Evidence map›Paper›PMID 31777658›Full record

ArticleJournal of global health2019

Sexual violence and eclampsia: analysis of data from Demographic and Health Surveys from seven low- and middle-income countries.

Saverio Bellizzi, Alessandra Nivoli, Paola Salaris, Anna Rita Ronzoni, Giuseppe Pichierri, Francesca Palestra, Ola Wazwaz, Miguel Angel Luque-Fernandez

Open access · goldAbstract read
In one paragraph

Article in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Multisectoral responses to identify and reduce GBV in Italy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  3. Article
  4. Article
  5. Exposure to violence and risk of hypertensive disorders in pregnancy: Systematic review and meta-analysis.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Review
  6. Article
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

8 authors at 4 institutions in 5 countries.

Saverio BellizziPartnership for Maternal, Newborn & Child Health, Geneva, Switzerland.
Alessandra NivoliDepartment of Neuroscience, Institute of Psychiatry, University of Sassari, Sassari, Italy.
Paola SalarisDepartment of Endocrinology, Mater Olbia Hospital, Olbia, Italy.
Anna Rita RonzoniWorld Health Organization, Cairo, Egypt.
Giuseppe PichierriKingston Hospital NHS Foundation Trust, Galsworthy Road, Kingston upon Thames, UK.
Francesca PalestraWorld Health Organisation, Addis Ababa, Ethiopia.
Ola WazwazPartnership for Maternal, Newborn & Child Health, Geneva, Switzerland.
Miguel Angel Luque-FernandezDepartment of Non-Communicable Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Andalusian School of Public Health · ESKingston Hospital · GBUniversity of Sassari · ITWorld Health Organization - Egypt · EG

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundScientific literature has provided clear evidence of the profound impact of sexual violence on women's health, such as somatic disorders and mental adverse outcomes. However, consequences related to obstetric complications are not yet completely clarified. This study aimed to assess the association of lifetime exposure to intimate partner sexual violence with eclampsia.

methodsWe considered all the seven Demographic and Health Surveys (DHS) that included data on sexual violence and on signs and symptoms suggestive of eclampsia for women of reproductive age (15-49 years). We computed unadjusted and adjusted odds ratios (OR) to evaluate the risk of suggestive eclampsia by ever subjected to sexual violence. A sensitivity analysis was conducted restricting the study population to women who had their last live birth over the 12 months before the interview.

resultsSelf-reported experience of sexual violence ranged from 3.7% in Mali to 9.2% in India while prevalence of women reporting signs and symptoms compatible with eclampsia ranged from 14.3% in Afghanistan to 0.7% in the Philippines. Reported sexual violence was associated with a 2-fold increased odd of signs and symptoms suggestive of eclampsia in the pooled analysis. The sensitivity analysis confirmed the strength of the association between sexual violence and eclampsia in Afghanistan and in India.

conclusionsWomen and girls in low-and-middle-income countries are at high risk of sexual violence, which may represent a risk factor for hypertensive obstetric complication. Accurate counseling by health care providers during antenatal care consultations may represent an important opportunity to prevent adverse outcomes during pregnancy.

Indexed as

AdolescentAdultDemographyDeveloping CountriesEclampsiaFemaleHumansMiddle AgedPregnancyPrevalenceRisk FactorsSex OffensesYoung Adult

Identifiers

PMID31777658
PMCPMC6858987
OpenAlexW2986800088

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.