Childhood Abuse, Intimate Partner Violence, and Placental Abruption Among Peruvian Women

Details

• Personal Author:
  Gelaye B ; Mitro SD ; Palomino H ; Sanchez SE ; Williams MA
• Description:
  Purpose: Experiencing childhood abuse (CA) or intimate partner violence (IPV) has been linked to adverse pregnancy outcomes. We examined whether CA history and current IPV are independently and jointly associated with placental abruption (PA). Methods: We recruited 662 PA cases and 665 controls in Lima, Peru. We used multivariate logistic regression to calculate odds ratios (OR), adjusting for age, education, and parity. Results: Approximately 42% of cases and controls reported CA; 50% of cases and 49% of controls reported IPV. History of any CA was not associated with PA, but history of severe CA was associated with 38% increased odds of PA (adjusted OR [aOR], 1.38; 95% confidence interval (CI), 1.07-1.80), adjusting for IPV. There was a statistically nonsignificant association between severe IPV and odds of PA (aOR, 1.22; 95% CI, 0.92-1.62), adjusting for CA. Women who experienced severe CA and severe IPV had 2.06-fold (95% CI, 1.25-3.40) increased odds of PA compared with women who did not experience severe abuse. The joint effect of CA and IPV was positive but statistically nonsignificant on the multiplicative (aOR, 1.48; 95% CI, 0.79-2.80) and additive scale (relative excess risk due to interaction, 0.70; 95% CI, -0.39 to 1.78). Conclusions: Preventing exposure to violence may improve maternal outcomes. [Description provided by NIOSH]
• Subjects:
  Epidemiology Mental Health Occupational Health Pregnancy Safety Violence
• Keywords:
  Abruptio Placentae Abuse Author Keywords: Adult Survivors Of Child Abuse Case Control Studies Children Intimate Partner Violence Peru Psychology
• ISSN:
  1047-2797
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  26-31
• Volume:
  31
• NIOSHTIC Number:
  nn:20055553
• Citation:
  Ann Epidemiol 2019 Mar; 31:26-31
• Contact Point Address:
  Susanna D. Mitro MPH, Population Health Sciences Program, Harvard University, Kresge Building, 9th floor 677, Huntington Ave, Boston, MA 02115
• Email:
  smitro@g.harvard.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  Harvard School of Public Health
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Annals of Epidemiology
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1db0aae816ed0f9ffd6676758e9fb4404006fa3cf9e25b7b680373d232866cbe06f112feb7c75df31d8962650af96a8e7d28b35eecb442d586b9058ae99c32bb
• Download URL:
  https://stacks.cdc.gov/view/cdc/213378/cdc_213378_DS1.pdf
• File Type:
  [PDF - 250.19 KB ]