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沙特阿拉伯亲密伴侣暴力及其与不良妊娠结局的关联:一项横断面研究。

Intimate Partner Violence and Its Associations with Adverse Pregnancy Outcomes in Saudi Arabia: A Cross-Sectional Study.

机构信息

King Saud University Medical City, Riyadh, Saudi Arabia.

King Saud University, Nursing College, Riyadh, Saudi Arabia.

出版信息

J Interpers Violence. 2022 Aug;37(15-16):NP14457-NP14484. doi: 10.1177/08862605211005144. Epub 2021 Apr 16.

DOI:10.1177/08862605211005144
PMID:33858253
Abstract

Intimate partner violence (IPV) during pregnancy is a significant issue. Nevertheless, the prevalence of IPV and its adverse outcomes in pregnant women in Saudi Arabia are not well documented. This study examines the prevalence of IPV, its relationship with women's background characteristics, and its effect on adverse pregnancy outcomes. A cross-sectional study was conducted using a convenience sample of 684 women who were either pregnant or in the first six weeks postpartum in Riyadh, Saudi Arabia. IPV severity was measured using the Composite Abuse Scale. The results showed that 28.9% of the women included in this study experienced IPV. Smoking habit, income, polygamous marriage, presence of chronic diseases and sexual dysfunction, and number of children were significantly associated with IPV severity. In each one-unit increase in total IPV severity, the possibility of the occurrence of preterm labor, vaginal bleeding, dehydration, gestational diabetes, urinary tract infection, spontaneous abortion, and intrauterine growth retardation significantly increases. Furthermore, regarding the types of abuse, we found that for each one-unit increase in verbal abuse, the possibility of the occurrence of preterm labor, dehydration, urinary tract infection, and intrauterine growth retardation significantly increases. Moreover, for each one-unit increase in physical abuse and one-unit increase in controlling behavior, the possibility of the occurrence of intrauterine growth retardation significantly increases. The current results highlight the importance of paying substantial attention to IPV and its types as a health issue that increases the risk of adverse pregnancy outcomes in women. A clinical assessment during pregnancy is needed to identify and manage cases of IPV survivors and ultimately reduce their risk of IPV.

摘要

怀孕期间的亲密伴侣暴力(IPV)是一个严重的问题。然而,沙特阿拉伯孕妇中 IPV 的流行程度及其不良后果尚未得到充分记录。本研究调查了 IPV 的流行程度、它与女性背景特征的关系,以及它对不良妊娠结局的影响。这项横断面研究使用便利抽样法,对沙特阿拉伯利雅得的 684 名孕妇或产后六周内的女性进行了研究。使用综合虐待量表测量 IPV 的严重程度。结果表明,本研究中 28.9%的女性经历过 IPV。吸烟习惯、收入、一夫多妻制婚姻、慢性疾病和性功能障碍的存在以及孩子的数量与 IPV 的严重程度显著相关。在 IPV 严重程度每增加一个单位的情况下,早产、阴道出血、脱水、妊娠期糖尿病、尿路感染、自然流产和宫内生长迟缓的发生可能性显著增加。此外,关于虐待类型,我们发现言语虐待每增加一个单位,早产、脱水、尿路感染和宫内生长迟缓的发生可能性显著增加。此外,身体虐待每增加一个单位和控制行为每增加一个单位,宫内生长迟缓的发生可能性显著增加。目前的结果强调了将 IPV 及其类型作为增加妇女不良妊娠结局风险的健康问题引起充分关注的重要性。需要在怀孕期间进行临床评估,以识别和管理 IPV 幸存者的病例,并最终降低他们遭受 IPV 的风险。

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