College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.
Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.
Midwifery. 2021 Jan;92:102869. doi: 10.1016/j.midw.2020.102869. Epub 2020 Oct 28.
To determine the associations between intimate partner violence during pregnancy and low birth weight and preterm birth among women who gave birth in public hospitals in Harari region, eastern Ethiopia.
A cross-sectional study was conducted among women who gave birth in public hospitals in Harari region.
Women aged 16-45 years who gave birth in hospitals from November 2018 to April 2019.
Two public hospitals in Harari regional state, eastern Ethiopia MEASUREMENT: Intimate partner violence was measured using a questionnaire adapted from the World Health Organization Multi-Country Study on Women's Health and Domestic Violence against Women. Binary and multiple logistic regression was performed to establish the association between intimate partner violence and low birth weight and preterm birth. Both crude and adjusted odds ratios with 95% confidence intervals were calculated. The level of significance was set at a p-value of <0.05.
In this study, 39% of women reported experiencing partner violence during their most recent pregnancy. The prevalence of preterm birth and low birth weight were found to be 18.9% and 12.01%, respectively. After adjusting for potential confounders, women who experienced any intimate partner violence during pregnancy were 1.62 times (AOR = 1.62, 95%CI= 1.22, 2.78) more likely to give birth prematurely and 1.37 times (AOR= 1.37, 95%CI=1.73, 2.57) more likely to have a low birth weight infant relative to women who did not experience intimate partner violence during pregnancy.
The results underscore the need for including intimate partner violence prevention as an important strategy to reduce child mortality and morbidity. Screening pregnant women for intimate partner violence and providing support for women who have experienced violence might be helpful in tackling prematurity and low birth weight.
在埃塞俄比亚东部哈拉里地区的公立医院分娩的妇女中，确定怀孕期间亲密伴侣暴力与低出生体重和早产之间的关联。
在哈拉里地区公立医院分娩的妇女中进行了一项横断面研究。
2018 年 11 月至 2019 年 4 月在医院分娩的 16-45 岁妇女。
埃塞俄比亚东部哈拉里州的两家公立医院。
使用世界卫生组织多国家妇女健康和家庭暴力研究改编的问卷来衡量亲密伴侣暴力。进行二元和多变量逻辑回归以确定亲密伴侣暴力与低出生体重和早产之间的关联。计算了粗比值比和 95%置信区间以及调整比值比。显著性水平设定为 p 值<0.05。
在这项研究中，39%的妇女报告在最近一次怀孕期间经历过伴侣暴力。早产和低出生体重的发生率分别为 18.9%和 12.01%。在调整了潜在混杂因素后，与怀孕期间未经历亲密伴侣暴力的妇女相比，经历过任何形式亲密伴侣暴力的妇女早产的可能性增加 1.62 倍（优势比[OR] = 1.62，95%置信区间[CI] = 1.22，2.78），低出生体重儿的可能性增加 1.37 倍（OR = 1.37，95%CI = 1.73，2.57）。
结果强调需要将亲密伴侣暴力预防作为降低儿童死亡率和发病率的重要策略。对孕妇进行亲密伴侣暴力筛查并为遭受暴力的妇女提供支持可能有助于解决早产和低出生体重问题。
