探索怀孕期间亲密伴侣暴力和死产之间的关系
Khaula Khatlani1, Iqbal Azam2, Muhammad Baqir3
1Johns Hopkins University-Pakistan Fogarty International Collaborative Trauma and Injury Research Training Program, Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, USA.
在怀孕期间的身体亲密伴侣暴力 (IPV) 在25-34岁的女性中显著增加了四倍的死产风险. 心理IPV显示在年轻女性中存在负面关联.
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:
- 怀孕期间亲密伴侣暴力 (IPV) 与死产之间的联系仍然不清楚.
- 了解这种关联对于母亲和儿童健康干预至关重要.
研究的目的:
- 调查在怀孕期间经历IPV和死产之间的关联.
- 为了探索母亲年龄对潜在效果的改变.
主要方法:
- 一个基于社区的,匹配的病例控制研究在巴基斯坦 (2014年).
- 256名死胎妇女 (病例) 和539名活胎妇女 (对照) 在平价上进行了匹配.
- 世卫组织调查问卷用于评估IPV;应用多变量条件后勤回归.
主要成果:
- 在怀孕期间的物理IPV与25-34岁妇女死产的几率增加了四倍 (OR4.1,95%CI:1.5,11.2).
- 心理IPV显示,与25岁以下妇女的死产有负面关联.
- 没有发现性IPV和死胎之间存在关联.
结论:
- 在怀孕期间经历物理IPV的25-34岁妇女面临着明显更高的死产风险.
- 需要进一步的研究来证实IPV因母亲年龄而改变对死产风险的影响.
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