Demelash Habtamu, Nigatu Dabere, Gashaw Ketema
Department of Public Health, College of Medicine and Health Sciences, Madawalabu University, Goba, Bale, Ethiopia.
Department of Nursing, College of Medicine and Health Sciences, Madawalabu University, Goba, Bale, Ethiopia.
Obstet Gynecol Int. 2015;2015:394875. doi: 10.1155/2015/394875. Epub 2015 Dec 20.
Introduction. Violence against women has serious consequences for their reproductive and sexual health including birth outcomes. In Ethiopia, though the average parity of pregnant women is much higher than in other African countries, the link between intimate partner violence with low birth weight is unknown. Objective. The aim of this study was to examine the association between intimate partner violence and low birth weight among pregnant women. Method. Hospital based case-control study was conducted among 387 mothers (129 cases and 258 controls). Anthropometric measurements were taken both from mothers and their live births. The association between intimate partner violence and birth weight was computed through bivariable and multivariable logistic regression analyses and statistical significance was declared at P < 0.05. Result. Out of 387 interviewed mothers, 100 (25.8%) had experienced intimate partner violence during their index pregnancy period. Relatively more mothers of low birth weight infants were abused (48%) compared with controls (16.4%). Those mothers who suffered acts of any type of intimate partner violence during pregnancy were three times more likely to have a newborn with low birth weight (95% CI; (1.57 to 7.18)). The association between overall intimate partner violence and LBW was adjusted for potential confounder variables. Conclusion. This research result gives insight for health professional about the importance of screening for intimate partner violence during pregnancy. Health care providers should consider violence in their practice and try to identify women at risk.
引言。针对妇女的暴力行为对其生殖健康和性健康包括分娩结局会产生严重后果。在埃塞俄比亚，尽管孕妇的平均生育胎次远高于其他非洲国家，但亲密伴侣暴力与低出生体重之间的联系尚不清楚。目的。本研究旨在探讨孕妇中亲密伴侣暴力与低出生体重之间的关联。方法。在387名母亲（129例病例和258例对照）中开展了基于医院的病例对照研究。对母亲及其活产婴儿进行了人体测量。通过双变量和多变量逻辑回归分析计算亲密伴侣暴力与出生体重之间的关联，并在P<0.05时宣布具有统计学意义。结果。在387名接受访谈的母亲中，100名（25.8%）在其本次孕期经历过亲密伴侣暴力。与对照组（16.4%）相比，低出生体重婴儿的母亲遭受虐待的比例相对更高（48%）。孕期遭受任何类型亲密伴侣暴力行为的母亲生出低出生体重新生儿的可能性高出三倍（95%CI；（1.57至7.18））。针对潜在混杂变量对总体亲密伴侣暴力与低出生体重之间的关联进行了校正。结论。本研究结果为卫生专业人员了解孕期筛查亲密伴侣暴力的重要性提供了见解。医疗保健提供者在其执业过程中应考虑到暴力行为，并努力识别有风险的妇女。
