早产后期间亲密伴侣暴力筛查：母婴健康和社会结局从分娩到产后 5 年。

Screening for intimate partner violence in the early postpartum period: Maternal and child health and social outcomes from birth to 5-years post-delivery.

机构信息

Department of Community Health Sciences, 306 Human Ecology, 35 Chancellor's Circle, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.

Department of Community Health Sciences. 313D Human Ecology, 35 Chancellor's Circle, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada.

出版信息

Child Abuse Negl. 2021 Jan;111:104865. doi: 10.1016/j.chiabu.2020.104865. Epub 2020 Dec 16.

DOI:10.1016/j.chiabu.2020.104865

PMID:33338981

Abstract

BACKGROUND

Intimate partner violence (IPV) during pregnancy is a substantial public health concern, yet little is known about the developmental trajectory of these women and their children after birth.

OBJECTIVE

The objective was to examine maternal and child health as well as social outcomes from birth to 5-years post-delivery associated with a positive (vs. negative) maternal IPV screen around the time of delivery.

PARTICIPANTS AND SETTING

Manitoban women giving birth to a live singleton infant from January 1, 2003 to December 31, 2006 were followed from birth to 5-years post-delivery (analytic sample: N = 40,051).

METHODS

Administrative databases from the Manitoba Centre for Health Policy provided data for the study. Descriptive statistics and logistic regression were used to examine relationships between IPV screen response around the time of birth (i.e., current, or history of, violence between parenting partners) with maternal and child health as well as social outcomes.

RESULTS

Women screening positive for IPV had increased odds of diagnosed mood/anxiety disorders, personality disorders, substance use disorders, diabetes, respiratory morbidity, and intentional/non-intentional injury hospitalizations (adjusted odds ratio [AOR] range 1.81-5.59, p < .01). Children of women screening positive for IPV had increased odds of diagnosed attention deficit-hyperactivity disorder, lower respiratory infections, and injury hospitalizations (AOR range 1.53-2.00, p < .01), child welfare organization contact (AOR = 8.84, p < .01), and of being more developmentally vulnerable at kindergarten across domains of functioning (AOR range 1.69-1.93, p < .01) than children of mothers screening negative for IPV.

CONCLUSION

A positive IPV screen was associated with poorer maternal and child health, increased child and family services contact, and children being more developmentally vulnerable in the 5-years after delivery.

摘要

背景

怀孕期间的亲密伴侣暴力（IPV）是一个严重的公共卫生问题，但人们对这些女性及其子女出生后的发展轨迹知之甚少。

目的

本研究旨在探讨与分娩时阳性（vs. 阴性）母亲 IPV 筛查相关的母婴健康以及产后 5 年的社会结局。

参与者和设置

2003 年 1 月 1 日至 2006 年 12 月 31 日期间，马尼托巴省分娩活单胎婴儿的妇女从出生到产后 5 年（分析样本：N=40051）接受了随访。

方法

曼尼托巴省卫生政策中心的行政数据库为该研究提供了数据。使用描述性统计和逻辑回归来检验分娩时 IPV 筛查结果（即当前或过去父母之间的暴力）与母婴健康以及社会结局之间的关系。

结果

筛查阳性的女性患诊断为心境/焦虑障碍、人格障碍、物质使用障碍、糖尿病、呼吸道疾病和故意/非故意伤害住院的几率增加（调整后的优势比 [AOR]范围为 1.81-5.59，p<.01）。筛查阳性的女性的孩子患诊断为注意力缺陷多动障碍、下呼吸道感染和伤害住院的几率增加（AOR 范围为 1.53-2.00，p<.01），与儿童福利机构接触（AOR=8.84，p<.01），以及在幼儿园各功能领域的发育脆弱性增加（AOR 范围为 1.69-1.93，p<.01），而筛查阴性的母亲的孩子则没有。