Ramasubramani Premkumar, Krishnamoorthy Yuvaraj, Ganesh Karthika, Kathiresan Lalithambigai, Kadir Vinodhini
Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
PROPUL Evidence Synthesis Unit (PROPUL ESU), PROPUL (Partnership for Research Opportunity Planning Upskilling and Leadership) Evidence, Chennai, Tamilnadu, India.
Heliyon. 2024 Feb 27;10(5):e27158. doi: 10.1016/j.heliyon.2024.e27158. eCollection 2024 Mar 15.
Women experiencing domestic violence might have restrictions in the pregnancy-related decision-making and care-seeking process leading to adverse pregnancy outcomes. We explored the association between domestic violence and undesirable pregnancy events.
63,796 women aged 18-49 years covered under the domestic violence module of National Family Health Survey-5, 2019-21. Stratification and clustering in the complex sampling design of the survey were accounted in analysis. Using Poisson regression, prevalence ratio (PR) was reported to provide association of domestic violence with undesirable pregnancy events.
Prevalence of undesirable pregnancy events was 25.0% (95%CI: 24.4%-25.7%) amongst women aged 18-49 years. Prevalence of unintended, terminated pregnancy and complications during pregnancy was 3.2%, 5.1% and 20.9%, respectively. Women aged ≥35 years, educated, unemployed, primi or multi parity, intimate partner/husband being uneducated, facing problem with access to healthcare, belonging to large number of household members (≥4) and poorest or poorer quintile had significantly higher chance of having undesirable pregnancy events. Sexual violence (aPR: 1.11, p = 0.02) had higher chance of having undesirable pregnancy events.
One-fourth of reproductive-age group women had undesirable pregnancy events. Sexual violence was significantly associated with these events. Effective policy should protect women from domestic violence to promote maternal well-being.
遭受家庭暴力的女性在与怀孕相关的决策和寻求护理过程中可能会受到限制，从而导致不良妊娠结局。我们探讨了家庭暴力与不良妊娠事件之间的关联。
纳入2019 - 2021年第五轮国家家庭健康调查中家庭暴力模块覆盖的63796名18 - 49岁女性。分析中考虑了调查复杂抽样设计中的分层和聚类情况。使用泊松回归分析，报告患病率比（PR）以呈现家庭暴力与不良妊娠事件之间的关联。
18 - 49岁女性中不良妊娠事件的患病率为25.0%（95%置信区间：24.4% - 25.7%）。意外怀孕、终止妊娠和孕期并发症的患病率分别为3.2%、5.1%和20.9%。年龄≥35岁、受过教育、失业、初产或多产、亲密伴侣/丈夫未受过教育、在获得医疗保健方面面临问题、家庭成员众多（≥4人）以及处于最贫困或较贫困五分位数的女性发生不良妊娠事件的几率显著更高。性暴力（调整后患病率比：1.11，p = 0.02）发生不良妊娠事件的几率更高。
四分之一的育龄女性有不良妊娠事件。性暴力与这些事件显著相关。有效的政策应保护女性免受家庭暴力，以促进孕产妇健康。
