孕期家庭暴力对出生结局的影响
The effects on adverse birth outcomes of domestic violence during pregnancy
常雪凝 1孙灵丽 1古海林 1李瑞珍1
作者信息
- 1. 430016,华中科技大学同济医学院附属武汉儿童医院(武汉市妇幼保健院)儿童保健科
- 折叠
摘要
目的 分析武汉市孕妇孕期家庭暴力的流行特征及对不良妊娠结局的影响,为预防孕期家庭暴力及不良出生结局提供依据.方法 2013年4月-2014年3月在武汉市同济医院、硚口区妇幼保健院和东西湖区人民医院对前来进行孕期检查的806名孕妇进行面对面问卷调查,调查内容包括孕妇的一般特征、孕产史、家庭经济水平、妊娠并发症及不良出生结局的发生情况,并采用虐待评估筛选量表(AAS)调查家庭暴力,流行病学调查用抑郁量表(CES-D)来评估抑郁症状.分娩后收集出生结局.采用路径分析方法分析家庭暴力与不良出生结局的关系.结果 家庭暴力流行率为18.3％(146/797).丈夫性格,妊娠并发症,抑郁症及家庭暴力均可增加不良出生结局发生的风险(P＜0.05),影响系数分别为0.107,0.084,0.095和0.099.结论 丈夫性格外向、降低孕期家庭暴力、抑郁症和妊娠并发症的发生可有效减少不良妊娠结局的发生.
Abstract
Objective This study aims to determine the prevalence of intimate partner violence(IPV)against pregnant women and the risk of adverse birth outcomes(ABO)in pregnant women in Wuhan,China.Methods The survey was conducted among 806 pregnant women at Tongji Hospital,Qiaokou District Maternity and child care hospital and Dongxihu District People's Hospital in Wuhan from April 2013 to March 2014.Face-to-face standardized interviews were performed prior to woman's antenatal care.IPV and depressive symptoms were assessed through the Abuse Assessment Screen(AAS)and the Center for Epidemiologic Studies-Depression scale(CES-D).Birth outcomes were collected after delivery.Chi-square test was applied to compare the differences of prevalence rate of various ABO between IPV and non-IPV groups,Path analysis was used to determine the risk for ABO in women experienced IPV during pregnancy.Results 18.3％of 797 participants reported experiencing IPV during pregnancy.Husband's personality,pregnancy complications,depression and IPV had direct effects on ABO,the influence coefficient were 0.107,0.084,0.095,and 0.099,respectively.Conclusion The findings revealed IPV and depression in the antenatal significantly predicted adverse birth outcomes,and assist prenatal care providers in prioritizing and screening for IPV and depression during pregnancy that are associated with ABO.
关键词
孕期家庭暴力/不良出生结局/路径分析Key words
intimate partner violence/adverse birth outcome/path analysis引用本文复制引用
基金项目
武汉市知识创新专项-曙光计划(2023020201020552)
武汉儿童医院院内科研项目(2021FE012)
出版年
2024
NETL
NSTL
万方数据