家庭暴力与台湾妇女怀孕不良结果之间的关联:一项嵌套病例控制研究
Chia-Ling Lin1, Jui-Chiung Sun1, Chun-Ping Lin2
1Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
BMC women's health
|September 1, 2023
概括
家庭暴力 (DV) 显著增加了不良妊娠结果 (PPO) 的风险,包括早产,堕胎和死产. 暴露于DV的时间越长,PPO的风险就越高,这表明了剂量-反应关系.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 妇女健康 妇女健康
背景情况:
- 家庭暴力 (DV) 是妇女健康的关键决定因素.
- 了解DV和不良妊娠结果之间的关联对于孕产妇健康干预至关重要.
研究的目的:
- 调查家庭暴力 (DV) 和不良妊娠结果 (PPO) 之间的关联.
- 探索PPO的特定风险,包括早产,堕胎和死产,与DV暴露有关.
主要方法:
- 一个嵌套的病例控制研究,利用来自台湾国家健康保险研究数据库 (2000-2015年) 的数据.
- 包括41,730名参与者 (8,346例,33,384例对照),根据年龄和索引年份进行匹配.
- 条件后勤回归分析评估DV对PPO的影响,结果由ICD-9代码定义.
主要成果:
- 与对照组 (18.19/100,000人年) 相比,患有DV的女性的PPO发病率显著更高 (84.05/100,000人年),而对照组 (18.19/100,000人年).
- DV暴露与PPO (AOR=3.31) 的风险大幅增加有关,包括早产 (AOR=3.57),堕胎 (AOR=3.31) 和死产 (AOR=2.98).
- 观察到一种剂量与反应的关系,其中较长时间的DV痛苦与较高的PPO风险相关.
结论:
- 家庭暴力是导致怀孕结果不佳的重要危险因素.
- 这些发现突出了剂量反应效应,强调长时间的DV暴露会加剧PPO的风险.
- 这些结果强调了解决DV的重要性,以改善母亲和儿童健康结果.
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