Nguyen Thanh Hoang, Ngo Toan Van, Nguyen Vung Dang, Nguyen Hinh Duc, Nguyen Hanh Thi Thuy, Gammeltoft Tine, Wolf Meyrowitsch Dan, Rasch Vibeke
a Hanoi Medical University , Hanoi , Vietnam.
b University of Copenhagen , Copenhagen , Denmark.
Glob Health Action. 2018;11(sup3):1638052. doi: 10.1080/16549716.2019.1638052.
: Violence against women is a global public health problem. A better understanding of risk factors for intimate partner violence (IPV) exposure during pregnancy is important to develop interventions for supporting women being exposed to IPV. : The purpose of this study was to measure the prevalence of IPV during pregnancy and analyse how social support and various risk factors are associated with IPV. : A cross-sectional study conducted among 1309 pregnant women in Dong Anh district, Vietnam. Information about socio-economic conditions and previous exposure to IPV was collected when women attended antenatal care before the 24th gestational week. Information about social support information and exposure to IPV during pregnancy was collected in the 30-34 gestational week. Multivariable regression was used to identify associations between IPV, social support and other potential risk factors. : The prevalence of IPV exposure during pregnancy was 35.2% (Emotional violence: 32.2%; physical violence: 3.5% and sexual violence: 9.9%). There was a statistically significant association between previous IPV exposure, lack of social support and IPV exposure during pregnancy. After adjustment for socioeconomic characteristics, pregnant women who had previously been exposed to IPV were more likely to be exposed IPV at least one time (AOR = 6.3; 95% CI: 4.9-8.2) as well as multiple times (AOR = 6.0; 95% CI: 4.5-8.0). Similarly, pregnant women having a lack of social support had a higher likelihood of being exposed to IPV at least one time (AOR = 3.1; 95% CI: 2.4-3.9) or multiple times (AOR = 2.9; 95% CI: 2.2-3.8). : IPV is relatively high during pregnancy in Vietnam. Previous exposure to IPV and lack of social support is associated with increased risk of violence exposure among pregnant women in Vietnam.
暴力侵害妇女行为是一个全球性的公共卫生问题。更好地了解孕期亲密伴侣暴力（IPV）暴露的风险因素对于制定支持遭受IPV妇女的干预措施至关重要。
本研究的目的是测量孕期IPV的患病率，并分析社会支持和各种风险因素与IPV之间的关联。
在越南东英县对1309名孕妇进行了一项横断面研究。在孕妇妊娠第24周前接受产前护理时收集社会经济状况和既往IPV暴露情况的信息。在妊娠第30 - 34周收集社会支持信息和孕期IPV暴露情况的信息。采用多变量回归分析来确定IPV、社会支持和其他潜在风险因素之间的关联。
孕期IPV暴露的患病率为35.2%（情感暴力：32.2%；身体暴力：3.5%；性暴力：9.9%）。既往IPV暴露、缺乏社会支持与孕期IPV暴露之间存在统计学上的显著关联。在对社会经济特征进行调整后，既往遭受过IPV的孕妇更有可能至少一次遭受IPV（调整后比值比[AOR]=6.3；95%置信区间[CI]：4.9 - 8.2）以及多次遭受IPV（AOR = 6.0；95% CI：4.5 - 8.0）。同样，缺乏社会支持的孕妇至少一次遭受IPV的可能性更高（AOR = 3.1；95% CI：2.4 - 3.9）或多次遭受IPV（AOR = 2.9；95% CI：2.2 - 3.8）。
在越南，孕期IPV的发生率相对较高。既往IPV暴露和缺乏社会支持与越南孕妇遭受暴力暴露的风险增加有关。
