Physical and sexual violence during pregnancy and after delivery: a prospective multistate study of women with or at risk for HIV infection.

• Autores: Linda J. Koenig, Daniel J. Whitaker, Rachel A. Royce, Tracey E. Wilson, Kathleen Ethier, M. Isabel Fernandez
• Localización: American journal of public health, ISSN 0090-0036, Vol. 96, Nº. 6, 2006, págs. 1052-1059
• Idioma: inglés
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• Resumen

  • 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.;