in the criminal legal system, but existing research has inadequately examined how street-identified Black mothers "do" family in the confines of structural violence. METHOD We addressed this gap by analyzing interview data with 39 street-identified Black American mothers ages 18 to 54. Data were collected using street participatory action research. RESULTS We identified a typology of three adaptive mothering strategies employed by street-identified Black women as they respond to and cope with violent structural conditions shaping their mothering: constrained mothering, racialized mothering, and aspirational mothering. CONCLUSION Findings suggested that these strategies were developed in response to an overarching carceral apparatus, of which these mothers were tasked with avoiding when possible and confronting when necessary. Their mothering strategies were shaped by a collective, Black American cultural identity and worldview, and the mothers possessed a unique way of perceiving the world as criminalized subjects with disproportionate proximity to the punitive State.
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Affiliation(s)
- Brooklynn K. Hitchens
- Department of Criminology and Criminal JusticeUniversity of MarylandCollege ParkMarylandUSA
| | - Ann M. Aviles
- Department of Human Development and Family SciencesUniversity of DelawareNewarkDelawareUSA
| | - Kathleen McCallops
- Department of Human Development and Family SciencesUniversity of DelawareNewarkDelawareUSA
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Dyer L, Vilda D, Harville E, Theall K, Wallace M. Income Inequality and Pregnancy-Associated Homicide in the US: A Longitudinal, State-Level Analysis. Violence Against Women 2022:10778012221120446. [PMID: 36017550 DOI: 10.1177/10778012221120446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Pregnancy-associated homicide remains an understudied yet critical issue. Using restricted use mortality files provided by the National Center for Health Statistics and the National Violent Death Reporting System, annual state-level pregnancy-associated homicide ratios were estimated as the count of deaths divided by the number of live births. The exposure, the state Gini index, was categorized into tertiles to compare states by levels of income inequality. In the final adjusted longitudinal linear model, those who experienced the greatest amount of income inequality had a significant 1.28 per 100,000 homicide rate when compared to the lowest income inequality tertile.
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Affiliation(s)
- Lauren Dyer
- Mary Amelia Women's Center, Department of Social, Behavioral and Population Sciences, 25812Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | - Dovile Vilda
- Mary Amelia Women's Center, Department of Social, Behavioral and Population Sciences, 25812Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | - Emily Harville
- Department of Epidemiology, 25812Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | - Katherine Theall
- Mary Amelia Women's Center, Department of Social, Behavioral and Population Sciences, 25812Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
| | - Maeve Wallace
- Mary Amelia Women's Center, Department of Social, Behavioral and Population Sciences, 25812Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA
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Gordon MR, Coverdale J, Chervenak FA, McCullough LB. Undue burdens created by the Texas Abortion Law for vulnerable pregnant women. Am J Obstet Gynecol 2022; 226:529-534. [PMID: 34954218 DOI: 10.1016/j.ajog.2021.12.033] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 12/09/2021] [Accepted: 12/17/2021] [Indexed: 11/25/2022]
Abstract
The new Texas abortion law requires the physician to determine whether a fetal heartbeat is present and prohibits abortion after a heartbeat has been documented. An exception is allowed when a "medical emergency necessitated the abortion." These and other provisions of the statute are to be enforced through "civil actions" brought by private citizens. This article identifies 3 populations of vulnerable women who will experience undue burdens created by the Texas abortion law. We begin with an account of the concept of undue burden in the jurisprudence of abortion, as expressed in the 1992 US Supreme Court case, Planned Parenthood v. Casey of Southeastern Pennsylvania. We then provide an evidence-based account of the predictable, undue burdens for 3 populations of vulnerable women: pregnant women with decreased freedom of movement; pregnant minors; and pregnant women with major mental disorders and cognitive disabilities. The Texas law creates an undue burden on these 3 populations of vulnerable women by reducing or even eliminating access to abortion services outside of Texas. The Texas law also creates an undue burden by preventably increasing the risks of morbidity, including loss of fertility, and mortality for these 3 populations of vulnerable women. For these women, it is indisputable that the Texas law will create undue burdens and is therefore not compatible with the jurisprudence of abortion as set forth in Planned Parenthood v. Casey because a "significant number of women will likely be prevented from obtaining an abortion." Federal courts should therefore strike down this law.
