Relationship between Intimate Partner Violence and The Risk of Postpartum Depression

Author(s):  
◽  
RB. Soemanto ◽  
Bhisma Murti ◽  
◽  

ABSTRACT Background: Intimate partner violence (IPV) refers to any behavior in an intimate relationship that causes physical, psychological or sexual harm to those in the relationship. IPV is associated with fatal and non-fatal health effects, including homicide and suicide, as well as negative health behaviours during pregnancy, poor reproductive outcomes and adverse physical and mental consequences. This study aimed to examine relationship between intimate partner violence and the risk of postpartum depression. Subjects and Method: This was a meta-analysis and systematic review. The study was conducted by collecting articles from Pubmed, Google Scholar, and Science Direct databases, which published from 2010 to 2020. “Intimate Partner Violence” OR “IPV” AND “Postpartum Depression” OR “Postnatal Depression” was keywords used for searching the articles. The study population was postpartum mothers. The intervention was intimate partner violence with comparison no intimate partner violence. The study outcome was postpartum depression. The inclusion criteria were full text cross-sectional study, using English language, using Edinburgh Postnatal Depression Scale (EPDS) to measure depression. The articles were selected by PRISMA flow chart and Revman 5.3. Results: 8 articles from Turki, Ethiopia, Mexico, Malaysia, Israel, South Africa, and Sudan were reviewed for this study. This study reported that intimate partner violence increased the risk of postpartum depression (aOR = 3.39; 95% CI= 2.17 to 5.30). Conclusion: Intimate partner violence increased the risk of postpartum depression. Keywords: intimate partner violence, postpartum depression Correspondence: Ardiani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085337742831. DOI: https://doi.org/10.26911/the7thicph.03.109

2019 ◽  
Vol 2 (1) ◽  
pp. 77-81
Author(s):  
I Tor-Anyiin ◽  
T J Igbudu ◽  
S Tor-Agbidye

Postpartum depression affects 10-15% of women in the immediate post delivery period. It has adverse effects on the family and her members. There are trigger factors that contribute to the development of depression among mothers. These factors; when identified and addressed, present an opportunity in reducing the prevalence of postpartum depression and its adverse effects on the family. Hence, the objective of the study was to study the relationship between Intimate Partner Violence (IPV) and Postpartum Depression (PPD) among women in Federal Medical Centre Makurdi. This was a cross-sectional study of mothers who presented with their children at the immunization clinic. Three hundred and thirty postpartum women were selected by a systematic random sampling technique. PPD and IPV were assessed using the Edinburgh Postpartum Depression Scale and the HITS (Hit, Insult, Threaten and Scream) scale respectively. The results showed that the mean age of participants was 28±5years. The prevalence of PPD was 27.6% while that of IPV was 22.4%. A statistically significant relationship was demonstrated between IPV and PPD (χ2 = 143.15, p < 0.0001). The prevalence of PPD and IPV were high, affecting approximately a quarter of postpartum women in Makurdi. IPV contributes to the development of PPD (OR=35.35, CI=17.39-71.87). Hence the need for screening of these conditions by physicians. Appropriate prevention modalities against IPV could curb postpartum depression and its effects on the family.


2021 ◽  
Vol 4 (2) ◽  
pp. 67-83
Author(s):  
Ekpenyong M.S. ◽  
Tawari E. P.2

Alcohol-related intimate partner violence (IPV) is a serious public health issue which has attracted a lot of research and debates. While some studies have reported the relationship between alcohol and IPV to be linear, others have reported threshold effects. While some studies have found the link to be strong, others have reported it to be weak or to show no association. The aim of this study was to determine the possible moderators on the alcohol-IPV link in sub-Saharan Africa. For the quantitative study, secondary analysis and meta-analysis were used to analyze cross-sectional data from the demographic and health surveys of ten countries in sub-Saharan Africa (Burkina Faso, Ghana, Kenya, Liberia, Malawi, Nigeria, Sao Tome and Principe, Tanzania, Zambia, and Zimbabwe). Logistic regression analysis of possible moderators of the alcohol-IPV link was determined in ten sub-Saharan African countries. The nature of moderation was different among countries. The results of this study can be applied in planning country-specific and multi-faceted intervention programmes.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e034153
Author(s):  
Anne Katrine Normann ◽  
Aleksandra Bakiewicz ◽  
Frederikke Kjerulff Madsen ◽  
Khalid Saeed Khan ◽  
Vibeke Rasch ◽  
...  

