Intimate partner violence against Spanish pregnant women: application of two screening instruments to assess prevalence and associated factors

ObjectiveTo investigate the prevalence of intimate partner violence in Spanish women during the 12months prior to delivery and to identify associated risk factors using two screening instruments. DesignA population-based study. SettingFifteen public hospitals in southern Spain. PopulationA total of 779 women admitted to the hospital obstetrics department. MethodsIntimate partner violence was diagnosed with the Abuse Assessment Screen and Index of Spouse Abuse screening instruments. Main outcome measuresPrevalence and associated risk factors of intimate partner violence during pregnancy. ResultsAccording to the Abuse Assessment Screen, intimate partner violence during the pre-delivery year was experienced by 7.7% of the women, emotional abuse by 4.8%, and physical abuse by 1.7%. According to the Index of Spouse Abuse, non-physical intimate partner violence during this period was reported by 21.0% of the women and physical intimate partner violence by 3.6%. After adjusting for socio-demographic characteristics, multivariate regression models showed that an uncommitted relationship and absence of kin support were significantly associated with an increased intimate partner violence risk during the pre-delivery year. Employment was a significant protective factor against any of the three forms of intimate partner violence (Abuse Assessment Screen) and physical intimate partner violence (Index of Spouse Abuse) during this period. ConclusionsA high proportion of women in Spain experience intimate partner violence during or just before pregnancy. Pregnant women in an uncommitted relationship or without kin support were at greater risk of intimate partner violence. Screening instruments for intimate partner violence during pregnancy should be evaluated in different cultural contexts.