Evidence map›Paper›PMID 31772080›Full record

ArticleBMJ open2019

Intimate partner violence in pregnancy: a cross-sectional study from post-conflict northern Uganda.

Susan Clarke, Robyn Richmond, Eleanor Black, Helen Fry, James Henry Obol, Heather Worth

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Susan ClarkeSchool of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia susan.clarke@unswalumni.com.ORCID 0000-0001-9175-7516
Robyn RichmondSchool of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia.
Eleanor BlackSchool of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia.
Helen FrySchool of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia.
James Henry ObolSchool of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia.
Heather WorthSchool of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the prevalence of intimate partner violence (IPV) in pregnancy and to understand associations and determinants.

designCross-sectional survey.

settingTwo rural health clinics in post-conflict northern Uganda.

participantsWomen attending two rural health clinics for a new service providing cervical cancer screening, who had experienced pregnancy. PRIMARY AND SECONDARY OUTCOME MEASURES: Data were collected by a questionnaire using validated questions from the demographic health survey women's questionnaire and the domestic violence module. Data were entered into tablets using Questionnaire Development System software. Bivariate and multivariate logistic regression was performed, using experience of IPV in pregnancy as the dependent variable. SPSS V.25 was used for all analysis.

resultsOf 409 participant women, 26.7% (95% CI 18.6% to 35.9%) reported having been slapped, hit or beaten by a partner while pregnant. For 32.3% (95% CI 20.2% to 37.9%) of the women the violence became worse during pregnancy. Women who had ever experienced IPV in pregnancy were more likely to have experienced violence in the previous 12 months (OR 4.45, 95% CI 2.80 to 7.09). In multivariate logistic regression, the strongest independent associations with IPV in pregnancy were partner's daily drinking of alcohol (OR 2.02, 95% CI 1.19 to 3.43) and controlling behaviours (OR 1.17, 95% CI 1.03 to 1.33).

conclusionsThe women in this study had more exposure to IPV in pregnancy than previously reported for this region. Women's previous experience of intimate partner violence, partner's daily use of alcohol and his controlling behaviours were strong associations with IPV in pregnancy. This study highlights the uneven distribution of risk and the importance of research among the most vulnerable population in rural and disadvantaged settings. More research is needed in local rural and urban settings to illuminate this result and inform intervention and policy.

Indexed as

AdultAlcohol DrinkingCross-Sectional StudiesFemaleHealth SurveysHumansInterpersonal RelationsIntimate Partner ViolenceLogistic ModelsMaleMiddle AgedMultivariate AnalysisPregnancyPregnant PeoplePrevalenceRisk Factorsalcohol drinkingintimate partner violencepregnancywar exposure

Identifiers

PMID31772080
PMCPMC6887065

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.