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D’Angelo DV, Bombard JM, Lee RD, Kortsmit K, Kapaya M, Fasula A. Prevalence of Experiencing Physical, Emotional, and Sexual Violence by a Current Intimate Partner during Pregnancy: Population-based Estimates from the Pregnancy Risk Assessment Monitoring System. JOURNAL OF FAMILY VIOLENCE 2022; 38:117-126. [PMID: 37205924 PMCID: PMC10193455 DOI: 10.1007/s10896-022-00356-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/09/2022] [Indexed: 05/21/2023]
Abstract
Intimate partner violence (IPV) during pregnancy presents a risk for maternal mental health problems, preterm birth, and having a low birthweight infant. We assessed the prevalence of self-reported physical, emotional, and sexual violence during pregnancy by a current partner among women with a recent live birth. We analyzed data from the 2016-2018 Pregnancy Risk Assessment Monitoring System in six states to calculate weighted prevalence estimates and 95% confidence intervals for experiences of violence by demographic characteristics, health care utilization, and selected risk factors. Overall, 5.7% of women reported any type of violence during pregnancy. Emotional violence was most prevalent (5.4%), followed by physical violence (1.5%), and sexual violence (0.9%). Among women who reported any violence, 67.6% reported one type of violence, 26.5% reported two types, and 6.0% reported three types. Reporting any violence was highest among women using marijuana or illicit substances, experiencing pre-pregnancy physical violence, reporting depression, reporting an unwanted pregnancy, and experiencing relationship problems such as getting divorced, separated, or arguing frequently with their partner. There was no difference in report of discussions with prenatal care providers by experience of violence. The majority of women did not report experiencing violence, however among those who did emotional violence was most frequently reported. Assessment for IPV is important, and health care providers can play an important role in screening. Coordinated prevention efforts to reduce the occurrence of IPV and community-wide resources are needed to ensure that pregnant women receive needed services and protection.
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Affiliation(s)
- Denise V. D’Angelo
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy. NE, Mail stop S106-10, GA 30341 Atlanta, USA
| | - Jennifer M. Bombard
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Rosalyn D. Lee
- Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy. NE, Mail stop S106-10, GA 30341 Atlanta, USA
| | - Katherine Kortsmit
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Martha Kapaya
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Amy Fasula
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
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20
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Wallace M, Gillispie-Bell V, Cruz K, Davis K, Vilda D. Homicide During Pregnancy and the Postpartum Period in the United States, 2018-2019. Obstet Gynecol 2021; 138:762-769. [PMID: 34619735 PMCID: PMC9134264 DOI: 10.1097/aog.0000000000004567] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 08/12/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To estimate the national pregnancy-associated homicide mortality ratio, characterize pregnancy-associated homicide victims, and compare the risk of homicide in the perinatal period (pregnancy and up to 1 year postpartum) with risk among nonpregnant, nonpostpartum females aged 10-44 years. METHODS Data from the National Center for Health Statistics 2018 and 2019 mortality files were used to identify all female decedents aged 10-44 in the United States. These data were used to estimate 2-year pregnancy-associated homicide mortality ratios (deaths/100,000 live births) for comparison with homicide mortality among nonpregnant, nonpostpartum females (deaths/100,000 population) and to mortality ratios for direct maternal causes of death. We compared characteristics and estimated homicide mortality rate ratios and 95% CIs between pregnant or postpartum and nonpregnant, nonpostpartum victims for the total population and with stratification by race and ethnicity and age. RESULTS There were 3.62 homicides per 100,000 live births among females who were pregnant or within 1 year postpartum, 16% higher than homicide prevalence among nonpregnant and nonpostpartum females of reproductive age (3.12 deaths/100,000 population, P<.05). Homicide during pregnancy or within 42 days of the end of pregnancy exceeded all the leading causes of maternal mortality by more than twofold. Pregnancy was associated with a significantly elevated homicide risk in the Black population and among girls and younger women (age 10-24 years) across racial and ethnic subgroups. CONCLUSION Homicide is a leading cause of death during pregnancy and the postpartum period in the United States. Pregnancy and the postpartum period are times of elevated risk for homicide among all females of reproductive age.
