Abstract
Background: Although intimate partner violence (IPV) during perinatal period is more common than during other maternal health conditions, it receives less attention within research on maternal mortality rates. Given the risks for maternal mortality because of suicidality, the purpose of this investigation is to examine the risk of suicidal ideation (SI) among postpartum women exposed to IPV. Materials and Methods: In this cross-sectional study, participants were recruited between May 2005 and March 2007 from primary care clinics in Saõ Paulo, Brazil. A total of 701 postpartum women were included in the analysis. Postpartum SI was assessed using the clinical interview schedule-revised. IPV was assessed using a structured questionnaire previously validated in Brazilian populations. Crude and adjusted risk ratios with 95% confidence intervals (95% CI) were estimated using Poisson regression with robust variance to examine the association between IPV and the risk for postpartum SI. Results: The prevalence of postpartum SI was 4%. Among those with postpartum SI, 70% reported IPV during the postpartum period. Compared with non-IPV counterparts, postpartum women who reported IPV had an increased risk for SI (relative risk [RR] 7.25, 95% CI: 3.23-16.27). In the fully adjusted model, the risk for SI remained significantly higher for women who experienced IPV than for those who did not (RR 3.02, 95% CI: 1.29-7.07). Conclusions: Postpartum women exposed to violence had a threefold greater risk of having suicidal thoughts.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 171-178 |
| Number of pages | 8 |
| Journal | Journal of Women's Health |
| Volume | 27 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 2018 |
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Keywords
- Brazil
- Suicidal ideation
- intimate partner violence
- maternal health
- postpartum
- women's mental health
ASJC Scopus subject areas
- Medicine(all)
Cite this
Intimate Partner Violence Is Associated with Suicidality among Low-Income Postpartum Women. / Dina, Karen Margaret-Tabb; Huang, Hsiang; Valdovinos, Miriam; Toor, Raman; Ostler, Teresa Ann; Vanderwater, Erin; Wang, Yang; Menezes, Paulo Rossi; Faisal-Cury, Alexandre.
In: Journal of Women's Health, Vol. 27, No. 2, 02.2018, p. 171-178.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intimate Partner Violence Is Associated with Suicidality among Low-Income Postpartum Women
AU - Dina, Karen Margaret-Tabb
AU - Huang, Hsiang
AU - Valdovinos, Miriam
AU - Toor, Raman
AU - Ostler, Teresa Ann
AU - Vanderwater, Erin
AU - Wang, Yang
AU - Menezes, Paulo Rossi
AU - Faisal-Cury, Alexandre
PY - 2018/2
Y1 - 2018/2
N2 - Background: Although intimate partner violence (IPV) during perinatal period is more common than during other maternal health conditions, it receives less attention within research on maternal mortality rates. Given the risks for maternal mortality because of suicidality, the purpose of this investigation is to examine the risk of suicidal ideation (SI) among postpartum women exposed to IPV. Materials and Methods: In this cross-sectional study, participants were recruited between May 2005 and March 2007 from primary care clinics in Saõ Paulo, Brazil. A total of 701 postpartum women were included in the analysis. Postpartum SI was assessed using the clinical interview schedule-revised. IPV was assessed using a structured questionnaire previously validated in Brazilian populations. Crude and adjusted risk ratios with 95% confidence intervals (95% CI) were estimated using Poisson regression with robust variance to examine the association between IPV and the risk for postpartum SI. Results: The prevalence of postpartum SI was 4%. Among those with postpartum SI, 70% reported IPV during the postpartum period. Compared with non-IPV counterparts, postpartum women who reported IPV had an increased risk for SI (relative risk [RR] 7.25, 95% CI: 3.23-16.27). In the fully adjusted model, the risk for SI remained significantly higher for women who experienced IPV than for those who did not (RR 3.02, 95% CI: 1.29-7.07). Conclusions: Postpartum women exposed to violence had a threefold greater risk of having suicidal thoughts.
AB - Background: Although intimate partner violence (IPV) during perinatal period is more common than during other maternal health conditions, it receives less attention within research on maternal mortality rates. Given the risks for maternal mortality because of suicidality, the purpose of this investigation is to examine the risk of suicidal ideation (SI) among postpartum women exposed to IPV. Materials and Methods: In this cross-sectional study, participants were recruited between May 2005 and March 2007 from primary care clinics in Saõ Paulo, Brazil. A total of 701 postpartum women were included in the analysis. Postpartum SI was assessed using the clinical interview schedule-revised. IPV was assessed using a structured questionnaire previously validated in Brazilian populations. Crude and adjusted risk ratios with 95% confidence intervals (95% CI) were estimated using Poisson regression with robust variance to examine the association between IPV and the risk for postpartum SI. Results: The prevalence of postpartum SI was 4%. Among those with postpartum SI, 70% reported IPV during the postpartum period. Compared with non-IPV counterparts, postpartum women who reported IPV had an increased risk for SI (relative risk [RR] 7.25, 95% CI: 3.23-16.27). In the fully adjusted model, the risk for SI remained significantly higher for women who experienced IPV than for those who did not (RR 3.02, 95% CI: 1.29-7.07). Conclusions: Postpartum women exposed to violence had a threefold greater risk of having suicidal thoughts.
KW - Brazil
KW - Suicidal ideation
KW - intimate partner violence
KW - maternal health
KW - postpartum
KW - women's mental health
UR - http://www.scopus.com/inward/record.url?scp=85042168269&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042168269&partnerID=8YFLogxK
U2 - 10.1089/jwh.2016.6077
DO - 10.1089/jwh.2016.6077
M3 - Article
C2 - 28537476
AN - SCOPUS:85042168269
VL - 27
SP - 171
EP - 178
JO - Journal of Women's Health
JF - Journal of Women's Health
SN - 1540-9996
IS - 2
ER -