[孕期亲密伴侣暴力的患病率及其与自发性早产的关联]

[Prevalence of intimate partner violence during pregnancy and association with spontaneous preterm birth].

作者信息

Zhu Yuanduo, Duan Yu, Zhang Qi, Xu Lin, Zhu Peng

机构信息

Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.

出版信息

Wei Sheng Yan Jiu. 2016 Sep;45(5):789-794.

PMID:29903133

Abstract

OBJECTIVE

To estimate the prevalence of intimate partner violence( IPV)during pregnancy in two cities of Anhui, China. Also, to investigate the association of spontaneous preterm birth with IPV during pregnancy.

METHODS

In a cross-sectional study undertaken in Hefei and Anqing cities of Anhui, China, between May, 2013, and January, 2014, we enrolled 928 pregnant women in their third trimester of pregnancy who were attending primary health-care clinics. The form of partner violence in pregnancy was assessed with a validated questionnaire, and we also collect the information on sociodemographic characteristics, wantedness of pregnancy and life style through interview. The data on birth outcomes was assessed by medical records, which includebirth weight, gestational age, deliver mode and reason of preterm. Analyses were conducted using logistic regression models to assess the correlation between spontaneous preterm birth and IPV.

RESULTS

The prevalence of psychological violence alone, physical violence alone and sexual violence alone during pregnancy were 28. 8%( 95% CI 25. 9%- 31. 7%), 7. 0%( 95% CI 5. 5%- 8. 8%) and 2. 3%( 95% CI 1. 4%- 3. 4%). Compared with the couples without IPV, the proportions of lower agers, less educational achievement, unwanted pregnancy, inadequate communication, partner 's drinking or smoking before pregnancy significantly increased among the couples with IPV( P < 0. 05). After adjustment for the confounding factors from both couples, psychological violence plus physical or sexual violence was significantly associated with spontaneous preterm birth( adjusted OR = 2. 31, 95% CI 1. 12- 4. 74).

CONCLUSION

Psychological violence during pregnancy is common in city of Anhui, China, and the association between psychological violence and spontaneous preterm birth is not significant. However, psychological violence plus physical or sexual violence significantly increase the risk for spontaneous preterm birth.

摘要

目的

评估中国安徽省两个城市孕期亲密伴侣暴力（IPV）的患病率。同时，调查孕期自发性早产与IPV之间的关联。

方法

在2013年5月至2014年1月期间，于中国安徽省合肥市和安庆市开展的一项横断面研究中，我们纳入了928名在初级保健诊所就诊的孕晚期孕妇。使用经过验证的问卷评估孕期伴侣暴力的形式，我们还通过访谈收集了社会人口学特征、妊娠意愿和生活方式等信息。通过医疗记录评估出生结局数据，包括出生体重、孕周、分娩方式和早产原因。使用逻辑回归模型进行分析，以评估自发性早产与IPV之间的相关性。

结果

孕期单纯心理暴力、单纯身体暴力和单纯性暴力的患病率分别为28.8%（95%CI 25.9%-31.7%）、7.0%（95%CI 5.5%-8.8%）和2.3%（95%CI 1.4%-3.4%）。与无IPV的夫妇相比，有IPV的夫妇中低年龄、低教育程度、意外妊娠、沟通不足、伴侣孕前饮酒或吸烟的比例显著增加（P<0.05）。在对夫妇双方的混杂因素进行调整后，心理暴力加身体或性暴力与自发性早产显著相关（调整后的OR=2.31，95%CI 1.12-4.74）。