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Psychological and physical abuse among pregnant women in a Medicaid-sponsored prenatal program.
- Source :
-
Public health nursing (Boston, Mass.) [Public Health Nurs] 2010 Sep-Oct; Vol. 27 (5), pp. 385-98. - Publication Year :
- 2010
-
Abstract
- Objectives: To document psychological and physical abuse during pregnancy among women enrolled in enhanced prenatal services (EPS); explore the associations between maternal risk factors and type of abuse; and examine the relationship between abuse and EPS participation.<br />Design and Sample: Cross-sectional study utilizing screening data collected between 2005 and 2008. Convenience sample of Medicaid-insured pregnant women enrolled in EPS selected from urban and rural providers.<br />Measures: A prenatal screening tool that included measures such as Cohen's Perceived Stress Scale-4, Patient Health Questionnaire-2, and Abuse Assessment Screen was used.<br />Results: Logistic regressions showed that high perceived stress and lack of father support were associated with all types of abuse and abuse history. Women with risk factors, such as a positive depression screen (odds ratio [OR]=2.36), were associated with psychological abuse but not with physical abuse during pregnancy. Less than a 12th-grade education was associated with physical abuse (OR=1.64) but not psychological abuse during pregnancy. The amount or the timing of EPS participation was not significantly associated with abuse history or abuse during pregnancy.<br />Conclusions: Risk factors, such as high perceived stress and lack of father support, may alert nurses to further explore abuse during pregnancy. Additional research is needed for understanding the relationship between abuse and EPS participation.
- Subjects :
- Confidence Intervals
Cross-Sectional Studies
Female
Humans
Infant Welfare
Infant, Newborn
Logistic Models
Medicaid statistics & numerical data
Michigan epidemiology
Multivariate Analysis
Odds Ratio
Perception
Pregnancy
Prevalence
Psychometrics
Risk Assessment
Stress, Psychological
Surveys and Questionnaires
United States
Domestic Violence statistics & numerical data
Maternal Welfare statistics & numerical data
Medicaid legislation & jurisprudence
Neonatal Screening methods
Prenatal Care methods
Subjects
Details
- Language :
- English
- ISSN :
- 1525-1446
- Volume :
- 27
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Public health nursing (Boston, Mass.)
- Publication Type :
- Academic Journal
- Accession number :
- 20840708
- Full Text :
- https://doi.org/10.1111/j.1525-1446.2010.00871.x