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Affiliation(s)
- Maeve Wallace
- Mary Amelia Center for Women's Health Equity Research, Department of Social, Behavioral, and Population Science, Tulane University School of Public Health and Tropical Medicine, the Department of Obstetrics and Gynecology, Ochsner Baptist Medical Center, and the National Birth Equity Collaborative, New Orleans, Louisiana
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21
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Mosley EA, Redd SK, Hartwig SA, Narasimhan S, Lemon E, Berry E, Lathrop E, Haddad L, Rochat R, Cwiak C, Hall KS. Racial and Ethnic Abortion Disparities Following Georgia's 22-Week Gestational Age Limit. Womens Health Issues 2021; 32:9-19. [PMID: 34711498 DOI: 10.1016/j.whi.2021.09.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 08/18/2021] [Accepted: 09/23/2021] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Georgia's 2012 House Bill 954 (HB954) prohibiting abortions after 22 weeks from last menstrual period (LMP) has been associated with a significant decrease in abortions after 22 weeks. However, the policy's effects by race or ethnicity remain unexplored. We investigated whether changes in abortion numbers and ratios (per 1,000 live births) in Georgia after HB954 varied by race or ethnicity. METHODS Using Georgia Department of Public Health induced terminations of pregnancy data from 2007 to 2017, we examined changes in number of abortions and abortion ratios (per 1,000 live births) by race and ethnicity following HB954 implementation. RESULTS After full implementation of HB954 in 2015, the number of abortions and abortion ratios at or after 22 weeks (from last menstrual period) decreased among White (bNumber = -261.83, p < .001; bRatio = -3.31, p < .001), Black (bNumber = -416.17, p < .001; bRatio = -8.84, p < .001), non-Hispanic (bNumber = -667.00, p = .001; bRatio = -5.82, p < .001), and Hispanic (bNumber = -56.25, p = .002; bRatio = -2.44, p = .002) people. However, the ratio of abortions before 22 weeks increased for Black people (bLessThan22Weeks = 44.06, p = .028) and remained stable for White (bLessThan22Weeks = -6.78, p = .433), Hispanic (bLessThan22Weeks = 21.27, p = .212), and non-Hispanic people (bLessThan22Weeks = 26.93, p = .172). CONCLUSION The full implementation of HB954 had differential effects by race/ethnicity and gestational age. Although abortion at 22 weeks or more decreased for all groups, abortion at less than 22 weeks increased among Black people. Additional research should elucidate the possible causes, consequences, and reactions to differential effects of abortion restrictions by race and ethnicity.
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Affiliation(s)
- Elizabeth A Mosley
- Georgia State University, School of Public Health, Mark Chaffin Center for Healthy Development, Atlanta, Georgia; Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia.