ObjectiveThe association between intimate partner violence (IPV) and breastfeeding is unclear. We conducted a systematic review to summarise the evidence of breastfeeding outcomes following exposure to IPV.DesignSystematic review.MethodsWe searched for published studies without study design or language restrictions (up to July 2019) in the following databases: PubMed, Embase, SCOPUS and The Global Health Library. Studies assessing various breastfeeding outcomes (initiation, duration and exclusive breastfeeding) in women exposed to IPV in any form (physical, psychological or sexual) and at any stage (1 year pre-pregnancy, during or post-pregnancy) were included. Two authors independently selected the studies and conducted the quality appraisal by use of the Newcastle–Ottawa Scale. Results were summarised taking precision and quality into account.ResultsA total of 16 studies (participants n=414 393) were included and they adjusted for a total of 48 different confounders. The majority of studies were cross-sectional (n=11) and most studies were judged to be fair/low quality. Four out of seven studies found that IPV exposure shortened breastfeeding duration (adjusted ORs/aORs=0.22 (95% CI: 0.05–0.85), 1.18 (95% CI: 1.01–1.37), 5.92 (95% CI: 1.72–27.98), 1.28 (95% CI: 1.18–1.39)). Further, 5/10 studies found that IPV led to early termination of exclusive breastfeeding (aORs=1.53 (95% CI: 1.01–23.1), 0.83 (95% CI: 0.71–0.96), 1.35 (95% CI: 1.07–1.71), 0.17 (95% CI: 0.07–0.4), 1839 (95% CI: 1.61–2911)) and 2/6 studies found that IPV significantly reduced breastfeeding initiation (aORs=2.00 (95% CI: 1.2–3.3), 0.81 (95% CI: 0.7–0.93)).ConclusionIPV exposure appears to associate negatively with some breastfeeding outcomes. Individual patient data meta-analysis is required to quantify the magnitude of the association for specific IPV-outcome combinations. More high-quality studies and definition of core confounders are warranted.PROSPERO registration numberCRD42019129353.


2020 ◽  
Vol 19 (4) ◽  
pp. 1-45
Author(s):  
Leilson Da Silva Lima ◽  
Tainá Orrara Amaral do Carmo ◽  
Custódio De Souza Brito Neto ◽  
José Luis Da Cunha Pena

Objetivo: Evaluar la presencia de síntomas depresivos en gestantes y su asociación con la violencia de pareja.Métodos: Este es un estudio piloto transversal de una muestra de 65 gestantes que recibieron atención prenatal en la Unidad Básica de Salud de la Universidad Federal de Amapá entre septiembre y octubre de 2018. Para la recolección de datos se utilizó un cuestionario socioeconómico, demográfico y obstétrico; la Escala de Depresión Posparto de Edimburgo, y el Estudio Multipaís sobre la salud de la mujer y la violencia doméstica.Resultados: El 41,5% de las gestantes tienen síntomas depresivos, en el análisis de regresión logística, estos síntomas tienen una asociación significativa con mujeres que sufren algún tipo de violencia de pareja (OR = 6,74; IC 95% 2,0 – 21,7; p = 0,001) Además, estar empleada, ser soltera, tener bajo nivel de escolaridad, bajos ingresos familiares y embarazo no deseado influyeron significativamente en los síntomas depresivos durante el embarazo.Conclusiones: Hubo un alto porcentaje de síntomas depresivos durante el embarazo y estos se relacionan con la violencia de pareja. Objective: To evaluate the presence of depressive symptoms in pregnant women and their association with intimate partner violence.Methods: This is a cross-sectional pilot study conducted with a sample of 65 pregnant women who performed prenatal care at the Basic Health Unit of the Federal University of Amapá in September and October 2018. For data collection, a socioeconomic, demographic and obstetric questionnaire was used, apart from the Edinburgh Postpartum Depression Scale, and the Multi-Country Study on Women's Health and Domestic Violence.Results: 41.5% of the pregnant women had depressive symptoms; in the logistic regression analysis, these symptoms have a significant association in women who suffer some type of intimate partner violence (OR = 6.74; 95% CI: 2.0 - 21.7; p = 0.001). In addition, being employed, being single, having low schooling, low family income, and unwanted pregnancies were affected by depressive symptoms during pregnancy.Conclusions: There was a high percentage of depressive symptoms during pregnancy and these were related to intimate partner violence. Objetivo: Avaliar a presença de sintomas depressivos em gestantes e sua associação com a violência sofrida pelo parceiro.Métodos: Trata-se de um estudo piloto transversal a partir de uma amostra de 65 gestantes que realizaram acompanhamento de pré-natal na Unidade Básica de Saúde da Universidade Federal do Amapá nos meses de setembro e outubro de 2018. Para coleta foi usado um questionário socioeconômico, demográfico e obstétrico; a Escala de Depressão Pós-Parto de Edimburgo; e o Estudo Multi-Países sobre Saúde da Mulher e Violência Doméstica.Resultados: 41,5% das gestantes apresentaram sintomas depressivos, na análise de regressão logística esses sintomas mostraram ter associação significativa em mulheres que sofreram algum tipo de violência pelo parceiro íntimo (OR = 6,74; IC95% 2,0 - 21,7; p=0,001), além disso, estar empregada, ser solteira, ter baixa escolaridade, baixa renda familiar e gravidez indesejada foram significativamente influenciadores para os sintomas depressivos durante a gestação.Conclusões: Houve alta porcentagem de sintomas depressivos durante a gestação e esses estiveram relacionados com a violência por parceiro íntimo.


