Owaka Isaac Ogweno, Nyanchoka Margaret Keraka, Atieli Harryson Etemesi
Masters of Public Health (Reproductive Health Program), Kenyatta University, Nairobi, Kenya.
Chairperson Department of Environmental and Population Health, School of Public Health, Kenyatta University, and Nairobi, Kenya.
Pan Afr Med J. 2017 Nov 15;28:229. doi: 10.11604/pamj.2017.28.229.8840. eCollection 2017.
The objective of this study was to investigate factors contributing to intimate partner violence in pregnancy among antenatal attendees at the health facilities in West Pokot Sub-County. The study was done in West Pokot Sub-County.
Using cross sectional study design, a total of 238 antenatal attendees were systematically sampled for the study. Four focused group discussions and 20 key informant interviews were conducted for qualitative data collection. Qualitative data was consolidated into various themes while bivariate and logistic regression analysis was done to determine factors associated with experience of IPV in the index of pregnancy with P ≤ 0.05 being considered significant.
The study found prevalence of overall, physical, psychological and sexual IPV in pregnancy to be 66.9%, 29.9%, 55.8% and 39.2% respectively. After adjusting for confounders, Overall IPV in pregnancy was significantly associated with Alcohol intake by partner (OR 2.116, 95% CI 1.950-2.260, P 0.000) and partner's level of education (OR 1.265, 95% CI 1.079-1.487, P 0.031), while psychological and sexual IPV was significantly associated with age of partner (OR 2.292, 95% CI 2.123-2.722, P 0.007) and age of pregnant women (OR 1.174, 95% CI 1.001-1.397 P 0.049) respectively. The care offered to antenatal attendees experiencing IPV was not in line with WHO guidelines and standard on handling gender based violence cases.
The study finding indicates that IPV in pregnancy among antenatal attendees in West Pokot is very high. This unearths the gaps on gender based violence interventions in the maternal and child health programs.
本研究的目的是调查在西波科特县卫生设施接受产前检查的孕妇中，导致亲密伴侣暴力的因素。该研究在西波科特县开展。
采用横断面研究设计，共系统抽取238名接受产前检查的孕妇作为研究对象。进行了4次焦点小组讨论和20次关键 informant 访谈以收集定性数据。定性数据被整合为不同主题，同时进行双变量和逻辑回归分析以确定与孕期亲密伴侣暴力经历相关的因素，P≤0.05被视为具有统计学意义。
研究发现，孕期亲密伴侣暴力的总体、身体、心理和性暴力发生率分别为66.9%、29.9%、55.8%和39.2%。在对混杂因素进行调整后，孕期总体亲密伴侣暴力与伴侣饮酒（比值比2.116，95%置信区间1.950 - 2.260，P = 0.000）和伴侣的教育水平（比值比1.265，95%置信区间1.079 - 1.487，P = 0.031）显著相关，而心理和性亲密伴侣暴力分别与伴侣年龄（比值比2.292，95%置信区间2.123 - 2.722，P = 0.007）和孕妇年龄（比值比1.174，95%置信区间1.001 - 1.397，P = 0.049）显著相关。为遭受亲密伴侣暴力的产前检查孕妇提供的护理不符合世界卫生组织关于处理基于性别的暴力案件的指南和标准。
研究结果表明，西波科特接受产前检查的孕妇中孕期亲密伴侣暴力发生率很高。这揭示了母婴健康项目中基于性别的暴力干预方面的差距。
