Nishan M D Nahid Hassan, Ahmed M Z E M Naser Uddin, Mashreky Saidur Rahman, Dalal Koustuv
Department of Public Health, North South University, Dhaka, Bangladesh.
Division of Public Health Science, Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
Sci Rep. 2025 Jan 15;15(1):2022. doi: 10.1038/s41598-024-84867-2.
Intimate Partner Violence (IPV) during pregnancy poses a serious threat to maternal health, particularly in low- and lower-middle-income countries (LMICs). Despite these known risks, the role of spousal educational differences in IPV during pregnancy remains poorly understood. This study aimed to examine this influence, analyzing data from multiple countries across five continents. This study utilized data from Demographic and Health Surveys (DHS) focusing on lower and LMIC countries. DHS employs two-stage sampling to gather comprehensive health data. Thirty countries from five regions were selected. Covariates like husband's age, residence, wealth, education, husband's working status, husband's education, and spousal educational gap were considered. Cross-sectional survey design was considered. Chi-square test was done to find the association between IPV and covariates. Binary logistic regression was used to assess whether the independent variable is related to spousal educational disparity and other covariates of IPV during pregnancy. Out of 152,643 (weighted) pregnant women from all five continents, 8357 (weighted) experienced IPV during pregnancy. IPV is most prevalent in Papua New Guinea (17.01%; 95% CI 15.76-18.38%)), while least prevalent in Cambodia (0.99%; 95% CI 0.88-1.10%)). Overall, the IPV prevalence was (5.47%; 95% CI 5.30-5.65%)). Educational disparity and socioeconomic factors play a significant role in encountering IPV during pregnancy. This study revealed complex, region-specific effects on violence likelihood, emphasizing implications for policymakers and practitioners addressing IPV. Education disparity emerged as a significant factor; lower-educated couples exhibit increased abusive behavior.
孕期亲密伴侣暴力（IPV）对孕产妇健康构成严重威胁，在低收入和中低收入国家（LMICs）尤为如此。尽管存在这些已知风险，但配偶教育差异在孕期亲密伴侣暴力中所起的作用仍鲜为人知。本研究旨在通过分析来自五大洲多个国家的数据来探究这种影响。本研究利用了针对低收入和中低收入国家的人口与健康调查（DHS）数据。DHS采用两阶段抽样来收集全面的健康数据。从五个地区选取了30个国家。考虑了诸如丈夫年龄、居住地、财富、教育程度、丈夫工作状况、丈夫教育程度以及配偶教育差距等协变量。采用横断面调查设计。进行卡方检验以找出亲密伴侣暴力与协变量之间的关联。使用二元逻辑回归来评估自变量是否与孕期亲密伴侣暴力的配偶教育差异及其他协变量相关。在来自五大洲的152,643名（加权）孕妇中，有8357名（加权）在孕期经历过亲密伴侣暴力。亲密伴侣暴力在巴布亚新几内亚最为普遍（17.01%；95%置信区间15.76 - 18.38%），而在柬埔寨最不普遍（0.99%；95%置信区间0.88 - 1.10%）。总体而言，亲密伴侣暴力患病率为（5.47%；95%置信区间5.30 - 5.65%）。教育差异和社会经济因素在孕期遭遇亲密伴侣暴力方面起着重要作用。本研究揭示了对暴力可能性的复杂的、特定区域的影响，强调了对处理亲密伴侣暴力问题的政策制定者和从业者的启示。教育差异是一个重要因素；受教育程度较低的夫妇表现出更多的虐待行为。
