University of Saskatchewan, Saskatoon, SK, Canada.
J Interpers Violence. 2022 Oct;37(19-20):NP19042-NP19065. doi: 10.1177/08862605211043576. Epub 2021 Sep 7.
Interpersonal violence around pregnancy is of increasing global public health concern affecting both women themselves and their children. The primary aim of this study is to explore and identify potential correlates of such violence and to examine maternal and birth outcomes subsequent to that violence in a nationally representative sample of urban and rural women in Canada. The data are from the Maternity Experiences Survey (MES), a Canadian population-based postcensus survey administered to 6,421 Canadian mothers in 2006. Survey participants were 15 years and older and had given birth to a singleton and continued to live with their infant at the time of the survey. The survey response rate was 78%. Multivariable logistic regression analyses were used in the analysis with adjustments made for confounding variables. The study findings indicated that living in an urban environment was associated with an increased risk of interpersonal violence experience around the time of pregnancy ( = 1.31, 95% CI: 1.03-1.66). In addition, being aboriginal, young, unmarried, economically disadvantaged, a nonimmigrant, and having more than four pregnancies, as well as cigarette smoking, alcohol drinking and drug use before the pregnancy were correlated with interpersonal violence around pregnancy. Maternal interpersonal violence experiences were also associated with postnatal depression and stressful life events among both urban and rural mothers. However, maternal interpersonal violence experiences were only associated with preterm birth among rural mothers but not among urban mothers. The present study highlights the need to implement effective interventions for women experiencing interpersonal violence around pregnancy due to its potential impact on maternal and newborn's physical and mental health. Screening and intervention should be targeted high-risk women particularly those who are indigenous, young, unmarried, nonimmigrants, of lower socioeconomic status, and manifesting high risk health behaviors.
妊娠相关的人际暴力是一个日益受到全球公共卫生关注的问题，既影响到妇女本身，也影响到她们的子女。本研究的主要目的是在加拿大城乡具有代表性的妇女样本中探索和确定此类暴力的潜在相关因素，并研究随后发生的母婴结局。该数据来自于产妇经历调查（MES），这是一项基于人口的加拿大普查后调查，2006 年对 6421 名加拿大母亲进行了调查。调查参与者年龄在 15 岁及以上，生育过单胎，并在调查时与婴儿一起生活。调查的回复率为 78%。使用多变量逻辑回归分析进行分析，并对混杂变量进行了调整。研究结果表明，生活在城市环境中与妊娠期间人际暴力经历的风险增加有关（OR = 1.31，95%CI：1.03-1.66）。此外，原住民、年轻、未婚、经济劣势、非移民以及怀孕次数多于四次、在怀孕前吸烟、饮酒和吸毒也与妊娠期间的人际暴力有关。母婴人际暴力经历也与城乡母亲的产后抑郁和生活压力事件有关。然而，母婴人际暴力经历仅与农村母亲的早产有关，而与城市母亲无关。本研究强调了需要针对妊娠期间经历人际暴力的妇女实施有效的干预措施，因为其对母婴身心健康可能产生潜在影响。应针对高风险妇女，特别是原住民、年轻、未婚、非移民、社会经济地位较低以及表现出高风险健康行为的妇女进行筛查和干预。
