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Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2014, Number 5

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Rev Invest Clin 2014; 66 (5)

Intimate partner violence and depressive symptoms in pregnant Mexican women: national survey results

Lara MA, Natera-Rey G, Berenzon S, Juárez-García F, Villatoro-Velázquez JA, Nieto L, Medina-Mora ME

Language: English
References: 44
Page: 431-438
PDF size: 154.45 Kb.


ABSTRACT

Objectives. To analyze the link between intimate partner violence (IPV) reported in the past year and depressive symptoms in pregnant Mexican women. Material and methods. The data were obtained from the National Addictions Survey (ENA) 2008. For the purposes of this paper, we analyzed a sample of women over 18 who reported being pregnant at the time of the interview (n = 250). When this number is weighted at the population level, it represents 881,575 women across the country. The χ2 test was used to analyze demographic characteristics, prevalence of depressive symptoms and intimate partner violence. A multiple logistic regression was performed to estimate predictors of depressive symptoms during pregnancy. Results. The prevalence of any type of intimate partner violence (IPV) was 5.4% and of depressive symptoms was 16.2% (CES-D ≥ 16). A total of 53.4% of pregnant women who reported IPV during the past year had depressive symptoms whereas this occurred in 14.1% of those who had not been victimized. The variables that predicted depressive symptoms during pregnancy were having been a victim of IPV (OR = 6.23) and having nine years or less of schooling (OR = 5.26). Working outside the home and family income level did not increase the risk of depressive symptoms in this population. Conclusions. This population study, representative at the national level, provides an initial overview of the link between intimate partner violence and depressive symptoms in pregnant women in México. The results highlight the need to expand research on the topics covered, as well as to detect both phenomena in a timely manner during pregnancy in order to propose the necessary care.


REFERENCES

  1. Bennet HA, Einarson A, Taddio A, Koren G, Einarson TR. Depression during pregnancy: Overview of clinical factors. Clin Drug Invest 2004; 24(3): 157-79.

  2. Ocampo R, Heinze G, Ontiveros MP. Detección de depresión postparto en el Instituto Nacional de Perinatología. Psiquiatría 2007; 23(3): 18-22.

  3. Gómez LME, Aldana CE. Alteraciones psicológicas en la mujer con embarazo de alto riesgo. Psicología y Salud 2007; 17(1): 53-61.

  4. Ortega L, Lartigue T, Figueroa M. Prevalencia de depresión a través de la Escala de Depresión Perinatal de Edinburgh (EPDS) en una muestra de mujeres mexicanas embarazadas. Perinatol Reprod Hum 2001; 44(2): 11-20.

  5. Lara MA, Navarro C, Navarrete L, Cabrera M, Almanza J, Morales F, Juárez F. Sintomatología depresiva en el embarazo y factores asociados en tres instituciones de salud de la ciudad de México. Salud Ment 2006; 29(4): 55-62.

  6. Gazmararian JA, Petersen R, Spitz AM, Goodwin MM, Saltzman LE, Marks JS. Violence and reproductive health: current knowledge and future research directions. Matern Child Health J 2000; 4(2): 79-84.

  7. Charles P, Perreira KM. Intimate partner violence during pregnancy and 1-year postpartum. J Fam Viol 2007; 22(7): 609-19.

  8. Ludermir AB, Lewis G, Valongueiro SA, de Araújo TV, Araya R. Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. Lancet 2010; 376(9744): 903-10.

  9. Tiwari A, Chan K, Fong D, Leung W, Brownridge D, Lam H, Wong B, et al. The impact of psychological abuse by an intimate partner on the mental health of pregnant women. BJOG 2008; 115: 377-84.

  10. Natera G, Tiburcio M, Villatoro J. Marital violence and its relationship to excessive drinking in Mexico. Contemp Drug Problems 1997; 24: 787-804.

  11. Cuevas S, Blanco J, Juárez C, Palma O, Valdez-Santiago R. Violencia y embarazo en usuarias del sector salud en estados de alta marginación en México. Sal Pub Mex 2006; 48(Supl. 2): S239-S249.

  12. Doubova SV, Pámanes-González V, Billings DL, Torres- Arreola LP. Violencia de pareja en mujeres embarazadas en la Ciudad de México. Rev Saúde Pública 2007; 41(4): 582-90.

  13. Castro R, Ruíz A. Prevalencia y severidad de la violencia contra mujeres embarazadas, México. Rev Saúde Pública 2004; 38(1): 62-70.

  14. Quelopana AM, Champion JD, Salazar BC. Health behavior in Mexican pregnant women with a history of violence. West J Nurs Res. 2008; 30(8): 1005-18.

  15. Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, Holmes W. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. B World Health Organ 2012; 90(2): 139-49.

  16. Martin SL, Li Y, Casanueva C, Harris-Britt A, Kupper LL, Cloutier S. Intimate Partner Violence and Women’s Depression Before and During Pregnancy. VAW 2006; 12(3): 221-39.

  17. Ogbonnaya IN, Macy RJ, Kupper LL, Martin SL, Bledsoe- Mansori SE. Intimate partner violence and depressive symptoms before pregnancy, during pregnancy, and after infant delivery: an exploratory study. J Interpers Violence 2013; 28(10): 2112-33.

