期刊
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE
卷 163, 期 10, 页码 931-936出版社
AMER MEDICAL ASSOC
DOI: 10.1001/archpediatrics.2009.167
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资金
- United Nations Children's Fund
- Swedish International Development Cooperation Agency
- United Kingdom Medical Research Council
- Swedish Research Council
- Department for International Development
- International Centre for Diarrhoeal Disease Research, Bangladesh
- Global Health Research Fund, Japan
- Child Health and Nutrition Research Initiative
- Uppsala University
- United States Agency for International Development
Objective: To explore whether different forms of violence against women were associated with increased incidence rates of diarrhea and respiratory tract infections among infants. Design: A 12-month follow-up study embedded in a food and micronutrient supplementation trial. Setting: Rural Bangladesh. Participants: Pregnant women and their 3132 live-born children. Main Exposure: Maternal exposure to physical, sexual, and emotional violence and level of controlling behavior in the family. Main Outcome Measures: Infants' risk of falling ill with diarrheal diseases and respiratory tract infections in relation to mothers' exposure to different forms of violence. Adjusted for household economic conditions, mother's education level, parity, and religion. Results: Fifty percent of the women reported lifetime experience of family violence. Infants of mothers exposed to different forms of family violence had 26% to 37% higher incidence of diarrhea. Any lifetime family violence was positively associated with increased incidence of diarrheal diseases ( adjusted rate ratio, 1.20; 95% confidence interval, 1.10-1.30) and lower respiratory tract infections ( adjusted rate ratio, 1.31; 95% confidence interval, 1.17-1.46). Further, all forms of family violence were also independently positively associated with infant illness, and the highest incidence rates were found among the daughters of severely physically abused mothers. Conclusion: Family violence against women was positively associated with an increased risk of falling ill with diarrheal and respiratory tract infections during infancy. The present findings add to increasing evidence of the magnitude of public health consequences of violence against women.
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