Criminal justice intimate partner victimization before, during and after pregnancy among birthing parents screened postnatally by public health nurses

IF 3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Epidemiology Pub Date : 2025-08-06 DOI:10.1016/j.annepidem.2025.07.063

Monica Serena Perner , Natalia Pacifico , Maria Paula Godoy , Marni Brownell , Marcelo Luis Urquia

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引用次数: 0

Abstract

Background

Intimate partner violence (IPV) is a global problem, disproportionately affecting women. Pregnancy offers a unique opportunity to identify IPV.

Methods

This population-based data linkage study includes residents of Manitoba, Canada who gave birth from 2006–2020 and were eligible for the Families First Screening (FFS) (n = 194,280). The FFS is a universal screening tool completed typically within one week postpartum by public-health nurses, which includes questions on current history of relationship violence and distress, including pregnancy. We assessed the associations of these responses with criminal justice identified IPV (JIIPV) two years before through two years after pregnancy (2004–2022) using logistic and multinomial regressions models.

Results

The prevalence of JIIPV at any time around pregnancy among birthing parents without distress/violence during pregnancy was 36.6 per 1000 pregnancies. Compared to them, those who reported both violence and relationship distress had a prevalence of 474.5/1000 [Odds Ratio (OR): 23.8; 95 %CI: 21.4, 26.4, and adjusted OR (AOR): 5.4; 95 %CI: 4.8, 6.1]. Those who did not respond to distress/violence questions and those who did not participate in the FFS had also higher prevalence of JIIPV. Observed patterns persisted before, during and after pregnancy.

Conclusion

Screening by public health nurses identifies families seriously affected by JIIPV around pregnancy.

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刑事司法亲密伴侣在怀孕前、怀孕期间和怀孕后受到公共卫生护士产后筛查的父母的伤害。

背景：亲密伴侣暴力（IPV）是一个全球性问题，对妇女的影响尤为严重。怀孕提供了一个独特的机会来识别IPV。方法：这项以人群为基础的数据链接研究包括加拿大马尼托巴省2006-2020年分娩并符合家庭首次筛查（FFS）条件的居民（n=194,280）。FFS是一种普遍的筛查工具，通常由公共卫生护士在产后一周内完成，其中包括有关当前关系暴力和痛苦史（包括怀孕史）的问题。我们使用logistic和多项回归模型评估了这些反应与怀孕前两年至怀孕后两年（2004-2022年）刑事司法鉴定的IPV （JIIPV）之间的关联。结果：在妊娠期间无痛苦/暴力的分娩父母中，妊娠前后任何时间JIIPV的患病率为36.6 / 1000。与他们相比，同时报告暴力和关系困扰的人的患病率为474.5/1000[比值比（OR）： 23.8；95%CI: 21.4, 26.4，调整后OR (AOR): 5.4；95%ci: 4.8, 6.1]。那些没有回答痛苦/暴力问题的人和那些没有参加FFS的人也有较高的JIIPV患病率。观察到的模式在怀孕前、怀孕期间和怀孕后都持续存在。结论：通过公共卫生护士的筛查，发现妊娠期感染JIIPV严重的家庭。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.40

自引率

1.80%

发文量

207

审稿时长

59 days

期刊介绍： The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.