Sahin H A, Sahin H G
University of Yuzuncu Yil, Medical Faculty, Van, Turkey.
Eur J Contracept Reprod Health Care. 2003 Jun;8(2):93-8. doi: 10.1080/713604421.
The aim of this study was to estimate the prevalence and type of domestic violence during pregnancy in Turkey and to compare socioeconomic background factors.
A survey was carried out among a representative sample of 475 pregnant women. Data were collected on the incidence and the nature of domestic violence perpetrated by the woman's spouse or other family members during her current pregnancy and before. Sociodemographic characteristics such as age, duration of marriage, number of children, monthly income, education, occupation of the husband, domestic violence towards children, contribution to family decisions, smoking habits, sexual relations and whether the pregnancy was planned or not, were also recorded.
Of the 475 women screened for domestic violence during pregnancy, 158 (33.3%) reported physical or sexual abuse since they had become pregnant. The source of the domestic violence was mainly the husband in 105 (66.5%) women. Types of abuse were psychological in 71 (44.9%) and physical in 87 (55.1%) women. The rate of women's satisfaction with their sexual life among abused women was 43.67% compared to 61.2% among non-abused women. Abused pregnant women were less educated, had lower income, had more children, had a longer duration of marriage, were applying violence towards their children, were not contributing to family decisions, were less satisfied with their sexual life and were more likely to have unplanned pregnancies when compared to non-abused women.
Antenatal care protocols should be modified to address domestic violence and contributing factors during pregnancy so that identified women can be counseled appropriately and attempts can be made to intervene to prevent further episodes of domestic violence in primary care settings.
本研究旨在评估土耳其孕期家庭暴力的患病率及类型，并比较社会经济背景因素。
对475名孕妇的代表性样本进行了一项调查。收集了关于该女性在当前孕期及之前遭受其配偶或其他家庭成员实施家庭暴力的发生率和性质的数据。还记录了社会人口学特征，如年龄、婚姻持续时间、子女数量、月收入、教育程度、丈夫职业、对子女的家庭暴力、对家庭决策的贡献、吸烟习惯、性关系以及怀孕是否为计划内等。
在475名接受孕期家庭暴力筛查的女性中，158名（33.3%）报告自怀孕以来遭受过身体或性虐待。家庭暴力的主要来源在105名（66.5%）女性中是丈夫。虐待类型在71名（44.9%）女性中为心理虐待，在87名（55.1%）女性中为身体虐待。受虐女性中对性生活满意的比例为43.67%，而非受虐女性中这一比例为61.2%。与未受虐女性相比，受虐孕妇受教育程度较低、收入较低、子女较多、婚姻持续时间较长、对子女实施暴力、对家庭决策没有贡献、对性生活不太满意且更有可能意外怀孕。
应修改产前护理方案，以解决孕期家庭暴力及相关因素，以便对识别出的女性进行适当的咨询，并尝试在初级保健环境中进行干预，以防止家庭暴力的进一步发生。
