Physical and Sexual Violence During Pregnancy and After Delivery: a Prospective Multistate Study of Women with or at Risk for HIV Infection

Overview

Journal Am J Public Health

Specialty Public Health

Date 2006 May 4

PMID 16670222

Citations 23

Authors

Linda J Koenig

Daniel J Whitaker

Rachel A Royce

Tracey E Wilson

Kathleen Ethier

M Isabel Fernandez

Affiliations

Soon will be listed here.

Abstract

Objectives: We sought to describe and compare prevalence rates of and risk factors for violence against women during pregnancy and postpartum.

Methods: Physical and sexual violence and violence risk factors were assessed during late pregnancy and 6 months postpartum in a prospective study of pregnant women with (n=336) and without (n=298) HIV in 4 US states.

Results: Overall, 10.6% of women reported having experienced violence, 8.9% during pregnancy and 4.9% after delivery. Of these women, 61.7% were abused only during their pregnancy, 21.7% were repeatedly abused, and 16.7% were abused only after their delivery. Sexual violence rarely occurred in the absence of physical violence. The strongest predictor of violence was engaging in bartered sex (adjusted odds ratio [OR]=5.54; 95% confidence interval [CI] =2.0, 15.4). Other predictors included frequent changes in residence (adjusted OR=1.57; 95% CI=1.1, 2.2), financial support from family or partners (adjusted OR=0.42; 95% CI=0.2, 0.8), and HIV diagnosis during current pregnancy (adjusted OR=0.30; 95% CI=0.1, 0.7).

Conclusions: Women more commonly experienced violence during than after their pregnancy, but violence was best predicted by socioeconomic and behavioral indicators whose influence did not vary over time.

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References

Martin S, Clark K, Lynch S, Kupper L, Cilenti D . Violence in the lives of pregnant teenage women: associations with multiple substance use. Am J Drug Alcohol Abuse. 1999; 25(3):425-40. DOI: 10.1081/ada-100101870. View

Lipsky S, Holt V, Easterling T, Critchlow C . Impact of police-reported intimate partner violence during pregnancy on birth outcomes. Obstet Gynecol. 2003; 102(3):557-64. DOI: 10.1016/s0029-7844(03)00573-8. View

Clark K, Martin S, Petersen R, Cloutier S, Covington D, Buescher P . Who gets screened during pregnancy for partner violence?. Arch Fam Med. 2000; 9(10):1093-9. DOI: 10.1001/archfami.9.10.1093. View

. American Medical Association Diagnostic and Treatment Guidelines on Domestic Violence. Arch Fam Med. 1992; 1(1):39-47. DOI: 10.1001/archfami.1.1.39. View

Coker A, Smith P, McKeown R, King M . Frequency and correlates of intimate partner violence by type: physical, sexual, and psychological battering. Am J Public Health. 2001; 90(4):553-9. PMC: 1446198. DOI: 10.2105/ajph.90.4.553. View

Gazmararian J, Lazorick S, Spitz A, Ballard T, Saltzman L, Marks J . Prevalence of violence against pregnant women. JAMA. 1996; 275(24):1915-20. View

Dietz P, Rochat R, Thompson B, Berg C, Griffin G . Differences in the risk of homicide and other fatal injuries between postpartum women and other women of childbearing age: implications for prevention. Am J Public Health. 1998; 88(4):641-3. PMC: 1508420. DOI: 10.2105/ajph.88.4.641. View

Chamberlain L . Physicians' screening practices for female partner abuse during prenatal visits. Matern Child Health J. 2000; 4(2):141-8. DOI: 10.1023/a:1009530523057. View

Horon I, Cheng D . Enhanced surveillance for pregnancy-associated mortality--Maryland, 1993-1998. JAMA. 2001; 285(11):1455-9. DOI: 10.1001/jama.285.11.1455. View

10.

Zeger S, Liang K . Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986; 42(1):121-30. View

11.

Krulewitch C, Guy R, Green R . Hidden from view: violent deaths among pregnant women in the District of Columbia, 1988-1996. J Midwifery Womens Health. 2001; 46(1):4-10. DOI: 10.1016/s1526-9523(00)00096-9. View

12.

Chang J, Berg C, Saltzman L, Herndon J . Homicide: a leading cause of injury deaths among pregnant and postpartum women in the United States, 1991-1999. Am J Public Health. 2005; 95(3):471-7. PMC: 1449204. DOI: 10.2105/AJPH.2003.029868. View

13.

Martin S, English K, Clark K, Cilenti D, Kupper L . Violence and substance use among North Carolina pregnant women. Am J Public Health. 1996; 86(7):991-8. PMC: 1380441. DOI: 10.2105/ajph.86.7.991. View

14.

Muhajarine N, DArcy C . Physical abuse during pregnancy: prevalence and risk factors. CMAJ. 1999; 160(7):1007-11. PMC: 1230192. View

15.

Nicolaidis C . Screening for family and intimate partner violence. Ann Intern Med. 2004; 141(1):81-2. DOI: 10.7326/0003-4819-141-1-200407060-00033. View

16.

Newberger E, Barkan S, Lieberman E, McCormick M, Yllo K, Gary L . Abuse of pregnant women and adverse birth outcome. Current knowledge and implications for practice. JAMA. 1992; 267(17):2370-2. View

17.

Soler E, Campbell J . Screening for family and intimate partner violence. Ann Intern Med. 2004; 141(1):82. DOI: 10.7326/0003-4819-141-1-200407060-00034. View

18.

Campbell J, Torres S, Ryan J, King C, Campbell D, Stallings R . Physical and nonphysical partner abuse and other risk factors for low birth weight among full term and preterm babies: a multiethnic case-control study. Am J Epidemiol. 1999; 150(7):714-26. DOI: 10.1093/oxfordjournals.aje.a010074. View

19.

Frye V . Examining homicide's contribution to pregnancy-associated deaths. JAMA. 2001; 285(11):1510-1. DOI: 10.1001/jama.285.11.1510. View

20.

El Kady D, Gilbert W, Xing G, Smith L . Maternal and neonatal outcomes of assaults during pregnancy. Obstet Gynecol. 2005; 105(2):357-63. DOI: 10.1097/01.AOG.0000151109.46641.03. View