孕期亲密伴侣暴力和孕晚期就寝-晨起规律与小于胎龄儿的关系Relation of intimate partner violence during pregnancy and sleep-wake rules in late pregnancy to small for gestational age infant
周美婷;李培;李蕾;缪梦娇;尹万军;陶瑞雪;朱鹏;
摘要(Abstract):
目的:探讨孕期亲密伴侣暴力(IPV)与小于胎龄儿(SGA)的关联,并分析孕晚期就寝-晨起规律在其关联中的作用。方法:从2015年3月-2019年6月在合肥市三家医院的产科门诊招募孕妇4908名,使用WHO多国妇女健康和家庭暴力研究小组总结而来的清单式问卷进行调查,并采用多元logistic回归模型进行分析。结果:孕期精神暴力、躯体暴力、性暴力和总IPV发生率分别为9.1%、1.4%、0.9%和9.7%,SGA发生率为7.1%。回归分析结果显示,孕期IPV与SGA正向关联(OR=1.59);分别按就寝时间和晨起时间分层,7∶00后起床、22∶00-23∶00和23∶00后就寝组的IPV与SGA正向关联(OR=2.85、2.18、1.98);按就寝-晨起规律分层,非早睡早起组的IPV和IPV组的非早睡早起与SGA正向关联(OR=2.15、3.32)。结论:孕期遭受IPV(尤其是精神暴力)会增加SGA的风险,而就寝-晨起规律会使IPV与SGA的关联在不同的规律下增强或减弱。
关键词(KeyWords): 亲密伴侣暴力;小于胎龄儿;睡眠;回归分析
基金项目(Foundation): 国家自然科学基金(81872631、81472991);; 合肥市卫计委应用医学研究(hwk2018zd002);; 安徽省高校优秀青年人才基金(gxyqZD2018025)
作者(Author): 周美婷;李培;李蕾;缪梦娇;尹万军;陶瑞雪;朱鹏;
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参考文献(References):
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