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在非洲环境中,配偶暴力和可能可预防的单次和反复的自发胎儿损失:横截面研究
Amina P Alio1, Philip N Nana, Hamisu M Salihu
1Department of Community and Family Health, University of South Florida, Tampa, FL, USA.
Lancet (London, England)
|January 27, 2009
概括
配偶暴力显著增加了胎儿损失的风险,无论是单一的还是重复的. 减少配偶虐待可以防止大量的重复性胎儿死亡.
科学领域:
- 生殖健康 生殖健康
- 全球健康 全球健康
- 社会学 社会学 社会学
背景情况:
- 配偶暴力是一个普遍存在的全球性问题,对妇女的生殖健康产生重大影响.
- 了解家庭虐待和不良妊娠结果之间的联系对于公共卫生干预至关重要.
研究的目的:
- 调查身体,性和情感伴侣暴力对单次和反复的自发胎儿损失的影响.
- 通过减少暴力战略量化防止过度胎儿损失的潜力.
主要方法:
- 来自喀麦隆人口健康调查的数据分析,包括专门的暴力模块.
- 评估胎儿损失的风险使用几率比率,调整为集群内相关性.
- 估计可预防的多余胎儿损失在不同程度的配偶暴力减少.
主要成果:
- 暴露在配偶暴力中的妇女有50%更有可能经历胎儿损失 (OR 1.5).
- 重复的胎儿死亡率与所有形式的配偶暴力,特别是情感暴力有着强烈的关联 (OR 1.7).
- 消除配偶虐待可以防止高达33%的过度重复胎儿死亡.
结论:
- 配偶暴力是单次和反复的胎儿损失的重要,可修改的风险因素.
- 重复胎儿死亡的很大一部分是由于配偶暴力造成的,并且可能是可以预防的.
- 建议对配偶暴力进行例行产前查,特别是在非洲等高胎儿死亡率地区.
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