دورية أكاديمية

Low uptake of gynecological consultation following domestic or sexual violence: A case-control study during pregnancy follow-up.

التفاصيل البيبلوغرافية
العنوان: Low uptake of gynecological consultation following domestic or sexual violence: A case-control study during pregnancy follow-up.
المؤلفون: Iraola E; Institut de Recherche interdisciplinaire sur les Enjeux Sociaux (IRIS), UMR 8156-997, CNRS U997 Inserm EHESS UFR SMBH, Université Sorbonne Paris Nord, France; Direction de la protection maternelle et infantile et promotion de la santé, Conseil départemental du Val-de-Marne, 94000 Créteil, France. Electronic address: elisabeth.iraola@valdemarne.fr., Menard JP; Direction de la protection maternelle et infantile et promotion de la santé, Conseil départemental du Val-de-Marne, 94000 Créteil, France., Baranne ML; Direction de la protection maternelle et infantile et promotion de la santé, Conseil départemental du Val-de-Marne, 94000 Créteil, France., Cudonnec J; Direction de la protection maternelle et infantile et promotion de la santé, Conseil départemental du Val-de-Marne, 94000 Créteil, France., Buresi I; Direction de la protection maternelle et infantile et promotion de la santé, Conseil départemental du Val-de-Marne, 94000 Créteil, France., Chariot P; Institut de Recherche interdisciplinaire sur les Enjeux Sociaux (IRIS), UMR 8156-997, CNRS U997 Inserm EHESS UFR SMBH, Université Sorbonne Paris Nord, France.
المصدر: European journal of obstetrics, gynecology, and reproductive biology [Eur J Obstet Gynecol Reprod Biol] 2024 May; Vol. 296, pp. 215-220. Date of Electronic Publication: 2024 Mar 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Scientific Publishers Country of Publication: Ireland NLM ID: 0375672 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-7654 (Electronic) Linking ISSN: 03012115 NLM ISO Abbreviation: Eur J Obstet Gynecol Reprod Biol Subsets: MEDLINE
أسماء مطبوعة: Publication: Limerick : Elsevier Scientific Publishers
Original Publication: Amsterdam, Excerpta Medica.
مواضيع طبية MeSH: Domestic Violence* , Dyspareunia* , Sex Offenses* , Intimate Partner Violence*, Female ; Humans ; Pregnancy ; Case-Control Studies ; Follow-Up Studies ; Prevalence
مستخلص: Objective: The aim of this study was to examine the association between exposure to domestic and sexual violence and low uptake of gynecological consultation.
Study Design: Between October 2021 and October 2022, a case-control studywas conducted in mother andchild centers and sexual health centers in the Paris, France area. The case group included pregnant women who did not have a scheduled gynecological consultation in the past two years. The control group included pregnant women who had a scheduled gynecological consultation in the past two years. Pregnant women were interviewed using a standardized questionnaire about a history of domestic and sexual violence, the date of their last gynecological consultation and the gynecological health.
Results: A total of 405 pregnant women were included in the case group (n = 129) or in the control group (n = 276). After adjustment for age, couple, social security, supplementary health insurance, dyspareunia, abnormal vaginal discharge, dysmenorrhea, regular pelvic pain, mastodynia, vulvodynia and history of difficult delivery, a history of intimate partner violence was associated with the absence of a gynecological consultation in the past two years (OR 2.13; CI95% 1.21-3.73, p = 0.008). A history of sexual violence, regardless of age, was associated with the absence a gynecological consultation in the past two years (OR 1.92; CI95% 1.05-3.49, p = 0.03). The absence of a gynecological consultation was associated with dyspareunia and domestic or sexual violence (p < 0.0001 and p < 0.0001, respectively).
Conclusions: This study highlighted the association between domestic and sexual violence and the absence of gynecological consultations in the past two years. It underlines the importance of screening for domestic and sexual violence during gynecological consultations and its impacts on mental health, in particular psychotraumatic symptoms, and on gynecological health, in particular dyspareunia.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Domestic violence; Gynecological care; Gynecological health; Intimate partner violence; Sexual violence
تواريخ الأحداث: Date Created: 20240312 Date Completed: 20240419 Latest Revision: 20240419
رمز التحديث: 20240419
DOI: 10.1016/j.ejogrb.2024.02.055
PMID: 38471336
قاعدة البيانات: MEDLINE
الوصف
تدمد:1872-7654
DOI:10.1016/j.ejogrb.2024.02.055