Associations between intimate partner violence profiles and mental health among low-income, urban pregnant adolescents.

Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Intimate Partner Violence* ; Mental Health*/ethnology; Pregnancy/*psychology ; Pregnant Women/*psychology; Adolescent ; Female ; HIV Infections/prevention & control ; Humans ; New York City/epidemiology ; Pregnant Women/ethnology ; Prevalence ; Risk Factors ; Socioeconomic Factors ; Young Adult

Background: Intimate partner violence (IPV) during pregnancy is associated with adverse maternal and child health outcomes, including poor mental health. Previous IPV research has largely focused on women's victimization experiences; however, evidence suggests young women may be more likely to engage in bilateral violence (report both victimization and perpetration) or perpetrate IPV (unilateral perpetration) during pregnancy than to report being victimized (unilateral victimization). This study examined prevalence of unilateral victimization, unilateral perpetration, and bilateral violence, and the association between these IPV profiles and mental health outcomes during pregnancy among young, low-income adolescents.
Methods: Survey data were collected from 930 adolescents (14-21 years; 95.4% Black and Latina) from fourteen Community Health Centers and hospitals in New York City during second and third trimester of pregnancy. Multivariable regression models tested the association between IPV profiles and prenatal depression, anxiety, and distress, adjusting for known predictors of psychological morbidity.
Results: Thirty-eight percent of adolescents experienced IPV during their third trimester of pregnancy. Of these, 13% were solely victims, 35% were solely perpetrators, and 52% were engaged in bilateral violence. All women with violent IPV profiles had significantly higher odds of having depression and anxiety compared to individuals reporting no IPV. Adolescents experiencing bilateral violence had nearly 4-fold higher odds of depression (OR = 3.52, 95% CI: 2.43, 5.09) and a nearly 5-fold increased likelihood of anxiety (OR = 4.98, 95% CI: 3.29, 7.55). Unilateral victims and unilateral perpetrators were also at risk for adverse mental health outcomes, with risk of depression and anxiety two- to three-fold higher, compared to pregnant adolescents who report no IPV. Prenatal distress was higher among adolescents who experienced bilateral violence (OR = 2.84, 95% CI: 1.94, 4.16) and those who were unilateral victims (OR = 2.21, 95% CI: 1.19, 4.12).
Conclusions: All violent IPV profiles were associated with adverse mental health outcomes among pregnant adolescents, with bilateral violence having the most detrimental associations. Comprehensive IPV screening for both victimization and perpetration experiences during pregnancy is warranted. Clinical and community prevention efforts should target pregnant adolescents and their partners to reduce their vulnerability to violence and its adverse consequences.
Trial Registration: ClinicalTrials.gov, NCT00628771 . Registered 29 February 2008.

