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首页> 外文期刊>Journal of women’s health >Intimate Partner Violence Before and During Pregnancy, and Prenatal Counseling Among Women with a Recent Live Birth, United States, 2009-2015
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Intimate Partner Violence Before and During Pregnancy, and Prenatal Counseling Among Women with a Recent Live Birth, United States, 2009-2015

机译：在怀孕前和怀孕前和怀孕前和妇女的产前咨询，妇女最近的孕妇，美国，2009 - 2015年

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Background: Intimate partner violence (IPV) is a leading cause of injury for reproductive-aged women. Clinical guidelines exist to assist providers in counseling women for IPV, but information on provider counseling among pregnant women from population-based sources is limited. Methods: Data for 2009-2015 from 37 states and New York City participating in the Pregnancy Risk Assessment Monitoring System (PRAMS) were analyzed (n = 258,263). We compared prevalence estimates overall and by site, of physical IPV occurring before and/or during pregnancy, and prenatal counseling on physical IPV. Multivariable logistic regression was used to identify factors associated with receiving prenatal counseling on physical IPV. Results: Overall, 3.8% of women reported experiencing any physical IPV in the 12 months before and/or during pregnancy (range: 1.5% [Connecticut] to 7.2% [Mississippi]). Prevalence of prenatal IPV counseling was 51.0% (range: 30.2% [Utah] to 63.1% [New Mexico]). Receipt of prenatal counseling on depression predicted a fourfold increase in prevalence of receiving counseling on physical IPV (adjusted prevalence ratio [aPR] = 4.20, 95% confidence interval [CI]: 4.06-4.34). In addition, non-Hispanic black race versus non-Hispanic white race, and having less than a high school education were associated with higher prevalence of receipt of IPV counseling ([aPR = 1.16, 95% CI: 1.14-1.18] and [aPR = 1.11, 95% CI: 1.08-1.13], respectively). Conclusion: Almost 4% of women with a recent live birth reported physical IPV before and/or during pregnancy. Only half of women received counseling on IPV during prenatal care, with counseling rates varying widely among states. Increased adherence to guidelines for universal screening and counseling of women could ensure all women are offered appropriate support and referral.
机译：背景：亲密的合作伙伴暴力（IPV）是生殖年龄妇女受伤的主要原因。存在临床指南，以协助妇女咨询IPV咨询提供商，但有关来自基于人口资源的孕妇的提供者咨询的信息是有限的。方法：分析了来自37个州和参加怀孕风险评估监测系统（PRAM）的37个州和纽约市的2009-2015的数据（n = 258,263）。我们比较了妊娠期估计，妊娠期和/或怀孕前和/或期间的物理IPV，以及物理IPV的产前咨询。使用多变量的逻辑回归来识别与物理IPV接受产前咨询相关的因素。结果：总体而言，3.8％的妇女报告在怀孕前和/或期间的12个月内经历任何物理IPV（范围：1.5％[康涅狄格]至7.2％[密西西比]）。产前IPV咨询的患病率为51.0％（范围：30.2％[犹他州]至63.1％[新墨西哥]）。接收到抑郁症的产前咨询预测，物理IPV接受咨询的患病率的四倍增加（调整患病率[4月] = 4.20,95％置信区间[CI]：4.06-4.34）。此外，非西班牙裔人的黑色比赛与非西班牙裔白人比赛，并且少于高中教育与接收IPV咨询的流行率较高有关（[APR = 1.16,95％CI：1.14-1.18]和[APR = 1.11,95％CI：1.08-1.13]。结论：近4％的妇女患有最近的活产出的孕妇报告了怀孕前和/或期间的物理IPV。只有一半的女性在产前护理期间接受了IPV的咨询，咨询率在各国之间变化。增加对普遍筛选和咨询妇女的准则的遵守可以确保所有妇女都提供适当的支持和转诊。

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