Little is known about intimate partner abuse (IPA) among couples during pregnancy in Iran. This study aimed to compare the rates of IPA by pregnant women towards their husbands (perpetration), and women’s experience of IPA from their husbands (victimization) and determine the predictors of the two behaviours. The cross-sectional study was conducted on 525 pregnant women at 24–30 weeks of gestation visiting governmental health care centres/posts in Tabriz, Iran, in 2014. The study sample was selected using random cluster sampling. The Revised Conflict Tactics Scale (CTS2) was used to assess IPA perpetration and victimization. The McNemar test was employed to compare the prevalences of IPA perpetration and victimization, and adjusted logistic regression was utilized to determine the socio-demographic predictors of overall IPA perpetration and victimization. The overall rates of women’s reported abuse of their husbands (perpetration) and women’s experience of abuse from their husbands (victimization) were 70% and 67%, respectively, but the difference was not statistically significant (p=0.086). The prevalence of psychological aggression perpetrated by women towards their husbands was significantly higher than that experienced by the women from their husbands (65% vs 58%, p<0.001). The prevalences of sexual coercion (15% vs 30%) and injury (8% vs 16%) perpetrated by women on their husbands were significantly lower those they experienced by the women from their husbands (p<0.001). There was no statistically significant difference between the prevalence of perpetration of physical violence towards husbands by women (19%) and that experienced by women from their husbands (22%) (p=0.072). Women’s and husbands’ satisfaction with their own occupations were predictors of both perpetration and victimization of IPA. The observed high rates of IPA perpetration by, women and victimization of, women during pregnancy, and the significantly higher rate of violence towards women compared with that perpetrated by women, especially for sexual coercion and injury, require health policymakers and care providers to make serious efforts to identify such violence, and take appropriate measures to reduce it, during pregnancy in women in Iran.

中文翻译：

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访问伊朗大不里士政府医疗中心的孕妇报告的怀孕期间夫妻之间的亲密伴侣虐待及其预测因素

在伊朗怀孕期间夫妻之间的亲密伴侣虐待（IPA）知之甚少。本研究旨在比较孕妇对丈夫的 IPA 发生率（犯罪），以及女性对丈夫的 IPA 经历（受害），并确定这两种行为的预测因素。横断面研究于 2014 年在伊朗大不里士访问政府医疗保健中心/站的 525 名怀孕 24-30 周的孕妇进行。研究样本是使用随机整群抽样选择的。修订后的冲突策略量表 (CTS2) 用于评估 IPA 的实施和受害。McNemar 测试用于比较 IPA 实施和受害的流行率，并利用调整后的逻辑回归来确定整体 IPA 实施和受害的社会人口预测因素。女性报告的虐待丈夫（犯罪）和女性遭受丈夫虐待（受害）的总体比率分别为 70% 和 67%，但差异无统计学意义（p=0.086）。女性对丈夫的心理攻击发生率明显高于女性对丈夫的心理攻击（65% vs 58%，p<0.001)。女性对丈夫的性胁迫（15% 对 30%）和伤害（8% 对 16%）的发生率明显低于女性对丈夫的经历（p<0.001)。女性对丈夫实施身体暴力的发生率（19%）与女性遭受丈夫身体暴力的发生率（22%）之间没有统计学上的显着差异（p= 0.072)。妇女和丈夫对自己职业的满意度是 IPA 实施和受害的预测因素。观察到的女性在怀孕期间实施 IPA 和受害妇女的高比率，以及与妇女实施的暴力行为相比，对妇女的暴力发生率显着更高，特别是在性胁迫和性伤害方面，需要卫生政策制定者和护理提供者认真对待努力识别伊朗妇女怀孕期间的此类暴力行为，并采取适当措施减少这种暴力行为。