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埃塞俄比亚南部沃莱塔地区产后妇女围产期亲密伴侣暴力的生活经历:一项现象学研究方法

Postpartum Women's Lived Experiences of Perinatal Intimate Partner Violence in Wolaita Zone, Southern Ethiopia: A Phenomenological Study Approach.

作者信息

Abota Tafesse Lamaro, Gashe Fikre Enqueselassie, Kabeta Negussie Deyessa

机构信息

Department of Nursing, College of Health Sciences, Mizan-Tepi University, Mizan-Aman, South West Ethiopia.

School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

出版信息

Int J Womens Health. 2021 Nov 13;13:1103-1114. doi: 10.2147/IJWH.S332545. eCollection 2021.

Abstract

OBJECTIVE

Perinatal intimate partner violence affects the health and safety of postpartum women and their infants. However, it has not been well recognized and addressed in the study setting. Hence, this study aimed to explore postpartum women's lived experiences of perinatal intimate partner violence and its contributing factors in Wolaita Zone, Southern Ethiopia.

METHODS

A phenomenological study approach was used to explore postpartum women's lived experiences of perinatal partner violence from January to March 2020. A total of twenty-two postnatal women and five health extension workers (HEWs) were interviewed. Interviews were audio-recorded, transcribed verbatim in local languages, and then translated into English. Data were analyzed thematically, using deductive and inductive coding. The consolidated criteria for reporting qualitative research (CORE-Q) checklist was followed to report the findings.

RESULTS

Results indicated that postpartum women had experienced recurrent violence before, during, and after pregnancy from their husbands, with 16 out of 22 women being subjected to perinatal intimate partner violence. A majority of the participants delineated their exposure to perinatal physical violence next to perinatal psychological violence. Many of the interviewed women noted that violence during pregnancy was exacerbated and increased during postpartum. Moreover, the interviewees revealed that some partners were not only a serious threat to their wives, but also their infants during the postpartum period. Four of the participants stated that their newborns were hit and thrown by their father and became unconscious. Participants linked husbands' perinatal violence with suspicion about the newborn, male-child preference, partner infidelity and jealousy, contraceptives usage, alcohol consumptions, indifference to shortages on household necessities, improper parenting, and financial problems.

CONCLUSION

This study highlights that postpartum women are experiencing continuous and severe forms of perinatal IPV in the study setting. Thus, community-level interventions that minimize perinatal partner violence against postnatal women and their infants are needed.

摘要

目的

围产期亲密伴侣暴力会影响产后女性及其婴儿的健康与安全。然而,在本研究环境中,这一问题尚未得到充分认识和解决。因此,本研究旨在探究埃塞俄比亚南部沃莱塔地区产后女性围产期亲密伴侣暴力的生活经历及其影响因素。

方法

采用现象学研究方法,于2020年1月至3月探究产后女性围产期伴侣暴力的生活经历。共对22名产后女性和5名健康推广工作者进行了访谈。访谈进行了录音,先用当地语言逐字转录,然后翻译成英语。采用演绎和归纳编码对数据进行主题分析。研究结果的报告遵循了定性研究报告的统一标准(CORE-Q)清单。

结果

结果表明,产后女性在怀孕前、怀孕期间和产后都曾遭受丈夫的反复暴力,22名女性中有16名遭受围产期亲密伴侣暴力。大多数参与者表示,她们遭受围产期身体暴力的程度仅次于围产期心理暴力。许多受访女性指出,怀孕期间的暴力在产后加剧且增多。此外,受访者透露,一些伴侣在产后不仅对其妻子构成严重威胁,对其婴儿也是如此。4名参与者表示,她们的新生儿被父亲殴打并扔掷,导致昏迷。参与者将丈夫的围产期暴力与对新生儿的怀疑、重男轻女、伴侣不忠与嫉妒、避孕药具使用、酗酒、对家庭必需品短缺的漠视、不当育儿以及经济问题联系起来。

结论

本研究强调,在本研究环境中,产后女性正经历持续且严重形式的围产期亲密伴侣暴力。因此,需要采取社区层面的干预措施,尽量减少围产期伴侣对产后女性及其婴儿的暴力行为。

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