Violência doméstica na gravidez: prevalência e fatores associados

DOAJ (DOAJ: Directory of Open Access Journals), 2008

OBJECTIVE: To identify the factors associated with domestic violence against pregnant women. METHODS: Interviews were conducted with 1,379 pregnant women undergoing antenatal care in basic health care units of the Brazilian Health System, within the municipality of Campinas (Southeastern Brazil). A structured questionnaire on domestic violence, validated in Brazil, was applied between July 2004 and July 2006. The fi rst and second interviews in a cohort study were analyzed. Descriptive and multiple logistic regression analysis of the data were conducted. RESULTS: Psychological violence was reported by 19.1% (n=263) of the total sample of pregnant women and physical/sexual violence was reported by 6.5% (n=89) of them. The factors associated to psychological violence were: adolescent intimate partner (p<0.019) and the pregnant woman had witnessed physical aggression before she was 15 years old (p<0.001). The factors associated to physical/sexual violence were: diffi culties encountered by the pregnant woman in attending her antenatal appointments (p<0.014), intimate partner uses drugs (p<0.015) and does not work (p<0.048). The factors associated to psychological and physical/ sexual violence were: low level of education of the interviewee (p<0.013 and p<0.020, respectively), the pregnant woman being responsible for the family (p<0.001 and p=0.017, respectively) pregnant woman had suffered physical aggression during childhood (p<0.029 and p<0.038, respectively), presence of common mental disorder (p<0.001) and intimate partner consumes alcoholic beverage twice or more weekly. (p<0.001). CONCLUSIONS: A high prevalence of different categories of domestic violence by an intimate partner during pregnancy was found as well as different factors associated with them. Appropriate mechanisms are necessary, particularly in primary health care, to identify and deal with domestic violence during pregnancy.

Procedia - Social and Behavioral Sciences, 2015

Introduction: Domestic violence is, according to the World Health Organization, a public health problem, of increased severity during pregnancy, affecting the health of the woman and the fetus. Objective: The objective of this study was to identify the factors related to domestic violence during pregnancy. Research Methods: Quantitative, descriptive, correlational study with a non-probability convenience sample consisting of 852 postpartum women, of whom 370 were victims of domestic violence according to criteria adopted by the modified scale of prevalence data collected between February and June 2012 in two Portuguese public institutions of health, one in the Central Region and the other in Greater Lisbon. Findings: The prevalence of domestic violence during pregnancy was 43.4%. Predictive factors were the immigrant partner/spouse (p<0.001), with academic qualifications 9 years (p<0.001) and unemployed (p<0.001); 1000 euros monthly income (p<0.001) and good agglomeration index (p=0.002); planned pregnancy (p<0.001), but not monitored (p<0.001). Conclusion: Domestic violence during pregnancy is highly prevalent being more frequent among partners of socioeconomically disadvantaged classes, in families with few members, who despite planning the pregnancy, do not do a proper surveillance. This knowledge of improper surveillance of maternal and fetal health should function as a warning sign for the health professionals of a need for an early intervention.

Journal of clinical nursing, 2017

To determine the prevalence of domestic violence (physical, psychological or sexual) during pregnancy and to characterise these women. Pregnant women are not immune to domestic violence (DV) and therefore may be subject to any form of physical, psychological or sexual violence by partners. Health professionals&#39; knowledge and awareness is important in the identification and intervention of pregnant women who experience domestic violence. Quantitative, descriptive, correlational study, using a non-probabilistic convenience sample consisting of a total of 852 postpartum women, of whom 370 were experiencing domestic violence according to the criteria adopted through the modified scale of prevalence, applied between February and June 2012 in two Portuguese public health institutions. Authorisation was given by the Ethics Committees/Administration Councils of both institutions involved and the National Committee of Data Protection. The prevalence of DV during pregnancy was 43.4% (phys...

Ciencia & Saude Coletiva, 2022

This study analyzes the association between violence against women during pregnancy and intimate partner socioeconomic and behavioral characteristics. We conducted an analytical cross-sectional study with 327 postpartum women admitted to a maternity hospital in a city in Espírito Santo, Brazil using a questionnaire to collect data on intimate partner socioeconomic and behavioral characteristics. Intimate partner violence was assessed using questions based on the World Health Organisation instrument "Violence against Women (WHO VAW STUDY)". Associations were tested using crude and adjusted Poisson regression. The prevalence of psychological violence during pregnancy was higher among women whose partners consumed alcohol, refused to use condoms, and were not the infant's biological father. Physical violence was associated with women whose partners did not work and refused to use condoms. The prevalence of sexual violence during pregnancy was more than nine times higher among women with partners who refused to use condoms. The findings demonstrate that antenatal care is an opportune time to approach partners about health care and address violence. It is necessary to promote the utilization of health services by men in order to address risk factors for violence during pregnancy.

2015

DOI http://dx.doi.org/10.1590/19820194201500045 Hospital Maternidade Leonor Mendes de Barros, Sao Paulo, São Paulo, SP, Brazil. Universidade de São Paulo, São Paulo, São Paulo, SP, Brazil. Conflicts of interest: the authors declare that there are no conflicts of interest. Abstract Objective: To characterize domestic violence in pregnancy. Method: Cross-sectional, exploratory and analytical study of domestic violence with 385 women who attended a public maternity. The Chi-square test of Pearson and Fisher exact test were used to verify associations and considering significant results p&lt;0.05. Data of the sociodemographic characteristics of women, partners and family members and items of “Abuse Assessment Screen-AAS” were collected. Results: Domestic violence compromised 36.9% of women at some point in life and 34.6% during pregnancy. Prevalence rates were due to psychological (97.1%), physical (48.7%) and sexual (4.9%) violence and the partner was the main aggressor. The following ...

