看不见的亲密伴侣暴力对巴基斯坦母亲医疗保健利用的影响评估
Xinfang Xu1, Di Liang1, Saeed Anwar2
1Shanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, 200032, China.
BMC pregnancy and childbirth
|May 24, 2024
概括
情感性亲密伴侣暴力 (EV) 和低规模的身体性亲密伴侣暴力 (LSPV) 显著增加了巴基斯坦不充分利用孕产妇医疗保健的风险. 早期对隐形暴力的查对于改善母亲健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 生殖健康 生殖健康
背景情况:
- 众所周知,亲密伴侣暴力 (IPV) 阻碍了母亲获得医疗保健.
- 以前的研究还没有检查情感性亲密伴侣暴力 (EV) 对母亲医疗保健利用的影响.
- 这项研究通过调查巴基斯坦电动汽车的影响来弥补这一差距.
研究的目的:
- 评估隐形IPV,特别是EV和低规模的身体亲密伴侣暴力 (LSPV) 对巴基斯坦孕产妇医疗保健利用的影响.
- 确定不同形式的IPV与不充分的产前护理 (ANC) 访问,非机构分娩和缺乏产后检查之间的关联.
主要方法:
- 分析来自巴基斯坦人口和健康调查 (2012-2013年和2017-2018年) 的全国代表性数据.
- 使用后勤回归模型来评估暴露于EV和LSPV与母亲医疗保健结果之间的关联.
- 结果包括不充分的ANC访问,非机构分娩,以及缺乏基于妇女最近的出生记录的产后健康检查.
主要成果:
- 怀孕期间暴露于EV与不充分的ANC访问 (aOR=2.16) 和非机构分娩 (aOR=2.24) 的更高几率有关.
- 终身暴露于EV与不充分ANC访问的风险增加有关 (aOR=1.48).
- 终身暴露于LSPV增加了没有产后健康检查的风险 (aOR=1.73).
结论:
- 情感性亲密伴侣暴力 (EV) 和低规模的身体性亲密伴侣暴力 (LSPV) 都与母亲的医疗保健利用率不佳有关,即使在怀孕前经历过.
- 建议将看不见暴力的早期查纳入政策,并培训医疗保健提供者识别EV和LSPV.
- 这些干预措施对于改善IPV流行率高的国家的母婴健康至关重要.
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