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首页> 外文期刊>Journal of women’s health >Violence against women and postpartum depression.
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Violence against women and postpartum depression.

机译:对妇女的暴力行为和产后抑郁症。

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BACKGROUND: Violence against women (VAW), including intimate partner violence (IPV) in its various forms (sexual, physical, or stalking), and childhood violence (sexual or physical) are common and are associated with depressive symptoms. We examined the association between these violence exposures and self-reported history of postpartum depression (PPD). METHODS: Women from the Kentucky Women's Health Registry (KWHR) who reported at least one live birth were included in this study. Individual IPV and child abuse histories were examined for association with self-reported history of PPD. Multivariate regression analysis estimated adjusted risk ratios (aRR) and 95% confidence intervals (95% CI), controlling for age, obstetrical history, and substance abuse history. RESULTS: The 5380 women in the KWHR reporting at least one live birth were included in this study. Of these women, 2508 (46.6%) reported a history of any VAW. A history of adult VAW was associated with a history of PPD (aRR 1.48, 95% CI 1.12-1.95). Physical IPV (aRR 1.48, 95% CI 1.12-1.95) and stalking IPV (aRR 1.39, 95% CI1.03-1.87) were individually associated with PPD. Other types of violence were not individually associated with a history of PPD. The strength of association increased with each additional type of violence experienced (aRR1.17, 95% CI 1.06-1.30). CONCLUSIONS: Adult VAW is associated with self-reported history of PPD. With an increase in the number of types of abuse experienced, this association became stronger. Our findings highlight the need for thorough VAW screening in obstetrical populations.
机译:背景:对妇女的暴力(VAW),包括各种形式(性,肉体或缠扰)的亲密伴侣暴力(IPV),以及儿童时期(性或肉体)暴力,都是与抑郁症症状相关的。我们检查了这些暴力暴露与自我报告的产后抑郁症(PPD)历史之间的关联。方法:本研究包括来自肯塔基州妇女健康登记局(KWHR)的报告至少活产的妇女。检查了个人IPV和虐待儿童的历史与自己报告的PPD历史的关系。多元回归分析估计了调整后的风险比(aRR)和95%的置信区间(95%CI),控制了年龄,产科史和药物滥用史。结果:这项研究包括了KWHR中5380名报告至少活产的妇女。在这些女性中,有2508名(46.6%)报告有任何VAW病史。成人VAW的病史与PPD的病史相关(aRR 1.48,95%CI 1.12-1.95)。 PPD分别与物理IPV(aRR 1.48,95%CI 1.12-1.95)和跟踪IPV(aRR 1.39,95%CI1.03-1.87)相关。其他类型的暴力并没有与PPD的病史单独相关。伴随着每一种其他类型的暴力,结社的力量也会增加(aRR1.17,95%CI 1.06-1.30)。结论:成人VAW与自我报告的PPD病史有关。随着经历的虐待类型数量的增加,这种联系变得更加牢固。我们的发现强调了在产科人群中进行彻底的VAW筛查的必要性。

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