产前亲密伴侣暴力:开发风险预测模型
Jaya Prakash1, Kathryn Fay2, Rahul Gujrathi3
1Trauma Imaging Research and Innovation Center, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Journal of women's health (2002)
|May 21, 2024
概括
经历亲密伴侣暴力 (IPV) 的孕妇面临心理健康问题,物质使用和不良妊娠结果的风险增加. 一种新的风险预测模型可以帮助识别那些面临产前IPV风险的人.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 怀孕期间的亲密伴侣暴力 (IPV) 是一个重大的公共卫生问题.
- 了解相关的社会行为,临床和成像发现对于风险分层至关重要.
研究的目的:
- 探索与产前IPV相关的因素.
- 开发一种风险预测模型,用于识别有风险的个人.
主要方法:
- 对108名孕妇产前IPV和106名对照患者的电子病历进行了回顾性分析.
- 社会人口统计学,临床和放射学数据使用千平方和费舍尔精确测试进行分析.
- 循序渐进的物流回归用于构建风险预测模型.
主要成果:
- 产前IPV病例显示了更高的情绪和身体虐待率,妊娠前物质使用,性传播感染,堕胎和早产.
- 在怀孕期间,报告的病例更多的是不稳定的住房,多重孕,多夫妇,焦虑,抑郁,物质使用,尿路感染,子宫内生长限制和剖腹产.
- 后勤回归确定住房状况,性病史,早产,堕胎史,抑郁症和产前尿道感染作为IPV的预测因素;模型AUC为0.79.
结论:
- 产前IPV与社会行为和临床因素的显著差异有关.
- 经过验证的风险预测模型可以帮助识别和评估IPV风险的孕妇.
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