产科暴力的全球流行和风险因素:系统审查和元分析
Sevil Hakimi1, Leila Allahqoli2, Maryam Alizadeh3
1Faculty of Health Sciences, EGE University, Izmir, Turkey.
概括
产妇暴力 (OBV) 影响了全球59%的女性,非同意的护理是最常见的. 熟练的助产士和更高的收入可能会降低OBV风险,而阴道分娩会增加它.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医学伦理 医学伦理
背景情况:
- 产妇暴力 (OBV),定义为在分娩期间的虐待,是一个重大的全球关注.
- 在分娩期间和分娩后,OBV会对妇女的身体和情感健康产生负面影响.
研究的目的:
- 系统地审查和对产妇暴力的全球流行情况进行元分析.
- 确定与OBV相关的关键风险因素.
- 为改善孕产妇保健实践和政策提供信息.
主要方法:
- 一个系统的审查和对25项研究的元分析发表在10年内,直到2024年1月.
- 在 Medline,Scopus,Embase 和 Web of Science 数据库中搜索了英语观察研究.
- 数据使用R进行分析,并使用随机效应模型进行聚合流行率和风险因素识别.
主要成果:
- 全球OBV的患病率估计为59% (95%CI为0.48-0.70).
- 非同意照顾是最常见的OBV形式,发生在37%的病例中 (95%CI为0.23-0.50).
- 与降低OBV风险相关的因素包括熟练的助产员 (OR 0.4) 和更高的收入水平 (OR 0.5). 阴道分娩与增加的OBV风险相关 (OR 2.08).
结论:
- 产妇暴力非常普遍和复杂,需要紧急,多层次的干预.
- 解决OBV对于确保尊重,安全和有尊严的孕产妇保健对所有妇女至关重要.
- 结果提供了针对临床实践和政策中打击OBV的有针对性的策略的证据.
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