Ferdos Jannatul, Rahman Md Mosfequr
Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, Bangladesh.
PLoS One. 2017 Oct 26;12(10):e0187138. doi: 10.1371/journal.pone.0187138. eCollection 2017.
Intimate partner violence (IPV) is the most prevalent form of gender-based violence worldwide. IPV either before or during pregnancy has been documented as a risk factor for the health of the mother and her unborn child. The aim of this study was to examine the relationship between maternal experience of IPV and low birth weight (LBW).
A hospital-based survey was conducted among women in the postnatal wards of a large public hospital at Rajshahi, Bangladesh. Data on socio-economic characteristics, reproductive health characteristics, intimate partner violence, and antenatal, delivery and newborn care were collected from 400 women between July 2015 and April 2016.
Results of this study indicated that 43% of women reported experiencing any physical IPV in their lifetime, 35.5% of them experienced sexual IPV, and 32.5% experienced both physical and sexual IPV. Approximately one in every three (29.2%) infants was born with LBW. Physical IPV was associated with an increased risk of having a child with low birth weight (adjusted odds ratio [AOR]: 3.01, 95% CI: 2.35-5.81). The risk of infants born with LBW increased with women's lifetime experience of sexual IPV (AOR: 1.98; 95% CI: 1.23-4.15) and both physical and sexual IPV (AOR: 4.05; 95% CI: 2.79-7.33).
Maternal lifetime experience of IPV is positively associated with LBW children. Preventing women from the experience of IPV may help improve neonatal and child mortality in Bangladesh.
亲密伴侣暴力(IPV)是全球范围内最普遍的基于性别的暴力形式。孕期之前或孕期的亲密伴侣暴力已被证明是影响母亲及其未出生孩子健康的一个风险因素。本研究的目的是探讨母亲遭受亲密伴侣暴力的经历与低出生体重(LBW)之间的关系。
在孟加拉国拉杰沙希一家大型公立医院的产后病房对女性进行了一项基于医院的调查。2015年7月至2016年4月期间,收集了400名女性的社会经济特征、生殖健康特征、亲密伴侣暴力以及产前、分娩和新生儿护理等方面的数据。
本研究结果表明,43%的女性报告一生中曾遭受过任何形式的身体亲密伴侣暴力,其中35.5%经历过性亲密伴侣暴力,32.5%同时经历过身体和性亲密伴侣暴力。大约每三个婴儿中就有一个(29.2%)出生时体重低。身体亲密伴侣暴力与生出低体重孩子的风险增加有关(调整后的优势比[AOR]:3.01,95%置信区间[CI]:2.35 - 5.81)。出生时体重低的婴儿风险随着女性一生中遭受性亲密伴侣暴力的经历(AOR:1.98;95% CI:1.23 - 4.15)以及同时遭受身体和性亲密伴侣暴力的经历(AOR:4.05;95% CI:2.79 - 7.33)而增加。
母亲一生中遭受亲密伴侣暴力的经历与低体重儿童呈正相关。防止女性遭受亲密伴侣暴力可能有助于改善孟加拉国的新生儿和儿童死亡率。