The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/181645 |
Resumo: | Background: Addressing impaired foetal growth is recognized as a public health priority. Certain risk factors for this condition, such as poor nutritional status at birth, have been found to be highly correlated with poverty. However, the role of psychosocial factors, specifically the mother’s mental health and exposure to violence during pregnancy, have yet to be further explored. Our objective was to determine if there is a measurable association between combined psychosocial factors, specifically domestic violence and mental disorders, and birth outcomes, specifically birth nutritional status and preterm delivery. Methods: We followed 775 women from an underserved, urban area, beginning their 28th week of gestation. Diagnostic interviews were performed to determine if any of the mothers had any of the following disorders: mood disorder, anxiety, obsessive–compulsive disorder (OCD), substance dependence, psychotic disorder, or anti-social personality disorder. Physical, psychological, and sexual domestic violence were also assessed Results: Domestic violence and mental disorders were highly correlated in our sample. About 27.15% of the women in our study experienced domestic violence, and about 38.24% of them were diagnosed with mental disorders. The main association we found between combined psychosocial factors and neonate outcomes was between anxiety (IRR = 1.83; 95%CI = 1.06–3.17)/physical violence (IRR = 1.95; 95%CI = 1.11–3.42) and the rate of small-for-gestational age (SGA) in new-borns. More specifically, the combination of anxiety (beta = −0.48; 95%CI = −0.85/−0.10) and sexual violence (beta = −1.58; 95%CI = −2.61/−0.54) was also associated with birth length. Maternal risk behaviours such as smoking, drinking, inadequate prenatal care, and inadequate weight gain could not sufficiently explain these associations, suggesting that these psychosocial factors may be influencing underlying biological mechanisms. Conclusion: Domestic violence against women and mental disorders amongst pregnant women are extremely prevalent in under-resourced, urban areas and ultimately, have detrimental effects on birth outcomes. It is imperative that actions be taken to prevent violence and improve mental health during pregnancy. |
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Ferraro, Alexandre ArchanjoRohde, Luis Augusto PaimPolanczyk, Guilherme VanoniArgeu, Adriana CristinaMiguel, Eurípedes ConstantinoGrisi, Sandra Josefina Ferraz EllleroFleitlich-Bilyk, Bacy W.2018-09-05T02:29:01Z20171471-2393http://hdl.handle.net/10183/181645001074128Background: Addressing impaired foetal growth is recognized as a public health priority. Certain risk factors for this condition, such as poor nutritional status at birth, have been found to be highly correlated with poverty. However, the role of psychosocial factors, specifically the mother’s mental health and exposure to violence during pregnancy, have yet to be further explored. Our objective was to determine if there is a measurable association between combined psychosocial factors, specifically domestic violence and mental disorders, and birth outcomes, specifically birth nutritional status and preterm delivery. Methods: We followed 775 women from an underserved, urban area, beginning their 28th week of gestation. Diagnostic interviews were performed to determine if any of the mothers had any of the following disorders: mood disorder, anxiety, obsessive–compulsive disorder (OCD), substance dependence, psychotic disorder, or anti-social personality disorder. Physical, psychological, and sexual domestic violence were also assessed Results: Domestic violence and mental disorders were highly correlated in our sample. About 27.15% of the women in our study experienced domestic violence, and about 38.24% of them were diagnosed with mental disorders. The main association we found between combined psychosocial factors and neonate outcomes was between anxiety (IRR = 1.83; 95%CI = 1.06–3.17)/physical violence (IRR = 1.95; 95%CI = 1.11–3.42) and the rate of small-for-gestational age (SGA) in new-borns. More specifically, the combination of anxiety (beta = −0.48; 95%CI = −0.85/−0.10) and sexual violence (beta = −1.58; 95%CI = −2.61/−0.54) was also associated with birth length. Maternal risk behaviours such as smoking, drinking, inadequate prenatal care, and inadequate weight gain could not sufficiently explain these associations, suggesting that these psychosocial factors may be influencing underlying biological mechanisms. Conclusion: Domestic violence against women and mental disorders amongst pregnant women are extremely prevalent in under-resourced, urban areas and ultimately, have detrimental effects on birth outcomes. It is imperative that actions be taken to prevent violence and improve mental health during pregnancy.application/pdfengBMC pregnancy and childbirth. London. Vol. 17 (2017), 257, 10 p.Transtornos mentaisNascimento prematuroComplicações na gravidezEfeitos tardios da exposição pré-natalViolência domésticaFatores de riscoBrasilDomestic violenceMental health disordersBirth weightBirth lengthThe specific and combined role of domestic violence and mental health disorders during pregnancy on new-born healthEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001074128.pdfTexto completo (inglês)application/pdf541619http://www.lume.ufrgs.br/bitstream/10183/181645/1/001074128.pdfa536896991619d488f32f17372836f4bMD51TEXT001074128.pdf.txt001074128.pdf.txtExtracted Texttext/plain50995http://www.lume.ufrgs.br/bitstream/10183/181645/2/001074128.pdf.txt08602dac3e649b96f0e876d2d868654dMD52THUMBNAIL001074128.pdf.jpg001074128.pdf.jpgGenerated Thumbnailimage/jpeg1790http://www.lume.ufrgs.br/bitstream/10183/181645/3/001074128.pdf.jpg355c2083f9834d30e90bae796ab27c18MD5310183/1816452018-10-05 07:46:07.371oai:www.lume.ufrgs.br:10183/181645Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-05T10:46:07Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
