PhD Student of Reproductive Health, Midwifery and Reproductive Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of midwifery, Social Determinants of Health Research Centre, Tabriz University of Medical Sciences, Islamic Republic of Iran, 513897977, South Shariatie, Tabriz, Iran.
BMC Pregnancy Childbirth. 2021 Jan 28;21(1):88. doi: 10.1186/s12884-021-03579-x.
During the COVID-19 pandemic, pregnant women bear considerable physical and psychological stress because of their special conditions, which combined with other stress factors such as violence, makes their situation even more critical. This study aimed to investigate the prevalence of domestic violence and its relationship with quality of life in pregnant women during the COVID-19 pandemic.
This cross-sectional study was performed with the participation of 250 pregnant women in the obstetrics clinic of 29-Bahman Hospital, Tabriz city. Using a three-part questionnaire consisting of the socio-demographic and obstetrics information, the domestic violence questionnaire developed by WHO, and the SF-12 quality of life questionnaire, the required information was collected. A general linear model was then used to determine the relationship between domestic violence and quality of life, while adjusting the socio-demographic and obstetrics information.
According to the data, more than one-third of pregnant women (35.2 %) had experienced domestic violence. The most common type of violence experienced was emotional violence (32.8 %), followed by sexual violence (12.4 %), and physical violence (4.8 %). The mean score of the physical health department of quality of life in the group of women exposed to violence (50.21) was lower compared to the unexposed group (53.45), though there was no significant difference between them (P = 0.25). However, the mean score of the mental health department of quality of life in women exposed to violence (46.27) was significantly lower compared to unexposed women (61.17) (P < 0.001). Based on the general linear model, the mean score for quality of life in the mental health dimension was significantly higher among unexposed women compared to those exposed to violence (β = 9.3, 95 %CI: 3.5 to 15.0, P = 0.002).
The findings of this study indicate a high prevalence of domestic violence and its relationship with a low quality of life during the COVID-19 pandemic. Therefore, the findings signify the importance of screening pregnant women in terms of domestic violence in respective centers as well as the necessity of conducting proper interventions to address domestic violence to improve the quality of life in women.
在 COVID-19 大流行期间，孕妇由于其特殊情况承受着相当大的身心压力，再加上暴力等其他压力因素，使她们的处境更加危急。本研究旨在调查 COVID-19 大流行期间孕妇中家庭暴力的流行情况及其与生活质量的关系。
本横断面研究纳入了 250 名来自大不里士 29-Bahman 医院妇产科门诊的孕妇。使用由世卫组织开发的三部分问卷，包括社会人口学和产科信息、家庭暴力问卷和 SF-12 生活质量问卷，收集所需信息。然后使用一般线性模型来确定家庭暴力与生活质量之间的关系，同时调整社会人口学和产科信息。
根据数据，超过三分之一的孕妇（35.2%）经历过家庭暴力。最常见的暴力类型是情绪暴力（32.8%），其次是性暴力（12.4%）和身体暴力（4.8%）。在遭受暴力的妇女组中，生活质量的身体健康部门的平均得分为 50.21，低于未暴露组的 53.45，尽管两者之间没有显著差异（P=0.25）。然而，在遭受暴力的妇女组中，生活质量的心理健康部门的平均得分为 46.27，明显低于未暴露的妇女组（61.17）（P<0.001）。根据一般线性模型，在心理健康维度上，未暴露于暴力的妇女的生活质量平均得分明显高于暴露于暴力的妇女（β=9.3，95%CI：3.5 至 15.0，P=0.002）。
本研究结果表明，在 COVID-19 大流行期间，家庭暴力的发生率很高，并且与生活质量低下有关。因此，这些发现表明在各个中心筛查孕妇是否遭受家庭暴力的重要性，以及必须采取适当的干预措施来解决家庭暴力问题，以提高妇女的生活质量。
