Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu

Background: We aimed to describe the association between ni-Vanuatu women's experiences of violence perpetrated by their intimate partner (IPV) during pregnancy, and health outcomes, including self-reported general health, antenatal care attendance, psychological distress and suicidal thoughts/...

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Autores principales:	Stephanie McKelvie, Ruby Stocker, Marie-Michelle Manwo, Airine Manwo, Thomas Sala, Basil Leodoro, Thach Tran, Jane Fisher
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Intimate partner violence pregnancy mental health, suicide health Vanuatu maternal health Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c97d94b55588411db07c5e5492df9a79
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spelling	oai:doaj.org-article:c97d94b55588411db07c5e5492df9a792021-12-02T05:04:05ZIntimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu2666-606510.1016/j.lanwpc.2021.100272https://doaj.org/article/c97d94b55588411db07c5e5492df9a792021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666606521001814https://doaj.org/toc/2666-6065Background: We aimed to describe the association between ni-Vanuatu women's experiences of violence perpetrated by their intimate partner (IPV) during pregnancy, and health outcomes, including self-reported general health, antenatal care attendance, psychological distress and suicidal thoughts/behaviours. Methods: A cross-sectional survey of a consecutive cohort of women attending the antenatal clinic at Northern Provincial Hospital, Vanuatu from May to July 2019. Psychological, physical and sexual IPV were measured using the WHO Violence Against Women Instrument. Psychological distress was measured using the 20-item WHO Self-Reporting Questionnaire. Data were collected in confidential individual interviews with a trained local interviewer. Logistic regression models were used to investigate the relationship between IPV and health outcomes while controlling for confounding variables. Findings: 192 women contributed data, among whom 188 answered the questions about IPV. Of these, 80 women had experienced any form of IPV during the current pregnancy. Women who experienced IPV were more likely than those who did not to report poorer general health (aOR:2.97, 95%CI:1•42-6•22), higher levels of psychological distress (aOR:4.77, 95%CI:2•02-11.24) and suicidal thoughts (aOR:3•78, 95%CI:1•71–8.33) and/or behaviours (aOR:1.98, 95%CI:0•69–5.64) in the previous four weeks. Late antenatal attendance was widespread, but not related to IPV. Interpretation: IPV perpetrated against women who are pregnant is a serious public health problem in Vanuatu and is related to worse antenatal physical and psychological health. Funding: JF is supported by the Finkel Professorial Fellowship, funded by the Finkel Family Foundation; TT is supported by a Monash Strategic Bridging Fellowship. Monash University provided a student research grant to SMcK. Soroptimist International Gippsland provided a grant to fund small gifts for the participants.Stephanie McKelvieRuby StockerMarie-Michelle ManwoAirine ManwoThomas SalaBasil LeodoroThach TranJane FisherElsevierarticleIntimate partner violencepregnancymental health, suicidehealthVanuatumaternal healthPublic aspects of medicineRA1-1270ENThe Lancet Regional Health. Western Pacific, Vol 16, Iss , Pp 100272- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intimate partner violence pregnancy mental health, suicide health Vanuatu maternal health Public aspects of medicine RA1-1270
spellingShingle	Intimate partner violence pregnancy mental health, suicide health Vanuatu maternal health Public aspects of medicine RA1-1270 Stephanie McKelvie Ruby Stocker Marie-Michelle Manwo Airine Manwo Thomas Sala Basil Leodoro Thach Tran Jane Fisher Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
description	Background: We aimed to describe the association between ni-Vanuatu women's experiences of violence perpetrated by their intimate partner (IPV) during pregnancy, and health outcomes, including self-reported general health, antenatal care attendance, psychological distress and suicidal thoughts/behaviours. Methods: A cross-sectional survey of a consecutive cohort of women attending the antenatal clinic at Northern Provincial Hospital, Vanuatu from May to July 2019. Psychological, physical and sexual IPV were measured using the WHO Violence Against Women Instrument. Psychological distress was measured using the 20-item WHO Self-Reporting Questionnaire. Data were collected in confidential individual interviews with a trained local interviewer. Logistic regression models were used to investigate the relationship between IPV and health outcomes while controlling for confounding variables. Findings: 192 women contributed data, among whom 188 answered the questions about IPV. Of these, 80 women had experienced any form of IPV during the current pregnancy. Women who experienced IPV were more likely than those who did not to report poorer general health (aOR:2.97, 95%CI:1•42-6•22), higher levels of psychological distress (aOR:4.77, 95%CI:2•02-11.24) and suicidal thoughts (aOR:3•78, 95%CI:1•71–8.33) and/or behaviours (aOR:1.98, 95%CI:0•69–5.64) in the previous four weeks. Late antenatal attendance was widespread, but not related to IPV. Interpretation: IPV perpetrated against women who are pregnant is a serious public health problem in Vanuatu and is related to worse antenatal physical and psychological health. Funding: JF is supported by the Finkel Professorial Fellowship, funded by the Finkel Family Foundation; TT is supported by a Monash Strategic Bridging Fellowship. Monash University provided a student research grant to SMcK. Soroptimist International Gippsland provided a grant to fund small gifts for the participants.
format	article
author	Stephanie McKelvie Ruby Stocker Marie-Michelle Manwo Airine Manwo Thomas Sala Basil Leodoro Thach Tran Jane Fisher
author_facet	Stephanie McKelvie Ruby Stocker Marie-Michelle Manwo Airine Manwo Thomas Sala Basil Leodoro Thach Tran Jane Fisher
author_sort	Stephanie McKelvie
title	Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
title_short	Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
title_full	Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
title_fullStr	Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
title_full_unstemmed	Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu
title_sort	intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in sanma province, vanuatu
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/c97d94b55588411db07c5e5492df9a79
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Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu

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