Factors associated with physical violence against pregnant women from São Luís, Maranhão State, Brazil: an approach using structural equation modeling

The factors associated with physical violence against pregnant women were analyzed in a cross-sectional study of 1,446 pregnant women from a prenatal cohort who were interviewed in 2010 and 2011 in São Luís, Brazil. In the initial model, socioeconomic status occupied the most distal position, determ...

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Published in:	Cadernos de saúde pública Vol. 33; no. 1; p. e00078515
Main Authors:	Costa, Danielle Cristina Silva, Ribeiro, Marizélia Rodrigues Costa, Batista, Rosângela Fernandes Lucena, Valente, Camila Maia, Ribeiro, João Victor Fonseca, Almeida, Laysa Andrade, Costa, Ludmilla Emilia Martins, Alves, Maria Teresa Seabra Soares de Britto E, Silva, Antônio Augusto Moura da
Format:	Journal Article
Language:	English
Published:	Brazil Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 01-01-2017 Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Subjects:	Adult Brazil - epidemiology Cross-Sectional Studies Cuidado Pré-Natal Female Gestantes Humans Intimate Partner Violence - statistics & numerical data Male Models, Theoretical Physical Abuse - statistics & numerical data Pregnancy Pregnant Women Prevalence PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Risk Factors Social Support Socioeconomic Factors Surveys and Questionnaires Violência contra a Mulher Violência contra a Mulher Mujeres Embarazadas Atención Prenatal Violencia contra la Mujer Pregnant Women Gestantes Prenatal Care Violence Against Women Cuidado Pré-Natal
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Summary:	The factors associated with physical violence against pregnant women were analyzed in a cross-sectional study of 1,446 pregnant women from a prenatal cohort who were interviewed in 2010 and 2011 in São Luís, Brazil. In the initial model, socioeconomic status occupied the most distal position, determining sociodemographic factors, social support and the behavioral factors that ultimately determined physical violence, which was investigated as a latent variable. Structural equation modeling was used in the analysis. Pregnant women who were from more disadvantaged backgrounds (p = 0.027), did not reside with intimate partners (p = 0.005), had low social support (p < 0.001) and had a high number of lifetime intimate partners (p = 0.001) reported more episodes of physical violence. Low social support was the primary mediator of the effect of socioeconomic status on physical violence. The effect of marital status was mainly mediated by a high number of lifetime intimate partners.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0102-311X 1678-4464 1678-4464 0102-311X
DOI:	10.1590/0102-311x00078515