The relationship between spousal violence, maternal functioning, depression, and anxiety among Iranian postpartum mothers: a prospective study

BMC Psychology, Journal Year: 2024, Volume and Issue: 12(1)

Published: Sept. 29, 2024

Language: Английский

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Domestic violence victims in a hospital setting: prevalence, health impact and patients’ preferences – results from a cross-sectional study

European journal of psychotraumatology, Journal Year: 2019, Volume and Issue: 10(1)

Published: Aug. 22, 2019

Background: Domestic violence (DV) is a widespread yet commonly underdetected problem with severe impact on physical and mental health. To date, only limited information available prevalence detection-rates of victims DV in hospital settings. Objective: The aim this study was (a) to assess the health as well risk-factors associated it, (b) determine how many patients had been asked directly about (c) investigate patients' preferences being setting. Methods: Adult inpatients outpatients at seven somatic departments University Hospital Innsbruck (Austria) were included consecutively ad-hoc, cross-sectional paper-and-pencil questionnaire-based study. In total, n = 2,031 assessed regarding their experiences DV. They also reported whether they would mind it. evaluate self-reported health, odds ratios calculated using binary logistic regression. Results: by 17.4% patients, 4.0% indicating current exposure. Lifetime exposure significant risk for both health-problems. Only 4.8% ever it staff. While history more open than without (78.2% vs. 72.9%), overall acceptance still high (74%). Conclusion: frequently overlooked detrimental effects assessment found, small proportion affected indeed Screening hospitals may thus increase number identified patients.Antecedentes: La violencia doméstica es un problema extendido, pero poco detectado, que tiene impacto severo sobre la salud física y mental. A fecha, únicamente se encuentra disponible información limitada prevalencia tasas de detección víctimas en entornos hospitalarios.Objetivo: El propósito este estudio fue a) determinar el mental, además los factores riesgo ella asociadas, b) cuántos pacientes les ha preguntado directamente doméstica, c) investigar las preferencias hecho preguntarles respecto entorno hospitalario.Métodos: Se incluyeron hospitalizados ambulatorios siete departamentos somáticos Universidad transversal basado cuestionario resuelto mano. evaluó total 2031 sus experiencias torno doméstica. También reportaron si preguntó hospital, importaba pregunte ello. Para evaluar su estado autoreportado calculó proporción probabilidades mediante regresión logística binaria.Resultados: reportada por 17,4% pacientes, con 4,0% reportando curso. vida exposición asoció significativo problemas tanto físicos como mentales. personal del solo 4,8% ella. Pese antecedente eran más abiertos sin (78,2% contra 72,9%), aceptación general era aún alta (74%).Conclusión: frecuencia ignorado presenta consecuencias nocivas pesar encontró una para evaluación pequeña efecto Por tanto, tamizaje hospitales podría incrementar número identificados.背景：家庭暴力（DV）是一个广泛存在但却普遍欠缺检测的问题，会对身心健康造成严重影响。迄今为止，医院中DV受害者的患病率和检出率仅有有限的信息可用。目的：本研究的目的是：（a）评估DV的流行率、对身心健康的影响以及与之相关的风险因素，（b）确定医院中有多少患者被直接问及了DV相关信息以及（c）调查患者对于在医院中被问及DV的偏好。方法：奥地利因斯布鲁克大学医院的七个躯体科的成年住院病人和门诊病人被依次纳入这项特定的基于纸笔问卷的横断面研究。总共评估了2031名病人的DV经历。他们还报告了是否曾在医院被问及DV以及是否介意被问到这个问题。为估计DV对病人自评身心健康的影响，采用二元逻辑回归计算了优势比。结果：17.4％的病人报告经历过DV，4.0％表示目前正在处于DV暴露。终身DV暴露与躯体和精神健康问题的风险均有显著相关。仅有4.8％的DV暴露病人被医院工作人员问及相关信息。虽然有DV史的病人比没有经历过DV的病人更乐于接纳被问及DV（78.2％对72.9％），总体接受度仍然很高（74％）。结论：DV是一个会对身心健康产生不利影响却经常被忽略的问题。虽然发现了对于DV评估的高度接纳度，但只有一小部分受到DV影响的病人真正地进行了评估。因此，在医院筛查DV也许能够提高确诊病人的数量。.

