Department of Environmental Medicine, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku, Kochi, Japan.
Department of Otorhinolaryngology, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku, Kochi, Japan.
Child Abuse Negl. 2019 Apr;90:193-201. doi: 10.1016/j.chiabu.2019.01.025. Epub 2019 Feb 23.
Verbal abuse during pregnancy has a greater impact than physical and sexual violence on the incidence of postnatal depression and maternal abuse behavior towards their children. In addition, exposure of children (aged 12 months to adolescence) to verbal abuse from their parents exerts an adverse impact to the children's auditory function. However, the effect of verbal abuse during pregnancy on fetal auditory function has not yet been thoroughly investigated.
The objective of the study was to examine the relationship between intimate partner verbal abuse during pregnancy and newborn hearing screening (NHS) referral, which indicates immature or impaired auditory function.
The Japan Environment and Children's Study is an ongoing nationwide population-based birth-cohort study designed to determine environmental factors during and after pregnancy that affect the development, health, or wellbeing of children. Pregnant women living in 15 areas of Japan were recruited between January 2011 and March 2014.
Multiple imputation for missing data was performed, followed by multiple logistic regression using 16 confounding variables.
Of 104,102 records in the dataset, 79,985 mother-infant pairs submitted complete data for questions related to verbal and physical abuse and the results of NHS. Of 79,985 pregnant women, 10,786 (13.5%) experienced verbal abuse and 978 (1.2%) experienced physical abuse. Of 79,985 newborns, 787 (0.98%) received a NHS referral. Verbal abuse was significantly associated with NHS referral (adjusted odds ratio: 1.44; 95% confidence interval: 1.05-1.98).
Verbal abuse should be avoided during pregnancy to preserve the newborn's auditory function.
怀孕期间遭受言语虐待比身体和性暴力对产后抑郁和母亲虐待子女行为的发生率影响更大。此外，儿童（12 个月至青春期）暴露于父母的言语虐待会对其听觉功能产生不良影响。然而，怀孕期间言语虐待对胎儿听觉功能的影响尚未得到彻底研究。
本研究旨在探讨怀孕期间亲密伴侣言语虐待与新生儿听力筛查（NHS）转诊之间的关系，NHS 转诊表明听觉功能不成熟或受损。
日本环境与儿童研究是一项正在进行的全国性基于人群的出生队列研究，旨在确定怀孕期间和之后影响儿童发育、健康或幸福感的环境因素。2011 年 1 月至 2014 年 3 月，在日本的 15 个地区招募了孕妇。
对缺失数据进行多重插补，然后使用 16 个混杂变量进行多变量逻辑回归。
在数据集的 104102 条记录中，79985 对母婴对提交了与言语和身体虐待以及 NHS 结果相关的完整数据。在 79985 名孕妇中，10786 名（13.5%）经历了言语虐待，978 名（1.2%）经历了身体虐待。在 79985 名新生儿中，787 名（0.98%）接受了 NHS 转诊。言语虐待与 NHS 转诊显著相关（调整后的优势比：1.44；95%置信区间：1.05-1.98）。
为了保护新生儿的听觉功能，怀孕期间应避免言语虐待。
