Violence against pregnant women and associated factors in the city of Governador Valadares
DOI:
https://doi.org/10.11606/s1518-8787.2020054002491Keywords:
Pregnant Women, Violence Against Women, Risk Factors, Socioeconomic Factors, Cross-Sectional StudiesAbstract
OBJECTIVE: To characterize violence against women during pregnancy and to verify its association with socioeconomic, demographic, obstetric, behavioral factors, health care and diseases during pregnancy. METHODS: Cross-sectional study carried out with puerperal women whose birth took place at the Municipal Hospital of Governador Valadares, in Minas Gerais, from May 2017 to July 2018. Data collection was performed through interviews, and complementary information was obtained by analyzing the prenatal file and medical records. For data analysis, logistic regression was used. RESULTS: The total of 771 puerperal women participated in the study. Of these, 62 (8.0%) reported having suffered physical, psychological or sexual violence during pregnancy. The pregnant women most likely to have suffered violence were alcohol dependent (OR = 4.97; 95%CI 2.30–10.75; p < 0.001), those who did not perform prenatal care (OR = 3.88; 95%CI 1.00–15.09; p = 0.050), those who used health services in an emergency during pregnancy (OR = 2.47; 95%CI 1.42–4.30; p = 0.001) and who had gestational diabetes (OR = 2.59; 95%CI 1.06–6.32; p = 0.037) and sexually transmitted diseases (OR = 3.85; 95%CI 1.41–10.50; p = 0.009). CONCLUSION: Violence against pregnant women is associated with behavioral factors and related to health care and diseases during pregnancy. It is essential to recognize factors associated by health professionals through actions to track situations of violence against women since the beginning of prenatal care, in order to enable early intervention.OBJECTIVE: To characterize violence against women during pregnancy and to verify its association with socioeconomic, demographic, obstetric, behavioral factors, health care and diseases during pregnancy. METHODS: Cross-sectional study carried out with puerperal women whose birth took place at the Municipal Hospital of Governador Valadares, in Minas Gerais, from May 2017 to July 2018. Data collection was performed through interviews, and complementary information was obtained by analyzing the prenatal file and medical records. For data analysis, logistic regression was used. RESULTS: The total of 771 puerperal women participated in the study. Of these, 62 (8.0%) reported having suffered physical, psychological or sexual violence during pregnancy. The pregnant women most likely to have suffered violence were alcohol dependent (OR = 4.97; 95%CI 2.30–10.75; p < 0.001), those who did not perform prenatal care (OR = 3.88; 95%CI 1.00–15.09; p = 0.050), those who used health services in an emergency during pregnancy (OR = 2.47; 95%CI 1.42–4.30; p = 0.001) and who had gestational diabetes (OR = 2.59; 95%CI 1.06–6.32; p = 0.037) and sexually transmitted diseases (OR = 3.85; 95%CI 1.41–10.50; p = 0.009). CONCLUSION: Violence against pregnant women is associated with behavioral factors and related to health care and diseases during pregnancy. It is essential to recognize factors associated by health professionals through actions to track situations of violence against women since the beginning of prenatal care, in order to enable early intervention.
References
Baird K. Women’ s lived experience of domestic violence during pregnancy (1). Pract Midwife. 2015;18(3):27-31.
World Health Organization. Violence against women. Geneva: WHO; 2019 [cited 2019 Oct 20]. Available from: https://www.who.int/news-room/fact-sheets/detail/violence-against-women
Donovan BM, Spracklen CN, Schweizer ML, Ryckman KK, Saftlas AF. Intimate partner violence during pregnancy and the risk for adverse infant outcomes:
a systematic review and meta-analysis. BJOG. 2016;123(8):1289-99. https://doi.org/10.1111/1471-0528.13928
World Health Organization, Department of Reproductive Health and Research; London School of Hygiene and Tropical Medicine; South African Medical Research Council. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. Geneva: WHO; 2013 [cited 2019 Oct 20]. Available from: https://www.who.int/reproductivehealth/publications/violence/9789241564625/en/
Drevies KM, Kishor S, Johnson H, Stöckl H, Bacchus LJ, Garcia-Moreno C, et al. Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries. Reprod Health Matters. 2010;18(36):158-70. https://doi.org/10.1016/S0968-8080(10)36533-5
Bott S, Guedes A, Ruiz-Celis AP, Mendoza JA. Intimate partner violence in the Americas: a systematic review and reanalysis of national prevalence estimates. Rev Panam Salud Publica. 2019;43:e26. https://doi.org/10.26633/RPSP.2019.26
García-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C. WHO Multi-country Study on Women’s Health and Domestic Violence against Women: initial results on prevalence, health outcomes and women’s responses. Geneva: World Health Organization; 2005 [cited 2019 Oct 20]. Available from: https://www.who.int/reproductivehealth/publications/violence/24159358X/en/
Rodrigues NCP, O’Dwyer G, Andrade MKN, Flynn MB, Monteiro DLM, Lino VTS. The increasein domestic violence in Brazil from 2009-2014. Cienc Saude Coletiva. 2017;22(9):2873-80. https://doi.org/10.1590/1413-81232017229.09902016
Governo do Estado de Minas Gerais, Sistema Integrado de Defesa Social, Centro Integrado de Informações de Defesa Social. Diagnóstico de violência doméstica e familiar nas regiões integradas de segurança pública de Minas Gerais: Registros Tentados e Consumados. Belo Horizonte, MG; 2018 [cited 2019 Oct 20]. Available from: http://www.seguranca.mg.gov.br/images/2020/Maio/Diagnosticos/final_Diagnstico%20violncia%20domstica%202015%20a%202017%20-%20MG%20e%20RISPs.pdf
Alhusen JL, Ray E, Sharps P, Bullock L. Intimate partner violence during pregnancy: maternal and neonatal outcomes. J Women’s Health (Larchmt). 2015;24(1):100-6. https://doi.org/10.1089/jwh.2014.4872
Berhanie E, Gebregziabher D, Berihu H, Gerezgiher A, Kidane G. Intimate partner violence during pregnancy and adverse birth outcomes: a case-control study. Reprod Health. 2019;16:22. https://doi.org/10.1186/s12978-019-0670-4
Defilipo EC. Fatores associados à prematuridade e ao baixo peso ao nascer em Governador Valadares, Minas Gerais: estudo caso controle [tese]. Juiz de Fora, MG: Faculdade de Medicina da Universidade Federal de Juiz de Fora; 2019.