BMJ Open ◽  
2018 ◽  
Vol 8 (5) ◽  
pp. e020649 ◽  
Author(s):  
Noor Ani Ahmad ◽  
Umi Adzlin Silim ◽  
Azriman Rosman ◽  
Majdah Mohamed ◽  
Ying Ying Chan ◽  
...  

2019 ◽  
pp. 088626051988853 ◽  
Author(s):  
Weiman Yuan ◽  
Therese Hesketh

Intimate partner violence (IPV) is recognized as a major public health and social problem globally, with consequences for the individual, family, and society. But there is relatively little research on IPV in China. The aim of this study was to estimate the prevalence of different types of violence among women and to determine the risk factors and the association with depression. A cross-sectional study among women who had ever been in a relationship was conducted in six provinces across the three regions of China from July to September 2018 using a self-completion questionnaire developed for the study. The provincial capital and one rural county were purposively selected in each province. Questionnaires were distributed in hospitals and public places. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to measure depression. Data for 2,987 women were analyzed. The prevalence of psychological, physical, and sexual violence was 77.7%, 40.2%, and 11%, respectively: 52% had experienced two or three types of violence in their life. After adjustment, risk factors for all-type IPV were low occupational status, having one child or more, living in western provinces, having an income lower than partner’s, and economic pressure. The prevalence of depression was 65.8% in women who experienced psychological violence, 69.5% for physical violence, and 75.8% for sexual violence. For psychological, physical, and sexual violence, the odds ratio for depression were 2.57 (95% confidence interval [CI] = [2.15, 3.07]), 2.07 [1.76, 2.43], and 2.26 [1.73, 2.95], respectively, after controlling for age, occupation, education attainment, and residence. There is a clear need to raise awareness about IPV and to develop approaches for prevention and management. The new Domestic Violence Law represents a step in the right direction.


2021 ◽  
Vol 9 ◽  
Author(s):  
Rosario M. Román-Gálvez ◽  
Sandra Martín-Peláez ◽  
Borja M. Fernández-Félix ◽  
Javier Zamora ◽  
Khalid S. Khan ◽  
...  

Background: Intimate partner violence (IPV) affects outcomes of mothers and their offspring. This systematic review collated the worldwide literature on the prevalence rates of different types of IPV in pregnancy.Methods: Two reviewers independently identified cross sectional and cohort studies of IPV prevalence in pregnancy in online databases (PubMed, WOS and Scopus), selected and extracted data [participants' country, study quality, measurement tool (validation and purpose) and rates of IPV in pregnancy]. We considered a high quality study if it had a prospective design, an adequate sampling method, a sample size estimation, a response rate &gt; 90%, a contemporary ascertainment of IPV in the index pregnancy, and a well-developed detailed IPV tool. We performed random effects meta-analysis and explored reasons for heterogeneity of rates.Results: One hundred fifty-five studies were included, of which 44 (28%) met two-thirds of the quality criteria. Worldwide prevalence of physical (126 studies, 220,462 participants), psychological (113 studies, 189,630 participants) and sexual (98 studies, 155,324 participants) IPV in pregnancy was 9.2% (95% CI 7.7–11.1%, I2 95.9%), 18.7% (15.1–22.9%, I2 98.2%), 5.5% (4.0–7.5%, I2 93.4%), respectively. Where several types of IPV were reported combined, the prevalence of any kind of IPV (118 studies, 124,838 participants) was 25.0% (20.3, 30.5%, I2 98.6%). IPV rates varied within and between continents, being the highest in Africa and the lowest in Europe (p &lt; 0.001). Rates also varied according to measurement purpose, being higher for diagnosis than for screening, in physical (p = 0.022) and sexual (p = 0.014) IPV.Conclusions: IPV prevalence in pregnancy varies across countries, with one-quarter of mothers exposed on average globally. Routine systematic antenatal detection should be applied worldwide.Systematic Review Registration: identifier: CRD42020176131.


2020 ◽  
Author(s):  
Amy M Smith Slep ◽  
Richard E Heyman ◽  
Michael F Lorber ◽  
David J Linkh

Abstract Introduction We evaluated the effectiveness of New Orientation for Reducing Threats to Health from Secretive-problems That Affect Readiness (NORTH STAR), a community assessment, planning, and action framework to reduce the prevalence of suicidality, substance problems, intimate partner violence, and child abuse. Materials and Methods One-third of U.S. Air Force bases worldwide were randomly assigned to NORTH STAR (n = 12) or an assessment-and-feedback-only condition (n = 12). Two Air Force-wide, cross-sectional, anonymous, web-based surveys were conducted of randomly selected samples assessing risk/protective factors and outcomes. This study was reviewed and approved by the institutional review board at the investigators’ university and by the institutional review board at Fort Detrick. Results NORTH STAR, relative to control, bases experienced a 33% absolute risk reduction in hazardous drinking rates and cumulative risk, although, given the small number of bases, these effects were not statistically significant. Conclusions Given its relatively low cost, use of empirically supported light-touch interventions, and emphasis on sustainability with existing resources, NORTH STAR may be a useful system for prevention of a range of adult behavioral health problems that are difficult to impact.


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