Intimate Partner Violence Among Pregnant Saudi Women: Prevalence, Risk Factors, and Attitudes

Authors

  • Hatoon A. Al Taifi Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Abdullah H Alqahtani Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Nourah H. Al Qahtani Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

DOI:

https://doi.org/10.15173/ijrr.v4i1.3924

Keywords:

Intimate partner violence, Saudi Arabia, pregnancy, abuse, Abuse Assessment Score, emotional abuse, physical abuse, sexual abuse

Abstract

Background: Intimate partner violence (IPV) during pregnancy has become a focus of attention in recent years, owing to its relatively high prevalence, its impact on maternal and fetal health, and its cumulative effects over time.
Objective: This study aims to determine the magnitude and characteristics of IPV among pregnant Saudi Arabian women, to identify the factors that increase the risk, and to assess the willingness of abused women to report IPV.
Method: This is a cross-sectional, community-based survey of pregnant women in the Eastern Province of Saudi Arabia. A modified Abuse Assessment Score (AAS) questionnaire was used. Sociodemographic data were collected. Data related to willingness to report IPV, including reasons for declining to report IPV, were also collected.
Results: A total of 1,330 women completed the three parts of the survey. In total, 345 (25.9%) women reported emotional abuse during pregnancy, whereas 72 (5.4%) reported physical abuse and 180 (13.5%) reported sexual abuse. In emotional abuse, a significant association was found between having more children (p = .001), having a lower education (p = .05), having a lower income (p = .04), and being abused. In physical abuse during pregnancy, no significant associations were found between all variables and being abused. However, in reporting sexual abuse among women during pregnancy, a significant increase in the risk was found in those with four or more children (p = .01) and those who are employed (p = .01). More than two-thirds (71.2%) of abused pregnant women were unwilling to report the abusive acts to a medical authority.
Conclusion: IPV is common among pregnant Saudi women. Emotional abuse is the commonest form of IPV, affecting one in four women. More than two-thirds of abused women were unwilling to report their partner’s abusive acts. Screening for IPV may encourage women to seek help and improve both maternal and fetal health.

Author Biographies

Hatoon A. Al Taifi, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

MD. Assistant professor, Department of Obstetrics and Gynecology, College of Medicine, Imam Abdulrahman Bin Faisal University

Abdullah H Alqahtani, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

MBBS. Assistant professor, Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University

Nourah H. Al Qahtani, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

FRCOG, Associate professor, Department of Obstetrics and Gynecology, College of Medicine, Imam Abdulrahman Bin Faisal University.

References

Sohal AH, James-Hanman D. Responding to intimate partner and sexual violence against women. BMJ. 2013;346:f3100.

Lee D, James L, Sawires P. Preventing domestic violence: clinical guidelines on routine screening. San Francisco, CA: Family Violence Prevention Fund; 1999.

Bailey B, Daugherty R. Intimate partner violence during pregnancy: incidence and associated health behaviors in a rural population. Matern Child Health J. 2007;11(5):495-503.

Gazmararian J, Lazorick S, Spitz AM, Ballard T, Saltzman L, Marks JS. Prevalence of violence against pregnant women. JAMA. 1996;275(24):1915-1920.

Cherniak D, Grant L, Mason R, Moore B, Pellizzari, R. Intimate partner violence consensus statement. J Obstet Gynaecol Can. 2005;27(4):365-388.

No authors listed. ACOG Committee Opinion No. 518: intimate partner violence. Obstet Gynecol. 2012;119(2 Pt 1):412-417.

Nelson HD, Bougatsos C, Blazina I. Screening women for intimate partner violence: a systematic review to update the U.S. Preventive Services Task Force recommendation. Ann Intern Med. 2012;156(11):796-808.

Kiely M, El-Mohandes AAE, El-Khorazaty MN, Gantz MG. An integrated intervention to reduce intimate partner violence in pregnancy: a randomized controlled trial. Obstet Gynecol. 2010;115(2 Pt 1):273-283.

Bianchi AL, McFarlane J, Nava A, Gilroy H, Maddoux J, Cesario S. Rapid assessment to identify and quantify the risk of intimate partner violence during pregnancy. Birth. 2014;41(1):88-92.