THE ULUTAS MEDICAL JOURNAL, 2016

Introduction: This study was aimed to reveal violence, the risk factors during pregnancy, and to compare it with pre-pregnancy preiod. Method: This descriptive study was conducted in a maternity polyclinic in a Government Hospital during May 2012. We interviewed interviewed by face-to-face method with 109 volunteer women. The data was evaluated by using Chi-Square and Fisher's Exact Tests. Results: The 62.4% of women stated that they were exposed to violence during this pregnancy. Verbal violence was the most frequent kind in pregnant women. Physical violence was found in 29.4% of the women. The factors affecting this violence during pregnancy have been found to be; the spouses' educational level, number of children, the presence of violence before pregnancy and the presence of violence in the spouses' past lives. Conclusion: The results verified that violence was a quite common issue in pregnancy and pregnancy was'nt a barrier for domestic violence. Therefore, during antenatal follows counselling services should be given carefully to screen violence.

2015

Objective: to analyze the scientific publications on domestic violence against pregnant women. Method: integrative review, with searches in the MEDLINE, SCOPUS, LILACS and BDENF databases, using the descriptors in Portuguese and English, domestic violence, pregnant women and Nursing. A total of 536 articles were identified. After inclusion and exclusion criteria, we obtained 16 studies that composed the sample. The presentation of the results and final discussion was done in a descriptive way, in addition to simple statistics by percentage and presented in the form of figures. Results: of the studies included in the review, 18.8% were published in 2007. Regarding the type of study, 56.3% were cross-sectional studies. The types of violence most portrayed were sexual, physical and psychological. All studies reported the risk factors for violence against pregnant women. Conclusion: analyzing the studies, it was possible to identify a wide range of risk factors found in the literature a...

BMC Pregnancy and Childbirth, 2014

Background: Violence against pregnant women has been associated with gestational and perinatal disorders. Psychological violence is the type least investigated and its associated factors have been little studied. The present study was conducted in order to estimate prevalence rates and analyze the factors associated with exclusive and recurrent psychological violence in the municipality of São Luís, Brazil. Methods: Data regarding 982 pregnant women, aged from 14 to 45 years, interviewed in 2010 and 2011 in a prenatal cohort were used. A self-applied questionnaire was used to screen for violence. Pregnant women submitted to physical and sexual violence were excluded from the analysis of factors associated with exclusive psychological violence. Prevalence ratios and 95% confidence intervals were estimated by a Poisson regression model with a hierarchical approach at three levels. At level 1 of the theoretical-conceptual model, we analyzed demographic and socioeconomic characteristics and variables that express gender inequalities; at level 2, we analyzed social support received by the women, and at level 3, the life experiences of the pregnant women. Results: Prevalence rate of exclusive psychological violence was 41.6% and of recurrent violence was 32.6%. Exclusive psychological violence was associated with pregnant women's age of 14 to 18 years (PR: 1.32 95% CI: 1.04 -1.70), pregnant women's schooling superior to that of her intimate partner (PR: 1.54 95% CI: 1.09 -2.16), inadequate social affective support/positive social interaction (PR: 1.34 95% CI: 1.11 -1.62), use of illicit drugs by the pregnant women (PR: 1.80 95% CI: 1.16 -2.81) and having had six or more intimate partners in life (PR: 1.52 95% CI: 1.18 -1.96). Recurrent exclusive psychological violence was associated with inadequate social affective support/ positive social interaction (PR: 1.47 95% CI: 1.15 -1.87), use of illicit drugs by the pregnant women (PR: 2,28 95% CI: 1,40 -3,71) and having had six or more intimate partners in life (PR: 1.47 95% CI: 1.06 -2.03). Conclusions: Psychological violence was a common phenomenon in this population of pregnant women that was associated with gender inequalities, inadequate social support and illicit drug use and should be routinely investigated during prenatal visits at health care services.

Revista de saude publica, 2017

To estimate differential associations between the exposure to violence in the family of origin and victimization and perpetration of intimate partner violence in pregnancy. A nested case-control study was carried out within a cohort study with 1,120 pregnant women aged 18-49 years old, who were registered in the Family Health Strategy of the city of Recife, State of Pernambuco, Brazil, between 2005 and 2006. The cases were the 233 women who reported intimate partner violence in pregnancy and the controls were the 499 women who did not report it. Partner violence in pregnancy and previous experiences of violence committed by parents or other family members were assessed with a standardized questionnaire. Multivariate logistic regression analyses were modeled to identify differential associations between the exposure to violence in the family of origin and victimization and perpetration of intimate partner violence in pregnancy. Having seen the mother suffer intimate partner violence ...

International Journal of Public Health Science (IJPHS)

Domestic violence also called &quot;domestic abuse&quot; or &quot;intimate partner violence&quot;, can be defined as a pattern of behavior in any relationship that is used to gain or maintain power and control over an intimate partner. Abuse is physical, sexual, emotional, economic, or psychological actions or threats of actions that influence another person. This includes any behaviors that frighten, intimidate, terrorize, manipulate, hurt, humiliate, blame, injure, or wound someone. Furthermore, it is common among women, which globally increases the risk of pregnancy. This research aimed to analyze the trigger factors of domestic violence among pregnant women. The interviews with eight participants were analyzed using the Colaizzi method. It produced five main themes, namely, the husband is often angry and fight since having an affair, income is not sufficient to fulfill the monthly needs, fights because the husband feels jealous, the husband is temperament, smacks, and also berat...