Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan.
BMC Womens Health. 2023 Sep 1;23(1):465. doi: 10.1186/s12905-023-02602-x.
Domestic violence (DV) are one of the important risk factors for women's health outcomes. The aim of this study was explored the risk of DV association with the poor pregnancy outcomes (PPOs), including premature delivery, abortion, and stillbirth.
A nested case-control study was applied. Data from the Taiwan National Health Insurance Research Database were collected from 2000 to 2015. A total of 41,730 participants were included in this study, including 8,346 participants in the case group and 33,384 age- and index year-matched control group. Assessments of DA and PPOs were determined according to the International Classification of Diseases, 9th Revision. We conducted a conditional logistic regression analysis to estimate the effect of DV on PPOs.
The mean age was 35.53 in the 41,730 female participants. The overall incidence rate of PPOs of the participants, who had experienced DV, was 84.05 per 100,000 person-years. which was significantly higher than that for the controls (18.19 per 100,000 person-years). The risk of PPOs was higher in the participants who had experienced DV than in the controls (adjusted odds ratio [AOR] = 3.31; 95% confidence interval [CI] [95% CI]: 2.83-3.86), including for premature delivery (AOR = 3.57; 95% CI: 3.05-4.17), abortion (AOR = 3.31; 95% CI: 2.83-3.86) and stillbirth (AOR = 2.98; 95% CI: 2.55-3.47). The results showed that the longer a participant has been suffering DV, the risk of PPOs was higher.
Present results reaved the risk of PPOs associated with DV. Especially, the longer a woman has been experiencing DV, the risk of PPOs was higher, showed a dose-response effect.
家庭暴力（DV）是影响女性健康结局的重要危险因素之一。本研究旨在探讨 DV 与不良妊娠结局（PPO）之间的关联，包括早产、流产和死胎。
本研究采用巢式病例对照研究。数据来自 2000 年至 2015 年的台湾全民健康保险研究数据库。共有 41730 名参与者纳入本研究，其中病例组 8346 名，年龄和指数年均匹配的对照组 33384 名。根据国际疾病分类第 9 版（ICD-9）评估 DA 和 PPO。我们采用条件 logistic 回归分析来估计 DV 对 PPO 的影响。
41730 名女性参与者的平均年龄为 35.53 岁。经历过 DV 的参与者的 PPO 总发生率为 84.05/10 万患者年，明显高于对照组的 18.19/10 万患者年。经历过 DV 的参与者发生 PPO 的风险高于对照组（调整后的优势比[OR] = 3.31；95%置信区间[CI]：2.83-3.86），包括早产（OR = 3.57；95% CI：3.05-4.17）、流产（OR = 3.31；95% CI：2.83-3.86）和死胎（OR = 2.98；95% CI：2.55-3.47）。结果表明，参与者遭受 DV 的时间越长，PPO 的风险越高。
本研究结果揭示了 DV 与 PPO 之间的关联风险。特别是，女性遭受 DV 的时间越长，PPO 的风险越高，呈剂量-反应关系。
