The relationship between pregnancy intendedness and physical violence in mothers of newborns. The PRAMS Working Group.

Abstract:

OBJECTIVE:To determine if pregnancy intendedness is associated with physical violence, and to identify factors that modify this association. METHODS:Three to 6 months after delivery, we mailed a questionnaire to a population-based sample of 12,612 mothers of infants born during 1990 and 1991 in four states. We used multiple logistic regression to compute odds ratios. RESULTS:The state-specific prevalences (+/- standard error) of physical violence ranged from 3.8 +/- 0.5 to 6.9 +/- 0.8%; the prevalences of unwanted or mistimed pregnancies ranged from 36.9-46.3%. In each state, higher rates of physical violence were reported by women who had fewer than 12 years of education, lived in crowded conditions, participated in the Special Supplemental Food Program for Women, Infants, and Children, received no or delayed prenatal care, or were of races other than white, under 20 years old, or not married. Regardless of other attributes, women with unwanted or mistimed pregnancies reported higher rates of physical violence than women with intended pregnancies and accounted for 70% of women who reported physical violence. Overall, women with unwanted pregnancies had 4.1 (95% confidence interval 2.7-6.2) times the odds of experiencing physical violence than did women with intended pregnancies. This association was weaker for women with few social advantages than for those with more advantages. CONCLUSION:Physical violence toward women during the periconceptional and antenatal periods occurs in all sociodemographic groups. Women with unwanted or mistimed pregnancies are at an increased risk for violence by their partners compared with women with intended pregnancies.

journal_name

Obstet Gynecol

authors

Gazmararian JA,Adams MM,Saltzman LE,Johnson CH,Bruce FC,Marks JS,Zahniser SC

doi

10.1016/0029-7844(95)00057-x

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

1031-8

issue

6

eissn

0029-7844

issn

1873-233X

pii

002978449500057X

journal_volume

85

pub_type

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