身体亲密伴侣暴力的严重程度与阿富汗新生儿死亡率之间的关系：使用Cox比例风险模型的生存分析

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-05-08 DOI:10.1016/j.socscimed.2025.118160

Abdul Ghani Khatir , Negina Rahman , Tolulope Ariyo , Quanbao Jiang

{"title":"身体亲密伴侣暴力的严重程度与阿富汗新生儿死亡率之间的关系：使用Cox比例风险模型的生存分析","authors":"Abdul Ghani Khatir , Negina Rahman , Tolulope Ariyo , Quanbao Jiang","doi":"10.1016/j.socscimed.2025.118160","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Child survival and the prevalence of intimate partner violence (IPV) are critical global health concerns. The Sustainable Development Goals (SDGs) emphasize reducing IPV prevalence and child mortality rates as essential objectives in global health and development. The study investigates the relationship between the severity of physical IPV experienced by women and neonatal mortality in Afghanistan, focusing on the moderating role of antenatal care (ANC) visits and skilled birth attendants (SBA) in this association.</div></div><div><h3>Methods</h3><div>Our study utilized data from Afghanistan's most recent 2015 demographic and health survey (AfDHS). We employed Cox proportional hazard analysis to measure the potential association between the severity of physical IPV experienced by women and neonatal mortality. The severity of physical IPV was categorized as no IPV, less severe physical IPV, or severe physical IPV. Moreover, to assess the moderating effects of ANC and SBA in the relationship between the severity of physical IPV and neonatal mortality, we conducted a moderation analysis. Additionally, a sensitivity analysis using Weibull proportional hazards and accelerated failure time analyses was conducted to assess the robustness of the findings.</div></div><div><h3>Results</h3><div>In total, 17.26 % of women experienced severe physical IPV, while 48.07 % experienced less severe physical IPV. The Cox model indicated that, after adjusting for control variables, the hazard of neonatal mortality was significantly higher among women who experienced severe physical IPV (aHR = 1.67; 95 % CI; p < 0.001) compared to those who experienced no or less severe physical IPV.</div></div><div><h3>Conclusion</h3><div>This study highlights the significant association between the severity of physical intimate partner violence experienced by women and increased neonatal mortality in Afghanistan, highlighting the urgent need for targeted interventions and policies to address the issue of IPV in order to improve mother (maternal) and child health outcomes.</div></div>","PeriodicalId":49122,"journal":{"name":"Social Science & Medicine","volume":"378 ","pages":"Article 118160"},"PeriodicalIF":4.9000,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between severity of physical intimate partner violence and neonatal mortality in Afghanistan: Survival analysis using Cox proportional hazard model\",\"authors\":\"Abdul Ghani Khatir , Negina Rahman , Tolulope Ariyo , Quanbao Jiang\",\"doi\":\"10.1016/j.socscimed.2025.118160\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Child survival and the prevalence of intimate partner violence (IPV) are critical global health concerns. The Sustainable Development Goals (SDGs) emphasize reducing IPV prevalence and child mortality rates as essential objectives in global health and development. The study investigates the relationship between the severity of physical IPV experienced by women and neonatal mortality in Afghanistan, focusing on the moderating role of antenatal care (ANC) visits and skilled birth attendants (SBA) in this association.</div></div><div><h3>Methods</h3><div>Our study utilized data from Afghanistan's most recent 2015 demographic and health survey (AfDHS). We employed Cox proportional hazard analysis to measure the potential association between the severity of physical IPV experienced by women and neonatal mortality. The severity of physical IPV was categorized as no IPV, less severe physical IPV, or severe physical IPV. Moreover, to assess the moderating effects of ANC and SBA in the relationship between the severity of physical IPV and neonatal mortality, we conducted a moderation analysis. Additionally, a sensitivity analysis using Weibull proportional hazards and accelerated failure time analyses was conducted to assess the robustness of the findings.</div></div><div><h3>Results</h3><div>In total, 17.26 % of women experienced severe physical IPV, while 48.07 % experienced less severe physical IPV. The Cox model indicated that, after adjusting for control variables, the hazard of neonatal mortality was significantly higher among women who experienced severe physical IPV (aHR = 1.67; 95 % CI; p < 0.001) compared to those who experienced no or less severe physical IPV.</div></div><div><h3>Conclusion</h3><div>This study highlights the significant association between the severity of physical intimate partner violence experienced by women and increased neonatal mortality in Afghanistan, highlighting the urgent need for targeted interventions and policies to address the issue of IPV in order to improve mother (maternal) and child health outcomes.</div></div>\",\"PeriodicalId\":49122,\"journal\":{\"name\":\"Social Science & Medicine\",\"volume\":\"378 \",\"pages\":\"Article 118160\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-05-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Social Science & Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0277953625004903\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Social Science & Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0277953625004903","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

