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Domestic violence during pregnancy in Turkey and responsibility of prenatal healthcare providers.
Am J Perinatol. 2006 Feb; 23(2):93-103.AJ

Abstract

The purpose of this study was to estimate prevalence and risk groups of domestic violence during pregnancy in Manisa, Turkey, and to determine antenatal complications or health problems and health service use. This study was a population-based, cross-sectional, and household survey. The study universe included two primary health units situated in two different socioeconomic areas (rural and urban) in the city of Manisa, Turkey, from January to June 2004; the homes of 246 women were visited and the study sample included 217 women. A questionnaire was used that comprised sociodemographic and reproductive characteristics, and the Domestic Violence Against Women Determination Scale, developed by Yanikkerem in 2002 to measure the frequencies of type and severity of violence. The Statistical Package for the Social Sciences (SPSS, version 10.0 for Windows) was used to analyze the data. Student t test and Mann-Whitney U test were used to evaluate data. Results indicated that 9.7% of women were beaten by their partner during the pregnancy (17.3% in the rural area and 2.7% in the urban area) and 14.3% of women were beaten before pregnancy. A total of 10.6% of women said they had been slapped, 9.1% reported an object was thrown at them by their partner, and 6.5% admitted to having been kicked during pregnancy. A total of 36.4% of women reported experiencing forced sexual activity. Abused pregnant women were less educated, had lower income, were unmarried, were multiparous, had more children, had a longer duration of marriage, lived rural areas, were more likely to have unplanned pregnancies, had miscarriage, had an interpregnancy interval of 2 years or less, smoked more cigarettes, did not visit a health institution for control during pregnancy and did not know the sex or knew the fetus was female when compared with nonabused women. Abused women who live with various problems during pregnancy and are victims of violence tend to feel isolated, insecure, and depressed. Our results indicate that most pregnant women do not report that their prenatal care providers discussed violence with them. Healthcare provides have an important role in this issue. Antenatal care protocols should be modified to address domestic violence and contributing factors during pregnancy so that identified women can be counseled appropriately and attempts can be made to intervene to prevent further episodes of domestic violence in primary care settings.

Authors+Show Affiliations

Yanikkerem E
Midwifery Department, Celal Bayar University, Manisa School of Health, Manisa, Turkey.
Karadaş G
No affiliation info available
Adigüzel B
No affiliation info available
Sevil U
No affiliation info available

MeSH

Confidence IntervalsCross-Sectional StudiesDomestic ViolenceFemaleGestational AgeHealth PersonnelHumansIncidenceMaleMaternal AgeMaternal Health ServicesPregnancyPregnancy OutcomePrenatal CarePrimary PreventionProbabilityRisk AssessmentRisk FactorsSocioeconomic FactorsSpouse AbuseStatistics, NonparametricSurveys and QuestionnairesTurkey

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16506115

Citation

Yanikkerem, Emre, et al. "Domestic Violence During Pregnancy in Turkey and Responsibility of Prenatal Healthcare Providers." American Journal of Perinatology, vol. 23, no. 2, 2006, pp. 93-103.
Yanikkerem E, Karadaş G, Adigüzel B, et al. Domestic violence during pregnancy in Turkey and responsibility of prenatal healthcare providers. Am J Perinatol. 2006;23(2):93-103.
Yanikkerem, E., Karadaş, G., Adigüzel, B., & Sevil, U. (2006). Domestic violence during pregnancy in Turkey and responsibility of prenatal healthcare providers. American Journal of Perinatology, 23(2), 93-103.
Yanikkerem E, et al. Domestic Violence During Pregnancy in Turkey and Responsibility of Prenatal Healthcare Providers. Am J Perinatol. 2006;23(2):93-103. PubMed PMID: 16506115.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Domestic violence during pregnancy in Turkey and responsibility of prenatal healthcare providers. AU - Yanikkerem,Emre, AU - Karadaş,Gülşah, AU - Adigüzel,Betül, AU - Sevil,Umran, PY - 2006/3/1/pubmed PY - 2006/5/27/medline PY - 2006/3/1/entrez SP - 93 EP - 103 JF - American journal of perinatology JO - Am J Perinatol VL - 23 IS - 2 N2 - The purpose of this study was to estimate prevalence and risk groups of domestic violence during pregnancy in Manisa, Turkey, and to determine antenatal complications or health problems and health service use. This study was a population-based, cross-sectional, and household survey. The study universe included two primary health units situated in two different socioeconomic areas (rural and urban) in the city of Manisa, Turkey, from January to June 2004; the homes of 246 women were visited and the study sample included 217 women. A questionnaire was used that comprised sociodemographic and reproductive characteristics, and the Domestic Violence Against Women Determination Scale, developed by Yanikkerem in 2002 to measure the frequencies of type and severity of violence. The Statistical Package for the Social Sciences (SPSS, version 10.0 for Windows) was used to analyze the data. Student t test and Mann-Whitney U test were used to evaluate data. Results indicated that 9.7% of women were beaten by their partner during the pregnancy (17.3% in the rural area and 2.7% in the urban area) and 14.3% of women were beaten before pregnancy. A total of 10.6% of women said they had been slapped, 9.1% reported an object was thrown at them by their partner, and 6.5% admitted to having been kicked during pregnancy. A total of 36.4% of women reported experiencing forced sexual activity. Abused pregnant women were less educated, had lower income, were unmarried, were multiparous, had more children, had a longer duration of marriage, lived rural areas, were more likely to have unplanned pregnancies, had miscarriage, had an interpregnancy interval of 2 years or less, smoked more cigarettes, did not visit a health institution for control during pregnancy and did not know the sex or knew the fetus was female when compared with nonabused women. Abused women who live with various problems during pregnancy and are victims of violence tend to feel isolated, insecure, and depressed. Our results indicate that most pregnant women do not report that their prenatal care providers discussed violence with them. Healthcare provides have an important role in this issue. Antenatal care protocols should be modified to address domestic violence and contributing factors during pregnancy so that identified women can be counseled appropriately and attempts can be made to intervene to prevent further episodes of domestic violence in primary care settings. SN - 0735-1631 UR - https://www.unboundmedicine.com/medline/citation/16506115/Domestic_violence_during_pregnancy_in_Turkey_and_responsibility_of_prenatal_healthcare_providers_ DB - PRIME DP - Unbound Medicine ER -