4049.0: Tuesday, October 23, 2001 - 8:42 AM

Abstract #29252

Prevalence and risk factors of physical violence among pregnant women

Mona Shah, MPH1, Diane Abatemarco, PhD, MSW2, Shyamala Muthurajah, MPH, MBBS3, and Edmond S. Malka, MPH3. (1) University of Medicine & Dentistry of New Jersey School of Public Health, (2) UMDNJ - School of Public Health, 335 George Street, Liberty Plaza, Suite 2200, New Brunswick, NJ 08903, (732) 235 - 9754, abatemdj@umdnj.edu, (3) UMDNJ-School of Public Health, 335 George Street, Liberty Plaza Suite 2200, New Brunswick, NJ 08903-2688

Physical abuse has been shown to significantly affect the health of an expecting mother and her unborn child. The purpose of this study is to determine the prevalence and associated risk factors of physical abuse during pregnancy. Data was obtained using the Pregnancy Risk Assessment Monitoring System (PRAMS) from a representative sample of 2203 women in New Jersey who had delivered a live-born infant within the previous 3-6 months. The questionnaire asked about maternal behaviors and characteristics around the time of pregnancy. 3.08% of women reported that they were physically hurt during their most recent pregnancy. Women with mistimed or unwanted pregnancy reported significantly higher levels of physical abuse compared women with intentional pregnancy. Preliminary analysis showed that the prevalence of physical violence was greater for women who were on Medicaid; were Black or Latina, less educated, unmarried, living in a crowed home; had a sexually transmitted disease; and had increased number of stressful life events. Physically abused women were also more likely to use drugs, drink alcohol, and smoke during pregnancy. Only 31.8% of physically abused women reported that during their prenatal care visits a health care provider talked to them about domestic violence. Even though the immediate and long-term consequences of violence during pregnancy are apparent, it is still not completely recognized by the medical community. Pregnancy presents an excellent opportunity for the health care provider to identify violence, develop trust, and help intervene as it is one of the few times women regularly meet with their provider.

Learning Objectives: At the conclusion of this session the participants will be able to: 1. Describe the prevalence of physical violence among pregnant women. 2. Recognize possible factors that may predict physical violence among women who are pregnant. 3. Recognize that pregnancy may be an opportunity for health care providers to identify and provide support for women who suffer from physical abuse.

Keywords: Pregnancy, Violence

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA