Cost of intimate partner violence during pregnancy and postpartum to health services: a data linkage study in Queensland, Australia

Abstract Background Young people who have had contact with the youth justice system have an increased risk of dying from violence. Examining the context of violence-related deaths is essential in informing prevention strategies. We examined the circumstances and toxicology of violence-related deaths among young people who have had contact with the youth justice system in Queensland, Australia. Methods This data linkage study linked youth justice records from Queensland, Australia (30 June 1993-1 July 2014) on 48,670 young people to national death and coroner records (1 July 2000-1 January 2017). Circumstances and toxicology of deaths were coded from coroner’s records. We calculated the incidence of violence-related deaths that were reported to a coroner. Fisher’s exact tests were used to examine crude differences in the circumstances and toxicology of violence-related death, according to sex and Indigenous status. Results There were 982 deaths reported to a coroner in the cohort. Of which, 36 (4%) were from violence-related causes (incidence: 6 per 100,000 person-years, 95% confidence interval: 4-8). People who died from violence were most frequently male (n = 28/36; 78%), and almost half were Indigenous (n = 16/36; 44%). The majority of violence-related deaths involved a weapon (n = 24/36; 67%), most commonly a knife (n = 17/36; 47%). Compared to men where the violent incident was most frequently preceded by an altercation (n = 12/28; 43%), for women it was frequently preceded by a relationship breakdown or argument (n < 5; p = 0.004). Substances most commonly present in toxicology reports were cannabis (n = 16/23; 70%) and alcohol (n = 15/23; 65%). Conclusions Therapeutic alcohol and other drug programs, both in the community and detention, are likely important for reducing violence-related deaths among young people who have had contact with the youth justice system. The majority of violence-related deaths among women were in the context of intimate partner violence, indicating the urgent need for interventions that prevent intimate partner violence in this population. Diversion programs and increased investment in health and social services may reduce the overrepresentation of Indigenous people in the youth justice system and in violence-related deaths.

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Risk factors for intimate partner violence during pregnancy and postpartum

Archives of Women s Mental Health ◽

10.1007/s00737-012-0309-8 ◽

2012 ◽

Vol 16 (1) ◽

pp. 19-27 ◽

Cited By ~ 38

Author(s):

Julianne C. Hellmuth ◽

Kristina Coop Gordon ◽

Gregory L. Stuart ◽

Todd M. Moore

Keyword(s):

Risk Factors ◽

Intimate Partner Violence ◽

Partner Violence ◽

Intimate Partner ◽

Pregnancy And Postpartum ◽

Violence During Pregnancy

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Intimate Partner Violence among Pregnant Women and Postpartum Depression in Vietnam: A Longitudinal Study

BioMed Research International ◽

10.1155/2019/4717485 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9

Author(s):

Tran Tho Nhi ◽

Nguyen Thi Thuy Hanh ◽

Nguyen Duc Hinh ◽

Ngo Van Toan ◽

Tine Gammeltoft ◽

...

Keyword(s):

