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Intimate partner violence among pregnant women reporting to the emergency department: findings from a nationwide sample
BMJ Sexual & Reproductive Health ( IF 3.3 ) Pub Date : 2021-07-01 , DOI: 10.1136/bmjsrh-2020-200761
Vithya Murugan 1 , Katherine J Holzer 2 , Mirvat Termos 3 , Michael Vaughn 3
Affiliation  

Objective Intimate partner violence (IPV) describes physical violence, sexual violence, stalking, or psychological harm by a current or former partner or spouse. During pregnancy, IPV has substantial negative implications for maternal and child health. The aim of the present study was to better understand the prevalence and sociodemographic and psychiatric correlates of IPV among pregnant females in the emergency department (ED). Methods Using the 2016 Nationwide Emergency Department Sample (NEDS), logistic regression was employed to examine the relationship between IPV during pregnancy, sociodemographic factors, substance abuse and mental health disorders. Results Bivariate analyses indicated that approximately 0.06% of pregnant women who visited EDs in 2016 were coded as experiencing abuse by a spouse or partner. Pregnant women abused by a spouse or partner were more likely to have a diagnosis of each of the disorders coded as complicating pregnancy, childbirth and the puerperium examined in this study, including alcohol use (0.77%, aOR 8.38, 95% CI 2.80 to 29.50), drug use (2.26%, aOR 3.49, 95% CI 1.60 to 6.15), tobacco use (11.05%, aOR 1.90, 95% CI 1.34 to 2.54) and general mental disorders (4.13%, aOR 2.64, 95% CI 1.60 to 4.79). Conclusion Screening for IPV in EDs, especially among at-risk women identified in this study, may lead to referrals and coordination of care that could reduce the violence and improve maternal and child health outcomes. No data are available.

中文翻译:

向急诊科报告的孕妇中的亲密伴侣暴力:来自全国样本的结果

客观亲密伴侣暴力 (IPV) 描述了现任或前任伴侣或配偶的身体暴力、性暴力、跟踪或心理伤害。在怀孕期间,IPV 对母婴健康有很大的负面影响。本研究的目的是更好地了解急诊科 (ED) 孕妇中 IPV 的患病率以及社会人口统计学和精神方面的相关性。方法 使用 2016 年全国急诊科样本 (NEDS),采用逻辑回归分析妊娠期 IPV、社会人口因素、药物滥用和精神健康障碍之间的关系。结果 双变量分析表明,在 2016 年访问 ED 的孕妇中,约有 0.06% 被编码为遭受配偶或伴侣的虐待。被配偶或伴侣虐待的孕妇更有可能被诊断为本研究中检查的妊娠、分娩和产褥期并发症,包括酒精使用(0.77%,aOR 8.38,95% CI 2.80 至 29.50) )、药物使用 (2.26%, aOR 3.49, 95% CI 1.60 to 6.15), 烟草使用 (11.05%, aOR 1.90, 95% CI 1.34 to 2.54) 和一般精神障碍 (4.13%, aOR 2.64, 165% CI)到 4.79)。结论 在急诊室筛查 IPV,尤其是在本研究中确定的高危女性中,可能会导致转诊和护理协调,从而减少暴力并改善母婴健康结果。没有可用数据。aOR 8.38, 95% CI 2.80 to 29.50), 吸毒 (2.26%, aOR 3.49, 95% CI 1.60 to 6.15), 烟草使用 (11.05%, aOR 1.90, 95% CI 1.34 to 2.54)。 %,aOR 2.64,95% CI 1.60 至 4.79)。结论 在急诊室筛查 IPV,尤其是在本研究中确定的高危女性中,可能会导致转诊和护理协调,从而减少暴力并改善母婴健康结果。没有可用数据。aOR 8.38, 95% CI 2.80 to 29.50), 吸毒 (2.26%, aOR 3.49, 95% CI 1.60 to 6.15), 烟草使用 (11.05%, aOR 1.90, 95% CI 1.34 to 2.54)。 %,aOR 2.64,95% CI 1.60 至 4.79)。结论 在急诊室筛查 IPV,尤其是在本研究中确定的高危女性中,可能会导致转诊和护理协调,从而减少暴力并改善母婴健康结果。没有可用数据。可能会导致转诊和护理协调,从而减少暴力并改善母婴健康结果。没有可用数据。可能会导致转诊和护理协调,从而减少暴力并改善母婴健康结果。没有可用数据。
更新日期:2021-07-12
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