围产期伴侣针对产后妇女对其头胎子女暴力行为的合并患病率：一项系统评价与荟萃分析
The pooled prevalence of perinatal partner violence against postpartum women for index child: A systematic review and meta-analysis.
作者信息
Lamaro Tafesse, Enqueselassie Fikre, Deyessa Negussie, Burusie Abay, Dessalegn Berhe, Sisay Dereje
机构信息
Department of Nursing, College of Health Sciences,Mizan-Tepi University, Mizan-Aman, Ethiopia.
School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
出版信息
Heliyon. 2023 Apr 1;9(4):e15119. doi: 10.1016/j.heliyon.2023.e15119. eCollection 2023 Apr.
BACKGROUND
The continuous intimate partner violence against postpartum women (perinatal partner violence) is an important indicator of severe violence. However, its prevalence estimates remain dissimilar and show a high variability for three mutually exclusive time periods for index birth: before, during, and after pregnancy. Therefore, this study aimed to determine pooled prevalence of continuous violence against postpartum women (VAPW) for the index child.
METHOD
We performed a comprehensive search for PubMed, EMBASE, CINAHL, PsycINFO, POPLINE, Google, and Google Scholar databases. We included studies reporting the prevalence of VAPW for index child. The meta-analysis was conducted using STATA 14 software, and the forest plot was used to present the pooled estimate. Cochrane Q-statistics and І2 were used to assess heterogeneity. Funnel plots, Egger's, and Begg's tests were used to check publication bias.
RESULT
This systematic review and meta-analysis included a total of sixteen studies with a total of 36,758 participants. The overall pooled prevalence of VAPW for the index child was 9.96% (95% CI: 8.30%, 11.59%). The pooled estimate of lifetime VAPW for index child was 29.27% (95% CI: 23.26%, 35.27%). The overall estimates of lifetime physical, sexual, and psychological VAPW were 11.35%, 6.3%, and 14.74% respectively. In Sub-group analysis, the summary estimate was higher for low-middle income countries, 35.07% (95%CI: 10.15%, 59.98%) and low-income countries, 17.40% (95% CI: 14.08%, 20.72%) than for high-income settings (3.27%, 95% CI: 2.18%, 4.37%).
CONCLUSION
Approximately one out of every ten postpartum women experiences ongoing violence for the index child. When compared to postpartum women in high-income countries, a significant proportion of postpartum women in low- and middle-income countries experience continuous violence. This calls for a universal routine screening program in the continuum of care and working proactively on community-level intervention that prevent violence against women.
背景
针对产后女性的持续性亲密伴侣暴力行为（围产期伴侣暴力）是严重暴力行为的一项重要指标。然而，其患病率估计值仍存在差异，并且在指标分娩的三个互斥时间段（怀孕前、怀孕期间和怀孕后）显示出高度变异性。因此，本研究旨在确定针对指标儿童的产后女性持续性暴力行为（VAPW）的合并患病率。
方法
我们对PubMed、EMBASE、CINAHL、PsycINFO、POPLINE、谷歌及谷歌学术数据库进行了全面检索。我们纳入了报告指标儿童VAPW患病率的研究。使用STATA 14软件进行荟萃分析，并使用森林图展示合并估计值。采用Cochrane Q统计量和I²评估异质性。使用漏斗图、Egger检验和Begg检验检查发表偏倚。
结果
本系统评价和荟萃分析共纳入16项研究，总计36758名参与者。指标儿童VAPW的总体合并患病率为9.96%（95%置信区间：8.30%，11.59%）。指标儿童终身VAPW的合并估计值为29.27%（95%置信区间：23.26%，35.27%）。终身身体暴力、性暴力和心理暴力的VAPW总体估计值分别为11.35%、6.3%和14.74%。在亚组分析中，中低收入国家（35.07%，95%置信区间：10.15%，59.98%）和低收入国家（17.40%，95%置信区间：14.08%，20.72%）的汇总估计值高于高收入地区（3.27%，95%置信区间：2.18%，4.37%）。
结论
大约每十名产后女性中就有一人经历针对指标儿童的持续性暴力行为。与高收入国家的产后女性相比，中低收入国家有相当比例的产后女性遭受持续性暴力。这就需要在连续护理过程中开展普遍的常规筛查项目，并积极开展社区层面的干预措施以预防针对女性的暴力行为。
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