Psychological violence against pregnant women in a prenatal care cohort: rates and associated factors in São Luís, Brazil

Violence against pregnant women has been associated with gestational and perinatal disorders. Psychological violence is the type least investigated and its associated factors have been little studied. The present study was conducted in order to estimate prevalence rates and analyze the factors assoc...

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Veröffentlicht in:BMC pregnancy and childbirth 2014-02, Vol.14 (1), p.66-66, Article 66
Hauptverfasser: Ribeiro, Marizélia Rodrigues Costa, da Silva, Antônio Augusto Moura, E Alves, Maria Teresa Seabra Soares de Britto, Batista, Rosângela Fernandes Lucena, de Rocha, Lourdes Maria Leitão Nunes, Schraiber, Lilia Blima, Medeiros, Nilzângela Lima, Costa, Danielle Cristina Silva, Bettiol, Heloisa, Barbieri, Marco Antônio
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container_end_page 66
container_issue 1
container_start_page 66
container_title BMC pregnancy and childbirth
container_volume 14
creator Ribeiro, Marizélia Rodrigues Costa
da Silva, Antônio Augusto Moura
E Alves, Maria Teresa Seabra Soares de Britto
Batista, Rosângela Fernandes Lucena
de Rocha, Lourdes Maria Leitão Nunes
Schraiber, Lilia Blima
Medeiros, Nilzângela Lima
Costa, Danielle Cristina Silva
Bettiol, Heloisa
Barbieri, Marco Antônio
description Violence against pregnant women has been associated with gestational and perinatal disorders. Psychological violence is the type least investigated and its associated factors have been little studied. The present study was conducted in order to estimate prevalence rates and analyze the factors associated with exclusive and recurrent psychological violence in the municipality of São Luís, Brazil. Data regarding 982 pregnant women, aged from 14 to 45 years, interviewed in 2010 and 2011 in a prenatal cohort were used. A self-applied questionnaire was used to screen for violence. Pregnant women submitted to physical and sexual violence were excluded from the analysis of factors associated with exclusive psychological violence. Prevalence ratios and 95% confidence intervals were estimated by a Poisson regression model with a hierarchical approach at three levels. At level 1 of the theoretical-conceptual model, we analyzed demographic and socioeconomic characteristics and variables that express gender inequalities; at level 2, we analyzed social support received by the women, and at level 3, the life experiences of the pregnant women. Prevalence rate of exclusive psychological violence was 41.6% and of recurrent violence was 32.6%. Exclusive psychological violence was associated with pregnant women's age of 14 to 18 years (PR: 1.32 95% CI: 1.04 - 1.70), pregnant women's schooling superior to that of her intimate partner (PR: 1.54 95% CI: 1.09 - 2.16), inadequate social affective support/positive social interaction (PR: 1.34 95% CI: 1.11 - 1.62), use of illicit drugs by the pregnant women (PR: 1.80 95% CI: 1.16 - 2.81) and having had six or more intimate partners in life (PR: 1.52 95% CI: 1.18 - 1.96). Recurrent exclusive psychological violence was associated with inadequate social affective support/positive social interaction (PR: 1.47 95% CI: 1.15 - 1.87), use of illicit drugs by the pregnant women (PR: 2,28 95% CI: 1,40 - 3,71) and having had six or more intimate partners in life (PR: 1.47 95% CI: 1.06 - 2.03). Psychological violence was a common phenomenon in this population of pregnant women that was associated with gender inequalities, inadequate social support and illicit drug use and should be routinely investigated during prenatal visits at health care services.
