怀孕的女同性恋、双性恋、跨性别者和酷儿人群及其伴侣的创伤暴露及其与分娩恐惧和生活质量的关系

IF 1.4 Q2 CRIMINOLOGY & PENOLOGY
H. Grundström, A. Malmquist, Amanda Karlsson, K. Nieminen
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引用次数: 1

摘要

本研究的主要目的是确定LBTQ人群中待产父母及其伴侣先前创伤暴露的患病率。次要目的是比较LBTQ孕妇及其伴侣对分娩的恐惧(FOC)和生活质量(QoL)与先前创伤暴露的关系。进一步的目的是分析该人群中严重FOC与临床和人口因素之间的关系。数据收集自瑞典LGBTQ主管产前诊所。创伤暴露的孕妇(n = 32)和非孕妇(n = 21)以及没有创伤经历的孕妇(n = 48)和非孕妇(n = 30)对测量FOC (Wijma分娩预期问卷)和QoL (EuroQol 5 d -指数/视觉模拟量表,VAS)的仪器有反应。采用非参数检验评估组间差异。怀孕应答者及其伴侣的创伤暴露比例相似(40.0%对41.2%)。与没有外伤的孕妇相比,创伤暴露的孕妇患严重FOC的比例明显更高。暴露于创伤的怀孕应答者在EQ5D-VAS上的得分低于没有创伤的怀孕应答者,暴露于创伤的非怀孕应答者与没有创伤的非怀孕应答者的得分也较低。此外,与没有创伤的非怀孕受访者相比,创伤暴露的非怀孕受访者在eq5d指数上得分较低。在回归分析中,既往创伤是唯一与严重FOC有显著关联的临床和人口学因素。总之,我们的研究结果表明,以往的创伤暴露可能会增加lbtq准父母患严重FOC和较低生活质量的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Previous Trauma Exposure and Its Associations with Fear of Childbirth and Quality of Life among Pregnant Lesbian, Bisexual, Transgender, and Queer People and Their Partners
The primary aim of this study was to determine the prevalence of previous trauma exposure among expectant birth-giving parents and their partners within a LBTQ population. The secondary aims were to compare fear of childbirth (FOC) and quality of life (QoL) in relation to previous trauma exposure in pregnant LBTQ people and their partners. A further aim was to analyze associations between severe FOC and clinical and demographic factors in this population. Data was collected from a Swedish LGBTQ competent antenatal clinic. Trauma-exposed pregnant (n = 32) and non-pregnant (n = 21) individuals and pregnant (n = 48) and non-pregnant (n = 30) individuals without previous trauma experiences responded to instruments measuring FOC (Wijma Delivery Expectancy Questionnaire) and QoL (EuroQol 5 D-index/-visual analogue scale, VAS). Differences between groups were assessed using non-parametric tests. The proportion of trauma exposure was similar among pregnant responders and their partners (40.0% vs. 41.2%). Trauma-exposed pregnant respondents had a significantly higher prevalence of severe FOC compared to the pregnant respondents without previous trauma. Pregnant trauma-exposed respondents scored lower on EQ5D-VAS than pregnant respondents without trauma, as did non-pregnant trauma exposed respondents compared with non-pregnant respondents without trauma. Furthermore, trauma-exposed non-pregnant respondents scored lower on the EQ5D-index compared to non-pregnant respondents without trauma. Previous trauma was the only clinical and demographic factor that had any significant association withto severe FOC in the regression analysis. In conclusion, our results suggest that previous trauma exposure may contribute to the risk of suffering from severe FOC and lower QoL among LBTQ-identifying prospective parents.
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