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, Y1 2
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
2011 Impact Factor: 1.777
2011 SCImago Journal Rankings: 0.065
DOIhttp://dx.doi.org/10.1016/j.midw.2006.06.010
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 1.777
2011 SCImago Journal Rankings: 0.065
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
Author Affiliations
  1. Macao Polytechnic Institute
  2. The University of Hong Kong
  3. University of Macau