Gesundheitswesen 2013; 75(08/09): 473-480
DOI: 10.1055/s-0033-1333743
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Gewalterfahrungen in der Schwangerschaft: Prävalenzstudien in OECD-Ländern

Violence during Pregnancy: Prevalence Studies in OECD Countries
K. Liepe
1   Hochschule Fulda
,
B. Blättner
1   Hochschule Fulda
› Author Affiliations
Further Information

Publication History

Publication Date:
19 March 2013 (online)

Zusammenfassung

Gewalt in der Schwangerschaft kann mit gesundheitlichen Folgen für die Schwangere und das ungeborene Kind verbunden sein. In Deutschland ist die Datenlage zur Prävalenz unzureichend, eine Unterschätzung des Problems wahrscheinlich. Daher werden Daten aus anderen OECD-Ländern betrachtet. In den Datenbanken EMBASE (inkl. Medline), CINAHL, PsycINFO und SSCI wurden englisch- oder deutschsprachige Primär- und Sekundärstudien aus OECD-Ländern identifiziert, die zwischen 2004–2011 veröffentlicht wurden. Ausgeschlossen wurden Studien mit Erhebungsinstrumenten, deren Validität nicht eingeschätzt werden konnte. 20 Studien, die 6 unterschiedliche, teilweise modifizierte, Erfassungsinstrumente verwendet haben, wurden identifiziert. Die Prävalenzdaten in den OECD-Ländern variieren abhängig vom verwendeten Erhebungsinstrument und dem Studiendesign. Die Mehrheit der Studien unterschätzt die Prävalenz von Gewalt in der Schwangerschaft. Die Ergebnisse aus den Studien der OECD-Länder liegen im analysierten Bereich von Übersichtsarbeiten. Die in Deutschland erhobenen Daten befinden sich im unteren Spektrum. Dies legt nahe, dass in Deutschland das Problem bislang unterschätzt wird. Mehr Forschung mit valideren Instrumenten und besseren Studiendesigns ist notwendig.

Abstract

Violence during pregnancy can be associated with health consequences for both the pregnant woman und the unborn child. The available data on prevalence are insufficient in Germany, an underestimation of the problem is probable. Therefore data from other OECD countries are considered. Searching in the databases EMBASE (incl. Medline), CINAHL, PsycINFO and SSCI in English or German language, primary and secondary studies from OECD countries published from 2004 to 2011 were identified. Studies without a valid instrument were excluded. 20 studies using 6 different, partially modified instruments were identified. In OECD countries the prevalence data vary, depending on the instrument applied and the design of the studies. The majority of the studies underestimate the prevalence of violence during pregnancy. Study results from OECD countries are in the analysed range of the reviews. The data collected in Germany are at the bottom of the spectrum. This suggests an underestimation of the problem in Germany. Further research is needed using more valid instruments and better study designs.

