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伊朗环境中孕期遭受家庭暴力的孕妇的社会人口学特征。

Sociodemographic characteristics of pregnant women exposed to domestic violence during pregnancy in an Iranian setting.

作者信息

Hajikhani Golchin Nayereh Azam, Hamzehgardeshi Zeinab, Hamzehgardeshi Leila, Shirzad Ahoodashti Mahboobeh

机构信息

Department of Midwifery, Islamic Azad University, Gorgan Branch, Gorgan, IR Iran ; Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.

Department of Midwifery, Mazandaran University of Medical Sciences, Sari, IR Iran.

出版信息

Iran Red Crescent Med J. 2014 Apr;16(4):e11989. doi: 10.5812/ircmj.11989. Epub 2014 Apr 5.

Abstract

BACKGROUND

Domestic violence refers to any type of physical, sexual, and psychological abuse enforced in the setting of familial relationships. Domestic violence has a significant relationship with poor outcome among pregnant women. Success in resolving this social phenomenon rests on accurate assessment of the society and the factors associated with violence in that specific community.

OBJECTIVES

The present study was conducted to assess the demographic characteristics of pregnant women exposed to different types of domestic violence during pregnancy in Iranian setting.

PATIENTS AND METHODS

This is a descriptive-analytic, cross-sectional study. Sampling was done with convenience sampling method. in the current study, 301 pregnant women aged 15-45 years of Iranian nationality who were referred to the hospital for delivery or abortion, regardless of the gestational age, were selected as the subjects. Data collection tools consisted of a sociodemographic questionnaire and a violence checklist. Violence was assessed using Revised Conflict Tactics Scale (CTS2). Data were analyzed using descriptive and analytic statistics on SPSS version 16 (SPSS, Chicago, IL, USA) and STATA version 10. The characteristics of the participants were presented as mean ± SD or number and percentage. Differences between variables were determined by the χ2 test, and multivariate logistic regression. P < 0.05 was considered significant.

RESULTS

According to the findings, 34.56% of participants had experienced psychological violence, 28.24% physical violence, and 3.65% sexual violence. Multivariate logistic regression revealed a statistically significant relationship only in the case of physical violence and history of penal conviction for partner (Adjusted Odds Ratio (AOR) = 12.60) and a patriarchal household (AOR = 16.75).

CONCLUSIONS

As domestic violence is greatly influenced by the customs and cultures of each community, no single strategy can be adopted to resolve it universally. Simultaneously, it is necessary to adopt comprehensive measures to control factors associated with domestic violence in the healthcare, judiciary, and the educational systems in order to prevent and curb this social challenge.

摘要

背景

家庭暴力是指在家庭关系中实施的任何形式的身体、性和心理虐待。家庭暴力与孕妇的不良结局密切相关。解决这一社会现象的成功与否取决于对社会以及该特定社区中与暴力相关因素的准确评估。

目的

本研究旨在评估伊朗环境中孕期遭受不同类型家庭暴力的孕妇的人口统计学特征。

患者与方法

这是一项描述性分析横断面研究。采用便利抽样法进行抽样。在本研究中,选取了301名年龄在15 - 45岁的伊朗国籍孕妇作为研究对象,她们因分娩或流产被送往医院,无论孕周如何。数据收集工具包括社会人口学问卷和暴力清单。使用修订冲突策略量表(CTS2)评估暴力情况。数据在SPSS 16版(SPSS,美国伊利诺伊州芝加哥)和STATA 10版上进行描述性和分析性统计分析。参与者的特征以均值±标准差或数量及百分比表示。变量间差异通过χ2检验和多因素逻辑回归确定。P < 0.05被认为具有统计学意义。

结果

根据研究结果,34.56%的参与者经历过心理暴力,28.24%经历过身体暴力,3.65%经历过性暴力。多因素逻辑回归显示,仅在身体暴力与伴侣有刑事定罪史(调整优势比(AOR)= 12.60)以及父权制家庭(AOR = 16.75)的情况下存在统计学显著关系。

结论

由于家庭暴力受每个社区的习俗和文化影响很大,无法采用单一策略普遍解决。同时,有必要在医疗保健、司法和教育系统中采取综合措施来控制与家庭暴力相关的因素,以预防和遏制这一社会挑战。

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