ArticleJournal of global health2019
Impact of social violence and childhood adversities on pregnancy outcomes: a longitudinal study in Tunisia.
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 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Magnitude and risk factors of khat, alcohol and cigarettes use among pregnant women in Africa: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Pooled it
- Total Adverse Childhood Experiences and Preterm Birth: A Systematic Review.Maternal and child health journal · 2021Pooled it
- The Association Between Intimate Partner Violence and Prior-to-Pregnancy Fear of Childbirth Among Nulligravid Women: Implications for Preconception and Obstetric Care.International journal of environmental research and public health · 2026Article
- Global variation in the assessment of psychological trauma in pregnancy.Global mental health (Cambridge, England) · 2025Review
- Patterns of maternal adverse childhood experiences and the intergenerational association of preschool children's emotional and behavioral problems.Frontiers in psychiatry · 2024Article
- The Association Between Adverse and Positive Childhood Experiences and Marijuana Use During Lactation.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023Article
- Common mental disorders and intimate partner violence against pregnant women living with HIV in Cameroon: a cross-sectional analysis.BMC pregnancy and childbirth · 2021Article
- The effects of adverse childhood experiences on pregnancy-related anxiety and acceptance of motherhood role.African health sciences · 2020Article
- Associations between adverse childhood experiences and perinatal outcomes.Jornal de pediatriaArticle
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundAccumulating research suggests that exposure to intra-familial adversities are significant risk factors for adverse pregnancy outcomes. However, the relationship between social violence (peer violence, witnessing community violence and exposure to collective violence) and pregnancy outcomes has not been extensively investigated. Our study aims to examine the association between social Adverse Childhood Experiences (ACEs) and pregnancy outcomes and to explore the role of depression during pregnancy as a mediator of this association.
methodsWe performed a prospective follow-up study of pregnant women in five Primary Health care Centers (PHC) in the region of Monastir (Tunisia) from September 2015 to August 2016. Enrolled women were followed during the second trimester, third trimester of pregnancy and during the postnatal period. Exposure to violence was assessed retrospectively using the validated Arabic version of the World Health Organization (WHO) ACE questionnaire. The Self Reporting Questionnaire 20-Item (SRQ-20) was used as a screening tool for depression during pregnancy.
resultsWe recruited and followed a total of 593 women during the study period. Witnessing community violence was the most frequently reported social ACE among pregnant women (237; 40%), followed by peer violence (233; 39.3%). After adjustment for high risk pregnancies, environmental tobacco smoke, and intra-familial ACEs, the risk of premature birth was significantly associated with exposure to collective violence (
conclusionsSocial ACEs may have a long-term effect on maternal reproductive health, as manifested by offspring that were of reduced birth weight and shorter gestational age. A public health framework based on the collaboration between pediatric, psychiatric obstetrical health professionals, education professionals and policy makers could be applied to ensure primary prevention of childhood adversities and pay attention to expected mothers with history of exposure to such adversities.
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