Department of Community Health, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.
Faculty of Nursing and Health Sciences, Bishop Stuart University, P. O. Box 09, Mbarara, Uganda.
BMC Pregnancy Childbirth. 2022 Jun 13;22(1):484. doi: 10.1186/s12884-022-04812-x.
Intimate partner violence (IPV) during pregnancy is a public health problem in Uganda that negatively impacts maternal and newborn health outcomes. However, IPVdisclosure and associated factors among pregnant women have remained poorly documented in southwestern Uganda. Therefore, this study determined IPV disclosure and associated factors among pregnant women attending a large City hospital.
In a cross-sectional design, 283 women attending Mbarara City Hospital Antenatal care (ANC) clinic were consecutively recruited into the study. Data was collected using a semi-structured questionnaire. This was administered by the research team and the exercise took over a month. That is; from 7 January 2019 to 7 February 2019. The collected data was entered in STATA, and it was analyzed using chi-square, and univariate logistic regression statistics.
Out of the 283 pregnant women who participated in the study, 199 of them, representing seventy-point three percent (70.3%), had reportedly experienced at least one type of IPV during their current pregnancy. However, nearly fifty percent of those that experienced IPV (49.7%, n = 99) disclosed it to a third party, while the majority disclosed it to their biological family member (66.7%), followed by their friends (55.5%), members of their husband's family (35.3%), neighbors (12.1%), healthcare providers (9.1%), religious leaders (8.1%), and the police (3.1%). Gravidity, OR = 1.9(95% CI: 1.07-3.31, p = 0.027), parity OR = 1.9(95% CI: 1.08-3.34, p = 0.026) and witnessed IPV OR: 5.4(95% CI: 1.93-14.96; p = 0.001) were significantly associated with IPV disclosure.
A large proportion of the pregnant women who experienced IPV did not disclose it to any third party. In addition to the above, pregnant women's characteristics seem to have a strong influence on IPV disclosure. Therefore, it is important for healthcare providers to routinely screen for IPV during antenatal care if a high IPV disclosure rate is to be achieved.
在乌干达，怀孕期间的亲密伴侣暴力（IPV）是一个公共卫生问题，对母婴健康结果产生负面影响。然而，在乌干达西南部，关于孕妇中 IPV 的披露及其相关因素的信息仍然很少。因此，本研究旨在确定在一家大型城市医院就诊的孕妇中 IPV 的披露情况及其相关因素。
采用横断面设计，连续招募 283 名在姆巴拉拉市医院产前保健（ANC）诊所就诊的孕妇参加研究。使用半结构式问卷收集数据。研究团队进行了数据收集，整个过程耗时一个多月，即从 2019 年 1 月 7 日至 2 月 7 日。收集的数据输入 STATA 进行分析，采用卡方检验和单变量逻辑回归统计。
在 283 名参与研究的孕妇中，199 名（占 70.3%）报告在当前孕期至少经历过一种类型的 IPV。然而，近一半经历过 IPV 的人（49.7%，n=99）向第三方披露了这种情况，而大多数人向其生物家庭成员（66.7%）披露，其次是朋友（55.5%）、丈夫的家庭成员（35.3%）、邻居（12.1%）、医疗保健提供者（9.1%）、宗教领袖（8.1%）和警察（3.1%）。妊娠次数（OR=1.9，95%CI：1.07-3.31，p=0.027）、产次（OR=1.9，95%CI：1.08-3.34，p=0.026）和目睹过 IPV（OR：5.4，95%CI：1.93-14.96；p=0.001）与 IPV 的披露显著相关。
很大一部分经历过 IPV 的孕妇没有向任何第三方披露。除此之外，孕妇的特征似乎对 IPV 的披露有很大的影响。因此，如果要实现高 IPV 披露率，医疗保健提供者在产前保健期间定期筛查 IPV 非常重要。
