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The impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women

to explore the prevalence of intimate partner abuse during pregnancy and to examine the effect and cumulative effects of different types of intimate partner abuse on health-related quality of life. a retrospective, cross-sectional, comparative design. three postnatal wards of a university-affiliated...

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Published in:Midwifery 2008-03, Vol.24 (1), p.22-37
Main Authors: Lau, Ying, Keung Wong, Daniel Fu, Chan, Kin Sin
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description to explore the prevalence of intimate partner abuse during pregnancy and to examine the effect and cumulative effects of different types of intimate partner abuse on health-related quality of life. a retrospective, cross-sectional, comparative design. three postnatal wards of a university-affiliated regional public hospital in Hong Kong. a community-based sample ( n=1200) of postnatal women. the women were identified as abused or non-abused using the Abuse Assessment Screen Questionnaire (AAS), and various types of abuse were elaborated using the Revised Conflict Tactics Scale (CTS-2). The Medical Outcomes Study Short-form 36 Health Survey (SF-36) measured the health-related quality of life. the prevalence rate of intimate partner abuse during pregnancy was 134 out of 1200 (11.2%, 95% confidence interval [CI] 9.4–13.0%). They consisted of an only psychologically abused group (32.1%, 95% CI 24.2–40.0%), an only physically abused group (20.9%, 95% CI 14.0–27.8%), and a combined psychological and physically abused group (47.0%, 95% CI 38.5–55.5%). Over half of the women (53.0%, 95% CI 44.5–61.5%) experienced more than one type of abuse. Women who had experienced different types of intimate partner abuse were associated with lower scores in the majority of domains and the subscales of the SF-36 ( p
doi_str_mv 10.1016/j.midw.2006.06.010
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numerical data</subject><subject>Spouses - psychology</subject><subject>Spouses - statistics &amp; numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Women's Health</subject><issn>0266-6138</issn><issn>1532-3099</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkc9u1DAQhy0EotvCC3BAPsEpix3_SyQuaAUUUYnL3i3HmXS9SpzUdlrtO_DQ2NqVeivSaHz55rM9P4Q-ULKlhMovx-3k-qdtTYjclqLkFdpQweqKkbZ9jTaklrKSlDVX6DrGIyGk5US9RVdU0VYqKjbo7_4A2E2LsQkb32O7TutoknsEDMMANkU8D9j55CaTAC8mJA8Bm26NgPs1OH-PlwD33nh7wrPHBzBjOlQBsgV6_LCa0aVTkYxuAGymOU_clva7tN3Beciqp3kC_w69GcwY4f3lvEH7H9_3u9vq7s_PX7tvd5XlVKWq6ZWVQrK264SUvK0baq0R-eOqFrRuLGu4MJzQxhhRq67lXAEbSEdpZySwG_T5rF3C_LBCTHpy0cI4Gg_zGrWSnAnFJcvkp5dJwoTIl_0XFOVlipEM1mfQhjnGAINeQl5tOGlKdElVH3VJVZdUdSlahj5e7Gs3Qf88cokxA1_PAOStPToIOloH3kLvQs5Q97N7yf8PaPC0Cg</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Lau, Ying</creator><creator>Keung Wong, Daniel Fu</creator><creator>Chan, Kin Sin</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20080301</creationdate><title>The impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women</title><author>Lau, Ying ; Keung Wong, Daniel Fu ; Chan, Kin Sin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-8d7c65639bb56649281cca5532725128c3845a4018aa527b9447e3f0b11ba6e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>China - ethnology</topic><topic>Chinese people</topic><topic>Confidence Intervals</topic><topic>Cross-Sectional Studies</topic><topic>Cultural Characteristics</topic><topic>Cumulative effect</topic><topic>Domestic violence</topic><topic>Female</topic><topic>Health</topic><topic>Health Status</topic><topic>Health-related quality of life</topic><topic>Hong Kong - epidemiology</topic><topic>Hong Kong Chinese</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intimate partner abuse</topic><topic>Male</topic><topic>Mental Health</topic><topic>Nursing</topic><topic>Odds Ratio</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Socioeconomic Factors</topic><topic>Spouse Abuse - ethnology</topic><topic>Spouse Abuse - psychology</topic><topic>Spouse Abuse - statistics &amp; numerical data</topic><topic>Spouses - psychology</topic><topic>Spouses - statistics &amp; numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Women's Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lau, Ying</creatorcontrib><creatorcontrib>Keung Wong, Daniel Fu</creatorcontrib><creatorcontrib>Chan, Kin Sin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Midwifery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lau, Ying</au><au>Keung Wong, Daniel Fu</au><au>Chan, Kin Sin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women</atitle><jtitle>Midwifery</jtitle><addtitle>Midwifery</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>24</volume><issue>1</issue><spage>22</spage><epage>37</epage><pages>22-37</pages><issn>0266-6138</issn><eissn>1532-3099</eissn><abstract>to explore the prevalence of intimate partner abuse during pregnancy and to examine the effect and cumulative effects of different types of intimate partner abuse on health-related quality of life. a retrospective, cross-sectional, comparative design. three postnatal wards of a university-affiliated regional public hospital in Hong Kong. a community-based sample ( n=1200) of postnatal women. the women were identified as abused or non-abused using the Abuse Assessment Screen Questionnaire (AAS), and various types of abuse were elaborated using the Revised Conflict Tactics Scale (CTS-2). The Medical Outcomes Study Short-form 36 Health Survey (SF-36) measured the health-related quality of life. the prevalence rate of intimate partner abuse during pregnancy was 134 out of 1200 (11.2%, 95% confidence interval [CI] 9.4–13.0%). They consisted of an only psychologically abused group (32.1%, 95% CI 24.2–40.0%), an only physically abused group (20.9%, 95% CI 14.0–27.8%), and a combined psychological and physically abused group (47.0%, 95% CI 38.5–55.5%). Over half of the women (53.0%, 95% CI 44.5–61.5%) experienced more than one type of abuse. Women who had experienced different types of intimate partner abuse were associated with lower scores in the majority of domains and the subscales of the SF-36 ( p&lt;0.05), and there was a cumulative effect of abuse on the health-related quality of life of the women. the problem of intimate partner abuse during pregnancy is similar to most Western countries, and the negative effect of different types of such abuse on the health-related quality of life over time seems to be cumulative. the relatively poor health-related quality of life of the abused women highlights the necessity of developing a checklist or a structured questionnaire that will assist in the detection of different types and combinations of intimate partner abuse, and that will be helpful in the development of more effective preventive interventions or programmes.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>17196715</pmid><doi>10.1016/j.midw.2006.06.010</doi><tpages>16</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals
subjects Adult
China - ethnology
Chinese people
Confidence Intervals
Cross-Sectional Studies
Cultural Characteristics
Cumulative effect
Domestic violence
Female
Health
Health Status
Health-related quality of life
Hong Kong - epidemiology
Hong Kong Chinese
Humans
Infant, Newborn
Intimate partner abuse
Male
Mental Health
Nursing
Odds Ratio
Pregnancy
Pregnancy Complications - epidemiology
Prevalence
Quality of Life
Retrospective Studies
Risk Assessment
Socioeconomic Factors
Spouse Abuse - ethnology
Spouse Abuse - psychology
Spouse Abuse - statistics & numerical data
Spouses - psychology
Spouses - statistics & numerical data
Surveys and Questionnaires
Women's Health
title The impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women
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