Desmarais SL, Pritchard A, Lowder EM, Janssen PA. Intimate partner abuse before and during pregnancy as risk factors for postpartum mental health problems. BMC Pregnancy Childbirth. 2014;14:132.

Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, eds. World report on violence and health. Geneva (CH): World Health Organization; 2002.

Murphy CC, Schei B, Myhr TL, Du Mont J. Abuse: a risk factor for low birth weight? A systematic review and meta-analysis. CMAJ. 2001;164(11):1567-1572.

Ganatra BR, Coyaji KJ, Rao V. Too far, too little, too late: a community-based case-control study of maternal mortality in rural west Maharashtra, India. Bull World Health Organ. 1998;76(6):591-598.

Bailey BA. Partner violence during pregnancy: prevalence, effects, screening, and management. Int J Womens Health. 2010;2:183-197.

Ahmed S, Koenig MA, Stephenson R. Effects of domestic violence on perinatal and early-childhood mortality: evidence from North India. Am J Public Health (N. Y.). 2006;96(8):1423-1428.

Lipsky S, Holt VL, Easterling, TR, Critchlow, CW. Impact of police-reported intimate partner violence during pregnancy on birth outcomes. Obstet Gynecol. 2003;102(3):557-564.

Castro R, Peek-Asa C, Ruiz A. Violence against women in Mexico: a study of abuse before and during pregnancy. Am J Public Health (N. Y.). 2003;93(7):1110-1116.

Jasinski JL. Pregnancy and violence against women: an analysis of longitudinal data. J Interpers Violence. 2001;16(7):712-733.

Sagrestano LM, Rodriguez AC, Carroll D, Bieniarz A, Greenberg A, Castro L, Nuwayhid B. A comparison of standardized measures of psychosocial variables with single-item screening measures used in an urban obstetric clinic. J Obstet Gynecol Neonatal Nurs. 2002;31(2):147-155.

Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts CH, WHO Multi-country Study on Women’s Health and Domestic Violence against Women Study Team. Prevalence of intimate partner violence: findings from the WHO Multi-country Study on Women’s Health and Domestic Violence. Lancet. 2006;368(9543):1260-1269.

Kashif M, Murtaza K, Kirkman M. Violence against women during pregnancy in some Asian countries: a review of the literature. Ital J Public Health. 2010;7(2):6-11.

Shamu S, Abrahams N, Zarowsky C, Shefer T, Temmerman M. Intimate partner violence during pregnancy in Zimbabwe: a cross-sectional study of prevalence, predictors and associations with HIV. Trop Med Int Health. 2013;18(6):696-711.

Haj-Yahia MM. Attitudes of Arab women toward different patterns of coping with wife abuse. J Interpers Violence. 2002;17(7):721-745.

Donovan BM, Spracklen CN, Schweizer ML, Ryckman KK, Saftlas AF. Intimate partner violence during pregnancy and the risk for adverse infant outcomes: a systematic review and meta-analysis. BJOG. 2016;123(8):1289-1299.

Alzahrani TA, Abaalkhail, BA, Ramadan IK. Prevalence of intimate partner violence and its associated risk factors among Saudi female patients attending the primary healthcare centers in Western Saudi Arabia. Saudi Med J. 2016;37(1):96-99.

Bailey BA, Daugherty RA. Intimate partner violence during pregnancy: incidence and associated health behaviors in a rural population. Matern Child Health J. 2007;11(5):495-503.

Gentry J, Bailey BA. Psychological intimate partner violence during pregnancy and birth outcomes: threat of violence versus other verbal and emotional abuse. Violence Vict. 2014;29(3):383-392.

Debono C, Borg Xuereb R, Scerri J, Camilleri L. Intimate partner violence: psychological and verbal abuse during pregnancy. J Clin Nurs. 2017;26(15-16):2426-2438.

Taillieu TL, Brownridge DA. Violence against pregnant women: prevalence, patterns, risk factors, theories, and directions for future research. Aggress Violent Behav. 2010;15(1):14-35.

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Published

2021-05-31

How to Cite

Al Taifi, H. A., Alqahtani, A. H., & Al Qahtani, N. H. (2021). Intimate Partner Violence Among Pregnant Saudi Women: Prevalence, Risk Factors, and Attitudes. International Journal of Risk and Recovery. https://doi.org/10.15173/ijrr.v4i1.3924

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Original Article