探索圭亚那女性孕期亲密伴侣暴力的决定因素及后果：一项具有全国代表性的横断面家庭调查结果
Exploring the determinants and outcomes of intimate partner violence during pregnancy for Guyanese women: Results from a nationally representative cross-sectional household survey.
作者信息
Miller Lior, Contreras-Urbina Manuel
机构信息
George Washington University Washington, D.C. United States of America George Washington University, Washington, D.C., United States of America.
The World Bank Washington, D.C. United States of America The World Bank, Washington, D.C., United States of America.
出版信息
Rev Panam Salud Publica. 2021 Mar 24;45:e6. doi: 10.26633/RPSP.2021.6. eCollection 2021.
OBJECTIVE
To determine predictors associated with physical violence during pregnancy, and to determine the relationship between exposure to intimate partner violence during pregnancy and women's health and suicide ideation in Guyana.
METHODS
A secondary data analysis of a cross-sectional household survey. Multivariate logistic regression models were fitted to the data to estimate the association between physical violence during pregnancy, controlling partner behavior, and other predictors. Ordered logistic regression models were fitted to estimate the association between physical violence during pregnancy and women's health, and lifetime physical partner violence and overall health. Logistic regression models were fitted to estimate associations between physical violence during pregnancy and lifetime physical partner violence and overall health and suicide ideation.
RESULTS
The prevalence of lifetime physical/sexual intimate partner violence was 38.8%, current physical/sexual intimate partner violence 11.1%, and violence during pregnancy 9.2%. Controlling partner behavior was significantly and positively associated with maternal experience of physical violence during pregnancy. Experiencing physical partner violence during pregnancy, but not lifetime physical partner violence, was associated with significantly increased odds of poor overall health. Physical violence during pregnancy and lifetime physical violence were both significantly associated with increased odds of suicide ideation.
CONCLUSIONS
The prevalence of violence during pregnancy in Guyana is high and is associated with adverse health outcomes. These findings suggest the need for intimate partner violence prevention, and for integrating intimate partner violence screening and treatment into antenatal care, reproductive health services, and maternal and child health programs and services to identify and treat at-risk women.
目的
确定与孕期身体暴力相关的预测因素，并确定圭亚那孕期遭受亲密伴侣暴力与女性健康及自杀意念之间的关系。
方法
对一项横断面家庭调查进行二次数据分析。对数据拟合多变量逻辑回归模型，以估计孕期身体暴力、伴侣控制行为及其他预测因素之间的关联。拟合有序逻辑回归模型，以估计孕期身体暴力与女性健康、终身身体伴侣暴力与总体健康之间的关联。拟合逻辑回归模型，以估计孕期身体暴力与终身身体伴侣暴力、总体健康及自杀意念之间的关联。
结果
终身身体/性亲密伴侣暴力的患病率为38.8%，当前身体/性亲密伴侣暴力为11.1%，孕期暴力为9.2%。伴侣控制行为与孕期母亲遭受身体暴力的经历显著正相关。孕期遭受身体伴侣暴力而非终身身体伴侣暴力，与总体健康状况不佳的几率显著增加相关。孕期身体暴力和终身身体暴力均与自杀意念几率增加显著相关。
结论
圭亚那孕期暴力的患病率很高，且与不良健康结果相关。这些发现表明需要预防亲密伴侣暴力，并将亲密伴侣暴力筛查和治疗纳入产前护理、生殖健康服务以及母婴健康项目和服务中，以识别和治疗高危女性。
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