肯尼亚的亲密伴侣暴力和产后医疗保健:一个横截面研究
Rebecca Woofter1, John Mboya2, Ginger Golub2
1Fielding School of Public Health, Department of Community Health Sciences, University of California Los Angeles, 650 Charles E. Young Dr. S, Los Angeles, CA, 90095, USA. rwoofter@ucla.edu.
怀孕期间亲密伴侣暴力 (IPV) 增加了妇女避免产后医疗保健和计划生育服务的可能性. 对IPV的查对于支持孕产妇的医疗保健需求至关重要,特别是在诸如流行病之类的危机期间.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 亲密伴侣暴力 (IPV) 对身体和心理健康以及医疗保健利用有负面影响.
- 虽然已知产前护理受到IPV的影响,但其对产后医疗保健和计划生育准入的影响仍未得到充分研究.
研究的目的:
- 这项研究调查了肯尼亚妇女在怀孕期间和分娩后体验的亲密伴侣暴力 (IPV) 与医疗保健利用和计划生育准入之间的联系.
- 这项研究专门研究了情绪,身体和性IPV.
主要方法:
- 在2020年COVID-19大流行期间,对859名在肯尼亚内罗毕和基安布县分娩的妇女进行了横截面调查.
- 收集的数据包括IPV的经验,疫情期间IPV的频率,产后医疗保健避免和计划生育访问挑战.
主要成果:
- 36%的妇女报告经历了IPV,33%的妇女在COVID-19期间注意到其持久性或增加.
- 在怀孕期间经历任何形式的IPV的女性,避免产后医疗保健的几率翻了一番.
- 性IPV与计划生育接入问题的概率高出2.25倍;公平/差的自我评价健康和粮食不安全也与减少医疗保健接入有关.
结论:
- 这是第一个将产前IPV与产后医疗保健接入联系在一起的研究,揭示了肯尼亚COVID-19大流行期间IPV幸存者与服务的脱离程度增加.
- 建议在怀孕期间和产后进行IPV常规查,以满足妇女的医疗保健需求.
- 决策者和医疗保健提供者必须优先考虑和解决产后医疗保健获取障碍,特别是在公共卫生危机期间.
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