Mayfield D, McLeod G, Hall P. The CAGE Questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974;131(10):1121-3. https://doi.org/10.1176/ajp.131.10.1121
Ministério da Saúde (BR), Secretaria Executiva. Programa Humanização do Parto: humanização no pré-natal e nascimento. Brasília, DF; 2002 [cited 2019 Oct 20]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/parto.pdf
Ribeiro MRC, Silva AAM, Britto e Alves MTSS, Batista RFL, Ribeiro CCC, Schraiber LB, et al. Effects of socioeconomic status and social support on violence against pregnant women: a structural equation modeling analysis. PLoS One. 2017;12(1):e0170469. https://doi.org/10.1371/journal.pone.0170469
Audi CAF, Segall-Corrêa AM, Santiago SM, Andrade MGG, Pérez-Escamilla R. Violência doméstica na gravidez : prevalência e fatores associados. Rev Saude Publica. 2008;42(5):877-85. https://doi.org/10.1590/S0034-89102008005000041
Devries KM, Child JC, Bacchus LJ, Mak J, Falder G, Graham K, et al. Intimate partner violence victimization and alcohol consumption in women: a systematic review and meta-analysis. Addiction. 2014;109(3):379-91. https://doi.org/10.1111/add.12393
Okada MM, Hoga LAK, Borges ALV, Albuquerque RS, Belli MA. Domestic violence against pregnant women. Acta Paul Enferm. 2015;28(3):270-4. https://doi.org/10.1590/1982-0194201500045
Moraes CL, Reichenheim ME. Rastreamento de uso de álcool por gestantes de serviços públicos de saúde do Rio de Janeiro. Rev Saude Pública. 2007;41(5):695-703. https://doi.org/10.1590/S0034-89102007000500002
Shrestha M, Shrestha S, Shrestha B. Domestic violence among antenatal attendees in a Kathmandu hospital and its associated factors: a cross-sectional study. BMC Pregnancy Childbirth. 2016;16(1):360. https://doi.org/10.1186/s12884-016-1166-7
Moraes CL, Arana FDN, Reichenheim ME. Violência física entre parceiros íntimos na gestação como fator de risco para a má qualidade do pré-natal. Rev Saude Publica. 2010;44(4):667-76. https://doi.org/10.1590/S0034-89102010000400010
Stöckl H, Watts C, Kilonzo Mbwambo JK. Physical violence by a partner during pregnancy in Tanzania: prevalence and risk factors. Reprod Health Matters. 2010;18(36):171-80. https://doi.org/10.1016/S0968-8080(10)36525-6
Coker AL, Sanderson M, Dong B. Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatr Perinat Epidemiol. 2004;18(4):260-9. https://doi.org/10.1111/j.1365-3016.2004.00569.x
Chambliss LR. Intimate partner violence and its implication for pregnancy. Clin Obstet Gynecol. 2008;51(2):385-97. https://doi.org/10.1097/GRF.0b013e31816f29ce
Jewkes RK, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010;376(9734):41-8. https://doi.org/10.1016/S0140-6736(10)60548-X
Díáz-Olavarrieta C, Wilson KS, García SG, Revollo R, Richmond K, Paz F, et al. The co-occurrence of intimate partner violence and syphilis among pregnant
women in Bolivia. J Women’s Health (Larchmt). 2009;18(12):2077-86. https://doi.org/10.1089/jwh.2008.1258
Weiss HA, Patel V, West B, Peeling RW, Kirkwood BR, Mabey D. Spousal sexual violence and poverty are risk factors for sexually transmitted infections in women:
a longitudinal study of women in Goa, India. Sex Transm Infect. 2008;84(2):133-9. https://doi.org/10.1136/sti.2007.026039
Wilson BL, Dyer JM, Latendresse G, Wong B, Baksh L. Exploring the psychosocial predictors of gestational diabetes and birth weight. J Obstet Gynecol Neonatal Nurs. 2015;44(6):760-71. https://doi.org/10.1111/1552-6909.12754
Mason SM, Tobias DK, Clark CJ, Zhang C, Hu FB, Rich-Edwards JW. Abuse in Childhood or Adolescence and Gestational Diabetes: a retrospective cohort study. Am J Prev Med. 2016;50(4):436-44. https://doi.org/10.1016/j.amepre.2015.08.033
Mason SM, Wright RJ, Hibert EN, Spiegelman D, Jun HJ, Hu FB, et al. Intimate partner violence and incidence of type 2 diabetes in women. Diabetes Care. 2013;36(5):1159-65. https://doi.org/10.2337/dc12-1082
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