Van Parys An-Sofie, Deschepper Ellen, Michielsen Kristien, Galle Anna, Roelens Kristien, Temmerman Marleen, Verstraelen Hans
Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, International Centre for Reproductive Health, Ghent University, De Pintelaan 185, UZP 114, 9000, Ghent, Belgium.
Department of Public Health, Biostatistics Unit, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
BMC Pregnancy Childbirth. 2015 Nov 11;15:278. doi: 10.1186/s12884-015-0710-1.
The objective of this paper is to explore whether IPV 12 months before and/or during pregnancy is associated with poor psychosocial health.
From June 2010 to October 2012, a cross-sectional study was conducted in 11 antenatal care clinics in Belgium. Consenting pregnant women were asked to complete a questionnaire on socio-demographics, psychosocial health and violence in a separate room. Overall, 2586 women were invited to participate and we were able to use data from 1894 women (73.2%) for analysis. Ethical clearance was obtained in all participating hospitals.
We found a significant correlation between IPV and poor psychosocial health: within the group of women who reported IPV, 53.2% (n = 118) had poor psychosocial health, as compared to 21% (n = 286) in the group of women who did not report IPV (P < 0.001). Lower psychosocial health scores were associated with increased odds of reporting IPV (aOR 1.55; 95% CI 1.39-1.72), with adjustments made for the language in which the questionnaire was filled out, civil/marital status, education and age. In other words, a decrease of 10 points on the psychosocial health scale (total of 140) increased the odds of reporting IPV by 55 %. When accounting for the 6 psychosocial health subscales, the analysis revealed that all subscales (depression, anxiety, self-esteem, mastery, worry and stress) are strongly correlated to reporting IPV. However, when accounting for all subscales simultaneously in a logistic regression model, only depression (aOR 0.87; 95 % CI 0.84-0.91) and stress (aOR 0.85; 95 % CI 0.77-095) remained significantly associated with IPV. The association between overall psychosocial health and IPV remained significant after adjusting for socio-demographic status.
Our research corroborated that IPV and psychosocial health are strongly associated. Due to the limitations of our study design, we believe that future research is needed to deepen understanding of the multitude of factors involved in the complex interactions between IPV and psychosocial health.
本文旨在探讨孕期及/或孕前12个月内的亲密伴侣暴力(IPV)是否与不良的心理社会健康状况相关。
2010年6月至2012年10月,在比利时的11家产前保健诊所开展了一项横断面研究。同意参与的孕妇被要求在一个单独的房间里填写一份关于社会人口统计学、心理社会健康和暴力情况的问卷。总体而言,2586名女性被邀请参与,我们能够使用1894名女性(73.2%)的数据进行分析。所有参与研究的医院均获得了伦理批准。
我们发现亲密伴侣暴力与不良的心理社会健康状况之间存在显著相关性:在报告遭受亲密伴侣暴力的女性群体中,53.2%(n = 118)的心理社会健康状况较差,而在未报告遭受亲密伴侣暴力的女性群体中这一比例为21%(n = 286)(P < 0.001)。心理社会健康得分较低与报告亲密伴侣暴力的几率增加相关(校正优势比1.55;95%置信区间1.39 - 1.72),校正了问卷填写语言、公民/婚姻状况、教育程度和年龄等因素。换句话说,心理社会健康量表(满分140分)得分降低10分,报告亲密伴侣暴力的几率增加55%。在考虑心理社会健康的6个分量表时,分析显示所有分量表(抑郁、焦虑、自尊、掌控感、担忧和压力)均与报告亲密伴侣暴力密切相关。然而,在逻辑回归模型中同时考虑所有分量表时,只有抑郁(校正优势比0.87;95%置信区间0.84 - 0.91)和压力(校正优势比0.85;95%置信区间0.77 - 0.95)仍与亲密伴侣暴力显著相关。在调整社会人口统计学状况后,总体心理社会健康与亲密伴侣暴力之间的关联仍然显著。
我们的研究证实亲密伴侣暴力与心理社会健康密切相关。由于我们研究设计的局限性,我们认为需要未来的研究来加深对亲密伴侣暴力与心理社会健康之间复杂相互作用中涉及的众多因素的理解。