Intergenerational effects of violence on women's perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam

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dc.citation.issue1
dc.citation.volume21
dc.contributor.authorDo HP
dc.contributor.authorBaker PRA
dc.contributor.authorVan Vo T
dc.contributor.authorMurray A
dc.contributor.authorMurray L
dc.contributor.authorValdebenito S
dc.contributor.authorEisner M
dc.contributor.authorTran BX
dc.contributor.authorDunne MP
dc.coverage.spatialEngland
dc.date.accessioned2023-07-21T02:14:09Z
dc.date.accessioned2023-09-04T01:40:50Z
dc.date.available2021-09-23
dc.date.available2023-07-21T02:14:09Z
dc.date.available2023-09-04T01:40:50Z
dc.date.issued2021-12
dc.date.updated2023-07-20T22:34:34Z
dc.description© The Author(s). 2021en_US
dc.description.abstractBACKGROUND: Girls exposed to violence have a high risk of being victimized as adults and are more likely than non-abused women to have children who are treated violently. This intergenerational transmission may be especially serious when women suffer violence during pregnancy and early motherhood, as it impairs maternal wellbeing and infant health and development. This study examined the intergenerational effects of being exposed to childhood maltreatment (CM) and prenatal intimate partner violence (p-IPV) on perinatal mental distress and birth outcomes in central Vietnam. METHODS: A birth cohort study in Hue City, Vietnam was conducted with 150 women in the third trimester of pregnancy (Wave 1) and 3 months after childbirth (Wave 2). Using multivariable logistic regression models, augmented inverse-probability-weighted estimators and structural equation modelling (SEM), we analyzed a theoretical model by evaluating adjusted risk differences and pathways between CM, p-IPV and subsequent perinatal adversity and indicators of infant health problems. RESULTS: One in two pregnant women experienced at least one form of CM (55.03%) and one in ten pregnant women experienced both CM and p-IPV (10.67%). Mothers who experienced p-IPV or witnessed IPV as a child were approximately twice as likely to experience poor mental health during pregnancy [ARR 1.94, 95% CI (1.20-3.15)]. Infants had a two-fold higher risk of adverse birth outcomes (low birth weight, preterm birth, admission to neonatal intensive care) [ARR 2.45 95% CI (1.42, 4.25)] if their mothers experienced any form of p-IPV, with greater risk if their mothers were exposed to both CM and p-IPV [ARR 3.45 95% CI (1.40, 8.53)]. Notably, significant pathways to p-IPV were found via adverse childhood experience (ACE) events (β = 0.13), neighborhood disorder (β = 0.14) and partner support (β = - 1.3). CONCLUSION: These results emphasize the detrimental and prolonged nature of the effect of violence during childhood and pregnancy. Exposure to childhood maltreatment and violence during pregnancy increases the risk of maternal mental health difficulties and adverse birth outcomes. Antenatal care systems need to be responsive to women's previous experiences of violence and maternal mental health. The significant protective role of partner support and social support should also be considered when designing tailored interventions to address violence during pregnancy.
dc.description.confidentialfalse
dc.edition.editionDecember 2021
dc.format.extent648-
dc.identifier648
dc.identifier10.1186/s12884-021-04097-6
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/34556095
dc.identifier.citationDo HP, Baker PRA, Van Vo T, Murray A, Murray L, Valdebenito S, Eisner M, Tran BX, Dunne MP. (2021). Intergenerational effects of violence on women's perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam.. BMC Pregnancy Childbirth. 21. 1. (pp. 648-).
dc.identifier.doi10.1186/s12884-021-04097-6
dc.identifier.eissn1471-2393
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1471-2393
dc.identifier.urihttp://hdl.handle.net/10179/19886
dc.languageeng
dc.publisherBioMed Central Ltd
dc.publisher.urihttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-04097-6
dc.relation.isPartOfBMC Pregnancy Childbirth
dc.rightsCC BY 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.subjectChildhood maltreatment
dc.subjectMediation pathway
dc.subjectPregnant women
dc.subjectPrenatal intimate partner violence
dc.subjectViolent victimization
dc.subjectAdult
dc.subjectBirth Cohort
dc.subjectCohort Studies
dc.subjectDomestic Violence
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant, Newborn
dc.subjectIntergenerational Relations
dc.subjectMale
dc.subjectMental Disorders
dc.subjectMiddle Aged
dc.subjectParent-Child Relations
dc.subjectPregnancy
dc.subjectPregnancy Complications
dc.subjectRisk Factors
dc.subjectSurveys and Questionnaires
dc.subjectVietnam
dc.subjectYoung Adult
dc.titleIntergenerational effects of violence on women's perinatal wellbeing and infant health outcomes: evidence from a birth cohort study in Central Vietnam
dc.typeJournal article
pubs.elements-id448719
pubs.organisational-groupOther
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