Personal and psychosocial predictors of psychological abuse by partners during and after pregnancy

A longitudinal cohort study in a community sample

V. Escribà-Agüir, M. Royo-Marqués, L. Artazcoz, P. Romito, I. Ruiz-Pérez, D. Martín-Baena

Research output: Contribution to journalArticle

Abstract

Objective To describe the incidence and risk factors of psychological intimate partner violence (IPV) during pregnancy and the first year after childbirth. Design Longitudinal cohort study. Setting Nine primary care centers in the Valencia Region (Spain). Population A consecutive sample of 1400 women in the first trimester of pregnancy, attending the prenatal programme in the Valencia Region of Spain in 2008, with follow-up in the third trimester of pregnancy, and at 5 and 12 months postpartum. A total of 888 women (66.5%) participated in all four phases. Methods A logistic regression model was fitted using generalised estimating equations to assess the effects of previous partner violence, consumption of alcohol or illicit drugs and social support on subsequent psychological partner violence. Main outcome measure Psychological IPV during follow-up. Results We observed an increase in the incidence of psychological IPV after birth, particularly at 5 months postpartum. The strongest predictor of psychological IPV was having experienced abuse 12 months before pregnancy (OR 10.46, 95%CI 2.40-45.61). Other predictors were consumption of alcohol or illicit drugs by the partner or a family member (OR3.50, 95%CI 1.38-8.85) and lack of affective social support (OR2.83, 95%CI 1.31-6.11). Conclusions Previous abuse and psychosocial risk factors predict partner psychological abuse after birth. Monitoring psychological IPV and effective interventions are needed not only during pregnancy but also during the postpartum period.

Original languageEnglish (US)
Pages (from-to)576-582
Number of pages7
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume120
Issue number5
DOIs
StatePublished - Apr 2013
Externally publishedYes

Fingerprint

Spouse Abuse
Longitudinal Studies
Cohort Studies
Psychology
Pregnancy
Postpartum Period
Street Drugs
Parturition
Violence
Social Support
Alcohol Drinking
Spain
Logistic Models
Incidence
Third Pregnancy Trimester
First Pregnancy Trimester
Primary Health Care
Outcome Assessment (Health Care)
Intimate Partner Violence

Keywords

  • Longitudinal study
  • postpartum period
  • pregnancy
  • spouse abuse

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Personal and psychosocial predictors of psychological abuse by partners during and after pregnancy : A longitudinal cohort study in a community sample. / Escribà-Agüir, V.; Royo-Marqués, M.; Artazcoz, L.; Romito, P.; Ruiz-Pérez, I.; Martín-Baena, D.

In: BJOG: An International Journal of Obstetrics and Gynaecology, Vol. 120, No. 5, 04.2013, p. 576-582.

Research output: Contribution to journalArticle

Escribà-Agüir, V. ; Royo-Marqués, M. ; Artazcoz, L. ; Romito, P. ; Ruiz-Pérez, I. ; Martín-Baena, D. / Personal and psychosocial predictors of psychological abuse by partners during and after pregnancy : A longitudinal cohort study in a community sample. In: BJOG: An International Journal of Obstetrics and Gynaecology. 2013 ; Vol. 120, No. 5. pp. 576-582.
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