The specific and combined role of domestic violence and mental health disorders during pregnancy on new-born health

Detalhes bibliográficos
Autor(a) principal: Ferraro, Alexandre Archanjo
Data de Publicação: 2017
Outros Autores: Rohde, Luis Augusto Paim, Polanczyk, Guilherme Vanoni, Argeu, Adriana Cristina, Miguel, Eurípedes Constantino, Grisi, Sandra Josefina Ferraz Elllero, Fleitlich-Bilyk, Bacy W.
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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spelling 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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dc.relation.ispartof.pt_BR.fl_str_mv BMC pregnancy and childbirth. London. Vol. 17 (2017), 257, 10 p.
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