178717 Intimate partner violence and syphilis risk among pregnant women in Bolivia

Wednesday, October 29, 2008

Claudia Diaz, PhD , Institutio Nacional de Salud Publica, Cuernavaca, Mexico
Sandra G. García, Sc D , Reproductive Health Program, Population Council, Mexico City, Mexico
Daniel Grossman, MD , Ibis Reproductive Health, San Francisco, CA
Katherine S. Wilson, MPH , The Population Council Mexico, Mexico City, Mexico
Rita Revollo, MD , Population Council, La Paz, Bolivia
Introduction: Intimate partner violence (IPV) and sexually transmitted infections (STI) are co-occurring epidemics that disproportionately affect women. Purpose: This study determined the prevalence of IPV, specifically sexual and physical abuse, and the association between IPV and positive syphilis test among pregnant women attending antenatal clinics in four provinces in Bolivia. Methods: We administered structured questionnaires to women at the time of syphilis testing. We performed bi-variate and multivariate analyses to identify demographic risk factors for IPV and test the association between IPV and syphilis diagnosis. Results: In total, 7,386 women completed the questionnaire. Twenty-two percent of women (n=1,643) reported physical and/or sexual abuse in the past year. The prevalence of positive syphilis tests was twice as high among women who reported IPV (8%) compared to women who did not (4%). Having a positive syphilis test was significantly associated with reported IPV in multivariate analysis (aOR 1.55 95% CI 1.20-2.00) after controlling for social and demographic characteristics. In addition, low education (less than high school) among women (aOR 1.26 95% CI 1.09-1.46) and among partners (aOR 1.25 95% CI 1.07-1.46) remained independently associated with IPV in multivariate analysis. Conclusion: IPV and syphilis are urgent problems among pregnant women in Bolivia. Antenatal clinics may provide opportune settings to implement universal screening for these co-occurring epidemics in conjunction with strengthening appropriate follow-services for IPV.

Learning Objectives:
1. Increased understanding of the co-occurance of intimate partner violence (IPV) and syphilis among pregnant women in Bolivia 2. Increased understanding of implications for antenatal clinics as potential sites for dual screening for IPV and syphilis

Keywords: Violence Prevention, STD Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the study and oversaw the analysis of the results and manuscript development
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.