The Impact of Preventive Interventions on Intimate Partner Violence among Pregnant Women Resident in Hamadan City Slum Areas Using the PEN-3 Model: Control Randomized Trial Study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Intimate partner violence is a severe life-threatening criminal and public health problem affecting the well-being of individuals, families, and society. Planning interventions to reduce the burden of this persistent and criminal violence should be relevant culturally and socially.Methods: In this randomized control trial, 150 pregnant women residing in slum areas of Hamadan were randomly assigned to two groups (intervention group: n=50 and control group: n=100). Interventional strategies included ed-ucating the victims based on local cultural norms, culturally sensitive individual and group counseling, and educat-ing health care providers. Data were collected via face-to-face interviews at baseline and again at 3 months after the intervention. We used a paired t-test to evaluate the effect of the intervention by comparing changes in the out-comes measured.Results: There were no statistically significant differences between the two groups at baseline in terms of sociode-mographic characteristics. Post-test scores of knowledge (7.50±2.65 vs. 5.14±3.51, P=0.001), communication skills (18.38±4.25 vs. 16.2±3.83, P=0.04), and family support and social expectation of obedience (15.79±4.45 vs. 13.40±4.57, P=0.005) of the victims were statistically significantly higher in the experimental group compared to the control group. Moreover, physical (0.74±2.28 vs. 1.20±2.60, P=0.06), psychological (2.80±4.10 vs. 4.52±5.43, P=0.06), and sexual (0.11±0.58 vs. 0.61±1.22, P=0.04) violence reduced in the experimental group compared to the control group.Conclusion: Culturally relevant interventions can reduce intimate partner violence.
Abstract
Background: Intimate partner violence is a severe life-threatening criminal and public health problem affecting the well-being of individuals, families, and society. Planning interventions to reduce the burden of this persistent and criminal violence should be relevant culturally and socially.Methods: In this randomized control trial, 150 pregnant women residing in slum areas of Hamadan were randomly assigned to two groups (intervention group: n=50 and control group: n=100). Interventional strategies included ed-ucating the victims based on local cultural norms, culturally sensitive individual and group counseling, and educat-ing health care providers. Data were collected via face-to-face interviews at baseline and again at 3 months after the intervention. We used a paired t-test to evaluate the effect of the intervention by comparing changes in the out-comes measured.Results: There were no statistically significant differences between the two groups at baseline in terms of sociode-mographic characteristics. Post-test scores of knowledge (7.50±2.65 vs. 5.14±3.51, P=0.001), communication skills (18.38±4.25 vs. 16.2±3.83, P=0.04), and family support and social expectation of obedience (15.79±4.45 vs. 13.40±4.57, P=0.005) of the victims were statistically significantly higher in the experimental group compared to the control group. Moreover, physical (0.74±2.28 vs. 1.20±2.60, P=0.06), psychological (2.80±4.10 vs. 4.52±5.43, P=0.06), and sexual (0.11±0.58 vs. 0.61±1.22, P=0.04) violence reduced in the experimental group compared to the control group.Conclusion: Culturally relevant interventions can reduce intimate partner violence.
참고문헌 (27)
- "J Womens Health (Larchmt)", 2015, 62~79
- O’Doherty L, "Screening women for intimate partner violence in healthcare settings", Cochrane Database Syst Rev, 2015, pp.CD007007~ (2015)
- Bhandari S, "Pregnant women experiencing IPV: impact of supportive and non-supportive relationships with their mothers and other supportive adults on perinatal depression: a mixed methods analysis", Issues Ment Health Nurs, 33, pp.827~837 (2012)
- Ahmadi R, "Association of intimate partner violence with sociodemographic factors in married women : a population-based study in Iran", Psychol Health Med, 22, pp.834~844 (2017)
- Tirado-Munoz J, "A group intervention to reduce intimate partner violence among female drug users : results from a randomized controlled pilot trial in a community substance-abuse center", Adicciones, 27, pp.168~178 (2015)
- Wood L, "Hoping, empowering, strengthening: theories used in intimate partner violence advocacy", Affilia, 30, pp.286~301 (2015)
- Ayala Quintanilla BP, "Social determinants and maternal exposure to intimate partner violence of obstetric patients with severe maternal morbidity in the intensive care unit: a systematic review protocol", BMJ Open, 6, pp.e013270~ (2016)
- Gazmararian JA, "Prevalence of violence against pregnant women", JAMA, 275, pp.1915~1920 (1996)
- Patro-Hernandez RM, "The psychology of gender and health:conceptual and applied global concerns", pp.199~229 (2017), Academic Press
- Soleimani A, "Prevalence of violence against women in during pregnancy in Iran : a sys-tematic review and meta-analysis", J Urmia Nurs Midwifery Fac, 13, pp.973~986 (2016)
- Hoque ME, "Prevalence and experience of domestic violence among rural pregnant women in KwaZulu-Natal, South Africa", South Afr J Epidemiol Infect, 24, pp.34~37 (2009)
- Chemuru NR, "Application of the PEN-3 cultural model in assessing factors affecting adolescent pregnancies in Rural Eastern Cape, South Africa", Int J Reprod Fertil Sex Health, (S1), pp.1~8 (2015)
- Orrego Dunleavy V, "Applying the PEN-3 cultural model to address HIV", AIDS prevention in rural Guatemala, 2018, pp.47, 1~20
- Moeini B, "Utilizing the PEN-3 model to identify socio-cultural factors affecting intimate partner violence against pregnant women in Suburban Hamadan", Health Care Women Int 2019;, 40, pp.1212~1228 (2019)
- Ekhtiari YS, "Effect of an intervention on attitudes towards domestic violence among Iranian girls", J Pak Med Assoc, 64, pp.987~992 (2014)
- Straus MA, "Cross-cultural reliability and validity of the Revised Conflict Tactics Scales : a study of university student dating couples in 17nations", Cross-Cult Res, 38, pp.407~432 (2004)
- Adib-Hajbaghery M, "Comparing violence against women with and without an addicted spouse in Kashan, Iran", Addict Health, 7, pp.74~81 (2015)
- Rivas C, "Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse", Cochrane Database Syst Rev, (12), pp.CD005043~ (2015)
- Jahanfar S, "Interventions for preventing or reducing domestic violence against pregnant women", Cochrane Database Syst Rev, 2014, pp.CD009414~ (2014)
- Zlotnick C, "An interpersonally based intervention for low-income pregnant women with intimate partner violence:a pilot study", Arch Womens Ment Health, 14, pp.55~65 (2011)
- Taghdisi MH, "The impact of educational intervention based on empowerment model in preventing violence against women", Iran Red Crescent Med J, 16, pp.e14432~ (2014)
- Lila M, "Predicting success indicators of an intervention programme for convicted intimate-partner violence offenders : the Contexto Programme", Eur J Psychol Appl Leg Context, 5, pp.73~95 (2013)
- Bolhari J, "Domestic violence prevention advocacy program : a pilot study in Tehran urban area", Iran J Psychiatry Clin Psychol, 24, pp.124~135 (2018)
- Rasoulian M, "Risk factors of domestic violence in Iran", Iran J Psychiatry Behav Sci, 11, pp.e4280~ (2017)
- Hugl-Wajek JA, "Detection of domestic violence by a domestic violence advocate in the ED", J Emerg Med, 43, pp.860~865 (2012)
- Coker AL, "RCT testing bystander effectiveness to reduce violence", Am J Prev Med, 52, pp.566~578 (2017)
- Fallah S, "Effective factors on confronting violence on married women", J Gorgan Univ Med Sci, 17, pp.Pe91~96 (2016)