Poor antenatal care attendance is associated with intimate partner violence : Multivariate analysis of a pregnancy cohort
Copyright © 2019 Elsevier B.V. All rights reserved..
OBJECTIVE: Intimate partner violence (IPV) is a common, neglected public health problem and pregnancy is a period of vulnerability. We evaluated the relationship of attendance for antenatal care with the experience of psychological and physical IPV.
STUDY DESIGN: We established a cohort of 779 consecutive mothers who received antenatal care and gave birth in 15 public hospitals, Andalusia, Spain. Trained midwives gathered IPV data using the Index of Spouse Abuse validated in the Spanish language (score ranges: 0-100, higher scores reflect more severe IPV; cut-offs: physical IPV = 10, psychological IPV = 25). Less than eight visits defined the threshold for poor antenatal care attendance. Multivariate logistic regression estimated crude (COR) and adjusted odds ratios (AOR), with 95% confidence intervals (CI), of the relationship between antenatal care attendance and psychological and physical IPV, controlling for socio-demographic and other pregnancy characteristics.
RESULTS: Response rate was 92.2%. Poor antenatal clinic attendance, observed in 76 (9.8%) women, was associated with both physical IPV (n = 26, 39% vs 9%; COR = 6.2, 95%CI = 2.7-14.3; AOR = 3.3, 95%CI = 1.1-9.4) and psychological IPV (n = 149, 20% vs 8%; COR = 2.9, 95%CI = 1.7-4.8; AOR = 1.6, 95%CI = 0.9-3.1), though the latter was not significant in multivariate analysis.
CONCLUSION: Women with a poor antenatal care attendance have higher risk of suffering physical IPV during pregnancy. Clinicians should be vigilant about the risk of IPV in mothers with poor attendance for antenatal care.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:237 |
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| Enthalten in: |
European journal of obstetrics, gynecology, and reproductive biology - 237(2019) vom: 05. Juni, Seite 204-208 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Martin-de-Las-Heras, Stella [VerfasserIn] |
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| Links: |
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| Themen: |
Antenatal care |
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| Anmerkungen: |
Date Completed 18.12.2019 Date Revised 18.12.2019 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ejogrb.2019.05.001 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM296947180 |
|---|
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| 100 | 1 | |a Martin-de-Las-Heras, Stella |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Poor antenatal care attendance is associated with intimate partner violence |b Multivariate analysis of a pregnancy cohort |
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| 500 | |a Date Completed 18.12.2019 | ||
| 500 | |a Date Revised 18.12.2019 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2019 Elsevier B.V. All rights reserved. | ||
| 520 | |a OBJECTIVE: Intimate partner violence (IPV) is a common, neglected public health problem and pregnancy is a period of vulnerability. We evaluated the relationship of attendance for antenatal care with the experience of psychological and physical IPV | ||
| 520 | |a STUDY DESIGN: We established a cohort of 779 consecutive mothers who received antenatal care and gave birth in 15 public hospitals, Andalusia, Spain. Trained midwives gathered IPV data using the Index of Spouse Abuse validated in the Spanish language (score ranges: 0-100, higher scores reflect more severe IPV; cut-offs: physical IPV = 10, psychological IPV = 25). Less than eight visits defined the threshold for poor antenatal care attendance. Multivariate logistic regression estimated crude (COR) and adjusted odds ratios (AOR), with 95% confidence intervals (CI), of the relationship between antenatal care attendance and psychological and physical IPV, controlling for socio-demographic and other pregnancy characteristics | ||
| 520 | |a RESULTS: Response rate was 92.2%. Poor antenatal clinic attendance, observed in 76 (9.8%) women, was associated with both physical IPV (n = 26, 39% vs 9%; COR = 6.2, 95%CI = 2.7-14.3; AOR = 3.3, 95%CI = 1.1-9.4) and psychological IPV (n = 149, 20% vs 8%; COR = 2.9, 95%CI = 1.7-4.8; AOR = 1.6, 95%CI = 0.9-3.1), though the latter was not significant in multivariate analysis | ||
| 520 | |a CONCLUSION: Women with a poor antenatal care attendance have higher risk of suffering physical IPV during pregnancy. Clinicians should be vigilant about the risk of IPV in mothers with poor attendance for antenatal care | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Antenatal care | |
| 650 | 4 | |a Intimate partner violence | |
| 650 | 4 | |a Pregnancy | |
| 650 | 4 | |a Risk factors | |
| 650 | 4 | |a Violence against women | |
| 700 | 1 | |a Velasco, Casilda |e verfasserin |4 aut | |
| 700 | 1 | |a Caño, Africa |e verfasserin |4 aut | |
| 700 | 1 | |a Luna-Del-Castillo, Juan de Dios |e verfasserin |4 aut | |
| 700 | 1 | |a Khan, Khalid Saeed |e verfasserin |4 aut | |
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