Association of Childhood Physical and Sexual Abuse with Intimate Partner Violence, Poor General Health and Depressive Symptoms among Pregnant Women

被引:101
|
作者
Barrios, Yasmin V. [1 ]
Gelaye, Bizu [1 ]
Zhong, Qiuyue [1 ]
Nicolaidis, Christina [2 ]
Rondon, Marta B. [3 ]
Garcia, Pedro J. [4 ]
Sanchez, Pedro A. Mascaro [4 ]
Sanchez, Sixto E. [5 ,6 ]
Williams, Michelle A. [1 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
[2] Portland State Univ, Sch Social Work, Portland, OR 97207 USA
[3] Cayetano Heredia Peruvian Univ, Sect Psychiat & Mental Hlth, Dept Med, Lima, Peru
[4] Inst Nacl Materno Perinatal, Lima, Peru
[5] Univ Peruana Ciencias Aplicadas, Lima, Peru
[6] Asociac Civil PROESA, Lima, Peru
来源
PLOS ONE | 2015年 / 10卷 / 01期
基金
美国国家卫生研究院;
关键词
POSTTRAUMATIC-STRESS-DISORDER; MENTAL-HEALTH; DOMESTIC VIOLENCE; SUICIDE ATTEMPTS; HOUSEHOLD DYSFUNCTION; PERUVIAN WOMEN; RISK-FACTOR; PREVALENCE; IMPACT; MALTREATMENT;
D O I
10.1371/journal.pone.0116609
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective We examined associations of childhood physical and sexual abuse with risk of intimate partner violence (IPV). We also evaluated the extent to which childhood abuse was associated with self-reported general health status and symptoms of antepartum depression in a cohort of pregnant Peruvian women. Methods In-person interviews were conducted to collect information regarding history of childhood abuse and IPV from 1,521 women during early pregnancy. Antepartum depressive symptomatology was evaluated using the Patient Health Questionnaire-9. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (aOR) and 95%Confidence intervals (95%CI). Results Any childhood abuse was associated with 2.2-fold increased odds of lifetime IPV (95%CI: 1.72-2.83). Compared with women who reported no childhood abuse, those who reported both, childhood physical and sexual abuse had a 7.14-fold lifetime risk of physical and sexual IPV (95%CI: 4.15-12.26). The odds of experiencing physical and sexual abuse by an intimate partner in the past year was 3.33-fold higher among women with a history of childhood physical and sexual abuse as compared to women who were not abused as children (95%CI 1.60-6.89). Childhood abuse was associated with higher odds of self-reported poor health status during early pregnancy (aOR = 1.32, 95%CI: 1.04-1.68) and with symptoms of antepartum depression (aOR = 2.07, 95%CI: 1.58-2.71). Conclusion These data indicate that childhood sexual and physical abuse is associated with IPV, poor general health and depressive symptoms in early pregnancy. The high prevalence of childhood trauma and its enduring effects of on women's health warrant concerted global health efforts in preventing violence.
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页数:18
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