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孕期亲密伴侣暴力:关注伴侣特征。

Intimate partner violence during pregnancy: a focus on partner characteristics.

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo. Av. Marechal Campos 1.468, Bonfim. 29047-105 Vitória ES Brasil.

Programa de Pós-Graduação em Saúde Coletiva, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Espírito Santo. Vitória ES Brasil.

出版信息

Cien Saude Colet. 2022 May;27(5):1873-1882. doi: 10.1590/1413-81232022275.06542021. Epub 2021 Jun 17.

Abstract

This study analyzes the association between violence against women during pregnancy and intimate partner socioeconomic and behavioral characteristics. We conducted an analytical cross-sectional study with 327 postpartum women admitted to a maternity hospital in a city in Espírito Santo, Brazil using a questionnaire to collect data on intimate partner socioeconomic and behavioral characteristics. Intimate partner violence was assessed using questions based on the World Health Organisation instrument "Violence against Women (WHO VAW STUDY)". Associations were tested using crude and adjusted Poisson regression. The prevalence of psychological violence during pregnancy was higher among women whose partners consumed alcohol, refused to use condoms, and were not the infant's biological father. Physical violence was associated with women whose partners did not work and refused to use condoms. The prevalence of sexual violence during pregnancy was more than nine times higher among women with partners who refused to use condoms. The findings demonstrate that antenatal care is an opportune time to approach partners about health care and address violence. It is necessary to promote the utilization of health services by men in order to address risk factors for violence during pregnancy.

摘要

这项研究分析了怀孕期间针对妇女的暴力行为与伴侣社会经济和行为特征之间的关联。我们对巴西圣埃斯皮里图州某城市一家妇产医院的 327 名产后妇女进行了一项分析性横断面研究,使用问卷收集有关伴侣社会经济和行为特征的数据。使用基于世界卫生组织工具“针对妇女的暴力行为(世卫组织 VAW 研究)”的问题评估亲密伴侣暴力行为。使用未调整和调整后的泊松回归检验关联。在伴侣饮酒、拒绝使用避孕套和不是婴儿生父的情况下,孕妇遭受心理暴力的比例较高。在伴侣不工作和拒绝使用避孕套的情况下,孕妇遭受身体暴力的比例较高。在伴侣拒绝使用避孕套的情况下,孕妇遭受性暴力的比例高出九倍以上。研究结果表明,产前保健是一个接触伴侣并解决暴力问题的适当时机。有必要促进男性利用卫生服务,以解决怀孕期间暴力行为的风险因素。

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