尼日利亚东北部贡贝联邦教学医院产前诊所就诊孕妇中的暴力形式及相关因素
Forms of Violence and Associated Factors Among Pregnant Women Attending Antenatal Clinic at Federal Teaching Hospital, Gombe, Northeast, Nigeria.
作者信息
Egwu Onuwabuchi, Laima Christopher Hassan, Musa Yahya Sulaiman, Obiano Emeka Victor
机构信息
Department of Obstetrics and Gynaecology, Federal teaching hospital Gombe Nigeria.
African population and Health Policy Initiative, Gombe Nigeria.
出版信息
Niger Med J. 2023 Jul 2;64(3):389-397. eCollection 2023 May-Jun.
BACKGROUND
Domestic violence during pregnancy is a global public health problem due to its associated maternal and fetal outcomes. However, this problem is not well studied or reported in North-East Nigeria. This study aims to assess the prevalence and various forms of domestic violence and factors associated with domestic violence among pregnant women in a tertiary centre in North-East Nigeria.
METHODOLOGY
This was a hospital-based cross-sectional study from April to October 2022. A total of 165 pregnant women were recruited for the study. A systematic random sampling was used to select the participants and a pre-tested questionnaire, the WHO instrument on women's health and domestic violence against women was used to assess the violence against pregnant women. Descriptive statistics were computed. A chi-square test was carried out to identify factors and associations with domestic violence with.
RESULTS
From the women surveyed, 40% of the pregnant women were victims of one form of domestic violence during pregnancy with psychological violence (40.90%) being the most common followed by physical violence (31.8%). Husbands are the commonest perpetrators (54.6%) of domestic violence in pregnancy while about 18.2% percent of the victims prefer not the discloses the perpetrators. The victims mostly seek help from the family (40.9%) while 24.2% of the victims keep it secret and do not seek any form of help. Women's unemployment and literacy status P value 0.66 and 0.61 respectively were not associated with domestic violence in pregnancy in the study population. About 21.5% of women in this study think that domestic violence in pregnancy can be excusable under certain circumstances.
CONCLUSION
A high proportion of women experience domestic violence during pregnancy in the study population. Husbands are the commonest perpetrators of domestic violence in pregnancy. Many of the victims are still not reporting the perpetrators or seeking help for domestic violence during pregnancy.
背景
孕期家庭暴力是一个全球性的公共卫生问题，因为它会带来相关的母婴后果。然而，在尼日利亚东北部，这个问题尚未得到充分研究或报道。本研究旨在评估尼日利亚东北部一家三级医疗中心孕妇中家庭暴力的患病率、各种形式以及与家庭暴力相关的因素。
方法
这是一项于2022年4月至10月在医院开展的横断面研究。共招募了165名孕妇参与研究。采用系统随机抽样法选取参与者，并使用经过预测试的问卷（世界卫生组织关于妇女健康和针对妇女的家庭暴力的工具）来评估对孕妇的暴力行为。计算描述性统计数据。进行卡方检验以确定与家庭暴力相关的因素和关联。
结果
在接受调查的女性中，40%的孕妇在孕期遭受过一种形式的家庭暴力，其中心理暴力最为常见（40.90%），其次是身体暴力（31.8%）。丈夫是孕期家庭暴力最常见的施暴者（54.6%），而约18.2%的受害者不愿透露施暴者。受害者大多向家人寻求帮助（40.9%），而24.2%的受害者对此保密，不寻求任何形式的帮助。在研究人群中，女性的失业状况和识字状况的P值分别为0.66和0.61，与孕期家庭暴力无关。本研究中约21.5%的女性认为孕期家庭暴力在某些情况下是可以原谅的。
结论
在研究人群中，很大比例的女性在孕期经历过家庭暴力。丈夫是孕期家庭暴力最常见的施暴者。许多受害者仍未举报施暴者，也未在孕期就家庭暴力寻求帮助。
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