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目的了解安徽2市孕期亲密伴侣暴力(IPV)的流行状况,探讨其与自发性早产之间的关联。方法 2013年5月—2014年1月,在安徽省合肥市和安庆市招募928名待产孕妇,采用自制问卷和13个条目的 IPV问卷进行面对面调查,包括社会人口学资料、妊娠意愿、生活方式和暴力发生等。分娩后通过医疗记录收集子代孕周、分娩方式和早产原因等。应用Logistic回归模型分析IPV与自发性早产间的关联。结果孕期精神暴力、躯体暴力和性暴力发生率分别为28.8%(95%CI 25.9%~31.7%)、7.0%(95%CI 5.5%~8.8%)和2.3%(95%CI 1.4%~3.4%)。发生IPV的孕妇中,配偶双方低年龄(孕妇<25岁、配偶<30岁)、大专以下学历、非意愿妊娠、双方交流不充分、配偶孕前饮酒吸烟的比例显著高于未发生IPV的孕妇(P<0.05)。控制配偶双方的一般人口统计学特征、妊娠意愿、孕前BMI、饮酒和吸烟等主要混杂因素后,精神暴力合并躯体暴力或/和性暴力与自发性早产存在显著的统计学关联(调整后OR=2.31,95%CI 1.12~4.74)。结论孕期精神暴力发生率较高,但与自发性早产间无显著关联。当孕期精神暴力合并躯体暴力或/和性暴力时,会显著增加自发性早产风险。
Objective To understand the prevalence of intimate partner violence (IPV) during pregnancy in Anhui Province and to explore its association with spontaneous preterm labor. Methods From May 2013 to January 2014, 928 pregnant women were recruited in Hefei City and Anqing City, Anhui Province. Face-to-face interviews were conducted with self-made questionnaires and 13 items of IPV questionnaires, including socio-demographic data, gestational wishes, lifestyles And violence and so on. After childbirth through medical records to collect offspring gestational age, mode of delivery and premature delivery causes. Logistic regression model was used to analyze the association between IPV and spontaneous preterm birth. Results The incidences of mental, physical and sexual violence in pregnancy were 28.8% (95% CI 25.9% ~ 31.7%), 7.0% (95% CI 5.5% ~ 8.8%) and 2.3% (95% CI 1.4% ~ 3.4% %). Among pregnant women with IPV, the spouses had a lower age (25 years of males and 30 years of spouses), less than college education and unwilling pregnancies, inadequate communication between the two parties, and a significantly higher percentage of smokers who drank alcohol before pregnancy than pregnant women without IPV P <0.05). There was a statistically significant association between psychosocial violence with or without physical violence and / or sexual violence and spontaneous preterm birth after controlling for the general demographic characteristics of both spouses, preference for pregnancy, pre-pregnancy BMI, alcohol consumption and smoking (adjusted OR = 2.31, 95% CI 1.12 ~ 4.74). Conclusions The incidence of mental violence in pregnancy is high, but no significant correlation with spontaneous preterm birth. When there is a combination of physical and / or sexual violence during pregnancy, there is a significant increase in the risk of spontaneous preterm birth.