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肯尼亚基苏木地区医院孕妇中亲密伴侣暴力的流行情况及相关因素。

Prevalence and associated factors of intimate partner violence among pregnant women attending Kisumu District Hospital, Kenya.

机构信息

Field Epidemiology and Laboratory Training Program, Nairobi, Kenya.

出版信息

Matern Child Health J. 2013 Apr;17(3):441-7. doi: 10.1007/s10995-012-1015-x.

Abstract

To determine prevalence and factors associated with intimate partner violence (IPV) among pregnant women seeking antenatal care. This was a cross-sectional study conducted at Kisumu District Hospital, Kenya amongst randomly selected pregnant women. A structured questionnaire was used to collect data. Participants self-reported about their own IPV experience (lifetime, 12 months prior to and during index pregnancy) and associated risk factors. Data were analyzed using Epi-info. The mean age of the 300 participants was 23.7 years. One hundred and ten (37 %) of them experienced at least one form of IPV during pregnancy. Psychological violence was the most common (29 %), followed by sexual (12 %), and then physical (10 %). Women who experienced IPV during pregnancy were more likely to have witnessed maternal abuse in childhood (aOR 2.27, 95 % CI = 1.05-4.89), been in a polygamous union (aOR 2.48, 95 % CI = 1.06-5.8), been multiparous (aOR 1.94, 95 % CI = 1.01-3.32) or had a partner who drank alcohol (aOR 2.32, 95 % CI = 1.21-4.45). Having a partner who attained tertiary education was protective against IPV (aOR 0.37, 95 % CI = 0.16-0.83). We found no association between HIV status and IPV. IPV is common among women seeking antenatal care at Kisumu District Hospital. Health care providers should be alerted to the possibility of IPV during pregnancy in women who witnessed maternal abuse in childhood, are multiparous, polygamous, have a partner who drinks alcohol or has low level education. Screening for IPV, support and referral is urgently needed to help reduce the burden experienced by pregnant women and their unborn babies.

摘要

目的

调查在寻求产前护理的孕妇中,亲密伴侣暴力(IPV)的流行情况和相关因素。

方法

这是在肯尼亚基苏木区医院进行的一项横断面研究,研究对象为随机选择的孕妇。使用结构化问卷收集数据。参与者报告了自己的 IPV 经历(终生、怀孕前 12 个月和怀孕期间)和相关的危险因素。数据使用 Epi-info 进行分析。

结果

300 名参与者的平均年龄为 23.7 岁。其中 110 名(37%)在怀孕期间至少经历过一种形式的 IPV。最常见的是心理暴力(29%),其次是性暴力(12%),然后是身体暴力(10%)。在怀孕期间经历过 IPV 的女性更有可能在童年时期目睹过母亲受虐(调整后的优势比[aOR]2.27,95%置信区间[CI]=1.05-4.89)、处于一夫多妻制婚姻中(aOR 2.48,95%CI=1.06-5.8)、多产(aOR 1.94,95%CI=1.01-3.32)或伴侣饮酒(aOR 2.32,95%CI=1.21-4.45)。伴侣接受过高等教育对 IPV 具有保护作用(aOR 0.37,95%CI=0.16-0.83)。我们没有发现 HIV 状态与 IPV 之间存在关联。

结论

在基苏木区医院寻求产前护理的妇女中,IPV 很常见。医疗保健提供者应该警惕在童年时期目睹母亲受虐、多产、一夫多妻、伴侣饮酒或教育程度低的孕妇中可能发生 IPV。迫切需要对 IPV 进行筛查、提供支持和转介,以帮助减轻孕妇及其未出生婴儿的负担。

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