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Article: 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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TitleThe impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women
 
AuthorsLau, Y2 1
Keung Wong, DF2
Chan, KS3
 
Issue Date2008
 
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/midw
 
CitationMidwifery, 2008, v. 24 n. 1, p. 22-37 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.midw.2006.06.010
 
AbstractObjective: 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. Design: a retrospective, cross-sectional, comparative design. Setting: three postnatal wards of a university-affiliated regional public hospital in Hong Kong. Participants: a community-based sample (n=1200) of postnatal women. Measurements: 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. Findings: 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<0.05), and there was a cumulative effect of abuse on the health-related quality of life of the women. Conclusions: 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. Implications for practice: 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. © 2006 Elsevier Ltd. All rights reserved.
 
ISSN0266-6138
2012 Impact Factor: 1.116
2012 SCImago Journal Rankings: 0.555
 
DOIhttp://dx.doi.org/10.1016/j.midw.2006.06.010
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorLau, Y
 
dc.contributor.authorKeung Wong, DF
 
dc.contributor.authorChan, KS
 
dc.date.accessioned2012-10-30T06:20:35Z
 
dc.date.available2012-10-30T06:20:35Z
 
dc.date.issued2008
 
dc.description.abstractObjective: 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. Design: a retrospective, cross-sectional, comparative design. Setting: three postnatal wards of a university-affiliated regional public hospital in Hong Kong. Participants: a community-based sample (n=1200) of postnatal women. Measurements: 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. Findings: 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<0.05), and there was a cumulative effect of abuse on the health-related quality of life of the women. Conclusions: 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. Implications for practice: 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. © 2006 Elsevier Ltd. All rights reserved.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationMidwifery, 2008, v. 24 n. 1, p. 22-37 [How to Cite?]
DOI: http://dx.doi.org/10.1016/j.midw.2006.06.010
 
dc.identifier.doihttp://dx.doi.org/10.1016/j.midw.2006.06.010
 
dc.identifier.epage37
 
dc.identifier.issn0266-6138
2012 Impact Factor: 1.116
2012 SCImago Journal Rankings: 0.555
 
dc.identifier.issue1
 
dc.identifier.pmid17196715
 
dc.identifier.scopuseid_2-s2.0-39649106112
 
dc.identifier.spage22
 
dc.identifier.urihttp://hdl.handle.net/10722/172186
 
dc.identifier.volume24
 
dc.languageeng
 
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/midw
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofMidwifery
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdult
 
dc.subject.meshChina - Ethnology
 
dc.subject.meshConfidence Intervals
 
dc.subject.meshCross-Sectional Studies
 
dc.subject.meshCultural Characteristics
 
dc.subject.meshFemale
 
dc.subject.meshHealth Status
 
dc.subject.meshHong Kong - Epidemiology
 
dc.subject.meshHumans
 
dc.subject.meshInfant, Newborn
 
dc.subject.meshMale
 
dc.subject.meshMental Health
 
dc.subject.meshOdds Ratio
 
dc.subject.meshPregnancy
 
dc.subject.meshPregnancy Complications - Epidemiology
 
dc.subject.meshPrevalence
 
dc.subject.meshQuality Of Life
 
dc.subject.meshQuestionnaires
 
dc.subject.meshRetrospective Studies
 
dc.subject.meshRisk Assessment
 
dc.subject.meshSocioeconomic Factors
 
dc.subject.meshSpouse Abuse - Ethnology - Psychology - Statistics & Numerical Data
 
dc.subject.meshSpouses - Psychology - Statistics & Numerical Data
 
dc.subject.meshWomen's Health
 
dc.titleThe impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women
 
dc.typeArticle
 
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Author Affiliations
  1. Macao Polytechnic Institute
  2. The University of Hong Kong
  3. University of Macau