妊娠中の親密なパートナーによる女性に対する暴力と産後うつ病:前向きなコホート研究
Ana Bernarda Ludermir1, Glyn Lewis, Sandra Alves Valongueiro
1Programa de Pós-Graduação Integrado em Saúde Coletiva, Universidade Federal de Pernambuco, Hospital das Clínicas, Cidade Universitária, Recife, PE, Brazil. abl@ufpe.br
Lancet (London, England)
|September 9, 2010
まとめ
妊娠中の親密なパートナーによる暴力,特に心理的虐待は,女性における産後うつ病のリスクを大幅に高めます. これは,身体的虐待と並行して心理的暴力に対処する政策の必要性を強調しています.
科学分野:
- 産婦人科と産婦人科を担当しています.
- メンタルヘルス研究 メンタルヘルス研究
- 公衆衛生は公衆衛生である.
背景:
- 妊娠中の親密なパートナー暴力 (IPV) は,一般的な問題です.
- IPVは,出産後の母親の精神的健康に悪影響を及ぼす可能性があります.
- 妊娠中のさまざまな形態のIPVと産後うつ病の関連性は,さらなる調査を必要としています.
研究 の 目的:
- 妊娠中の心理的,身体的,および性的親密なパートナー暴力と産後うつ病の発生との関連を調べる.
- 産後うつ病に対する心理的暴力の独立した貢献度を評価する.
主な方法:
- ブラジルのレシフェで,第3 trimesterの1045人の妊婦を対象に,前向きなコホート研究が行われました.
- 配偶者暴力や産後うつ病に関するデータは,妊娠中および出産後のインタビューを通じて,検証されたアンケートを使用して収集されました.
- 統計分析は,混乱要因に調整されたオッズ比率 (ORs) を計算することを含む.
主要な成果:
- 産後うつ病は,女性の25.8%で観察されました.
- 妊娠中の心理的暴力は,産後うつ病と陽性に関連しており,調整後の場合でもより高い頻度でリスク増加に関連していた (aOR 2.29).
- 身体的または性的暴力は,産後うつ病の確率も増加させた (OR 3.28),しかし,心理的暴力が考慮されたとき,この関連は減少した.
結論:
- 妊娠中の親密なパートナーによる心理的暴力は,産後うつ病の強い,独立した予測要因です.
- 発見は,現在の焦点はしばしば身体的暴力にとどまるため,政策と介入において心理的暴力に対処することの重要性を強調しています.
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