doctoral candidate, Department of Health Behavior and Biological Sciences, School of Nursing, and the Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA,
professor, Department of Health Behavior and Biological Sciences, School of Nursing, and the Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA.
Int Perspect Sex Reprod Health. 2017 Dec 1;43(4):163-171. doi: 10.1363/43e4917.
Intimate partner violence (IPV) is associated with negative physical and mental health outcomes. Antenatal care can act as a link to IPV services, but experiencing IPV may be associated with reduced uptake of antenatal care, an issue that has received little attention from researchers.
A scoping review was conducted to synthesize quantitative research on IPV and uptake of antenatal care in low-resource settings. Keyword searches of PubMed and other databases and snowball searches of reference lists were conducted to identify articles published in 2005-2015 that measured one or more types of IPV (physical, sexual or emotional) or controlling behavior and assessed the relationship of such abuse with use of antenatal care. For each identified article, key characteristics and findings were abstracted, and study quality was assessed.
Sixteen articles, representing 10 low- and middle-income countries, met the inclusion criteria. Most studies were of medium-to-high quality but low rigor, reflecting the abundance of cross-sectional studies in the literature. In all 16 studies, IPV was negatively associated with initiation of antenatal care, number of visits or use of a skilled provider. Analyses revealed reduced odds of antenatal care use among women who had experienced IPV (odds ratios, 0.5-0.8) and elevated odds of antenatal care use among women who had not experienced IPV or of nonuse among women who had experienced IPV (1.2-4.1).
Women in low-resource settings who experience IPV have a reduced likelihood of obtaining optimal antenatal care and may benefit from interventions to mitigate barriers to care.
亲密伴侣暴力（IPV）与负面的身心健康结果有关。产前护理可以作为与 IPV 服务的联系，但经历 IPV 可能与减少产前护理的接受度有关，这是一个研究人员很少关注的问题。
进行了范围综述，以综合定量研究在资源匮乏环境中 IPV 和产前护理接受度。在 2005-2015 年期间，通过关键字搜索 PubMed 和其他数据库以及参考文献列表的滚雪球搜索，确定了测量一种或多种类型 IPV（身体、性或情感）或控制行为的文章，并评估了这种虐待与产前护理使用之间的关系。对于每个确定的文章，提取了关键特征和发现，并评估了研究质量。
符合纳入标准的有 16 篇文章，代表 10 个中低收入国家。大多数研究的质量为中等到高度，但严谨性较低，反映了文献中大量的横断面研究。在所有 16 项研究中，IPV 与开始产前护理、就诊次数或使用熟练提供者的情况呈负相关。分析表明，经历过 IPV 的女性获得最佳产前护理的可能性降低（比值比，0.5-0.8），而未经历过 IPV 或经历过 IPV 但未使用产前护理的女性获得产前护理的可能性增加（1.2-4.1）。
在资源匮乏环境中经历过 IPV 的女性获得最佳产前护理的可能性降低，可能需要采取干预措施来减轻护理障碍。