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Addressing Psychosocial Vulnerabilities Through Antenatal Care—Depression, Suicidal Ideation, and Behavior: A Study Among Urban Sri Lankan Women

Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 12

Published: May 24, 2021

An absence of data persists for common perinatal mental disorders and suicidal ideation and/or behaviors (SIB), particularly from low- middle-income countries the antenatal period. Capitalizing on Sri Lanka's strong platform, we identify prevalence depressive symptomology, lifetime- current-pregnancy SIB their risk factors in women urbanizing Lanka, present opportunities improved detection psychosocial vulnerabilities. One thousand Gampaha District all trimesters pregnancy were screened 2016 using a novel three-part instrument, including validated Edinburgh Postnatal Depression Scale, modified Columbia-Suicide Severity Rating Scale first ever use among South Asian population, an original Life Circumstances questionnaire (with subscales). Prevalence associated with symptomology explored univariate, bivariate logistic regression analyses. Women ranged 16 to 42 years; 46% nulliparous. Past-week was high (29.6%). four reported lifetime history SIB, while during current at 7.4%. Exposure intimate partner violence emerged as strongest correlates both outcomes ( p < 0.05). This study evidences multiple vulnerabilities pregnant Lanka underscores need comprehensive assessment. Given care's rates general, this presents it promising mechanism through which effectively screen vulnerabilities, supporting early identification intervention at-risk families.

Language: Английский

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Intimate partner violence and maternal health services utilization: evidence from 36 National Household Surveys

BMC Public Health, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 25, 2021

Abstract Background High rates of maternal mortality and intimate partner violence (IPV) are both major worldwide health challenges. Evidence from single-country samples suggests that IPV may be an important risk factor for low utilization services, but there is little large-scale evidence on this association. This paper evaluates whether a services in large cross-country sample, also compiles the relative effects different forms IPV. Methods We analyze association between care, using dataset compiling all Demographic Health Surveys report data violence. Using 166,685 women observed 36 countries 2005 2016, we estimate logistic regression models to relationship lifetime experience antenatal care (ANC), facility delivery postnatal care. unadjusted adjusted geographic sociodemographic characteristics generally correlated with (including age, education, number children, wealth status, marital urbanity). Results Lifetime any associated decreased use broad sample births lower middle-income countries: particular, four or more ANC visits, at birth. remains statistically significant even after adjusting country residence, subnational region additional individual-level covariates; however, no The only form significantly physical Conclusions Women experiencing show levels developing countries. Given reduced neonatal outcomes, pattern prevention component interventions targeting enhanced health.

Language: Английский

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A systematic review of the effects of intimate partner violence on HIV-positive pregnant women in sub-Saharan Africa

BMC Public Health, Journal Year: 2022, Volume and Issue: 22(1)

Published: Feb. 3, 2022

Abstract Background Intimate partner violence (IPV) affects more than one in three women sub-Saharan Africa (SSA). It is associated with both pregnancy and HIV, adversely affecting this region. This the first systematic examination of effects IPV on HIV-positive (HIV+) pregnant SSA. Methods A review literature HIV+ experiencing SSA was carried out. Searches were out PubMed, Web Science African Journals Online databases. Articles published between January 2010 June 2020, English, included. Data extraction included details study locations, design, participants outcome variables (depression, IPV, medication adherence, postpartum unsafe sex, HIV disclosure). Results Fourteen studies (ten cross-sectional studies, four cohort studies) indicate a high prevalence amongst (18.0 to 63.1%). The results suggest an association status consequences during pregnancy, particularly mental health effects, such as depression symptoms suicidal ideation. HIV-related stigma has key role within relationship pregnancy. One described that presence reduces adherence Prevention Mother-To-Child Transmission (PMTCT) medication. Three reported no positive or disclosure Discussion/conclusions confirms interconnections seropositivity Importantly, stigma, social isolation poor hinder help-seeking, disclosure, treatment among exposed As result, potential community interventions tackle issues area should be explored research, policy, practice.

Language: Английский

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