College of Nursing, The Research Institute of Nursing, Kyungpook National University, Jung-gu, Daegu, South Korea.
Department of Nursing, Ulsan College, Ulsan, South Korea.
Int J Gynaecol Obstet. 2018 Feb;140(2):159-163. doi: 10.1002/ijgo.12365. Epub 2017 Nov 15.
To identify predictive factors of intimate partner violence (IPV) among pregnant women.
In a cross-sectional study, 250 pregnant, married women attending three women's hospitals in South Korea for prenatal care were enrolled between July 1 and August 31, 2016. The women answered structured questionnaires assessing conflict negotiation coping, social support, and IPV, which was measured by 18 questions in three domains: psychological, physical, and sexual violence. Participants who reported experience in response to more than one question were deemed to have encountered IPV. Binomial logistic regression analysis was used to investigate predictive factors of IPV.
Overall, 85 (34.0%) participants had experienced IPV. Likelihood of IPV was linked with younger age (adjusted odds ratio [aOR] 0.90, 95% confidence interval [CI] 0.83-0.94; P=0.012), unemployment (aOR 1.98, 95% CI 1.07-3.70; P=0.031), and graduate school education (aOR 7.32, 95% CI 1.68-31.84; P=0.008). The likelihood of IPV increased as the social support score decreased (aOR 0.92, 95% CI 0.88-0.95; P<0.001).
Efforts to screen for IPV and to intervene to reduce the impact of such violence on pregnant women's delivery outcomes should be a maternal health priority in South Korea.
确定孕妇亲密伴侣暴力（IPV）的预测因素。
在一项横断面研究中，2016 年 7 月 1 日至 8 月 31 日期间，招募了在韩国三家妇女医院接受产前护理的 250 名已婚孕妇。这些女性回答了评估冲突谈判应对、社会支持和 IPV 的结构化问卷，IPV 通过三个领域的 18 个问题进行测量：心理、身体和性暴力。对超过一个问题做出回应的参与者被认为经历过 IPV。使用二项逻辑回归分析来研究 IPV 的预测因素。
总体而言，85 名（34.0%）参与者经历过 IPV。发生 IPV 的可能性与年龄较小有关（调整后的优势比[aOR]0.90，95%置信区间[CI]0.83-0.94；P=0.012），与失业（aOR 1.98，95% CI 1.07-3.70；P=0.031）和研究生教育（aOR 7.32，95% CI 1.68-31.84；P=0.008）有关。社会支持评分越低，发生 IPV 的可能性越大（aOR 0.92，95% CI 0.88-0.95；P<0.001）。
在韩国，筛查 IPV 并采取干预措施减少这种暴力对孕妇分娩结果的影响，应成为产妇保健的重点。
