Khaironisak H, Zaridah S, Hasanain F G, Zaleha M I
a Department of Community Health, Faculty of Medicine , Universiti Kebangsaan Malaysia Medical Centre , Kuala Lumpur , Malaysia.
b Department of Obstetrics and Gynaecology , Tuanku Fauziah Hospital , Perlis , Malaysia.
Women Health. 2017 Sep;57(8):919-941. doi: 10.1080/03630242.2016.1222329. Epub 2016 Aug 11.
Violence against women is a worldwide public health problem and becomes more crucial when it involves pregnant women. The primary aim of this study was to determine the prevalence of violence against pregnant women (VAPW), while the secondary aim was to identify the factors associated with violence and complications of violence during pregnancy. This was a cross-sectional study conducted in 1,200 postnatal women from March 1, 2015 through August 31, 2015 using a validated Malay Version of the WHO Women's Health and Life Experiences Questionnaire. Data on pregnancy complications were obtained from antenatal records and discharge summaries. The prevalence of any form of VAPW was 35.9%, consisting of: any psychological (29.8%); any physical (12.9%); and any sexual (9.8%) violence. VAPW was significantly associated with: (1) women's use of drugs, having had exposure to violence during childhood, having a violence-supporting attitude, having two or more children; and (2) having partners who were smokers, alcohol drinkers, or had controlling behavior. VAPW was significantly associated with anemia, urinary tract infection, premature rupture of membranes, antepartum hemorrhage, poor weight gain during pregnancy, low birth weight, and prematurity. In conclusion, the high prevalence of violence requires further research on preventive strategies for VAPW.
暴力侵害妇女行为是一个全球性的公共卫生问题,当涉及孕妇时,这一问题变得更加关键。本研究的主要目的是确定暴力侵害孕妇行为(VAPW)的患病率,次要目的是确定与孕期暴力行为及其并发症相关的因素。这是一项横断面研究,于2015年3月1日至2015年8月31日对1200名产后妇女进行,使用经过验证的马来语版《世界卫生组织妇女健康和生活经历问卷》。从产前记录和出院小结中获取有关妊娠并发症的数据。任何形式的VAPW患病率为35.9%,包括:任何形式的心理暴力(29.8%);任何形式的身体暴力(12.9%);以及任何形式的性暴力(9.8%)。VAPW与以下因素显著相关:(1)妇女使用毒品、童年时期遭受过暴力、持有支持暴力的态度、育有两个或更多子女;(2)伴侣为吸烟者、饮酒者或有控制行为。VAPW与贫血、尿路感染、胎膜早破、产前出血、孕期体重增加不佳、低出生体重和早产显著相关。总之,暴力行为的高患病率需要对VAPW的预防策略进行进一步研究。