2005, Number 5
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salud publica mex 2005; 47 (5)
Violence during pregnancy: A population based study in Ometepec, Guerrero, Mexico.
Paredes-Solís S, Villegas-Arrizón A, Meneses-Rentería A, Rodríguez-Ramos IE, Reyes-De Jesús L, Andersson N
Language: Spanish
References: 28
Page: 335-341
PDF size: 124.72 Kb.
ABSTRACT
Objective. The occurrence of physical abuse during pregnancy, identifying associated factors and outcomes for women’s health was estimated.
Material and Methods. A
cross-sectional community-based study in Ometepec in the
Mexican state of Guerrero identified women who reported
at least one pregnancy in the three years prior to the
survey. These completed a questionnaire administered by a
female nurse.
Results. Out of 2 389 women in Ometepec, 709 were eligible to complete the questionnaire. Among those interviewed without being present their partners/husbands, 21% reported a history of physical abuse and 5.6% reported physical abuse during the last pregnancy. There was a strong association between physical abuse in pregnancy and the report of vaginal bleeding. This suggests that physical abuse might be linked to miscarriage (p=0.06). We found little recognition of physical abuse as cause of obstetrical problems. There was also an association between physical violence during pregnancy and the admission of violent reactions against children, based on a hypothetical scenario of disobedience.
Conclusions. This study identified important associations between obstetrical problems and physical violence.
REFERENCES
Violencia contra la mujer. Un tema de salud prioritario. Washington, D.C.: OMS/OPS, 1998.
Ramírez-Rodríguez JC, Uribe-Vázquez G. Mujer y violencia: un hecho cotidiano. Salud Publica Mex 1993;35:148-160.
Berenson BA, Wiemann MC, Wilkinson SG, Jones AW, Andersson DG. Perinatal morbidity associated with violence experienced by pregnant women. Am J Obstet Gynecol 1994;170(6):1760-1769.
Stewart DE, Cecutti A. Physical abuse in pregnancy. Can Med Assoc J 1993;149(9):1257-1263.
Muhjarine N, D’Arcy C. Physical abuse during pregnancy: Prevalence and risk factors. Can Med Assoc J 1999;160(7):1007-1011.
Martin SL, Mackie L, Kupper LL, Buescher PA, Moracco KE. Physical abuse of women before, during and after pregnancy. JAMA 2001;285(12) 1581-1584.
Alvarado-Zaldívar G, Salvador-Moysén J, Estrada Martínez S, Terrones-González A. Prevalencia de violencia doméstica en la ciudad de Durango. Salud Publica Mex 1998;40:481-486.
Valdez-Santiago R, Sanín-Aguirre LH. La violencia doméstica durante el embarazo y su relación con el peso al nacer. Salud Publica Mex 1996;38:352-362
Ballard TJ, Saltzman LE, Gazmarian JA, Spitz AM, Lazorick S, Marks JS. Violence during pregnancy: Measurement issues. Am J Public Health 1998;88(2):274-276.
Gazmarian JA, Lazorick S, Spitz AM, Ballard TJ, Saltzman LE, Marks JS. Prevalence of violence against pregnant women. JAMA 1996;275(24):1915-1920.
Sisley A, Jacobs L, Poole G, Cambell S, Esposito T. Violence in America: A public health crisis-domestic violence. J Trauma 1999;46(6):1105-1112.
Lamberg L. Domestic violence: What to ask, what to do. JAMA 2000;284(5):554-556.
Webster J, Chandler J, Battistutta D. Pregnancy outcomes and health care use: Effects of abuse. Am J Obstet Gynecol 1996;174(2):760-767.
Dean AG, Dean JA, Burton A, Dicker R. Epi Info, version 6.04 . A Word processing, database, and statistics system for epidemiology with microcomputers. Georgia: Division of Surveillance and Epidemiology, Epidemiology Program Office, Centers for Disease Control, 2001.
Andersson N. La estimación de riesgo. Prioridades de Salud CIET 1990;1(2):57-66.
Andersson N, Mitchell S. CIETmap: Free GIS and epidemiology software from the CIETgroup, helping to build the community voice into planning. World Congress of Epidemiology; Ago 2002; Montreal, Canada.
Mhatre S, Andersson N, Ansari N, Omer K. Access to justice for women of Karachi. A pilot assessment. CIET Canada, 2002.
Lown EA, Vega WA. Prevalence and predictors of physical partner abuse among Mexican American women. Am J Public Health 2001;91(3):441-445.
Wegner JP, Mongan P, Hamrick D, Hendrick KL. Experience of abuse in primary care patients: Racial and rural differences. Arch Fam Med 1995;4(11):956-962.
Murphy CC, Schei B, Myhr T, Mont JD. Abuse: A risk factor for low birth weight? A systematic review and meta-analysis. Can Med Assoc J 2001;164(11):1567-1572.
Klevens J. Violencia física contra la mujer en Santa Fe de Bogotá: prevalencia y factores asociados. Rev Panam Salud Publica 2001;9(2):78-83.
Wagner PJ, Mongan PF. Validating the concept of abuse: Women’s perception of defining behaviors and the effects of emotional abuse on health indicators. Arch Fam Med 1998;7(1):25-29.
CIETinternational. Beyond victims and villains: The culture of sexual violence in South Johannesburg, [monografia en internet]. Johannesburgo: CIET International, 2003 [consultado 2004 marzo 12]. Disponible en: http://www.ciet.org/www/image/country/safrica_victims.html
Mayer L, Liebschutz J. Domestic violence in the pregnant patient: Obstetric and behavioral interventions. Obstet Gynecol Surv 1998;53(10):627-635.
Elliot AB, Johnson M. Domestic violence in a primary care setting: Patterns and prevalence. Arch Fam Med 1995;4(2):113-119.
Valdez-Santiago R, Arenas-Monreal L, Hernández-Tezoquipa I. Experiencia de las parteras en la identificación de mujeres maltratadas durante el embarazo. Salud Publica Mex 2004;46:56-63.
Gerard M. Domestic violence: How to screen & intervene. RN 2000;63(12):52-58.
Ashur CML. Asking about domestic violence: SAFE questions. JAMA 1993;269(18):2367.