Intergenerational effects of violence on women's perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam.
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Authors
Do, Huyen Phuc
Baker, Philip RA
Van Vo, Thang
Murray, Aja
Murray, Linda
Valdebenito, Sara
Tran, Bach Xuan
Dunne, Michael P
Publication Date
2021-09-23Journal Title
BMC Pregnancy Childbirth
ISSN
1471-2393
Publisher
Springer Science and Business Media LLC
Volume
21
Issue
1
Pages
648
Language
eng
Type
Article
This Version
VoR
Physical Medium
Electronic
Metadata
Show full item recordCitation
Do, H. P., Baker, P. R., Van Vo, T., Murray, A., Murray, L., Valdebenito, S., Eisner, M., et al. (2021). Intergenerational effects of violence on women's perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam.. BMC Pregnancy Childbirth, 21 (1), 648. https://doi.org/10.1186/s12884-021-04097-6
Abstract
BACKGROUND: Girls exposed to violence have a high risk of being victimized as adults and are more likely than non-abused women to have children who are treated violently. This intergenerational transmission may be especially serious when women suffer violence during pregnancy and early motherhood, as it impairs maternal wellbeing and infant health and development. This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. METHODS: A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and 3 months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. RESULTS: One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20-3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = - 1.3). CONCLUSION: These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women's previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy.
Keywords
Childhood maltreatment, Mediation pathway, Pregnant women, Prenatal intimate partner violence, Violent victimization, Adult, Birth Cohort, Cohort Studies, Domestic Violence, Female, Humans, Infant, Newborn, Intergenerational Relations, Male, Mental Disorders, Middle Aged, Parent-Child Relations, Pregnancy, Pregnancy Complications, Risk Factors, Surveys and Questionnaires, Vietnam, Young Adult
Identifiers
External DOI: https://doi.org/10.1186/s12884-021-04097-6
This record's URL: https://www.repository.cam.ac.uk/handle/1810/330941
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