Department of Sociology, University of Dhaka, Dhaka, Bangladesh.
Department of Sociology, East West University, Dhaka, Bangladesh.
J Matern Fetal Neonatal Med. 2022 Dec;35(25):7972-7979. doi: 10.1080/14767058.2021.1940129. Epub 2021 Jun 28.
Many studies report a significant association between a lifetime measure of intimate partner violence (IPV) and low birth weight (LBW) in low-income and economically developed countries. However, it remains relatively unclear how different forms of IPV affect LBW in low-income countries. This study examines the associations of various forms of IPV with two measures of birth outcomes - LBW and birth weight in India.
This study used the National Family Health Survey (NFHS-4) 2015-2016 data of India. The analysis included 11,423 women aged 15-49 years. Using both logistic and linear regression analyses, we assessed the associations of various forms of IPV with binary and continuous measures of birth weight. The analysis controlled for several potential covariates.
In fully-adjusted regression models, women who experienced any IPV, compared to those who had not experienced any IPV, were 1.19 times (95% CI: 1.02-1.37) as likely to give birth to an LBW baby. Compared to those who had not experienced any physical violence (PV), women who experienced any PV were 1.16 times (95% CI: 1.00-1.35) as likely to have an LBW baby. Moreover, compared to those who had not experienced any emotional violence (EV), women who experienced any EV were 1.29 times (95% CI: 1.06-1.56) as likely to have LBW babies. Linear regression analysis found that any IPV exposure was associated with a significant decrease in birth weight in the fully-adjusted model ( = -32.39; 95% CI: -63.39 to -1.73). Further, experience of any PV ( = -28.40; 95% CI: -60.13 to 3.36) and any EV ( = -51.69; 95% CI: -93.97 to -9.42) appear to be negatively associated with a continuous measure of birth weight.
Findings have implications for public health policies and interventions that protect women from exposure to intimate partner violence for ensuring better maternal health and birth outcomes.
许多研究报告称，在低收入和经济发达国家，一生中亲密伴侣暴力（IPV）与低出生体重（LBW）之间存在显著关联。然而，在低收入国家，不同形式的 IPV 如何影响 LBW 仍然相对不清楚。本研究检查了各种形式的 IPV 与印度两种出生结果指标（LBW 和出生体重）之间的关联。
本研究使用了印度 2015-2016 年国家家庭健康调查（NFHS-4）的数据。分析包括 11423 名 15-49 岁的妇女。我们使用逻辑回归和线性回归分析，评估了各种形式的 IPV 与出生体重的二项和连续测量值之间的关联。分析控制了几个潜在的协变量。
在完全调整的回归模型中，与未经历任何 IPV 的妇女相比，经历过任何 IPV 的妇女分娩 LBW 婴儿的可能性是前者的 1.19 倍（95%置信区间：1.02-1.37）。与未经历过任何身体暴力（PV）的妇女相比，经历过任何 PV 的妇女分娩 LBW 婴儿的可能性是前者的 1.16 倍（95%置信区间：1.00-1.35）。此外，与未经历过任何情感暴力（EV）的妇女相比，经历过任何 EV 的妇女分娩 LBW 婴儿的可能性是前者的 1.29 倍（95%置信区间：1.06-1.56）。线性回归分析发现，在完全调整的模型中，任何 IPV 暴露都与出生体重的显著下降相关（= -32.39；95%置信区间：-63.39 至 -1.73）。此外，经历任何 PV（= -28.40；95%置信区间：-60.13 至 3.36）和任何 EV（= -51.69；95%置信区间：-93.97 至 -9.42）似乎与出生体重的连续测量值呈负相关。
这些发现对保护妇女免受亲密伴侣暴力侵害的公共卫生政策和干预措施具有重要意义，有助于确保更好的母婴健康和出生结果。
