坦桑尼亚的人工流产、妊娠丢失和亲密伴侣暴力：一项基于人群的研究。
Induced abortion, pregnancy loss and intimate partner violence in Tanzania: a population based study.
机构信息
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, Keppel Street, London, UK.
出版信息
BMC Pregnancy Childbirth. 2012 Mar 5;12:12. doi: 10.1186/1471-2393-12-12.
BACKGROUND
Violence by an intimate partner is increasingly recognized as an important public and reproductive health issue. The aim of this study is to investigate the extent to which physical and/or sexual intimate partner violence is associated with induced abortion and pregnancy loss from other causes and to compare this with other, more commonly recognized explanatory factors.
METHODS
This study analyzes the data of the Tanzania section of the WHO Multi-Country Study on Women's Health and Domestic Violence, a large population-based cross-sectional survey of women of reproductive age in Dar es Salaam and Mbeya, Tanzania, conducted from 2001 to 2002. All women who answered positively to at least one of the questions about specific acts of physical or sexual violence committed by a partner towards her at any point in her life were considered to have experienced intimate partner violence. Associations between self reported induced abortion and pregnancy loss with intimate partner violence were analysed using multiple regression models.
RESULTS
Lifetime physical and/or sexual intimate partner violence was reported by 41% and 56% of ever partnered, ever pregnant women in Dar es Salaam and Mbeya respectively. Among the ever pregnant, ever partnered women, 23% experienced involuntary pregnancy loss, while 7% reported induced abortion. Even after adjusting for other explanatory factors, women who experienced intimate partner violence were 1.6 (95%CI: 1.06,1.60) times more likely to report an pregnancy loss and 1.9 (95%CI: 1.30,2.89) times more likely to report an induced abortion. Intimate partner violence had a stronger influence on induced abortion and pregnancy loss than women's age, socio-economic status, and number of live born children.
CONCLUSIONS
Intimate partner violence is likely to be an important influence on levels of induced abortion and pregnancy loss in Tanzania. Preventing intimate partner violence may therefore be beneficial for maternal health and pregnancy outcomes.
背景
亲密伴侣的暴力行为日益被视为一个重要的公共和生殖健康问题。本研究旨在调查身体和/或性亲密伴侣暴力与人工流产和其他原因导致的妊娠丢失的关联程度，并将其与其他更常见的解释因素进行比较。
方法
本研究分析了 2001 年至 2002 年在坦桑尼亚达累斯萨拉姆和姆贝亚进行的世卫组织多国妇女健康和家庭暴力研究坦桑尼亚部分的数据，这是一项针对育龄妇女的大型基于人群的横断面调查。所有至少回答了一个关于其伴侣在其一生中对她实施过特定身体或性暴力行为的问题的妇女被认为经历过亲密伴侣暴力。使用多回归模型分析自我报告的人工流产和妊娠丢失与亲密伴侣暴力之间的关联。
结果
达累斯萨拉姆和姆贝亚分别有 41%和 56%的曾有伴侣、曾怀孕的妇女报告了一生中的身体和/或性亲密伴侣暴力。在曾怀孕、曾有伴侣的妇女中，23%经历了非意愿性妊娠丢失，而 7%报告了人工流产。即使在调整了其他解释因素后，经历过亲密伴侣暴力的妇女报告妊娠丢失的可能性是未经历过亲密伴侣暴力的妇女的 1.6 倍（95%CI：1.06，1.60），报告人工流产的可能性是未经历过亲密伴侣暴力的妇女的 1.9 倍（95%CI：1.30，2.89）。亲密伴侣暴力对人工流产和妊娠丢失的影响大于妇女的年龄、社会经济地位和活产子女数量。
结论
亲密伴侣暴力可能是坦桑尼亚人工流产和妊娠丢失水平的一个重要影响因素。因此，预防亲密伴侣暴力可能有益于产妇健康和妊娠结局。
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