 
  • Literatur

  • 1 Müller U, Schröttle M. Lebenssituation, Sicherheit und Gesundheit von Frauen in Deutschland. Eine repräsentative Untersuchung zu Gewalt gegen Frauen in Deutschland. Berlin: Im Auftrag des Bundesministeriums für Familie, Senioren, Frauen und Jugend; 2004
  • 2 Hellbernd H, Brzank P. Häusliche Gewalt im Kontext von Schwangerschaft und Geburt: Interventions-und Präventionsmöglichkeiten für Gesundheitsfachkräfte. In: Kavemann B, Kreyssig U. Hrsg Handbuch Kinder und häusliche Gewalt. 2., durchgesehene Auflage. Wiesbaden: Verlag für Sozialwissenschaften; 2007: 88-103
  • 3 Straus MA, Hamby SL, Boney-McCoy S et al. The Revised Conflict Tactics Scales (CTS2). Development and preliminary psychometric data. Journal of Family Issues 1996; 17: 283-316
  • 4 Stöckl H. Partner violence during pregnancy and its risk and protective factors in Germany. Nuffield College, Trinity Term 2009 Dissertation
  • 5 Taillieu TL, Brownridge DA. Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research. Aggression and Violent Behavior 2010; 15: 14-35
  • 6 Brzank P. (Häusliche) Gewalt gegen Frauen: sozioökonomische Folgen und gesellschaftliche Kosten. Einführung und Überblick. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2009; 52: 330-338
  • 7 Garcia-Moreno C, Jansen H, Ellsberg M et al. WHO multicountry study on women’s health and domestic violence against women. Summary report: Initial results on prevalence, health outcomes and women’s responses. Genf: WHO; 2005
  • 8 Dunn LL, Oths KS. Prenatal predictors of intimate partner abuse. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2004; 33: 54-63
  • 9 Coker AL, Sanderson M, Dong B. Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatric and Perinatal Epidemiology 2004; 18: 260-269
  • 10 Yost NP, Bloom SL, McIntire DD et al. A prospective observational study of domestic violence during pregnancy. Obstetrics & Gynecology 2005; 106: 61-65
  • 11 Stöckl H, Hertlein L, Friese K et al. Partner, workplace, and stranger abuse during pregnancy in Germany. International Journal of Gynecology and Obstetrics 2010; 111: 136-139
  • 12 Finnbogadóttir H, Dejin-Karlsson E, Dykes AK. A multi-centre cohort study shows no association between experienced violence and labour dystocia in nulliparous women at term. BMC Pregnancy and Childbirth 2011; 11: 1-9
  • 13 Heaman MI. Relationships between physical abuse during pregnancy and risk factors for preterm birth among women in Manitoba. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2005; 34: 721-731
  • 14 Yanikkerem E, Karadas G, Adiguzel B et al. Domestic violence during pregnancy in Turkey and responsibility of prenatal healthcare providers. American Journal of Perinatology 2006; 23: 93-103
  • 15 Diaz-Olavarrieta C, Paz F, Abuabara K et al. Abuse during pregnancy in Mexico City. BJOG An International Journal of Obstetrics and Gynaecology 2007; 97: 57-64
  • 16 Jeanjot I, Barlow P, Rozenberg S. Domestic violence during pregnancy: Survey of patients and healthcare providers. Journal of Women's Health 2008; 17: 557-567
  • 17 Rodrigues T, Rocha L, Barros H. Physical abuse during pregnancy and preterm delivery. American Journal of Obstetrics and Gynecology 2008; 198: 171.e1-171.e6
  • 18 Fanslow J, Silva M, Robinson E et al. Violence during pregnancy: Associations with pregnancy intendedness, pregnancy-related care, and alcohol and tobacco use among a representative sample of New Zealand women. Australian and New Zealand Journal of Obstetrics and Gynaecology 2008; 48: 398-404
  • 19 WHO, LSHTM . Preventing intimate partner and sexual violence against women. Taking action and generating evidence. Genf: WHO; 2010
  • 20 Devries KM, Kishor S, Johnson H et al. Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reproductive Health Matters 2010; 18: 158-170
  • 21 Bitzker K. Körperliche und sexuelle Gewalt gegen Frauen und reproduktive Gesundheit. 2009 Dissertation
  • 22 McFarlane J, Parker B, Soeken K et al. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. The Journal of the American Medical Association 1992; 267: 3176-3178
  • 23 Karaoglu L, Celbis O, Ercan C et al. Physical, emotional and sexual violence during pregnancy in Malatya, Turkey. European Journal of Public Health 2005; 16: 149-156
  • 24 McFarlane J, Parker B. Abuse during pregnancy: A protocol for prevention and intervention. New York: March of Dimes Birth Defects Foundation; 1994
  • 25 Shepard MF, Campbell JA. The Abusive Behavior Inventory. A measure of psychological and physical abuse. Journal of Interpersonal Violence 1992; 7: 291-305
  • 26 Straus MA. Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. Journal of Marriage and Family 1979; 41: 55-88
