scholarly journals Sintomas depressivos em gestantes e violência por parceiro íntimo: um estudo transversal

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.

2019 ◽  
Vol 13 (2) ◽  
pp. 1-5 ◽  
Author(s):  
Joshua Epuitai ◽  
Samson Udho ◽  
Anna Grace Auma ◽  
Rose Chalo Nabirye

Background: Intimate partner violence may be more prevalent during pregnancy as women are more vulnerable. Aims: To determine the prevalence of intimate partner violence and associated factors among pregnant women at Soroti Regional Referral Hospital, Uganda. Methods: A cross-sectional study was conducted among 180 pregnant women. Data were collected using a pre-tested, semi-structured questionnaire. Intimate partner violence was measured using the revised Conflict Tactile Scale 2. Findings: The overall prevalence of intimate partner violence during pregnancy was 27.8%. Household average monthly income, experiences of intimate partner violence before pregnancy and marital conflicts were independently associated with intimate partner violence during pregnancy. Conclusions: Screening should be done during antenatal care among women with low household income, marital conflicts, and history of intimate partner violence before pregnancy to identify and manage cases of intimate partner violence. More research is needed to identify interventions for reduction of intimate partner violence during pregnancy.


2020 ◽  
Author(s):  
Jessica Mackness ◽  
John A Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background: Per UNICEF’s Nurturing Care Framework, early childhood development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods: This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.Results: About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion: Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.Trial registration: Clinical Trials # NCT03665246, September 11, 2018


2017 ◽  
Vol 59 (2) ◽  
pp. 31
Author(s):  
Abayomi Olusola Ayodapo ◽  
Olutoyin O Sekoni ◽  
Michael C Asuzu

Background: Intimate partner violence (IPV) is a significant public health problem. Despite being a phenomenon that occurs globally, few studies have reviewed the issue of intimate partner violence among pregnant women as it relates to disclosure of abuse. This study sets out to determine the prevalence and pattern of disclosure of intimate partner violence among pregnant women attending antenatal clinic in Oyo East Local Government of Oyo State. Methods: A descriptive cross-sectional study among pregnant women aged 18–49 years. A total of 350 pregnant women in the sole secondary health care facility and 3 out of the 18 primary health care facilities randomly selected by balloting were consecutively recruited. A pre-tested semi-structured questionnaire adapted from the WHO Multi-Country Study on Women’s Health and Domestic Violence was used to collect data. Data were analysed with SPSS® version 16. Results: Of 252 (72.0%) women who had been exposed to violence by their partner in pregnancy, 72 (28.6%) disclosed their IPV experience. The experience was disclosed to relatives, friends and religious leaders. Of the 72 that disclosed their IPV experience, 31 (43.1%) reported for the purpose of seeking redress through religious or local leaders, healthcare professionals and law enforcement agencies. Conclusion: Intimate partner violence is common among pregnant women, but a culture of silence still persists, making identification of the exposed difficult. These data may encourage healthcare providers to include screening for IPV in the curriculum of the antenatal care. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272245


2020 ◽  
Author(s):  
Jessica Mackness ◽  
John A Gallis ◽  
Raymond Kofi Owusu ◽  
Mohammed Ali ◽  
Safiyatu Abubakr-Bibilazu ◽  
...  

Abstract Background: Per UNICEF’s Nurturing Care Framework, early childhood development (ECD) begins during pregnancy and many lower-resource settings need data to inform their programs for optimal child development. The maternal-fetal relationship can be partly examined via a series of bonding activities called early stimulation behaviors (ESB). This study describes early stimulation behaviors and the associated correlates among pregnant women in Ghana. Methods: This cross-sectional study used data from a cluster-randomized trial in two districts of Northern Ghana. A total of 374 pregnant women were enrolled at baseline and administered a pre-intervention survey. Communication-related early stimulation behaviors was the primary outcome which was evaluated using three maternal-fetal bonding activities; did the woman self-report touching and/or talking, singing, and/or talking about family to her belly. A generalized estimating equation modified Poisson model was used for the bivariate and multivariable analysis.Results: About half of the participants reported performing communication-related ESB during pregnancy frequently or sometimes. Bivariate analysis revealed that negative life experiences including higher rates of emotional, physical and sexual intimate partner violence (IPV) and having moderate to severe depressive symptoms were associated with women performing early stimulation behaviors more often. In the multivariable model, physical intimate partner violence remained significantly associated with early stimulation behaviors. Conclusion: Research on early stimulation behaviors is still in a nascent phase. It is unclear why our results revealed an association between intimate partner violence and early stimulation behaviors; this could reflect a coping mechanism for the expectant mother. Further research is needed to better understand this association and explore potential long-term impacts of early stimulation behaviors during pregnancy on child development.Trial registration: Clinical Trials # NCT03665246, August 29, 2018.


2016 ◽  
Vol 33 (S1) ◽  
pp. S623-S623
Author(s):  
H. Karakula-Juchnowicz ◽  
P. Lukasik ◽  
J. Morylowska-Topolska ◽  
D. Juchnowicz ◽  
P. Krukow ◽  
...  

