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Intimate Partner Violence During Pregnancy: Incidence and Associated Health Behaviors in a Rural Population

  • Beth A. BaileyEmail author
  • Ruth Ann Daugherty
Original Paper

Abstract

Objectives: The goal of this investigation was to examine the prevalence of different types of intimate partner violence (IPV) during pregnancy, as well as the association between both physical and psychological IPV and negative health behaviors, including smoking, other substance use, inadequate prenatal care utilization, and nutrition, in a rural sample. Methods: 104 southern Appalachian women, primarily Caucasian and lower SES, completed a pregnancy interview focused on IPV (CTS2) and health behaviors. Medical records were also reviewed. Results: 81% of participants reported some type of IPV during the current pregnancy, with 28% reporting physical IPV, and 20% reporting sexual violence. More than half were current smokers. Physical IPV during pregnancy was associated with significantly increased rates of pregnancy smoking (including decreased rates of quitting and reducing), increased rates of alcohol, marijuana, and harder illicit drug use around the time of conception, and later entry into prenatal care. The experience of psychological IPV during pregnancy was associated with a significantly decreased likelihood of quitting or reducing smoking during pregnancy, an increased rate of alcohol use around the time of conception, and an increased rate of pre-pregnancy obesity. Conclusions: In this sample, pregnancy IPV and smoking occurred at rates well above national averages. Additionally, while physical IPV during pregnancy was associated with several negative pregnancy health behaviors, the experience of psychological IPV, even in the absence of physical IPV, also placed women at increased risk for negative health behaviors, all of which have been linked to poor pregnancy and newborn outcomes.

Keywords

Pregnancy IPV Psychological IPV Pregnancy health behaviors Pregnancy smoking 

Notes

Acknowledgements

This study was supported by NCMHD Project EXPORT grant number 5 R24 MD001106-02 awarded to Dr. Joellen Edwards, and by an East Tennessee State University Research Deve-lopment Committee award to Dr. Beth Bailey.

The authors wish to thank all of the women who participated in this project for their time and dedication to this effort. We would also like to thank the physicians and staff at Bristol Family Practice Center for their assistance with participant recruitment and data collection.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of Family Medicine, James H. Quillen College of MedicineEast Tennessee State UniversityJohnson CityUSA

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