Opin vísindi

History of violence and subjective health of mother and child

History of violence and subjective health of mother and child

Title: History of violence and subjective health of mother and child
Author: Tomasdottir, Margret O.
Bjornsdottir, Amalia   orcid.org/0000-0001-6639-2607
Getz, Linn
Steingrimsdottir, Thora   orcid.org/0000-0002-8161-173X
Ólafsdóttir, Ólöf A.
Kristjánsdóttir, Hildur   orcid.org/0000-0002-3052-4871
Sigurðsson, Jóhann A.
Date: 2016-10-08
Language: English
Scope: 394-400
University/Institute: Háskóli Íslands
University of Iceland
School: Heilbrigðisvísindasvið (HÍ)
School of Health Sciences (UI)
Menntavísindasvið (HÍ)
School of Education (UI)
Department: Læknadeild (HÍ)
Faculty of Medicine (UI)
Hjúkrunarfræðideild (HÍ)
Faculty of Nursing (UI)
Kennaradeild (HÍ)
Faculty of Teacher Education (UI)
Series: Scandinavian Journal of Primary Health Care;34(4)
ISSN: 0281-3432
1502-7724 (e-ISSN)
DOI: 10.1080/02813432.2016.1249060
Subject: Public health; Environmental and occupational health; Pregnancy; Violence; Abuse; Childbirth; Child health; Iceland; Heilsufar; Meðganga; Ofbeldi; Fæðing; Börn
URI: https://hdl.handle.net/20.500.11815/181

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Margrét O. Tómasdóttir, Hildur Kristjansdóttir, Amalia Björnsdóttir, Linn Getz, Þóra Steingrimsdóttir, Ólöf A. Ólafsdóttir og Jóhann A. Sigurðsson. (2016). History of violence and subjective health of mother and child. Scandinavian Journal of Primary Health Care, 34(4), 394-400. DOI: 10.1080/02813432.2016.1249060


Objective: To study the self-reported prevalence of experienced violence among a cohort of women about two years after giving birth, their health during pregnancy, pregnancy outcomes and their experience of their child ’ s health. Setting and subjects: In 2011, a total of 657 women participated in phase III of the Childbirth and Health Cohort Study in Icelandic Primary Health Care, 18 to 24 months after delivery. The women had previously participated in phase I around pregnancy week 16 and phase II 5 – 6 months after delivery. Data were collected by postal questionnaires. Main outcome measures: Women ’ s reported history of experienced violence, sociodemographic and obstetric background, self-perceived health, the use of medications and their child ’ sper- ceived health. Results: In phase III, 16% of women reported experiencing violence. These women felt less sup- port from their current partner ( p < 0.001), compared to those who did not report violence. Their pregnancies were more frequently unplanned ( p < 0.001), deliveries more often by caesarean section ( p < 0.05), and their self-perceived health was worse ( p < 0.001). They reported more mental and somatic health complaints, and their use of antidepressant drugs was higher ( p < 0.001). Furthermore, women with a history of violence considered their child ’ s general health as worse ( p ¼ 0.008). Conclusions: Our study confirms that a history of violence is common among women. A history of violence is associated with various maternal health problems during and after pregnancy, a higher rate of caesarean sections and maternal reports of health problems in their child 18 – 24 months after birth. KEY POINTS Violence is a major concern worldwide. Understanding the impact of violence on human health and developing effective preventive measures are important elements of any public health agenda. The reported prevalence of experiencing violence was 16% among women attending ante- natal care in the primary health care setting in Iceland. Women with a history of violence reported worse health in general during pregnancy and delivered more often by caesarean section, compared to women with no such history. Mothers with a history of violence also evaluated the general health of their child as worse than women with no such history. The findings of this study support the importance of recognizing and addressing experi- enced violence among women in primary care.


© 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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