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针对瓦拉达里斯市孕妇的暴力行为及其相关因素。

Violence against pregnant women and associated factors in the city of Governador Valadares.

机构信息

Universidade Federal de Juiz de Fora campus Governador Valadares. Instituto de Ciências da Vida. Departamento de Fisioterapia. Governador Valadares, MG, Brasil.

Universidade Federal de Juiz de Fora. Faculdade de Fisioterapia. Programa de Pós-Graduação em Ciências da Reabilitação e Desempenho Físico-funcional. Juiz de Fora, MG, Brasil.

出版信息

Rev Saude Publica. 2020 Dec 11;54:135. doi: 10.11606/s1518-8787.2020054002491. eCollection 2020.

Abstract

OBJECTIVE

To characterize violence against women during pregnancy and to verify its association with socioeconomic, demographic, obstetric, behavioral factors, health care and diseases during pregnancy.

METHODS

Cross-sectional study carried out with puerperal women whose birth took place at the Municipal Hospital of Governador Valadares, in Minas Gerais, from May 2017 to July 2018. Data collection was performed through interviews, and complementary information was obtained by analyzing the prenatal file and medical records. For data analysis, logistic regression was used.

RESULTS

The total of 771 puerperal women participated in the study. Of these, 62 (8.0%) reported having suffered physical, psychological or sexual violence during pregnancy. The pregnant women most likely to have suffered violence were alcohol dependent (OR = 4.97; 95%CI 2.30-10.75; p < 0.001), those who did not perform prenatal care (OR = 3.88; 95%CI 1.00-15.09; p = 0.050), those who used health services in an emergency during pregnancy (OR = 2.47; 95%CI 1.42-4.30; p = 0.001) and who had gestational diabetes (OR = 2.59; 95%CI 1.06-6.32; p = 0.037) and sexually transmitted diseases (OR = 3.85; 95%CI 1.41-10.50; p = 0.009).

CONCLUSION

Violence against pregnant women is associated with behavioral factors and related to health care and diseases during pregnancy. It is essential to recognize factors associated by health professionals through actions to track situations of violence against women since the beginning of prenatal care, in order to enable early intervention.

摘要

目的

描述怀孕期间对妇女的暴力行为,并验证其与社会经济、人口统计学、产科、行为因素、怀孕时的医疗保健和疾病之间的关联。

方法

这是一项 2017 年 5 月至 2018 年 7 月在米纳斯吉拉斯州瓜纳巴拉市市政医院分娩的产妇的横断面研究。通过访谈收集数据,通过分析产前档案和医疗记录获得补充信息。数据分析采用逻辑回归。

结果

共有 771 名产妇参加了这项研究。其中,62 名(8.0%)报告在怀孕期间遭受过身体、心理或性暴力。最有可能遭受暴力的孕妇是酒精依赖者(OR=4.97;95%CI 2.30-10.75;p<0.001)、未进行产前保健的孕妇(OR=3.88;95%CI 1.00-15.09;p=0.050)、怀孕期间紧急使用医疗服务的孕妇(OR=2.47;95%CI 1.42-4.30;p=0.001)和患有妊娠期糖尿病的孕妇(OR=2.59;95%CI 1.06-6.32;p=0.037)和性传播疾病的孕妇(OR=3.85;95%CI 1.41-10.50;p=0.009)。

结论

针对孕妇的暴力行为与行为因素有关,并与怀孕期间的医疗保健和疾病有关。卫生专业人员必须通过采取行动来识别相关因素,以便从产前保健开始就跟踪针对妇女的暴力情况,从而能够进行早期干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe32/7702383/41b59338aaa1/1518-8787-rsp-54-135-gf01.jpg

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