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Childhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women

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dc.contributor.author Sanchez, S. E.
dc.contributor.author Pineda, O.
dc.contributor.author Chaves, D. Z.
dc.contributor.author Zhong, Q. Y.
dc.contributor.author Gelaye, B.
dc.contributor.author Simon, G. E.
dc.contributor.author Rondon, M. B.
dc.contributor.author Williams, M. A.
dc.date.accessioned 2019-01-25T16:20:58Z
dc.date.available 2019-01-25T16:20:58Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4815
dc.description.abstract Purpose: We sought to evaluate the extent to which childhood physical and/or sexual abuse history is associated with post-traumatic stress disorder (PTSD) during early pregnancy and to explore the extent to which the childhood abuse-PTSD association is mediated through, or modified by, adult experiences of intimate partner violence (IPV). Methods: In-person interviews collected information regarding history of childhood abuse and IPV from 2,928 women aged 18-49 years old prior to 16 weeks of gestation. PTSD was assessed using the PTSD Checklist-Civilian Version. Multivariate logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (Cis). Results: Compared to women with no childhood abuse, the odds of PTSD were increased 4.31-fold for those who reported physical abuse only (95% CI, 2.18-8.49), 533-fold for sexual abuse only (95% CI, 2.38 11.98), and 8.03-fold for those who reported physical and sexual abuse (95% CI, 4.10-15.74). Mediation analysis showed 13% of the childhood abuse-PTSD association was mediated by IPV. Furthermore, high odds of PTSD were noted among women with histories of childhood abuse and IPV compared with women who were not exposed to either (OR = 20.20; 95% CI, 8.18-49.85). Conclusions: Childhood abuse is associated with increased odds of PTSD during early pregnancy. The odds of PTSD were particularly elevated among women with a history of childhood abuse and IPV. Efforts should be made to prevent childhood abuse and mitigate its effects on women's mental health. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Annals of Epidemiology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject depression en_US
dc.subject PTSD en_US
dc.subject prevalence en_US
dc.subject Public, Environmental & Occupational Health en_US
dc.subject metaanalysis en_US
dc.subject trauma en_US
dc.subject intimate partner violence en_US
dc.subject psychometric properties en_US
dc.subject national comorbidity survey en_US
dc.subject mental-health en_US
dc.subject Childhood abuse en_US
dc.subject Early pregnancy en_US
dc.subject pcl en_US
dc.subject ptsd checklist en_US
dc.subject risk-factor en_US
dc.title Childhood physical and sexual abuse experiences associated with post-traumatic stress disorder among pregnant women en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.annepidem.2017.09.012
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.09
dc.relation.issn 1873-2585


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