Intimate partner violence during pregnancy in relation to non-psychotic mental health disorders in Rwanda: a cross-sectional population-based study.

Journal: BMJ open

Volume: 8

Issue: 7

Year of Publication: 2019

Affiliated Institutions:  Department of Epidemiology and Biostatistics, School of Public Health, University of Rwanda, Kigali, Rwanda. Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. Health Economics and HIV/AIDS Research Division (HEARD), Universityof KwaZulu-Natal, Durban, South Africa. Section of Epidemiology and Social Medicine (EPSO), Department of Public Health and Community Medicine, The Sahlgrenska Academy at University of Gothenburg, Goteborg, Sweden.

Abstract summary 

To investigate the prevalence of non-psychotic mental health disorders (MHDs) and the association between exposure to all forms of intimate partner violence (IPV) during pregnancy and MHDs.Cross-sectional population-based study conducted in the Northern Province of Rwanda and Kigali city.Totally, 921 women who gave birth ≤13 months before being interviewed were included. Simple random sampling was done to select villages, households and participants. Community health workers helped to identify eligible participants and clinical psychologists, nurses or midwives conducted face-to-face interviews. The collected data were analysed using descriptive statistics and bivariable and multivariable logistic regression modelling RESULTS: The prevalence rates of generalised anxiety disorder, suicide ideation and post-traumatic stress disorder (PTSD) were 19.7%, 10.8% and 8.0%, respectively. Exposure to the four forms of IPV during pregnancy was highly associated with the likelihood of meeting diagnostic criteria for each of the non-psychotic MHDs investigated. Physical, psychological and sexual violence, showed the strongest association with PTSD, with adjusted ORs (aORs) of 4.5, 6.2 and 6.3, respectively. Controlling behaviour had the strongest association with major depressive episode in earlier periods with an aOR of 9.2.IPV and MHDs should be integrated into guidelines for perinatal care. Moreover, community-based services aimed at increasing awareness and early identification of violence and MHDs should be instituted in all villages and health centres in Rwanda. Finally, healthcare providers need to be educated and trained in a consistent manner to manage the most challenging cases quickly, discreetly and efficiently.

Authors & Co-authors:  Rurangirwa Akashi Andrew AA Mogren Ingrid I Ntaganira Joseph J Govender Kaymarlin K Krantz Gunilla G

Study Outcome 

Source Link: Visit source

Statistics
Citations :  WHO. Mental Health. http://www.who.int/mental_health/maternal-child/maternal_mental_health/en/ (accessed Nov 2017).
Authors :  5
Identifiers
Doi : e021807
SSN : 2044-6055
Study Population
Women
Mesh Terms
Adolescent
Other Terms
intimate partner violence;intimate partner violence; pregnancy; non-psychotic mental health disorders;mental health
Study Design
Study Approach
Country of Study
Rwanda
Publication Country
England