J Psychosom Obstet Gynaecol. 1999 Mar;20(1):39-52. (PMID: 10212886)
J Child Psychol Psychiatry. 2002 Sep;43(6):727-42. (PMID: 12236608)
J Fam Psychol. 2003 Mar;17(1):65-79. (PMID: 12666464)
Matern Child Health J. 2003 Mar;7(1):31-43. (PMID: 12710798)
J Obstet Gynecol Neonatal Nurs. 2004 Jan-Feb;33(1):54-63. (PMID: 14971553)
Int J Gynaecol Obstet. 2004 Mar;84(3):273-80. (PMID: 15001383)
Am J Public Health. 2004 Aug;94(8):1358-65. (PMID: 15284044)
Am J Public Health. 2005 Mar;95(3):465-70. (PMID: 15727978)
Violence Vict. 2005 Feb;20(1):69-86. (PMID: 16047936)
Violence Vict. 2005 Apr;20(2):173-85. (PMID: 16075665)
Violence Vict. 2005 Jun;20(3):335-59. (PMID: 16180371)
Violence Against Women. 2006 Mar;12(3):221-39. (PMID: 16456149)
Arch Intern Med. 2006 May 22;166(10):1092-7. (PMID: 16717171)
J Adolesc. 2007 Jun;30(3):393-416. (PMID: 16750846)
Am J Obstet Gynecol. 2006 Jul;195(1):140-8. (PMID: 16813751)
Violence Against Women. 2006 Nov;12(11):1026-45. (PMID: 17043365)
Int J Gynaecol Obstet. 2006 Dec;95(3):254-60. (PMID: 17069816)
Matern Child Health J. 2007 Sep;11(5):495-503. (PMID: 17323125)
Obstet Gynecol. 2007 Jul;110(1):134-40. (PMID: 17601908)
Violence Vict. 2007;22(5):532-45. (PMID: 18064968)
Am J Obstet Gynecol. 2008 Jan;198(1):75.e1-7. (PMID: 18166312)
Soc Sci Med. 2008 Mar;66(6):1322-33. (PMID: 18201807)
Clin Obstet Gynecol. 2008 Jun;51(2):385-97. (PMID: 18463468)
Health Psychol. 2008 Sep;27(5):604-15. (PMID: 18823187)
J Interpers Violence. 2010 Oct;25(10):1928-40. (PMID: 19966245)
Arch Womens Ment Health. 2011 Apr;14(2):135-43. (PMID: 21052749)
Soc Sci Med. 2011 Mar;72(6):867-73. (PMID: 21324411)
Gen Hosp Psychiatry. 2011 Mar-Apr;33(2):87-93. (PMID: 21596200)
Psychol Addict Behav. 2012 Jun;26(2):226-35. (PMID: 22023020)
BJOG. 2012 Feb;119(3):315-23. (PMID: 22145631)
Obstet Gynecol. 2012 Feb;119(2 Pt 1):412-7. (PMID: 22270317)
Violence Against Women. 2012 Sep;18(9):1045-66. (PMID: 23012348)
Matern Child Health J. 2013 Oct;17(8):1405-13. (PMID: 23054448)
Fam Pract. 2013 Jun;30(3):256-65. (PMID: 23363539)
BJOG. 2013 Jul;120(8):940-6. (PMID: 23464524)
Violence Vict. 2013;28(1):103-21. (PMID: 23520835)
J Elder Abuse Negl. 2013;25(3):230-41. (PMID: 23627429)
J Adolesc Health. 2013 Aug;53(2):194-201. (PMID: 23664626)
BJOG. 2013 Oct;120(11):1375-85. (PMID: 23786367)
Matern Child Health J. 2014 Aug;18(6):1413-22. (PMID: 24158506)
J Pediatr Adolesc Gynecol. 2014 Jun;27(3):138-50. (PMID: 24559618)
Matern Child Health J. 2014 Oct;18(8):1985-92. (PMID: 24562504)
BMC Pregnancy Childbirth. 2014 Aug 28;14:293. (PMID: 25169740)
J Womens Health (Larchmt). 2015 Jan;24(1):100-6. (PMID: 25265285)
J Womens Health (Larchmt). 2015 Jan;24(1):62-79. (PMID: 25551432)
BMC Pregnancy Childbirth. 2015 Nov 11;15:278. (PMID: 26554901)
J Ment Health. 2016 Oct;25(5):387-394. (PMID: 26652295)
Am J Public Health. 2016 Feb;106(2):359-65. (PMID: 26691105)
BJOG. 2016 Jul;123(8):1289-99. (PMID: 26956568)
Aggress Behav. 2017 Jan;43(1):26-36. (PMID: 27135634)
Am J Public Health. 2016 Aug;106(8):1457-9. (PMID: 27310354)
Matern Child Health J. 2016 Nov;20(11):2372-2381. (PMID: 27541145)
J Consult Clin Psychol. 2017 Jun;85(6):574-584. (PMID: 28287802)
Ann Behav Med. 2018 Jan 5;52(1):42-52. (PMID: 28707175)
J Interpers Violence. 2017 Apr 1;:886260517704228. (PMID: 29294718)
Nurs Res. 1996 Jan-Feb;45(1):37-42. (PMID: 8570420)

UL1 TR001863 United States TR NCATS NIH HHS; R01 MH074394 United States MH NIMH NIH HHS; R01 MH074399 United States MH NIMH NIH HHS

Keywords: Adolescents; Bilateral violence; Depression; Intimate partner violence; Mental health; Pregnancy

ClinicalTrials.gov NCT00628771

Date Created: 20190427 Date Completed: 20191216 Latest Revision: 20200327

20221213

PMC6485079

10.1186/s12884-019-2256-0

31023259