Linda N Oseso1,2, Daisy Krakowiak1, Ruth Nduati3, Carey Farquhar1,4,5,6, John Kinuthia6,7,8, Alfred O Osoti1,5,8, Brandon L Guthrie1,5. 1. Department of Epidemiology, University of Washington, Seattle, Washington, USA. 2. Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. 3. Department of Pediatrics and Child Health, University of Nairobi, Nairobi, Kenya. 4. Department of Medicine, University of Washington, Seattle, Washington, USA. 5. Department of Global Health, University of Washington, Seattle, Washington, USA. 6. Department of Research and Programs, Kenyatta National Hospital, Nairobi, Kenya. 7. Department of Reproductive Health, Kenyatta National Hospital, Nairobi, Kenya. 8. Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya.
Abstract
OBJECTIVE: To investigate how identifying factors associated with peripartum and postpartum intimate partner violence (IPV) may facilitate prioritizing women for psychosocial support. METHODS: Pregnant women in Kenya were asked about IPV by their current partner at baseline (screening), during pregnancy and at 6 weeks and 6 months postpartum. IPV was defined as being physically hurt or forced to participate in sexual activities or being threatened or frightened by a partner. RESULTS: A total of 502 women (11.8% HIV-positive) enrolled during pregnancy and were successfully followed for 6 months postpartum, 430 (85.7%) reported never experiencing IPV, 32 (6.4%) reported IPV at least once in their lifetime but not in the past 6 months, and 31 (6.2%) reported IPV in the past 6 months but not in the past month. During pregnancy and postpartum, 61 (12.2%) reported incident IPV. Women who at baseline reported IPV in the past 6 months were at 2.7-fold higher odds of experiencing IPV peripartum and postpartum (odds ratio 2.77; 95% confidence interval 1.17-6.53; P = 0.020) compared with women who had never experienced IPV. This association remained significant in multivariable analysis. CONCLUSION: Screening for recent IPV during antenatal care visits may be an effective means to identify women at highest risk of IPV and offer targeted prevention interventions.
OBJECTIVE: To investigate how identifying factors associated with peripartum and postpartum intimate partner violence (IPV) may facilitate prioritizing women for psychosocial support. METHODS: Pregnant women in Kenya were asked about IPV by their current partner at baseline (screening), during pregnancy and at 6 weeks and 6 months postpartum. IPV was defined as being physically hurt or forced to participate in sexual activities or being threatened or frightened by a partner. RESULTS: A total of 502 women (11.8% HIV-positive) enrolled during pregnancy and were successfully followed for 6 months postpartum, 430 (85.7%) reported never experiencing IPV, 32 (6.4%) reported IPV at least once in their lifetime but not in the past 6 months, and 31 (6.2%) reported IPV in the past 6 months but not in the past month. During pregnancy and postpartum, 61 (12.2%) reported incident IPV. Women who at baseline reported IPV in the past 6 months were at 2.7-fold higher odds of experiencing IPV peripartum and postpartum (odds ratio 2.77; 95% confidence interval 1.17-6.53; P = 0.020) compared with women who had never experienced IPV. This association remained significant in multivariable analysis. CONCLUSION: Screening for recent IPV during antenatal care visits may be an effective means to identify women at highest risk of IPV and offer targeted prevention interventions.
Authors: Patricia A Janssen; Victoria L Holt; Nancy K Sugg; Irvin Emanuel; Cathy M Critchlow; Angela D Henderson Journal: Am J Obstet Gynecol Date: 2003-05 Impact factor: 8.661
Authors: K M Devries; J Y T Mak; C García-Moreno; M Petzold; J C Child; G Falder; S Lim; L J Bacchus; R E Engell; L Rosenfeld; C Pallitto; T Vos; N Abrahams; C H Watts Journal: Science Date: 2013-06-20 Impact factor: 47.728
Authors: James N Kiarie; Carey Farquhar; Barbra A Richardson; Marjory N Kabura; Francis N John; Ruth W Nduati; Grace C John-Stewart Journal: AIDS Date: 2006-08-22 Impact factor: 4.177