Tavoli Zahra, Tavoli Azadeh, Amirpour Razieh, Hosseini Reihaneh, Montazeri Ali
Department of Gynecology and Obstetrics, Ziaeian Hospital, School of Medicine, International Campus, Tehran University of Medical Sciences, Tehran, Iran.
Department of Gynecology and Obstetrics, School of Medicine, Lorestan University of Medical Sciences, Lorestan, Iran.
BMC Pregnancy Childbirth. 2016 Jan 26;16:19. doi: 10.1186/s12884-016-0810-6.
Quality of life in pregnant women is an important issue both for women's and fetus' health. This study aimed to examine quality of life in a group of women who were exposed to domestic violence during pregnancy.
This was a cross sectional study of quality of life among a consecutive sample of pregnant women attending to a teaching hospital in Lorestan, Iran. Women were screened for experiencing violence using the Abuse Assessment Screen (AAS) questionnaire and were categorized as psychological abused, physical abused and non-abused groups. Quality of life was assessed using the Short-Form 36 Health Survey (SF-36). One-way analysis of variance and t-test were used to examine differences in quality of life in the study sub-samples. In addition logistic regression analyses were performed to investigate the association between general health and mental health and independent variables including age, education, parity and type of violence.
In all 266 pregnant women were approached, of which 230 (86.5%) agreed to participate in the study. Of these, 149 women (64.8%) reported that they had experienced either physical or psychological violence during pregnancy. A significant difference between abused and non-abused groups was identified, with the abused group recording lower mean scores on all sub-scales with the exception of the bodily pain (p = 0.27). In addition comparing quality of life between physical and psychological abused groups, women who reported physical violence recorded lower mean scores for physical functioning, role physical, bodily pain and general health, while women reporting psychological abuse had lower mean scores on social functioning, role emotional, vitality and mental health. Comparison between the physically and psychologically abused groups indicated significant differences only for role physical (p = 0.04), bodily pain (p = 0.003) and general health (p = 0.04). After adjusting for age, parity, and education, physical abuse was associated with poor physical health (OR = 2.13, 95% CI = 1.05-4.36, p = 0.03), while emotional abuse was significantly associated with poor mental health (OR = 1.89, 95% CI = 1.09-3.84, p = 0.04).
Domestic violence against women during pregnancy in Iran was evident and this had significant adverse association with their quality of life. Indeed health care professionals involved in the care of women need to be aware of the extent of the problem and consider how it may be impacting on the women in their care.
孕妇的生活质量对女性自身及胎儿的健康而言都是一个重要问题。本研究旨在调查一组孕期遭受家庭暴力的女性的生活质量。
这是一项对伊朗洛雷斯坦省一家教学医院连续收治的孕妇进行生活质量调查的横断面研究。使用虐待评估筛查（AAS）问卷对女性是否遭受暴力进行筛查，并将她们分为心理虐待组、身体虐待组和未受虐待组。采用简短健康调查问卷（SF-36）评估生活质量。使用单因素方差分析和t检验来检验研究子样本中生活质量的差异。此外，进行逻辑回归分析以研究总体健康和心理健康与年龄、教育程度、产次及暴力类型等自变量之间的关联。
共接触了266名孕妇，其中230名（86.5%）同意参与研究。在这些人中，149名女性（64.8%）报告称她们在孕期遭受过身体或心理暴力。研究发现受虐组和未受虐组之间存在显著差异，除身体疼痛外（p = 0.27），受虐组在所有子量表上的平均得分均较低。此外，比较身体虐待组和心理虐待组的生活质量，报告遭受身体暴力的女性在身体功能、躯体角色、身体疼痛和总体健康方面的平均得分较低，而报告遭受心理虐待的女性在社会功能、情感角色、活力和心理健康方面的平均得分较低。身体虐待组和心理虐待组之间的比较表明，仅在躯体角色（p = 0.04）、身体疼痛（p = 0.003）和总体健康（p = 0.04）方面存在显著差异。在对年龄、产次和教育程度进行调整后，身体虐待与身体健康不佳有关（OR = 2.13，95% CI = 1.05 - 4.36，p = 0.03），而情感虐待与心理健康不佳显著相关（OR = 1.89，95% CI = 1.09 - 3.84，p = 0.04）。
伊朗孕期女性遭受家庭暴力的情况明显，这与她们的生活质量存在显著的不良关联。实际上，参与女性护理工作的医护人员需要了解该问题的严重程度，并考虑其可能对所护理女性产生的影响。
