Department of Community and Global Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Am J Public Health. 2012 Jul;102(7):1336-45. doi: 10.2105/AJPH.2011.300396. Epub 2012 Jan 19.
We examined the association between maternal experiences of intimate partner violence (IPV) and the risk of undernutrition among children younger than 5 years in Bangladesh.
We used data from the 2007 Bangladesh Demographic Health Survey. Our analyses were based on the responses of 1851 married women living with at least 1 child younger than 5 years. Exposure was determined from maternal reports of physical and sexual IPV. Outcomes included underweight, stunting, and wasting.
Twenty-nine percent of the respondents had experienced IPV in the year preceding the survey. Maternal experience of any physical or sexual IPV was associated with an increased risk of stunting (adjusted odds ratio [AOR] =1.59; 95% confidence interval [CI] =1.23, 2.08) and underweight (AOR =1.33; 95% CI=1.04, 1.71) but was not significantly associated with wasting (AOR=1.08; 95% CI=0.78, 1.49).
The association between maternal exposure to physical or sexual IPV and child underweight and stunting suggests that partner violence plays a significant role in compromising child health by impairing child nutrition. Our findings reinforce the evidence that improving child nutrition is an additional reason to strengthen efforts to protect women from physical and sexual IPV.
我们研究了孟加拉国产妇经历亲密伴侣暴力（IPV）与 5 岁以下儿童营养不足风险之间的关联。
我们使用了 2007 年孟加拉国人口健康调查的数据。我们的分析基于至少有 1 名 5 岁以下儿童的 1851 名已婚妇女的回答。暴露情况由母亲报告的身体和性 IPV 来确定。结局包括体重不足、发育迟缓、消瘦。
29%的受访者在调查前一年经历过 IPV。任何身体或性 IPV 的产妇经历与发育迟缓（调整后的优势比 [AOR]=1.59；95%置信区间 [CI]=1.23，2.08）和体重不足（AOR=1.33；95% CI=1.04，1.71）的风险增加有关，但与消瘦（AOR=1.08；95% CI=0.78，1.49）无显著关联。
产妇接触身体或性 IPV 与儿童体重不足和发育迟缓之间的关联表明，伴侣暴力通过损害儿童营养而对儿童健康产生重大影响。我们的研究结果加强了这样一种证据，即改善儿童营养是加强努力保护妇女免受身体和性 IPV 侵害的另一个原因。
