Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
Int J Gynaecol Obstet. 2021 Apr;153(1):45-50. doi: 10.1002/ijgo.13566. Epub 2021 Jan 19.
To assess the incidence and predictors of intimate partner violence (IPV) during pregnancy amidst the coronavirus disease 2019 pandemic.
This cross-sectional study was conducted at the prenatal care clinic of St. Paul's Hospital Millennium Medical College (SPHMMC), Addis Ababa, Ethiopia, among pregnant women from 31 August to 2 November 2020. Participants were interviewed using Open Data Kit. Logistic regression was used to assess predictors.
Among the 464 pregnant women, 33 (7.1%) reported IPV during pregnancy, and among these 24 (72.7%) reported emotional violence, 16 (48.5%) reported sexual violence, and 10 (30.3%) reported physical violence. Among the study participants, only 8 (1.7%) were screened for IPV. IPV was reported 3.27 times more often by women who reported that their partner chewed Khat compared with those women whose partner did not (adjusted odds ratio [aOR] 3.27; 95% confidence interval [CI] 1.45-7.38), and 1.52 times more often women who reported that their partner drank alcohol compared with those women whose partner did not (aOR 1.52; 95% CI 1.01-2.28).
Very few women were screened for IPV. Partners drinking alcohol and chewing Khat are significantly positively associated with IPV during pregnancy. IPV screening should be included in the national management protocol of obstetric cases of Ethiopia.
评估 2019 年冠状病毒病大流行期间妊娠期间亲密伴侣暴力(IPV)的发生率和预测因素。
本横断面研究在埃塞俄比亚亚的斯亚贝巴圣保罗医院千年医学学院(SPHMMC)的产前保健诊所进行,参与者为 2020 年 8 月 31 日至 11 月 2 日期间的孕妇。使用开放式数据工具对参与者进行访谈。采用逻辑回归评估预测因素。
在 464 名孕妇中,有 33 名(7.1%)报告在妊娠期间发生 IPV,其中 24 名(72.7%)报告情感暴力,16 名(48.5%)报告性暴力,10 名(30.3%)报告身体暴力。在研究参与者中,只有 8 名(1.7%)接受了 IPV 筛查。与没有伴侣嚼恰特草的女性相比,报告伴侣嚼恰特草的女性发生 IPV 的可能性高出 3.27 倍(调整后的优势比[aOR]3.27;95%置信区间[CI]1.45-7.38),而报告伴侣饮酒的女性发生 IPV 的可能性高出 1.52 倍,与没有伴侣饮酒的女性相比(aOR 1.52;95% CI 1.01-2.28)。
很少有女性接受 IPV 筛查。伴侣饮酒和嚼恰特草与妊娠期间 IPV 显著正相关。埃塞俄比亚应将 IPV 筛查纳入国家产科病例管理方案。