247772 Maternal exposure to intimate partner violence during pregnancy and risk of neurological impairment among infants

Monday, October 31, 2011

Phyllis Sharps, PhD, RN, FAAN , School of Nursing, Johns Hopkins University, Baltimore, MD
Jacquelyn Campbell, PhD, RN, FAAN , Johns Hopkins School of Nursing, Baltimore, MD
Linda Bullock, PhD, RN, FAAN , School of Nursing, University of Virginia, Charlottesville, VA
Karen Soeken, PhD , School of Nursing, University of Maryland, Baltimore, MD
Ifeyinwa Udo, MS, BS , School of Nursing, Johns Hopkins School of Nursing, Kennedy Krieger Institute, Morgan State University, Baltimore, MD
Background: About one in four women in the United States reports intimate partner violence ( IPV) at some point in their lifetime, and about 3.3 to 17.8 million children experience IPV yearly. While many studies have been conducted on the effects of IPV on maternal health and wellbeing, not much is known about how maternal IPV exposure may affect infants, including neurological impairment. Method: The present study examines the association between baseline violence scores of pregnant women participating in the Domestic Violence Enhanced Home Visitation Program (DOVE), and neurological impairment of their children at 12 months. A total of 178 women, mean age 24 years, with severe, moderate, minor and mild exposure were included in the analysis. Baseline violence determined by the Severity of Violence Against Women Scale (SVAWS) and neurological scores measured with the Bayley Infant Neurodevelopmental Screener (BINS) were used. One-way ANOVA was used to test mean difference in neurological (BINS) scores among the different levels of IPV exposure. Multivariate analysis was used to control for the effects of maternal income, children's health, well child check-up, and maternal depression on neurological impairment. Results: Preliminary trends show a statistically significant difference in neurological scores across the 4 groups (p<0.0066). Results also show statistical significance for participants from rural areas (p< 0.02) compared to urban. Multiple regression models show that the factors did not predict changes in neurological scores among the groups. Conclusion: Maternal exposure to IPV during pregnancy may be related to neurological impairment in children later in life.

Learning Areas:
Public health or related research

Learning Objectives:
1.Identify the developmental consequences of maternal exposure to IPV on infants. 2.Compare the differences in patterns of IPV exposure between women in rural versus urban areas.

Keywords: Infant Health, Urban Women's Health Issues

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a research assistant who works closely with the lead PI of this study and has experience working with women exposed to IPV.
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.