Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis

被引:65
|
作者
Roman-Galvez, Rosario M. [1 ,2 ]
Martin-Pelaez, Sandra [3 ,4 ]
Fernandez-Felix, Borja M. [5 ,6 ]
Zamora, Javier [5 ,6 ]
Khan, Khalid S. [3 ,6 ]
Bueno-Cavanillas, Aurora [3 ,4 ,6 ]
机构
[1] Univ Granada, Fac Ciencias Salud, Dept Enfermeria, Granada, Spain
[2] Unidad Asistencial Alhama Granada, Serv Andaluz Salud, Granada, Spain
[3] Univ Granada, Fac Med, Dept Med Prevent & Salud Publ, Granada, Spain
[4] Inst Invest Biosanitaria Granada IBS, Granada, Spain
[5] Hosp Ramon & Cajal, Inst Ramon y Cajal Invest Sanitaria IRYCIS, Clin Biostat Unit, Madrid, Spain
[6] Inst Salud Carlos III, Ctr Invest Biomed Red CIBER Epidemiol & Salud Pub, Madrid, Spain
关键词
pregnancy; intimate partner violence; domestic violence; prenatal care; prevalence; DOMESTIC VIOLENCE; SEXUAL-ABUSE; WOMEN; OUTCOMES; HEALTH; RISK;
D O I
10.3389/fpubh.2021.738459
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Intimate partner violence (IPV) affects outcomes of mothers and their offspring. This systematic review collated the worldwide literature on the prevalence rates of different types of IPV in pregnancy.</p> & nbsp;</p> Methods: Two reviewers independently identified cross sectional and cohort studies of IPV prevalence in pregnancy in online databases (PubMed, WOS and Scopus), selected and extracted data [participants' country, study quality, measurement tool (validation and purpose) and rates of IPV in pregnancy]. We considered a high quality study if it had a prospective design, an adequate sampling method, a sample size estimation, a response rate > 90%, a contemporary ascertainment of IPV in the index pregnancy, and a well-developed detailed IPV tool. We performed random effects meta-analysis and explored reasons for heterogeneity of rates.</p> & nbsp;</p> Results: One hundred fifty-five studies were included, of which 44 (28%) met two-thirds of the quality criteria. Worldwide prevalence of physical (126 studies, 220,462 participants), psychological (113 studies, 189,630 participants) and sexual (98 studies, 155,324 participants) IPV in pregnancy was 9.2% (95% CI 7.7-11.1%, I-2 95.9%), 18.7% (15.1-22.9%, I-2 98.2%), 5.5% (4.0-7.5%, I-2 93.4%), respectively. Where several types of IPV were reported combined, the prevalence of any kind of IPV (118 studies, 124,838 participants) was 25.0% (20.3, 30.5%, I-2 98.6%). IPV rates varied within and between continents, being the highest in Africa and the lowest in Europe (p < 0.001). Rates also varied according to measurement purpose, being higher for diagnosis than for screening, in physical (p = 0.022) and sexual (p = 0.014) IPV.</p> & nbsp;</p> Conclusions: IPV prevalence in pregnancy varies across countries, with one-quarter of mothers exposed on average globally. Routine systematic antenatal detection should be applied worldwide.</p> & nbsp;</p> Systematic Review Registration: identifier: CRD42020176131.</p>
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页数:8
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