Domestic and Family Violence and its Association with Mental Health Among Pregnant Women Attending Antenatal Care in a Tertiary Hospital of Eastern Nepal.

Sapkota, D; Anderson, D; Saito, A; Baird, K

Domestic and Family Violence and its Association with Mental Health Among Pregnant Women Attending Antenatal Care in a Tertiary Hospital of Eastern Nepal.

Sapkota, D Anderson, D

Saito, A Baird, K

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Publisher:: Nepal Health Research Council
Publication Type:: Journal Article
Citation:: Journal of Nepal Health Research Council, 2021, 19, (50), pp. 115-121
Issue Date:: 2021-04-23

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Field	Value	Language
dc.contributor.author	Sapkota, D
dc.contributor.author	Anderson, D https://orcid.org/0000-0001-8996-9624
dc.contributor.author	Saito, A
dc.contributor.author	Baird, K https://orcid.org/0000-0003-0142-6962
dc.date.accessioned	2021-09-16T06:00:14Z
dc.date.available	2021-04-23
dc.date.available	2021-09-16T06:00:14Z
dc.date.issued	2021-04-23
dc.identifier.citation	Journal of Nepal Health Research Council, 2021, 19, (50), pp. 115-121
dc.identifier.issn	1727-5482
dc.identifier.issn	1999-6217
dc.identifier.uri	http://hdl.handle.net/10453/150596
dc.description.abstract	Background: Pregnancy has been identified as a vulnerable period for both the initiation and escalation in severity of domestic and family violence. There is a significant dearth of scholarly literature documenting the relationship of domestic and family violence with the mental health and quality of life among pregnant women of Nepal. Methods: Baseline data of 140 women enrolled in a trial of a psychosocial intervention for abused pregnant women were analysed. Face-to-face interviews were conducted using standardised scales. Prevalence of domestic and family violence and mental health conditions were estimated and inferential statistics were used to assess the association of domestic and family violence with mental health, quality of life, social support, and use of safety behaviours. Results: The lifetime prevalence of domestic and family violence was found to be 27.7% (n = 173), followed by 17.1% of women (n = 107) fearing someone in their family. Domestic and family violence in the last 12 months was significantly associated with anxiety (p = 0.001), depression (p = 0.005), quality of life (p < 0.05), and perceived social support (p = 0.001). Use of safety behaviours (p = 0.037) was significantly low among women reporting domestic and family violence in the past year as well as during the current pregnancy (p = 0.017). Conclusions: There exists a high psychological morbidity among pregnant women exposed to domestic and family violence. The findings support the need of implementing a screening and support intervention for abused women seeking antenatal services.
dc.format	Electronic
dc.language	eng
dc.publisher	Nepal Health Research Council
dc.relation.ispartof	Journal of Nepal Health Research Council
dc.relation.isbasedon	10.33314/jnhrc.v19i1.2508
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Domestic Violence
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Mental Health
dc.subject.mesh	Nepal
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Prevalence
dc.subject.mesh	Quality of Life
dc.subject.mesh	Tertiary Care Centers
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Prevalence
dc.subject.mesh	Mental Health
dc.subject.mesh	Pregnancy
dc.subject.mesh	Domestic Violence
dc.subject.mesh	Quality of Life
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Nepal
dc.subject.mesh	Female
dc.subject.mesh	Tertiary Care Centers
dc.subject.mesh	Domestic Violence
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Mental Health
dc.subject.mesh	Nepal
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Prevalence
dc.subject.mesh	Quality of Life
dc.subject.mesh	Tertiary Care Centers
dc.title	Domestic and Family Violence and its Association with Mental Health Among Pregnant Women Attending Antenatal Care in a Tertiary Hospital of Eastern Nepal.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	Nepal
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-09-16T06:00:10Z
pubs.issue	50
pubs.publication-status	Published
pubs.volume	19
utslib.citation.issue	50

Abstract:

Background: Pregnancy has been identified as a vulnerable period for both the initiation and escalation in severity of domestic and family violence. There is a significant dearth of scholarly literature documenting the relationship of domestic and family violence with the mental health and quality of life among pregnant women of Nepal. Methods: Baseline data of 140 women enrolled in a trial of a psychosocial intervention for abused pregnant women were analysed. Face-to-face interviews were conducted using standardised scales. Prevalence of domestic and family violence and mental health conditions were estimated and inferential statistics were used to assess the association of domestic and family violence with mental health, quality of life, social support, and use of safety behaviours. Results: The lifetime prevalence of domestic and family violence was found to be 27.7% (n = 173), followed by 17.1% of women (n = 107) fearing someone in their family. Domestic and family violence in the last 12 months was significantly associated with anxiety (p = 0.001), depression (p = 0.005), quality of life (p < 0.05), and perceived social support (p = 0.001). Use of safety behaviours (p = 0.037) was significantly low among women reporting domestic and family violence in the past year as well as during the current pregnancy (p = 0.017). Conclusions: There exists a high psychological morbidity among pregnant women exposed to domestic and family violence. The findings support the need of implementing a screening and support intervention for abused women seeking antenatal services.

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http://hdl.handle.net/10453/150596