We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
The impact of domestic violence and depressive symptoms on preterm birth in South India.
- Authors
Rao, Deepa; Kumar, Shuba; Mohanraj, Rani; Frey, Sarah; Manhart, Lisa; Kaysen, Debra; Manhart, Lisa E; L Kaysen, Debra
- Abstract
<bold>Purpose: </bold>India has the highest absolute number of maternal deaths, preterm birth cases, and under-5 mortality in the world, as well as high domestic violence (DV) rates. We sought to examine the impact of DV and its psychosocial correlates on pregnancy and birth outcomes.<bold>Methods: </bold>Women seeking antenatal care in Tamil Nadu, South India (N = 150) were assessed during pregnancy, and birth outcomes were abstracted from medical records after the babies were born.<bold>Results: </bold>We found that psychological abuse (OR 3.9; 95% CI 1.19-12.82) and mild or greater depressive symptoms (OR 3.3; 95% CI 0.99-11.17) were significantly associated with increased risk of preterm birth. Physical abuse was also associated with increased risk of preterm birth, but this was not statistically significant (OR 1.9; 95% CI 0.59-6.19). In each of the above adjusted models, low maternal education was associated with increased risk of preterm birth, in the analysis with depressive symptoms OR 0.18, CI 0.04-0.86 and in the analyses with psychological abuse OR 0.19, CI 0.04-0.91.<bold>Conclusions: </bold>These findings suggest that future research should focus on understanding the psychosocial antecedents to preterm birth, to better target interventions and improve maternal child health in limited resource settings.
- Subjects
SOUTH India; INDIA; MENTAL depression; PREMATURE labor; DOMESTIC violence; SYMPTOMS; HEALTH outcome assessment; PREMATURE infants; PRENATAL care
- Publication
Social Psychiatry & Psychiatric Epidemiology, 2016, Vol 51, Issue 2, p225
- ISSN
0933-7954
- Publication type
journal article
- DOI
10.1007/s00127-015-1167-2