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埃塞俄比亚中部一家产后诊所就诊妇女的产后亲密伴侣暴力及其相关因素

Intimate partner violence in the postpartum period and its associated factors among women attending a postnatal clinic in Central Ethiopia.

作者信息

Dirirsa Dejene Edosa, Desta Adugna Alemu, Geleta Tinsae Abeya, Gemmechu Mathewos Mekonnen, Melese Girma Tufa, Abebe Shimellis Tadese

机构信息

Department of Midwifery, College of Health and Medical Sciences, Salale University, Fiche, Ethiopia.

Department of Public Health, College of Health and Medical Sciences, Salale University, Fiche, Ethiopia.

出版信息

SAGE Open Med. 2022 May 21;10:20503121221100136. doi: 10.1177/20503121221100136. eCollection 2022.

Abstract

OBJECTIVE

Intimate partner violence may affect women at any stage of their lives, including during pregnancy and after childbirth, and can have major health consequences for both the mother and the child. Therefore, the study was aimed to assess Intimate partner violence against postpartum women and its associated factors among women attending the postpartum clinic in Central Ethiopia, 2021.

METHODS

The hospital based cross-sectional study design was implemented among postpartum women attending Sendafa Beke Hospital from September to October 2021. Systematic random sampling procedure was used to select 414 eligible postpartum women. Data were collected using a structured interviewer administered questionnaire. The data were entered into Epi Info and exported to SPSS version 24 for analysis. All variables with p-value < 0.05 under adjusted odds ratio were taken as statistical significant associated factors with postpartum intimate partner violence.

RESULTS

A total of 414 postpartum women participated in the study with a 97% of response rate. The prevalence of postpartum intimate partner violence was 31.4%. The study identified that monthly income 1000-5000 birr (adjusted odds ratio = 3.4; 95% confidence interval = 1.08, 10.5), partners' alcohol consumption (adjusted odds ratio = 0.17, 95% confidence interval = 0.06, 0.45), decision-maker of household affairs (adjusted odds ratio = 4.8; 95% confidence interval = 1.5, 15.1), and infant's sex (adjusted odds ratio = 0.03; 95% confidence interval = 0.02, 0.063) were significantly associated with postpartum intimate partner violence.

CONCLUSION

According to the findings of this study, nearly one-third of postpartum women were violated by their intimate partner after childbirth. Postpartum intimate partner violence was found to be associated with monthly income, partners' alcohol intake, decision-maker of household affairs, and infant's sex. To reduce the magnitude of the problem, different efforts should require from health professional, community, and government. The policy makers, planners and other concerned bodies establish appropriate strategy to prevent and control violence against women.

摘要

目的

亲密伴侣暴力可能影响女性生命中的任何阶段,包括孕期和产后,并且会对母亲和孩子造成重大健康后果。因此,本研究旨在评估2021年埃塞俄比亚中部产后诊所就诊女性中亲密伴侣对产后女性的暴力行为及其相关因素。

方法

2021年9月至10月,在森达法·贝克医院就诊的产后女性中实施基于医院的横断面研究设计。采用系统随机抽样程序选取414名符合条件的产后女性。使用结构化访谈问卷收集数据。数据录入Epi Info并导出到SPSS 24版进行分析。调整优势比下p值<0.05的所有变量被视为与产后亲密伴侣暴力有统计学显著关联的因素。

结果

共有414名产后女性参与研究,应答率为97%。产后亲密伴侣暴力的患病率为31.4%。研究发现,月收入1000 - 5000比尔(调整优势比 = 3.4;95%置信区间 = 1.08, 10.5)、伴侣饮酒(调整优势比 = 0.17, 95%置信区间 = 0.06, 0.45)、家庭事务决策者(调整优势比 = 4.8;95%置信区间 = 1.5, 15.1)以及婴儿性别(调整优势比 = 0.03;95%置信区间 = 0.02, 0.063)与产后亲密伴侣暴力显著相关。

结论

根据本研究结果,近三分之一的产后女性在分娩后遭受亲密伴侣的暴力侵害。产后亲密伴侣暴力被发现与月收入、伴侣饮酒情况、家庭事务决策者以及婴儿性别有关。为了减少该问题的严重程度,卫生专业人员、社区和政府应做出不同努力。政策制定者、规划者和其他相关机构应制定适当策略来预防和控制针对妇女的暴力行为。

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