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Pregnancy intendedness and the association with physical, sexual and emotional abuse – a European multi-country cross-sectional study

机译:怀孕意向以及与身体,性和情感虐待的关联–欧洲多国横断面研究

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Background Unintended pregnancies are common and when not resulting in a termination of pregnancy may lead to unintended childbirth. Unintended pregnancies are associated with increased health risks, also for women for whom pregnancy continues to childbirth. Our objective was to present the prevalence of unintended pregnancy in six European countries among pregnant women attending routine antenatal care, and to investigate the association with a history of physical, sexual and emotional abuse. Methods A prospective cross-sectional study, of 7102 pregnant women who filled out a questionnaire during pregnancy as part of a multi-country cohort study (Bidens) with the participating countries: Belgium, Iceland, Denmark, Estonia, Norway and Sweden. A validated instrument, the Norvold Abuse Questionnaire (NorAq) consisting of 10 descriptive questions measured abuse. Pregnancy intendedness was assessed using a single question asking women if this pregnancy was planned. Cross-tabulation, Chi-square tests and binary logistic regression analysis were used. Results Approximately one-fifth (19.2?%) of all women reported their current pregnancy to be unintended. Women with an unintended pregnancy were significantly younger, had less education, suffered economic hardship, had a different ethnic background from the regional majority and more frequently were not living with their partner. The prevalence of an unintended pregnancy among women reporting any lifetime abuse was 24.5?%, and 38.5?% among women reporting recent abuse. Women with a history of any lifetime abuse had significantly higher odds of unintended pregnancy, also after adjusting for confounding factors, AOR for any lifetime abuse 1.41 (95?% CI 1.23–1.60) and for recent abuse AOR 2.03 (95?% CI 1.54–2.68). Conclusion Women who have experienced any lifetime abuse are significantly more likely to have an unintended pregnancy. This is particularly true for women reporting recent abuse, suggesting that women living in a violent relationship have less control over their fertility.
机译:背景技术意外怀孕很普遍,如果没有导致终止妊娠,可能会导致意外分娩。意外怀孕会增加健康风险,对于继续怀孕的妇女也是如此。我们的目标是介绍六个欧洲国家中接受常规产前检查的孕妇中意外怀孕的患病率,并调查其与身体,性和情感虐待史的关系。方法一项前瞻性横断面研究针对7102名孕妇进行了问卷调查,这些孕妇在妊娠期间填写了问卷,这是与以下国家(包括比利时,冰岛,丹麦,爱沙尼亚,挪威和瑞典)进行的多国队列研究(拜登斯)的一部分。一种有效的工具,诺沃德虐待调查表(NorAq),由10个描述性问题组成,用于衡量虐待。使用询问女性是否计划怀孕的单个问题来评估怀孕意向。使用交叉表,卡方检验和二元逻辑回归分析。结果所有妇女中约有五分之一(19.2%)报告当前怀孕是意外的。意外怀孕的妇女明显年轻,受教育程度较低,遭受经济困难,种族背景与区域多数不同,而且更经常不与伴侣生活。报告终身虐待的妇女中意外怀孕的发生率为24.5%,最近报告虐待的妇女中为38.5%。经历过终身虐待史的妇女,在对混杂因素进行调整后,任何终身虐待的AOR为1.41(95%CI 1.23–1.60)和最近遭受虐待的AOR 2.03(95%CI 1.54)后,意外怀孕的几率明显更高。 –2.68)。结论经历过一生虐待的女性明显有可能意外怀孕。对于最近遭受虐待的妇女而言尤其如此,这表明生活在暴力关系中的妇女对其生育能力的控制较少。

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