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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

TitleThe impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese women
Authors
Issue Date2008
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/midw
Citation
Midwifery, 2008, v. 24 n. 1, p. 22-37 How to Cite?
Abstract
Objective: 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.
Persistent Identifierhttp://hdl.handle.net/10722/172186
ISSN
2013 Impact Factor: 1.707
2013 SCImago Journal Rankings: 0.809
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Yen_US
dc.contributor.authorKeung Wong, DFen_US
dc.contributor.authorChan, KSen_US
dc.date.accessioned2012-10-30T06:20:35Z-
dc.date.available2012-10-30T06:20:35Z-
dc.date.issued2008en_US
dc.identifier.citationMidwifery, 2008, v. 24 n. 1, p. 22-37en_US
dc.identifier.issn0266-6138en_US
dc.identifier.urihttp://hdl.handle.net/10722/172186-
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.en_US
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/midwen_US
dc.relation.ispartofMidwiferyen_US
dc.subject.meshAdulten_US
dc.subject.meshChina - Ethnologyen_US
dc.subject.meshConfidence Intervalsen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshCultural Characteristicsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshInfant, Newbornen_US
dc.subject.meshMaleen_US
dc.subject.meshMental Healthen_US
dc.subject.meshOdds Ratioen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy Complications - Epidemiologyen_US
dc.subject.meshPrevalenceen_US
dc.subject.meshQuality Of Lifeen_US
dc.subject.meshQuestionnairesen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSocioeconomic Factorsen_US
dc.subject.meshSpouse Abuse - Ethnology - Psychology - Statistics & Numerical Dataen_US
dc.subject.meshSpouses - Psychology - Statistics & Numerical Dataen_US
dc.subject.meshWomen's Healthen_US
dc.titleThe impact and cumulative effects of intimate partner abuse during pregnancy on health-related quality of life among Hong Kong Chinese womenen_US
dc.typeArticleen_US
dc.identifier.emailKeung Wong, DF: dfkwong@hkucc.hku.hken_US
dc.identifier.authorityKeung Wong, DF=rp00593en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.midw.2006.06.010en_US
dc.identifier.pmid17196715en_US
dc.identifier.scopuseid_2-s2.0-39649106112en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-39649106112&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume24en_US
dc.identifier.issue1en_US
dc.identifier.spage22en_US
dc.identifier.epage37en_US
dc.identifier.isiWOS:000254815400004-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridLau, Y=35268939800en_US
dc.identifier.scopusauthoridKeung Wong, DF=35231716600en_US
dc.identifier.scopusauthoridChan, KS=23570760600en_US

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