Ziaei Shirin, Naved Ruchira Tabassum, Ekström Eva-Charlotte
International Maternal and Child Health Unit (IMCH), Department of Women's and Children's Health, University Hospital, Uppsala University, Uppsala, Sweden ICDDR, Dhaka, Bangladesh.
Matern Child Nutr. 2014 Jul;10(3):347-59. doi: 10.1111/j.1740-8709.2012.00432.x. Epub 2012 Aug 20.
Domestic violence, in particular intimate partner violence (IPV), has been recognized as a leading cause of mortality and morbidity among women of reproductive age. The effects of IPV against women on their children's health, especially their nutritional status has received less attention but needs to be evaluated to understand the comprehensive public health implications of IPV. The aim of current study was to investigate the association between women's exposure to IPV and their children's nutritional status, using data from the 2007 Bangladesh Demographic and Health Survey (BDHS). Logistic regression models were used to estimate association between ever-married women's lifetime exposure to physical and sexual violence by their spouses and nutritional status of their children under 5 years. Of 2042 women in the BDHS survey with at least one child under 5 years of age, 49.4% reported lifetime experience of physical partner violence while 18.4% reported experience of sexual partner violence. The prevalence of stunting, wasting and underweight in their children under 5 years was 44.3%, 18.4% and 42.0%, respectively. Women were more likely to have a stunted child if they had lifetime experience of physical IPV [odds ratio n = 2027 (OR)adj, 1.48; 95% confidence interval (CI), 1.23-1.79] or had been exposed to sexual IPV (n = 2027 OR(adj), 1.28; 95% CI, 1.02-1.61). The present findings contribute to growing body of evidence showing that IPV can also compromise children's growth, supporting the need to incorporate efforts to address IPV in child health and nutrition programmes and policies.
家庭暴力，尤其是亲密伴侣暴力，已被公认为育龄妇女死亡和发病的主要原因。亲密伴侣暴力对妇女儿童健康的影响，尤其是对其营养状况的影响，受到的关注较少，但需要进行评估，以了解亲密伴侣暴力对公共卫生的全面影响。本研究的目的是利用2007年孟加拉国人口与健康调查（BDHS）的数据，调查妇女遭受亲密伴侣暴力与子女营养状况之间的关联。采用逻辑回归模型估计曾婚妇女一生中遭受配偶身体暴力和性暴力与5岁以下子女营养状况之间的关联。在BDHS调查的2042名至少有一名5岁以下子女的妇女中，49.4%的妇女报告曾遭受过伴侣身体暴力，18.4%的妇女报告曾遭受过伴侣性暴力。其5岁以下子女发育迟缓、消瘦和体重不足的患病率分别为44.3%、18.4%和42.0%。如果妇女一生中曾遭受过亲密伴侣身体暴力（优势比n = 2027，调整后优势比（OR）adj为1.48；95%置信区间（CI）为1.23 - 1.79）或遭受过亲密伴侣性暴力（n = 2027，OR(adj)为1.28；95%CI为1.02 - 1.61），则其子女更有可能发育迟缓。目前的研究结果为越来越多的证据提供了补充，表明亲密伴侣暴力也会影响儿童的生长发育，支持在儿童健康和营养计划及政策中纳入应对亲密伴侣暴力的措施的必要性。