| | - Sara K Redd
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia
| | - Sophie A Hartwig
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia
| | - Subasri Narasimhan
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia
| | - Emily Lemon
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia
| | - Erin Berry
- Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia; Emory University, School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia
| | - Eva Lathrop
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia; Emory University, School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia
| | - Lisa Haddad
- Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia; Emory University, School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia
| | - Roger Rochat
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia; Emory University, School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia
| | - Carrie Cwiak
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia; Emory University, School of Medicine, Department of Gynecology and Obstetrics, Atlanta, Georgia
| | - Kelli Stidham Hall
- Emory University, Rollins School of Public Health, Atlanta, Georgia; Center for Reproductive Health Research in the Southeast (RISE), Atlanta, Georgia
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Wallace ME, Vilda D, Theall KP, Stoecker C. Firearm Relinquishment Laws Associated With Substantial Reduction In Homicide Of Pregnant And Postpartum Women. Health Aff (Millwood) 2021; 40:1654-1662. [PMID: 34550804 DOI: 10.1377/hlthaff.2021.01129] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Homicide is a leading cause of death among women who are pregnant and up to one year postpartum in the United States. Most incidents are perpetrated by an intimate partner with a firearm. Some states have implemented laws that prohibit firearm possession by perpetrators of domestic violence and, in some instances, include explicit statutory language mandating relinquishment of firearms once a person has become prohibited from possessing them. We examined the impact of these policies on state-level rates of homicide among pregnant and postpartum women during the period 2011-19. We found that state laws prohibiting possession of firearms and requiring relinquishment of firearms by people convicted of domestic violence-related misdemeanors were associated with substantial reductions in homicide of pregnant and postpartum women. State policy makers should consider further strengthening domestic violence-related firearm regulations and their enforcement to prevent homicide of pregnant and postpartum women.
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Affiliation(s)
- Maeve E Wallace
- Maeve E. Wallace is an assistant professor in the Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine, in New Orleans, Louisiana
| | - Dovile Vilda
- Dovile Vilda is a research assistant professor in the Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine
| | - Katherine P Theall
- Katherine P. Theall is a professor in the Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine
| | - Charles Stoecker
- Charles Stoecker is an associate professor in the Department of Health Policy and Management, Tulane University School of Public Health and Tropical Medicine
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23
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Mazza M, Caroppo E, Marano G, Chieffo D, Moccia L, Janiri D, Rinaldi L, Janiri L, Sani G. Caring for Mothers: A Narrative Review on Interpersonal Violence and Peripartum Mental Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105281. [PMID: 34065628 PMCID: PMC8156346 DOI: 10.3390/ijerph18105281] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Revised: 05/13/2021] [Accepted: 05/14/2021] [Indexed: 01/07/2023]
Abstract
Interpersonal violence in the perinatal period is frequent and should be considered a prominent health issue due to the risk of escalation of violence and the significant impact on mothers' parenting after childbirth. Domestic violence during pregnancy can be associated with fatal and non-fatal adverse health outcomes due to the direct trauma to a pregnant woman's body and to the effect of stress on fetal growth and development. Emotional violence is a risk factor for prenatal and/or postpartum depression. Recent studies focusing on abusive situations during peripartum and possible preventive strategies were identified in PubMed/Medline, Scopus, Embase, and ScienceDirect. All of the available literature was retrospectively reviewed with a special attention to peer-reviewed publications from the last ten years. Results of the present narrative review suggest that perinatal health care professionals (general practitioners, gynecologists, obstetricians, psychologists, psychiatrists) should promptly detect interpersonal violence during and after pregnancy and provide health care for pregnant women. It seems pivotal to guarantee psychological care for abused women before, during, and after pregnancy in order to prevent the risk of depressive symptoms, other mental or physical sequelae, and mother-to-infant bonding failure. There is an urgent need for multifaceted interventions: programs should focus on several risk factors and should design tailored care pathways fitted to the specific needs of women and finalized to support them across the lifespan.
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Affiliation(s)
- Marianna Mazza
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Correspondence: or ; Tel.: +39-0630154122
| | - Emanuele Caroppo
- Department of Mental Health, Health Local Unit ASL ROMA 2, 00159 Rome, Italy;
| | - Giuseppe Marano
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Daniela Chieffo
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
- Service of Clinical Psychology, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Lorenzo Moccia
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Delfina Janiri
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Lucio Rinaldi
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Luigi Janiri
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
| | - Gabriele Sani
- Department of Psychiatry, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy; (G.M.); (L.M.); (D.J.); (L.R.); (L.J.); (G.S.)
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy;
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