  • 27 Sherin KM, Sinacore JM, Li X-Q et al. HITS: A short domestic violence screening tool for use in a family practice setting. Family Medicine 1998; 30: 508-512
  • 28 Feldhaus KM, Koziol-McLain J, Amsbury HL et al. Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. The Journal of the American Medical Association 1997; 277: 1357-1361
  • 29 Kataoka Y. Development of the Violence Against Women Screen. Journal of Japan Academy of Nursing Science 2005; 25: 51-60
  • 30 Feder G, Ramsay J, Dunne D et al. How far does screening women for domestic (partner) violence in different health-care settings meet criteria for a screening programme? Systematic reviews of nine UK National Screening Committee criteria. Health Technology Assessment 2009; 13
  • 31 Zink T, Klesges LM, Levin L et al. Abuse Behavior Inventory: Cutpoint, validity, and characterization of discrepancies. Journal of Interpersonal Violence 2007; 22: 921-931
  • 32 Brzank P, Blättner B. Screening nach Gewalt gegen Frauen durch den Partner. Internationale Diskussion, Überlegungen für Deutschland. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2010; 53: 221-232
  • 33 Kataoka Y, Yaju Y, Eto H et al. Self-administered questionnaire versus interview as a screening method for intimate partner violence in the prenatal setting in Japan: A randomised controlled trial. BMC Pregnancy Childbirth 2010; 10: 1-7
  • 34 Inami E, Kataoka Y, Eto H et al. Intimate partner violence against Japanese and non-Japanese women in Japan: A cross-sectional study in the perinatal setting. Japan Journal of Nursing Science 2010; 7: 84-95
  • 35 Bowen E, Heron J, Waylen A et al. Domestic violence risk during and after pregnancy: Findings from a British longitudinal study. BJOG An International Journal of Obstetrics and Gynaecology 2005; 112: 1083-1089
  • 36 Deveci SE, Acik Y, Gulbayrak C et al. Prevalence of domestic violence during pregnancy in a Turkish community. The Southeast Asian Journal of Tropical Medicine and Public Health 2007; 38: 754-760
  • 37 Bacchus L, Mezey G, Bewley S et al. Prevalence of domestic violence when midwives routinely enquire in pregnancy. BJOG An International Journal of Obstetrics and Gynaecology 2004; 111: 441-445
  • 38 Bacchus L, Mezey G, Bewley S. Domestic violence: Prevalence in pregnant women and associations with physical and psychological health. European Journal of Obstetrics & Gynecology and Reproductive Biology 2004; 113: 6-11
  • 39 Bohn DK, Tebben JG, Campbell JC. Influences of income, education, age, and ethnicity on physical abuse before and during pregnancy. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2004; 33: 561-571
  • 40 Malcoe LH, Duran BM, Montgomery JM. Socioeconomic disparities in intimate partner violence against native American women: A cross-sectional study. BMC Medicine 2004; 2 (20)
  • 41 Charles P, Perreira KM. Intimate partner violence during pregnancy and 1-year post-partum. Journal of Family Violence 2007; 22: 609-619
  • 42 Fried LE, Cabral H, Amaro H et al. Lifetime and during pregnancy experience of violence and the risk of low birth weight and preterm birth. Journal of Midwifery & Women’s Health 2008; 53: 522-528
  • 43 Walsh D. The hidden experience of violence during pregnancy: A study of 400 pregnant Australian women. Australian Journal of Primary Health 2008; 14: 97-105
  • 44 Roelens K, Verstraelen H, van Egmond K et al. Disclosure and health-seeking behaviour following intimate partner violence before and during pregnancy in Flanders, Belgium: A survey surveillance study. European Journal of Obstetrics & Gynecology and Reproductive Biology 2008; 137: 37-42
  • 45 Ergönen AT, Ozdemir MH, Can IO et al. Domestic violence on pregnant women in Turkey. Journal of Forensic and Legal Medicine 2009; 16: 125-129
  • 46 Chu SY, Goodwin MM, D’Angelo DV. Physical violence against U.S. women around the time of pregnancy, 2004-2007. American Journal of Preventive Medicine 2010; 38: 317-322
  • 47 Parker B, McFarlane J. Identifying and helping battered pregnant women. The American Journal of Maternal Child Nursing 1991; 16: 161-164
  • 48 Straus MA. Cross-cultural reliability and validity of the Revised Conflict Tactics Scales: A study of university student dating couples in 17 nations. Cross-Cultural Research 2004; 38: 407-432
  • 49 Straus MA. Conflict Tactics Scales. In: Jackson NA. Hrsg Encyclopedia of Domestic Violence. New York: Taylor & Francis Group; 2007: 190-197
  • 50 Center for Research on Child Wellbeing. The fragile families and child wellbeing study. 2011 http://www.fragilefamilies.princeton.edu/about.asp (Zugriff am 20.12.2011)