Intimate Partner Violence ◽

Longitudinal Study ◽

Postpartum Depression ◽

Health Outcomes ◽

Sexual Violence ◽

Partner Violence ◽

Intimate Partner ◽

World Health ◽

Pregnancy And Postpartum ◽

Violence During Pregnancy

Background. Exposure to intimate partner violence during pregnancy is associated with a wide range of adverse reproductive health outcomes. However, detailed knowledge on the association between specific types of exposure to partner violence and postpartum depression is limited. Purpose. The aim of the present study was to investigate the association between exposure to emotional violence, physical violence, and sexual violence during pregnancy and postpartum depression among women in northern Vietnam. Methods. The study was designed as a longitudinal study, which included a total of 1,337 women. The study participants were recruited from 24 communes in Dong Anh District, Hanoi, Vietnam, and interviewed four times: (a) at enrolment (which took place no later than week 24 of the pregnancy); (b) at a gestational age of 30-34 weeks; (c) at delivery; and d) 4-12 weeks after delivery. Emotional, physical, and sexual violence exerted by the intimate partner were measured using a modified version of the questionnaire initially developed by the World Health Organization, and signs of depression were measured by the Edinburgh Postpartum Depression Scale. Results. More than one-third of the women (35.3%) experienced at least one type of violence during their pregnancy and 8.2% of the women reported postpartum depression. The results of multivariate analyses showed that both physical and sexual violence were statistically significantly associated with postpartum depression (AOR=2.75, 95%CI: 1.19-6.35 and AOR=1.93, 95%CI: 1.01-3.73, respectively). Conclusions. The results showed strong and statistically significant associations between partner violence and postpartum depression. These findings clearly demonstrate a crucial need for relevant health professionals to identify women who are exposed to partner violence and screen for postpartum depression in order to mitigate the negative mental health outcomes among Vietnamese women.

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Predictors of intimate partner violence in patients attending general health services at rural health facilities in Makueni county, Kenya

Mental Health & Prevention ◽

10.1016/j.mhp.2020.200191 ◽

2020 ◽

Vol 20 ◽

pp. 200191

Author(s):

Victoria Mutiso ◽

Christine Musyimi ◽

Tahilia Rebello ◽

Isaiah Gitonga ◽

Albert Tele ◽

...

Keyword(s):

Intimate Partner Violence ◽

Health Services ◽

Rural Health ◽

Partner Violence ◽

General Health ◽

Intimate Partner ◽

Health Facilities

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The role of intimate partner violence victimization during pregnancy on maternal postpartum depression in Eastern Ethiopia

SAGE Open Medicine ◽

10.1177/2050312121989493 ◽

2021 ◽

Vol 9 ◽

pp. 205031212198949

Author(s):

Wondimye Ashenafi ◽

Bezatu Mengistie ◽

Gudina Egata ◽

Yemane Berhane

Keyword(s):

Intimate Partner Violence ◽

Postpartum Depression ◽

Confidence Interval ◽

Partner Violence ◽

Prevalence Ratio ◽

Intimate Partner ◽

Eastern Ethiopia ◽

Physical Intimate Partner Violence ◽

Violence During Pregnancy ◽

Maternal Postpartum Depression

Background: Intimate partner violence during pregnancy is a strong predictor of maternal postpartum depression. In Ethiopia, evidence on the association of intimate partner violence during pregnancy with postpartum depression is very limited. To design appropriate intervention, it is thus important to understand how postpartum depression varies as a function of the type and severity of intimate partner violence victimization during pregnancy. The aim of this study is to explore the association of different types of intimate partner violence during pregnancy and its severity with postpartum depression in Eastern Ethiopia. Method: A community-based cross-sectional study was conducted from January to October 2018. The study included a sample of 3015 postpartum women residing in Eastern Ethiopia. The cutoff point for postpartum depression was defined as ⩾13 points according to the Edinburgh Postnatal Depression Scale. The prevalence ratio with 95% confidence intervals was calculated, and the association between the main predictor (i.e. intimate partner violence during pregnancy) and the outcome variable (postpartum depression) was determined using log binomial regression model. Results: 16.3% (95% confidence interval: 14.9–17.7) of women experienced postpartum depression. After controlling potential confounding factors, the prevalence of postpartum depression among women exposed to severe physical intimate partner violence during pregnancy was 1.98 times higher as compared to those not exposed to physical intimate partner violence during pregnancy (adjusted prevalence ratio = 1.98; 95% confidence interval: 1.53–2.54). Exposure to psychological intimate partner violence during pregnancy was found to increase the prevalence of postpartum depression by 1.79 as compared to non-exposure to psychological intimate partner violence during pregnancy (adjusted prevalence ratio = 1.79; 95% confidence interval: 1.48–2.18). Conclusion: The study provides evidence that psychological and severe physical intimate partner violence during pregnancy were significantly associated with maternal postpartum depression. Screening of pregnant women for intimate partner violence and providing them the necessary support can minimize the risk to postpartum depression.

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