title |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
spellingShingle |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health Ferraro, Alexandre Archanjo Transtornos mentais Nascimento prematuro Complicações na gravidez Efeitos tardios da exposição pré-natal Violência doméstica Fatores de risco Brasil Domestic violence Mental health disorders Birth weight Birth length |
title_short |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
title_full |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
title_fullStr |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
title_full_unstemmed |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
title_sort |
The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health |
author |
Ferraro, Alexandre Archanjo |
author_facet |
Ferraro, Alexandre Archanjo Rohde, Luis Augusto Paim Polanczyk, Guilherme Vanoni Argeu, Adriana Cristina Miguel, Eurípedes Constantino Grisi, Sandra Josefina Ferraz Elllero Fleitlich-Bilyk, Bacy W. |
author_role |
author |
author2 |
Rohde, Luis Augusto Paim Polanczyk, Guilherme Vanoni Argeu, Adriana Cristina Miguel, Eurípedes Constantino Grisi, Sandra Josefina Ferraz Elllero Fleitlich-Bilyk, Bacy W. |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Ferraro, Alexandre Archanjo Rohde, Luis Augusto Paim Polanczyk, Guilherme Vanoni Argeu, Adriana Cristina Miguel, Eurípedes Constantino Grisi, Sandra Josefina Ferraz Elllero Fleitlich-Bilyk, Bacy W. |
dc.subject.por.fl_str_mv |
Transtornos mentais Nascimento prematuro Complicações na gravidez Efeitos tardios da exposição pré-natal Violência doméstica Fatores de risco Brasil |
topic |
Transtornos mentais Nascimento prematuro Complicações na gravidez Efeitos tardios da exposição pré-natal Violência doméstica Fatores de risco Brasil Domestic violence Mental health disorders Birth weight Birth length |
dc.subject.eng.fl_str_mv |
Domestic violence Mental health disorders Birth weight Birth length |
description |
Background: Addressing impaired foetal growth is recognized as a public health priority. Certain risk factors for this condition, such as poor nutritional status at birth, have been found to be highly correlated with poverty. However, the role of psychosocial factors, specifically the mother’s mental health and exposure to violence during pregnancy, have yet to be further explored. Our objective was to determine if there is a measurable association between combined psychosocial factors, specifically domestic violence and mental disorders, and birth outcomes, specifically birth nutritional status and preterm delivery. Methods: We followed 775 women from an underserved, urban area, beginning their 28th week of gestation. Diagnostic interviews were performed to determine if any of the mothers had any of the following disorders: mood disorder, anxiety, obsessive–compulsive disorder (OCD), substance dependence, psychotic disorder, or anti-social personality disorder. Physical, psychological, and sexual domestic violence were also assessed Results: Domestic violence and mental disorders were highly correlated in our sample. About 27.15% of the women in our study experienced domestic violence, and about 38.24% of them were diagnosed with mental disorders. The main association we found between combined psychosocial factors and neonate outcomes was between anxiety (IRR = 1.83; 95%CI = 1.06–3.17)/physical violence (IRR = 1.95; 95%CI = 1.11–3.42) and the rate of small-for-gestational age (SGA) in new-borns. More specifically, the combination of anxiety (beta = −0.48; 95%CI = −0.85/−0.10) and sexual violence (beta = −1.58; 95%CI = −2.61/−0.54) was also associated with birth length. Maternal risk behaviours such as smoking, drinking, inadequate prenatal care, and inadequate weight gain could not sufficiently explain these associations, suggesting that these psychosocial factors may be influencing underlying biological mechanisms. Conclusion: Domestic violence against women and mental disorders amongst pregnant women are extremely prevalent in under-resourced, urban areas and ultimately, have detrimental effects on birth outcomes. It is imperative that actions be taken to prevent violence and improve mental health during pregnancy. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
dc.date.accessioned.fl_str_mv |
2018-09-05T02:29:01Z |
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1471-2393 |
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001074128 |
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BMC pregnancy and childbirth. London. Vol. 17 (2017), 257, 10 p. |
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