IntroductionThere is an evidence indicating that women experiencing intimate partner violence (IPV) quite common suffer from anxiety and depression, but predictors and protective factors are not well known in this group of patients.AimThe aim of the study was to try to find factor that are connected with higher rates of anxiety and depressive symptoms in the group of female patients experiencing IPV.MethodThe study was conducted in six randomly selected centers of primary health care (PHCs) in Lublin province. One hundred and two female patients experiencing IPV were administered a structured questionnaire and the Hospital Anxiety and Depression Scale (HADS). The sequential models were created with using backward stepwise multiple regression to investigate potential risk and protective factors connected with higher rates of anxiety and depression symptom in the group.ResultsIn a study group, 68% in Anxiety Subscale(A) and 56% in Depression Subscale of HADS (D) had positive scores. Living in the country (P = 0.003) was connected with higher scores in HADS-A (P = 0.003) but not in HADS-D. Experiencing physical violence was connected with higher score in HADS-D (P = 0.005), but not in HADS-A. Chronic physical illness (A P = 0.013; D P = 0.015), being unemployed (A P = 0.024; B P = 0.008), and experiencing economic violence (A P < 0.001; D P = 0.001) were connected with higher stores in both Subscales of HADS. Taking financial support (A P = 0.002, D P = 0.003) was the protective factor for both kinds of symptoms.ConclusionsSocio-economic factors have stronger influence on anxiety and depressive symptoms in women experiencing IPV than demographic factors.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Author(s):  
Istihak Rayhan ◽  
Khaleda Akter

Abstract Background: The study attempted to explore the prevalence and associated factors of Intimate Partner Violence (IPV) in Bangladesh amid the COVID-19 pandemic. IPV is a complete violation of women's human rights and a dominant chronic global public health problem. Methods: The target population of the study was Bangladeshi married women, aged between 16 to 49 years, and lived with an intimate partner. Data were collected from Dhaka city with eight other districts of Bangladesh, and among 605 married women response rate was 84.30%. WHO multi-country study tools for screening domestic violence were used to screen emotional, physical, and sexual violence. Results: The study found the prevalence of IPV about 45.29%, where emotionally abused 44.12%, physically 15.29%, sexually 10.59%, and either physically or sexually 19.22%. Adjusted with marital duration, residence, women’s level of education, husband’s age, and monthly family income, multivariate logistic regression results revealed that comparatively older women, employed, non-Muslims and women with educated husband were less likely to experience violence, while arranged marriage, family income reduction amid the pandemic and husbands’ pandemic induced depression or anxiety caused more likely to commit violence. Limitations: Self-reported cross-sectional study has some methodological limitations, and the present study is not free from them. Conclusions: The study contributes to the existing literature by highlighting the associated factors of IPV amid the COVID-19 pandemic, which will help to make preventive policy.


2021 ◽  
Author(s):  
Joseph W. Jatta ◽  
Jean Claude R. P. Ouedraogo

Abstract BackgroundIntimate partner violence is a severe public health and human right issue that 1 in 3 women experience in their lifetime. Women's knowledge and attitudes towards intimate partner violence might importantly determine who experiences violence from an intimate partner. This study aimed at analysing the knowledge and attitudes of antenatal towards intimate partner violence.MethodsThis study employed a descriptive cross-sectional technique to meet its objectives. Pregnant women seeking antenatal care were selected from 6 public healthcare facilities in the Gambia's upper river region (URR). We used the single proportion formula to calculate the sample size, which was 373 women. Data were entered, cleaned and analysed using SPSS version 21.ResultsA good majority of the participants had an overall good knowledge about IPV (77%). The most common behaviours of intimate partner violence known to the women were denial of money to hurt her (80.2%). Only 58% of the women knew that partners insisting on knowing where his wife is always and expecting the wife to ask for permission before seeking healthcare for herself was a form of violence against them.Eighty-seven per cent (87%) of the participants had a negative attitude towards IPV (i.e., they were not precisely against the stated forms of violence perpetrated by their partners). When asked about what would warrant them to leave their partners, 67% acclaimed they would never leave their partners despite facing violence from them. According to 36% of the respondents, women stay in abusive marriages because of their children.ConclusionDespite the relatively high knowledge of intimate partner violence among pregnant women, their attitudes tell a different story, which is acceptance of violent behaviour from their partners. More work needs to be done to sensitise women on their rights to prevent intimate partner violence.


Author(s):  
Chitra Tomy ◽  
Minu Rose Mani ◽  
Sr. Deepa ◽  
Sr. Ann Christy ◽  
Avita Rose Johnson

Background: Intimate partner violence is a global phenomenon with 30% of women having faced physical or sexual violence by a partner in their lifetime. Rural women with poor access to health services and counselling, often suffer in silence. Intimate partner violence during pregnancy has a negative effect on maternal and foetal outcomes. The aims of the study were to estimate the prevalence of intimate partner violence among pregnant women availing antenatal care services in a rural area of South India in current pregnancy and in the past 12 months, and to study the various socio-demographic factors associated with intimate partner violence.Methods: A cross sectional study was done among antenatal women availing services at a rural maternity hospital, using a questionnaire based on NFHS-3, to document physical, emotional and sexual domains of intimate partner violence.Results: Among 150 pregnant women aged 18-29 years, the prevalence of any form of intimate partner violence was 30.7% in the past 12 months before pregnancy (physical 10.7%, sexual 2%, and emotional 26%), and 2.7%. in current pregnancy. Lower educational status of husband and wife, history of alcohol consumption, tobacco usage and unplanned pregnancy were all significantly associated with increased intimate partner violence.Conclusions: Routine antenatal care provides an opportunity to screen women for intimate partner violence, especially those with risk factors like lower level of education, unplanned pregnancy as well as alcohol and tobacco consumption by the husband, which were found to be significantly associated with intimate partner violence in our study.


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