儿童生存和亲密伴侣暴力（IPV）的普遍存在是重要的全球健康问题。可持续发展目标强调降低IPV流行率和儿童死亡率是全球卫生和发展的基本目标。该研究调查了阿富汗妇女身体IPV严重程度与新生儿死亡率之间的关系，重点关注产前护理（ANC）访问和熟练助产士（SBA）在这一关联中的调节作用。方法我们的研究利用了阿富汗最近的2015年人口与健康调查（AfDHS）的数据。我们采用Cox比例风险分析来衡量女性物理IPV严重程度与新生儿死亡率之间的潜在关联。物理IPV的严重程度分为无IPV、较轻的物理IPV和严重的物理IPV。此外，为了评估ANC和SBA在物理IPV严重程度与新生儿死亡率之间的调节作用，我们进行了调节分析。此外，使用威布尔比例风险和加速失效时间分析进行敏感性分析，以评估研究结果的稳健性。结果17.26%的女性有重度体理性IPV， 48.07%的女性有轻度体理性IPV。Cox模型显示，在调整控制变量后，经历过严重身体性IPV的妇女的新生儿死亡风险显著更高(aHR = 1.67；95% ci；p & lt;0.001)，与没有或较轻的物理IPV患者相比。结论：本研究强调了阿富汗妇女遭受的身体亲密伴侣暴力的严重程度与新生儿死亡率上升之间的显著关联，强调了迫切需要有针对性的干预措施和政策来解决IPV问题，以改善母亲（孕产妇）和儿童的健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Association between severity of physical intimate partner violence and neonatal mortality in Afghanistan: Survival analysis using Cox proportional hazard model

Background

Child survival and the prevalence of intimate partner violence (IPV) are critical global health concerns. The Sustainable Development Goals (SDGs) emphasize reducing IPV prevalence and child mortality rates as essential objectives in global health and development. The study investigates the relationship between the severity of physical IPV experienced by women and neonatal mortality in Afghanistan, focusing on the moderating role of antenatal care (ANC) visits and skilled birth attendants (SBA) in this association.

Methods

Our study utilized data from Afghanistan's most recent 2015 demographic and health survey (AfDHS). We employed Cox proportional hazard analysis to measure the potential association between the severity of physical IPV experienced by women and neonatal mortality. The severity of physical IPV was categorized as no IPV, less severe physical IPV, or severe physical IPV. Moreover, to assess the moderating effects of ANC and SBA in the relationship between the severity of physical IPV and neonatal mortality, we conducted a moderation analysis. Additionally, a sensitivity analysis using Weibull proportional hazards and accelerated failure time analyses was conducted to assess the robustness of the findings.

Results

In total, 17.26 % of women experienced severe physical IPV, while 48.07 % experienced less severe physical IPV. The Cox model indicated that, after adjusting for control variables, the hazard of neonatal mortality was significantly higher among women who experienced severe physical IPV (aHR = 1.67; 95 % CI; p < 0.001) compared to those who experienced no or less severe physical IPV.

Conclusion

This study highlights the significant association between the severity of physical intimate partner violence experienced by women and increased neonatal mortality in Afghanistan, highlighting the urgent need for targeted interventions and policies to address the issue of IPV in order to improve mother (maternal) and child health outcomes.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.