Li Frank S, Mills Janelle, Akobirshoev Ilhom, Slaughter-Acey Jaime, Horner-Johnson Willi, Mitra Monika
Brandeis University, Waltham, MA, USA.
University of North Carolina at Chapel Hill, USA.
J Interpers Violence. 2025 May 19:8862605251338779. doi: 10.1177/08862605251338779.
Physical assault of women at the intersection of race/ethnicity and physical disability is not well studied. This study seeks to assess the prevalence of physical assault-related emergency department or hospital visits among women with physical disabilities during different stages of the perinatal period, stratified by racial/ethnic background. This study used 1998-2020 data from the Massachusetts Pregnancy to Early Life Longitudinal Data System. Unique singleton deliveries were classified into 10 cohorts by combining maternal physical disability status (yes/no) and racial/ethnic background (White, Black, Latinx, Asian/Pacific Islander [API], and American Indian/Alaska Native [AIAN]); nondisabled White mothers served as referent. Outcomes assessed were the presence of assaults up to 1 year before conception, during pregnancy, and up to 1 year postpartum. Compared to nondisabled White mothers, Black, Latinx, and AIAN mothers with physical disabilities were at the highest risk and experienced 16.0, 12.0, and 12.0 times the risk, respectively, of preconception assault; 15.3, 12.7, and 11.6 times the risk of prenatal assault; and 9.0, 8.2, and 9.3 times the risk of postpartum assault ( < .001 for all risk ratios). Adjusting for sociodemographic differences between groups reduced the magnitude of disparities, but Black, Latinx, and AIAN mothers with physical disabilities remained at greatest risk among all cohorts. Women with physical disabilities from minoritized racial/ethnic backgrounds experienced compounded risk of perinatal violence, with risks exceeding those of nondisabled women in the same racial/ethnic groups as well as White women with physical disabilities. Violence against women with physical disabilities, especially during pregnancy, is a major and ongoing public health crisis. Urgent needs include screening and outreach efforts to Black, Latinx, and AIAN mothers with physical disabilities.
在种族/族裔与身体残疾交叉层面上对女性的身体攻击行为尚未得到充分研究。本研究旨在评估围产期不同阶段身体残疾女性因身体攻击行为而前往急诊科或医院就诊的患病率，并按种族/族裔背景进行分层。本研究使用了马萨诸塞州从怀孕到生命早期纵向数据系统1998 - 2020年的数据。通过将母亲的身体残疾状况（是/否）和种族/族裔背景（白人、黑人、拉丁裔、亚裔/太平洋岛民[API]以及美洲印第安人/阿拉斯加原住民[AIAN]）相结合，将独特的单胎分娩分为10个队列；无残疾的白人母亲作为对照。评估的结果是受孕前1年、孕期以及产后1年内是否遭受攻击。与无残疾的白人母亲相比，身体残疾的黑人、拉丁裔和AIAN母亲面临的风险最高，受孕前遭受攻击的风险分别是其16.0倍、12.0倍和12.0倍；产前遭受攻击的风险分别是其15.3倍、12.7倍和11.6倍；产后遭受攻击的风险分别是其9.0倍、8.2倍和9.3倍（所有风险比均<0.001）。对组间社会人口学差异进行调整后，差距幅度有所减小，但身体残疾的黑人、拉丁裔和AIAN母亲在所有队列中仍处于最高风险。来自少数族裔/族裔背景的身体残疾女性在围产期遭受暴力的风险更高，其风险超过了同一种族/族裔群体中的非残疾女性以及身体残疾的白人女性。对身体残疾女性的暴力行为，尤其是在孕期，是一个重大且持续存在的公共卫生危机。迫切需要对身体残疾的黑人、拉丁裔和AIAN母亲进行筛查和外联工作。