  18. Beydoun HA, Beydoun MA, Kaufman JS, Lo B, Zonderman AB. Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: a systematic review and metaanalysis. Soc Sci Med 2012; 75(6): 959-75.

  19. Rodriguez MA, Heilemann MV, Fielder E, Ang A, Nevarez F, Mangione CM. Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women. Ann Fam Med 2008; 6: 44-52. DOI: 10.1370/afm.743.

  20. Field T, Diego M, Hernandez-Rief M. Prenatal depression effects on the fetus and newborn: A review. Infant Behav Dev 2006; 29(3): 445-55.

  21. Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 2004; 26(4): 289-95.

  22. Távara-Orozco L, Orderique L, Zegarra-Samamé T, Huamaní S, Félix F, Espinoza-Tarazona K, Chumbe-Ruiz O, et al. Repercusiones maternas y perinatales de la violencia basada en género. Rev Per Ginecol Obstet 2007; 53(1): 10-7.

  23. World Health Organization, Department of Reproductive Health and Research, London School of Hygiene and Tropical Medicine, South African Medical Research Council. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. WHO 2013: 1-51.

  24. Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 2005; 106(5, Pt. 1): 1071-83.

  25. Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol 2010; 202(1): 5-14.

  26. Encuesta Nacional de Adicciones (ENA). 2008. Disponible en: http: //www. inprf.org.mx/epidemiologicas/ena_2008/nacional2008.pdf [Accessed: 25/05/2013].

  27. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1(3): 385-401.

  28. Lara MA, Navarrete L. Detección de depresión en mujeres embarazadas mexicanas con la CES-D. Salud Ment 2012; 35(1): 57-62.

  29. Natera G, Juárez F, Tiburcio M. Validez factorial de una escala de violencia hacia la pareja en una muestra nacional mexicana. Salud Ment 2004; 27(2): 31-8.

  30. StataCorp. Stata Statistical Software: Release 11. College Station, TX: StataCorp LP, 2009.

  31. Lovisi GM, López JR, Coutinho ES, Patel V. Poverty, violence and depression during pregnancy: a survey of mothers attending a public hospital in Brazil. Psychol Med 2005; 35(10): 1485-92.

  32. Valentine JM, Rodriguez MA, Lapeyrouse LM, Zhang M. Recent intimate partner violence as a prenatal predictor of maternal depression in the first year postpartum among Latinas. Arch Womens Ment Health 2011; 14: 135-43.

  33. Fall A, Goulet L, Vézina M. Comparative study of major depressive symptoms among pregnant women by employment status. Springerplus 2013; 2(1): 201.

  34. Heding LW, Janson PO. Domestic violence during pregnancy. The prevalence of physical injuries, substance use, abortions and miscarriages. Acta Obstet Gynecol Scand 2000; 79: 625-30.

  35. Díaz Guerrero R. Premisas socioculturales, actitudes e investigación transcultural. En: Psicología del mexicano. 4a Ed. México: Ed. Trillas; 1982.

  36. Campbell JC, Oliver C, Bullock L. Why batteringduring pregnancy? AWHONN’s Clin Issues Perinat Womens Health Nurs 1993; 4(3): 343-9.

  37. Gelles RJ. The violent home: A study of physical aggression between husbands and wives. Newbury Park, CA: Ed. Sage; 1974.

  38. Billings DL, Torres-Arreola L del Pilar. Violencia de pareja en mujeres embarazadas en la Ciudad de México. Rev Saúde Pública 2007; 41(4): 582-90.

  39. Jasinski JL. Pregnancy and domestic violence. A review of the literature. Trauma Violence Abuse 2004; 5(1): 47-64.

  40. Pereira SE, Ludermir AB, Barreto de Araújo TV, Alves VS. Frequency and pattern of intimate partner violence before, during and after pregnancy. Rev Saúde Pública 2011; 45(6): 1-9.

  41. Norma Oficial Mexicana PROY-NOM-007-SSA2-2010, Para la atención de la mujer durante el embarazo, parto y puerperio, y del recién nacido, [05 de noviembre 2012].

  42. Modificación a la Norma Oficial Mexicana NOM-190-SSA1- 1999, Prestación de servicios de salud. Criterios para la atención médica de la violencia familiar, para quedar como NOM-046-SSA2-2005. Violencia familiar, sexual y contra las mujeres. Criterios para la prevención y atención. Secretaría de Salud (16 de Abril del 2009).

  43. Austin M-P, Highet N and the Guidelines Expert Advisory Committee. Clinical practice guidelines for depression and related disorders –anxiety, bipolar disorder and puerperal psychosis– in the perinatal period. A guideline for primary care health professionals. Melbourne, Beyondblue, The national depression initiative, 2011.

  44. Elliott NL, Merlo GB, Campbell SA, Norris SK. Clinical practice guidelines for depression and related disorders –anxiety, bipolar disorder and puerperal psychosis– in the perinatal period. A Comprehensive Systematic Literature Review. Health Technology Analysts, 2009.




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