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亲密伴侣暴力作为怀孕期间自发流产的决定因素:一项无与伦比的病例控制研究
Helen Teweldebrhan Hailu1, Wubegzier Mekonnen2, Zenawi Hagos Gufue1
1Department of Public Health, College of Medicine and Health Sciences, Adigrat University, Tigray, Ethiopia.
怀孕期间亲密伴侣暴力显著增加了自发流产的风险. 经历过任何形式的暴力或身体暴力的妇女,以及那些怀孕间隔较短的妇女,风险更高.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 亲密伴侣暴力 (IPV) 是一个影响许多女性的全球健康问题.
- 埃塞俄比亚缺乏关于怀孕期间IPV的具体数据,以告知政策制定.
研究的目的:
- 确定在怀孕期间IPV幸存者的女性中与自发流产相关的因素.
- 2020年在埃塞俄比亚阿迪格拉特总医院进行的研究.
主要方法:
- 基于设施的病例控制研究涉及371名妇女 (124例,247例对照).
- 连续采样和多变量二元逻辑回归分析.
- 统计学意义是通过p值<0.05来确定的.
主要成果:
- 超过53%的自发流产病例在怀孕期间报告了IPV,而对照人群中这一比例为34.8%.
- IPV (任何形式,AOR=3.66) 和物理IPV (AOR=3.06) 是显著的风险因素.
- 妊娠间隔<24个月 (AOR=4.46) 也是一个重要的决定因素.
结论:
- 自发流产与怀孕期间的IPV暴露密切相关.
- 物理IPV和更短的妊娠间隔是自发流产的独立决定因素.
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