doi_str_mv 10.1186/1471-2393-14-66
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Psychological violence is the type least investigated and its associated factors have been little studied. The present study was conducted in order to estimate prevalence rates and analyze the factors associated with exclusive and recurrent psychological violence in the municipality of São Luís, Brazil. Data regarding 982 pregnant women, aged from 14 to 45 years, interviewed in 2010 and 2011 in a prenatal cohort were used. A self-applied questionnaire was used to screen for violence. Pregnant women submitted to physical and sexual violence were excluded from the analysis of factors associated with exclusive psychological violence. Prevalence ratios and 95% confidence intervals were estimated by a Poisson regression model with a hierarchical approach at three levels. At level 1 of the theoretical-conceptual model, we analyzed demographic and socioeconomic characteristics and variables that express gender inequalities; at level 2, we analyzed social support received by the women, and at level 3, the life experiences of the pregnant women. Prevalence rate of exclusive psychological violence was 41.6% and of recurrent violence was 32.6%. Exclusive psychological violence was associated with pregnant women's age of 14 to 18 years (PR: 1.32 95% CI: 1.04 - 1.70), pregnant women's schooling superior to that of her intimate partner (PR: 1.54 95% CI: 1.09 - 2.16), inadequate social affective support/positive social interaction (PR: 1.34 95% CI: 1.11 - 1.62), use of illicit drugs by the pregnant women (PR: 1.80 95% CI: 1.16 - 2.81) and having had six or more intimate partners in life (PR: 1.52 95% CI: 1.18 - 1.96). Recurrent exclusive psychological violence was associated with inadequate social affective support/positive social interaction (PR: 1.47 95% CI: 1.15 - 1.87), use of illicit drugs by the pregnant women (PR: 2,28 95% CI: 1,40 - 3,71) and having had six or more intimate partners in life (PR: 1.47 95% CI: 1.06 - 2.03). Psychological violence was a common phenomenon in this population of pregnant women that was associated with gender inequalities, inadequate social support and illicit drug use and should be routinely investigated during prenatal visits at health care services.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/1471-2393-14-66</identifier><identifier>PMID: 24521235</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adolescent ; Adult ; Age ; Age Factors ; Brazil - epidemiology ; Domestic Violence - psychology ; Domestic Violence - statistics &amp; numerical data ; Educational Status ; Emotional abuse ; Female ; Gender ; Humans ; Illicit Drugs ; Middle Aged ; Pregnancy ; Pregnant Women - psychology ; Prenatal care ; Prevalence ; Public health ; Recurrence ; Sexual Partners ; Social Support ; Stress, Psychological - epidemiology ; Stress, Psychological - psychology ; Studies ; Substance-Related Disorders - epidemiology ; Surveys and Questionnaires ; Violence ; Womens health ; Young Adult</subject><ispartof>BMC pregnancy and childbirth, 2014-02, Vol.14 (1), p.66-66, Article 66</ispartof><rights>2014 Ribeiro et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Ribeiro et al.; licensee BioMed Central Ltd. 2014 Ribeiro et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-cf6a0ad0340b5d407f5a9e70300b6865db42606293cea487be2fa0925cad58013</citedby><cites>FETCH-LOGICAL-c487t-cf6a0ad0340b5d407f5a9e70300b6865db42606293cea487be2fa0925cad58013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927820/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927820/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24521235$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ribeiro, Marizélia Rodrigues Costa</creatorcontrib><creatorcontrib>da Silva, Antônio Augusto Moura</creatorcontrib><creatorcontrib>E Alves, Maria Teresa Seabra Soares de Britto</creatorcontrib><creatorcontrib>Batista, Rosângela Fernandes Lucena</creatorcontrib><creatorcontrib>de Rocha, Lourdes Maria Leitão Nunes</creatorcontrib><creatorcontrib>Schraiber, Lilia Blima</creatorcontrib><creatorcontrib>Medeiros, Nilzângela Lima</creatorcontrib><creatorcontrib>Costa, Danielle Cristina Silva</creatorcontrib><creatorcontrib>Bettiol, Heloisa</creatorcontrib><creatorcontrib>Barbieri, Marco Antônio</creatorcontrib><title>Psychological violence against pregnant women in a prenatal care cohort: rates and associated factors in São Luís, Brazil</title><title>BMC pregnancy and childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Violence against pregnant women has been associated with gestational and perinatal disorders. 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Psychological violence is the type least investigated and its associated factors have been little studied. The present study was conducted in order to estimate prevalence rates and analyze the factors associated with exclusive and recurrent psychological violence in the municipality of São Luís, Brazil. Data regarding 982 pregnant women, aged from 14 to 45 years, interviewed in 2010 and 2011 in a prenatal cohort were used. A self-applied questionnaire was used to screen for violence. Pregnant women submitted to physical and sexual violence were excluded from the analysis of factors associated with exclusive psychological violence. Prevalence ratios and 95% confidence intervals were estimated by a Poisson regression model with a hierarchical approach at three levels. 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Recurrent exclusive psychological violence was associated with inadequate social affective support/positive social interaction (PR: 1.47 95% CI: 1.15 - 1.87), use of illicit drugs by the pregnant women (PR: 2,28 95% CI: 1,40 - 3,71) and having had six or more intimate partners in life (PR: 1.47 95% CI: 1.06 - 2.03). Psychological violence was a common phenomenon in this population of pregnant women that was associated with gender inequalities, inadequate social support and illicit drug use and should be routinely investigated during prenatal visits at health care services.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>24521235</pmid><doi>10.1186/1471-2393-14-66</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age
Age Factors
Brazil - epidemiology
Domestic Violence - psychology
Domestic Violence - statistics & numerical data
Educational Status
Emotional abuse
Female
Gender
Humans
Illicit Drugs
Middle Aged
Pregnancy
Pregnant Women - psychology
Prenatal care
Prevalence
Public health
Recurrence
Sexual Partners
Social Support
Stress, Psychological - epidemiology
Stress, Psychological - psychology
Studies
Substance-Related Disorders - epidemiology
Surveys and Questionnaires
Violence
Womens health
Young Adult
title Psychological violence against pregnant women in a prenatal care cohort: rates and associated factors in São Luís, Brazil
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