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dc.contributor.authorFerraro, Alexandre Archanjopt_BR
dc.contributor.authorRohde, Luis Augusto Paimpt_BR
dc.contributor.authorPolanczyk, Guilherme Vanonipt_BR
dc.contributor.authorArgeu, Adriana Cristinapt_BR
dc.contributor.authorMiguel, Eurípedes Constantinopt_BR
dc.contributor.authorGrisi, Sandra Josefina Ferraz Ellleropt_BR
dc.contributor.authorFleitlich-Bilyk, Bacy W.pt_BR
dc.date.accessioned2018-09-05T02:29:01Zpt_BR
dc.date.issued2017pt_BR
dc.identifier.issn1471-2393pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/181645pt_BR
dc.description.abstractBackground: Addressing impaired foetal growth is recognized as a public health priority. Certain risk factors for this condition, such as poor nutritional status at birth, have been found to be highly correlated with poverty. However, the role of psychosocial factors, specifically the mother’s mental health and exposure to violence during pregnancy, have yet to be further explored. Our objective was to determine if there is a measurable association between combined psychosocial factors, specifically domestic violence and mental disorders, and birth outcomes, specifically birth nutritional status and preterm delivery. Methods: We followed 775 women from an underserved, urban area, beginning their 28th week of gestation. Diagnostic interviews were performed to determine if any of the mothers had any of the following disorders: mood disorder, anxiety, obsessive–compulsive disorder (OCD), substance dependence, psychotic disorder, or anti-social personality disorder. Physical, psychological, and sexual domestic violence were also assessed Results: Domestic violence and mental disorders were highly correlated in our sample. About 27.15% of the women in our study experienced domestic violence, and about 38.24% of them were diagnosed with mental disorders. The main association we found between combined psychosocial factors and neonate outcomes was between anxiety (IRR = 1.83; 95%CI = 1.06–3.17)/physical violence (IRR = 1.95; 95%CI = 1.11–3.42) and the rate of small-for-gestational age (SGA) in new-borns. More specifically, the combination of anxiety (beta = −0.48; 95%CI = −0.85/−0.10) and sexual violence (beta = −1.58; 95%CI = −2.61/−0.54) was also associated with birth length. Maternal risk behaviours such as smoking, drinking, inadequate prenatal care, and inadequate weight gain could not sufficiently explain these associations, suggesting that these psychosocial factors may be influencing underlying biological mechanisms. Conclusion: Domestic violence against women and mental disorders amongst pregnant women are extremely prevalent in under-resourced, urban areas and ultimately, have detrimental effects on birth outcomes. It is imperative that actions be taken to prevent violence and improve mental health during pregnancy.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofBMC pregnancy and childbirth. London. Vol. 17 (2017), 257, 10 p.pt_BR
dc.rightsOpen Accessen
dc.subjectDomestic violenceen
dc.subjectTranstornos mentaispt_BR
dc.subjectMental health disordersen
dc.subjectNascimento prematuropt_BR
dc.subjectBirth weighten
dc.subjectComplicações na gravidezpt_BR
dc.subjectBirth lengthen
dc.subjectEfeitos tardios da exposição pré-natalpt_BR
dc.subjectViolência domésticapt_BR
dc.subjectFatores de riscopt_BR
dc.subjectBrasilpt_BR
dc.titleThe specific and combined role of domestic violence and mental health disorders during pregnancy on new-born healthpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001074128pt_BR
dc.type.originEstrangeiropt_BR


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