Sussmann Leanndru Guilherme Pires Reis, Faisal-Cury Alexandre, Pearson Rebecca
Departamento de Medicina Preventiva, Universidade de São Paulo, São Paulo, SP, Brazil.
Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Bristol, United Kingdom.
Rev Bras Epidemiol. 2020;23:e200048. doi: 10.1590/1980-549720200048. Epub 2020 Jun 1.
No studies were found that evaluate the association between intimate partner violence (IPV) before childbirth and sexual issues in the postpartum period.
A cross-sectional study with 700 women who received prenatal care in a basic health unit in São Paulo, between 2006 and 2007. Sexual issues were assessed through a questionnaire created by the authors, and intimate partner violence was evaluated using a structured questionnaire developed by the WHO. Postpartum depression was evaluated using the SRQ-20 instrument, with a cut-off point of 7/8 considered to be the mediating variable. A path analysis was performed to determine the different pathways: the direct association between outcome and exposure, and the indirect pathways through the mediator.
The prevalence of sexual issues, intimate partner violence and postpartum depression were 30; 42.8; 27.8%, respectively. Violence occurring exclusively before childbirth did not show a direct association (ED = 0.072 (-0.06 - 0.20, p = 0.060)) or indirect (EI: 0.045 (-0.06 - 0.20, p = 0.123)), with sexual issues.
Longitudinal studies that include other mediators may provide a better understanding of the causal chain and elucidate variables that influence postpartum sexuality issues.
未发现有研究评估分娩前亲密伴侣暴力（IPV）与产后性问题之间的关联。
一项横断面研究，研究对象为2006年至2007年间在圣保罗一家基层卫生单位接受产前护理的700名女性。性问题通过作者编制的问卷进行评估，亲密伴侣暴力使用世界卫生组织开发的结构化问卷进行评估。产后抑郁使用SRQ - 20工具进行评估，以7/8为分界点，该分界点被视为中介变量。进行路径分析以确定不同的途径：结果与暴露之间的直接关联，以及通过中介的间接途径。
性问题、亲密伴侣暴力和产后抑郁的患病率分别为30%；42.8%；27.8%。仅在分娩前发生的暴力与性问题之间未显示出直接关联（效应差异=0.072（-0.06 - 0.20，p = 0.060））或间接关联（效应间接性：0.045（-0.06 - 0.20，p = 0.123））。
纳入其他中介因素的纵向研究可能会更好地理解因果链，并阐明影响产后性问题的变量。
