Adelphi University, Garden City, NY, USA.
University of Maryland, College Park, MD, USA.
Asia Pac J Public Health. 2021 Mar-Apr;33(2-3):273-279. doi: 10.1177/1010539520977333. Epub 2020 Nov 30.
Our study aimed to investigate the association between domestic physical violence in pregnancy and feto-infant outcomes among Afghan women. Our study design was a cross-sectional study that utilized secondary data from the 2015 Afghanistan Demographic and Health Survey conducted in 33 provinces of Afghanistan (n = 19 676). We used multiple logistic regression models to evaluate the relationship between domestic violence and early-pregnancy loss, perinatal, and neonatal mortality, with adjustments for confounders. Our results indicate that approximately 16.66% (n = 3278) of Afghan women experienced domestic violence while pregnant. In the adjusted models, we found that domestic physical violence in pregnancy was significantly associated with early-pregnancy loss (adjusted odds ratio [AOR] = 1.58, 95% confidence interval [CI] = 1.32-1.88), but not with perinatal mortality (AOR = 1.12, 95% CI = 0.96-1.32) and neonatal mortality (AOR = 1.10, 95% CI = 0.95-1.28). The higher odds of adverse birth outcomes among victims of domestic violence underlines the necessity for interventions to address violence against women in Afghanistan.
我们的研究旨在探讨阿富汗孕妇遭受家庭暴力与胎儿-婴儿结局之间的关联。我们的研究设计是一项横断面研究，利用了 2015 年在阿富汗 33 个省份进行的阿富汗人口与健康调查（n=19676）的二手数据。我们使用多因素逻辑回归模型来评估家庭暴力与早期妊娠丢失、围产期和新生儿死亡之间的关系，并进行了混杂因素调整。结果表明，约 16.66%（n=3278）的阿富汗孕妇在怀孕期间遭受过家庭暴力。在调整后的模型中，我们发现孕期遭受身体家庭暴力与早期妊娠丢失显著相关（调整后的优势比[AOR]=1.58，95%置信区间[CI] = 1.32-1.88），但与围产期死亡率（AOR=1.12，95%CI=0.96-1.32）和新生儿死亡率（AOR=1.10，95%CI=0.95-1.28）无关。家庭暴力受害者不良分娩结局的更高可能性强调了在阿富汗需要干预措施来解决针对妇女的暴力问题。
