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2021年埃塞俄比亚南部围产期亲密伴侣暴力及其在参加新生儿免疫接种的产后母亲中的相关因素:一项横断面研究

Perinatal intimate partner violence during COVID-19 and its associated factors among postpartum mothers attending newborn immunization in southern Ethiopia, 2021: A cross-sectional study.

作者信息

Belay Alemayehu Sayih, Kassie Gidafie Aychew, Abera Gudeta Tesfaye

机构信息

Department of Nursing, College of Medicine and Health Science, Mizan-Tepi University, Mizan Aman, Mizzan, Ethiopia.

Department of Nursing, College of Health Science, Wollegai University, Nekemte, Ethiopia.

出版信息

SAGE Open Med. 2022 Aug 12;10:20503121221116671. doi: 10.1177/20503121221116671. eCollection 2022.

Abstract

OBJECTIVE

This study aimed to assess the prevalence of perinatal intimate partner violence during COVID-19 and its associated factors among postpartum mothers attending newborn immunization in southern Ethiopia, 2021.

METHOD

A facility-based cross-sectional study was conducted among 657 postpartum mothers from 1 to 30 March 2021 in southern Ethiopia. All postpartum mothers who visited the selected hospitals or health centers for newborn immunization and met the inclusion criteria were included in this study. Data were cleaned, coded, entered into Epidata manager version 4.2 and then exported into SPSS version 26 for analysis. Binary and multivariate logistic regression analysis was used.

RESULTS

The prevalence of perinatal intimate partner violence was 62.4%. In this study, income loss due to COVID-19 (adjusted odds ratio: 12.00, 95% confidence interval: 5.60, 25.71,  < 0.001) was the strongest factor associated with perinatal intimate partner violence. Young age women (adjusted odds ratio: 5.82, 95% confidence interval: 2.72, 12.46,  < 0.001), partner alcohol use (adjusted odds ratio: 2.21, 95% confidence interval: 1.37, 3.56,  = 0.001), partner substance use (adjusted odds ratio: 2.07, 95% confidence interval: 1.12, 3.83,  = 0.021), and partner relationships (cohabited) (adjusted odds ratio: 1.88, 95% confidence interval: 1.06, 3.34,  = 0.032) were also strongly associated with perinatal intimate partner violence.

CONCLUSION

The prevalence of perinatal intimate partner violence was relatively high. The health of the women should be maintained through empowerment of women and provision of health education in order to minimize prevalence of perinatal intimate partner violence associated with low income, young age, substance use, and cohabited marital status. Future qualitative studies are required to identify the underlying multifactorial reasons for intimate partner violence.

摘要

目的

本研究旨在评估2021年埃塞俄比亚南部参加新生儿免疫接种的产后母亲在新冠疫情期间围产期亲密伴侣暴力的发生率及其相关因素。

方法

2021年3月1日至30日在埃塞俄比亚南部对657名产后母亲开展了一项基于机构的横断面研究。所有前往选定医院或健康中心进行新生儿免疫接种且符合纳入标准的产后母亲均纳入本研究。数据进行清理、编码,录入Epidata管理器4.2版本,然后导出至SPSS 26版本进行分析。采用二元和多变量逻辑回归分析。

结果

围产期亲密伴侣暴力的发生率为62.4%。在本研究中,因新冠疫情导致的收入损失(调整优势比:12.00,95%置信区间:5.60,25.71,<0.001)是与围产期亲密伴侣暴力相关的最强因素。年轻女性(调整优势比:5.82,95%置信区间:2.72,12.46,<0.001)、伴侣饮酒(调整优势比:2.21,95%置信区间:1.37,3.56,=0.001)、伴侣使用毒品(调整优势比:2.07,95%置信区间:1.12,3.83,=0.021)以及伴侣关系(同居)(调整优势比:1.88,95%置信区间:1.06,3.34,=0.032)也与围产期亲密伴侣暴力密切相关。

结论

围产期亲密伴侣暴力的发生率相对较高。应通过增强妇女权能和提供健康教育来维护妇女健康,以尽量降低与低收入、年轻、使用毒品和同居婚姻状况相关的围产期亲密伴侣暴力的发生率。未来需要开展定性研究以确定亲密伴侣暴力背后的多因素原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8944/9379272/1d88fb440545/10.1177_20503121221116671-fig1.jpg

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