Brunelli Laura, Pennisi Flavia, Pinto Antonio, Cella Loredana, Parpinel Maria, Brusaferro Silvio, Signorelli Carlo, Baldo Vincenzo, Gianfredi Vincenza
Department of Medicine, University of Udine, 33100 Udine, Italy.
Accreditation, Quality and Clinical Risk Unit, Friuli Centrale Healthcare University Trust, 33100 Udine, Italy.
Eur J Investig Health Psychol Educ. 2025 Aug 15;15(8):161. doi: 10.3390/ejihpe15080161.
(1) Background: Domestic violence (DV), including intimate partner violence (IPV) during pregnancy and the puerperium, represents a major public health issue, significantly affecting maternal and child health. (2) Methods: This systematic review and meta-analysis, conducted according to PRISMA 2020 guidelines, aimed to identify screening tools used to detect DV and IPV among pregnant and postpartum women and to estimate DV prevalence. The protocol was published in PROSPERO in advance (CRD42023473392). (3) Results: A comprehensive literature search across PubMed, EMBASE, Scopus, and Web of Science was conducted on 1 January 2024, resulting in 34,720 records; 98 studies met the inclusion criteria. The included studies were conducted in over 40 countries, and most were cross-sectional. Commonly used screening tools included the WHO Women's Health and Life Experiences Questionnaire, the Abuse Assessment Screen, and the WHO Violence Against Women Instrument. Meta-analyses showed that 10% of women experienced physical violence, 26% psychological violence, 9% sexual violence, 16% verbal violence, and 13% economic violence. The overall prevalence of IPV during pregnancy and the puerperium was 26%. Despite the widespread use of validated instruments, substantial heterogeneity was observed, underscoring the need for standardization. (4) Conclusion: These findings underline the urgent need to integrate routine IPV screening into maternal care pathways using validated, culturally adapted tools, ensuring women's safety and confidentiality.
（1）背景：家庭暴力，包括孕期及产褥期亲密伴侣暴力，是一个重大的公共卫生问题，对母婴健康有重大影响。（2）方法：本系统评价和荟萃分析按照PRISMA 2020指南进行，旨在确定用于检测孕妇和产后妇女中家庭暴力和亲密伴侣暴力的筛查工具，并估计家庭暴力的患病率。该方案已提前在国际前瞻性系统评价注册库（PROSPERO）上发表（注册号：CRD42023473392）。（3）结果：于2024年1月1日在PubMed、EMBASE、Scopus和Web of Science上进行了全面的文献检索，共获得34720条记录；98项研究符合纳入标准。纳入的研究在40多个国家进行，大多数为横断面研究。常用的筛查工具包括世界卫生组织妇女健康与生活经历问卷、虐待评估筛查表和世界卫生组织妇女暴力侵害妇女行为工具。荟萃分析显示，10%的女性经历过身体暴力，26%经历过心理暴力，9%经历过性暴力，16%经历过言语暴力，13%经历过经济暴力。孕期和产褥期亲密伴侣暴力的总体患病率为26%。尽管使用了经过验证的工具，但仍观察到显著的异质性，这突出了标准化的必要性。（4）结论：这些发现强调迫切需要将常规的亲密伴侣暴力筛查纳入孕产妇护理路径，使用经过验证且适合当地文化的工具，确保妇女的安全和隐私。
