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Interpersonal Violence Around Pregnancy Experienced by Rural and Urban Canadian Women: Correlates and Selected Health Outcomes
Journal of Interpersonal Violence ( IF 2.621 ) Pub Date : 2021-09-07 , DOI: 10.1177/08862605211043576
Yingying Su 1 , Carl D'Arcy 1
Affiliation  

Interpersonal violence around pregnancy is of increasing global public health concern affecting both women themselves and their children. The primary aim of this study is to explore and identify potential correlates of such violence and to examine maternal and birth outcomes subsequent to that violence in a nationally representative sample of urban and rural women in Canada. The data are from the Maternity Experiences Survey (MES), a Canadian population-based postcensus survey administered to 6,421 Canadian mothers in 2006. Survey participants were 15 years and older and had given birth to a singleton and continued to live with their infant at the time of the survey. The survey response rate was 78%. Multivariable logistic regression analyses were used in the analysis with adjustments made for confounding variables. The study findings indicated that living in an urban environment was associated with an increased risk of interpersonal violence experience around the time of pregnancy (OR = 1.31, 95% CI: 1.03-1.66). In addition, being aboriginal, young, unmarried, economically disadvantaged, a nonimmigrant, and having more than four pregnancies, as well as cigarette smoking, alcohol drinking and drug use before the pregnancy were correlated with interpersonal violence around pregnancy. Maternal interpersonal violence experiences were also associated with postnatal depression and stressful life events among both urban and rural mothers. However, maternal interpersonal violence experiences were only associated with preterm birth among rural mothers but not among urban mothers. The present study highlights the need to implement effective interventions for women experiencing interpersonal violence around pregnancy due to its potential impact on maternal and newborn’s physical and mental health. Screening and intervention should be targeted high-risk women particularly those who are indigenous, young, unmarried, nonimmigrants, of lower socioeconomic status, and manifesting high risk health behaviors.



中文翻译:

加拿大农村和城市妇女在怀孕期间经历的人际暴力:相关和选定的健康结果

怀孕期间的人际暴力日益引起全球公共卫生关注,影响到妇女自身及其子女。本研究的主要目的是探索和确定此类暴力的潜在相关性,并在加拿大具有全国代表性的城市和农村妇女样本中检查暴力之后的孕产妇和分娩结果。数据来自 Maternity Experiences Survey (MES),这是一项基于人口的加拿大普查后调查,于 2006 年对 6,421 名加拿大母亲进行了调查。调查参与者年龄在 15 岁及以上,生过一个单胎并继续与婴儿一起生活调查的时间。调查回复率为78%。在分析中使用多变量逻辑回归分析,并对混杂变量进行了调整。或者= 1.31,95% CI:1.03-1.66)。此外,原住民、年轻、未婚、经济弱势、非移民、怀孕超过四次,以及怀孕前吸烟、饮酒和吸毒都与怀孕前后的人际暴力有关。产妇人际暴力经历也与城市和农村母亲的产后抑郁和压力性生活事件有关。然而,孕产妇人际暴力经历仅与农村母亲的早产有关,而与城市母亲无关。本研究强调需要对怀孕期间遭受人际暴力的妇女实施有效干预,因为它可能对孕产妇和新生儿的身心健康产生影响。

更新日期:2021-09-08
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