Cited by 164Intimate Partner and Family ViolenceMaternal Mental Health During Pregnancy and PostpartumElder Abuse and Neglect

The DOI matches its Crossref record; 45 of the 46 references it cites were found in a registry or an index.

Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis

Open access
Román-Gálvez, Rosario M., Martín-Peláez, Sandra, Fernández-Félix, Borja M., Zamora, Javier, Khan, Khalid S., Bueno-Cavanillas, Aurora·2021·Frontiers in Public Health

Abstract

Background: Intimate partner violence (IPV) affects outcomes of mothers and their offspring. This systematic review collated the worldwide literature on the prevalence rates of different types of IPV in pregnancy. Methods: Two reviewers independently identified cross sectional and cohort studies of IPV prevalence in pregnancy in online databases (PubMed, WOS and Scopus), selected and extracted data [participants' country, study quality, measurement tool (validation and purpose) and rates of IPV in pregnancy]. We considered a high quality study if it had a prospective design, an adequate sampling method, a sample size estimation, a response rate > 90%, a contemporary ascertainment of IPV in the index pregnancy, and a well-developed detailed IPV tool. We performed random effects meta-analysis and explored reasons for heterogeneity of rates. Results: One hundred fifty-five studies were included, of which 44 (28%) met two-thirds of the quality criteria. Worldwide prevalence of physical (126 studies, 220,462 participants), psychological (113 studies, 189,630 participants) and sexual (98 studies, 155,324 participants) IPV in pregnancy was 9.2% (95% CI 7.7–11.1%, I 2 95.9%), 18.7% (15.1–22.9%, I 2 98.2%), 5.5% (4.0–7.5%, I 2 93.4%), respectively. Where several types of IPV were reported combined, the prevalence of any kind of IPV (118 studies, 124,838 participants) was 25.0% (20.3, 30.5%, I 2 98.6%). IPV rates varied within and between continents, being the highest in Africa and the lowest in Europe ( p < 0.001). Rates also varied according to measurement purpose, being higher for diagnosis than for screening, in physical ( p = 0.022) and sexual ( p = 0.014) IPV. Conclusions: IPV prevalence in pregnancy varies across countries, with one-quarter of mothers exposed on average globally. Routine systematic antenatal detection should be applied worldwide. Systematic Review Registration: identifier: CRD42020176131.

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Figure 1 Flowchart systematic review of intimate partner violence during pregnancy.
Figure 1 Flowchart systematic review of intimate partner violence during pregnancy.CC BY · PubMed Central
Figure 2 World-wide distribution of intimate partner violence (IPV) types.
Figure 2 World-wide distribution of intimate partner violence (IPV) types.CC BY · PubMed Central

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Research works printed but not linked: 3

  1. 2021, Catálogo de instrumentos para cribado y frecuencia del maltrato físico psicológico y sexual
  2. Stata, 2019, 2019
  3. 2021, Violence Against Women Prevalence Estimates 2018. Global, Regional and National Prevalence Estimates for Intimate Partner Violence Against Women and Global and Regional Prevalence Estimates for Non-partner Sexual Violence Against Women

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Metadata

Authors
Román-Gálvez, R. M., Martín-Peláez, S., Fernández-Félix, B. M., Zamora, J., Khan, K. S., & Bueno-Cavanillas, A.
Affiliations
  • Andalusian Health Service (ES)
  • Instituto de Salud Carlos III (ES)
  • Universidad de Granada (ES)
Venue
Frontiers in Public Health
Published
2021-08-30
Volume
9
Pages
738459-738459
ISSN
2296-2565 (ISSN-L)
OpenAlex
W3198050589
Cited by
162
References
46
Citations by year
2026: 43 · 2025: 40 · 2024: 40 · 2023: 26 · 2022: 13
FWCI
2.17
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (acceptedVersion, cc-by)
  • Institutional Repository of the University of Granada (University of Granada) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • RISalud Institutional Health Repository of Andalucía (submittedVersion, cc-by)
Funders
Universidad de Granada
Topics
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Geriatrics and Gerontology › Elder Abuse and Neglect
Keywords
intimate partner violence, pregnancy, prevalence, physical violence, psychological violence, sexual violence, IPV screening, antenatal detection, maternal health, global variation
MeSH terms
Intimate Partner Violence, Cross-Sectional Studies, Female, Humans, Mothers, Pregnancy, Prospective Studies, Prevalence

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