Universidade Federal do Maranhão, São Luís, Brasil.
Cad Saude Publica. 2024 Jun 17;40(5):e00094223. doi: 10.1590/0102-311XEN094223. eCollection 2024.
This study aimed to analyze whether there is an association between intimate partner violence during pregnancy and time to return to sexual activity after childbirth in the BRISA cohort in São Luís, Maranhão State, Brazil, between 2010 and 2013. This is a longitudinal study conducted with 665 women. Intimate partner violence during pregnancy was measured using an instrument created and validated by the World Health Organization to measure violence against women. Time to return to sexual activity after childbirth was investigated using a structured questionnaire. Logistic regression models were used to analyze whether there is an association between intimate partner violence during pregnancy and time to return to sexual activity after childbirth. The prevalence of violence by an intimate partner during pregnancy was 24.06%. The prevalence of women who returned to sexual activity within 3 months after childbirth was 67.96%. When analyzing the association between exposure and outcome, no association was found in the crude model (OR = 0.88; 95%CI: 0.60-1.30), nor in the adjusted model (OR = 1.00; 95%CI: 0.61-1.63). The study results highlight the importance of providing comprehensive care to women, considering both physical and psychological aspects, since violence has a significant impact on several aspects of women's lives.
本研究旨在分析巴西马拉尼昂州圣路易斯 BRISA 队列中，妊娠期间亲密伴侣暴力与产后性活动恢复时间之间是否存在关联，研究时间为 2010 年至 2013 年。这是一项对 665 名女性进行的纵向研究。妊娠期间亲密伴侣暴力使用世界卫生组织创建和验证的工具进行测量，用于衡量针对妇女的暴力行为。产后性活动恢复时间通过结构化问卷进行调查。使用逻辑回归模型分析妊娠期间亲密伴侣暴力与产后性活动恢复时间之间是否存在关联。妊娠期间伴侣暴力的发生率为 24.06%。产后 3 个月内恢复性生活的女性比例为 67.96%。在分析暴露与结局之间的关联时，在未调整模型中（OR=0.88；95%CI：0.60-1.30）和调整模型中（OR=1.00；95%CI：0.61-1.63）均未发现关联。研究结果强调了为女性提供全面护理的重要性，既要考虑身体方面，也要考虑心理方面，因为暴力对女性生活的多个方面都有重大影响。
