RT Journal Article
T1 Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis
A1 Román-Gálvez, Rosario M.
A1 Martín-Peláez, Sandra
A1 Fernández-Félix, Borja M.
A1 Zamora, Javier
A1 Khan, Khalid S.
A1 Bueno-Cavanillas, Aurora
K1 Pregnancy
K1 Intimate partner violence
K1 Domestic violence
K1 Prenatal care
K1 Prevalence
K1 Embarazo
K1 Violencia contra la pareja
K1 Violencia doméstica
K1 Atención prenatal
K1 Prevalencia
AB Background: Intimate partner violence (IPV) affects outcomes of mothers and their offspring. This systematic review collated the worldwide literature on the prevalence rates of different types of IPV in pregnancy. Methods: Two reviewers independently identified cross sectional and cohort studies of IPV prevalence in pregnancy in online databases (PubMed, WOS and Scopus), selected and extracted data [participants' country, study quality, measurement tool (validation and purpose) and rates of IPV in pregnancy]. We considered a high quality study if it had a prospective design, an adequate sampling method, a sample size estimation, a response rate > 90%, a contemporary ascertainment of IPV in the index pregnancy, and a well-developed detailed IPV tool. We performed random effects meta-analysis and explored reasons for heterogeneity of rates. Results: One hundred fifty-five studies were included, of which 44 (28%) met two-thirds of the quality criteria. Worldwide prevalence of physical (126 studies, 220,462 participants), psychological (113 studies, 189,630 participants) and sexual (98 studies, 155,324 participants) IPV in pregnancy was 9.2% (95% CI 7.7-11.1%, I2 95.9%), 18.7% (15.1-22.9%, I2 98.2%), 5.5% (4.0-7.5%, I2 93.4%), respectively. Where several types of IPV were reported combined, the prevalence of any kind of IPV (118 studies, 124,838 participants) was 25.0% (20.3, 30.5%, I2 98.6%). IPV rates varied within and between continents, being the highest in Africa and the lowest in Europe (p < 0.001). Rates also varied according to measurement purpose, being higher for diagnosis than for screening, in physical (p = 0.022) and sexual (p = 0.014) IPV. Conclusions: IPV prevalence in pregnancy varies across countries, with one-quarter of mothers exposed on average globally. Routine systematic antenatal detection should be applied worldwide.
PB MDPI
YR 2021
FD 2021-08-30
LK http://hdl.handle.net/10668/4222
UL http://hdl.handle.net/10668/4222
LA en
NO Román-Gálvez RM, Martín-Peláez S, Fernández-Félix BM, Zamora J, Khan KS, Bueno-Cavanillas A. Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis. Front Public Health. 2021 Aug 30;9:738459
DS RISalud
RD May 13, 2025