Prevalence of Violence in Iranian Pregnant Women: A Systematic Review and Meta-Analysis.

Azam Bazrafshan, Shohreh Shafiei, Maryam Chegeni, Sima Afrashteh, Hamid Reza Shoraka, Zohreh Bagherinezhad, Masumeh Ghazanfarpour, Hamid Sharifi

Journal: Maternal and child health journal 2022;26(10):1983-2019

PMID: 35947277

Abstract

BACKGROUND AND AIMS

Violence against pregnant women is a significant public health problem, resulting in disability and various physical and mental health disorders. This systematic review and meta-analysis explored the prevalence of physical, verbal, sexual, psychological, emotional, economic, and other types of violence among pregnant women in Iran.

METHODS

Bibliographic databases including PubMed, Embase, Web of Science (WoS), and Scopus, and also Iranian databases including Scientific Information Database (SID), Magiran, and Civilica were searched from 2002 to September 16, 2020. Following a random-effects meta-analysis, we estimated the pooled prevalence of exposure to different types of violence among Iranian pregnant women. Overall, 61 articles that met the inclusion criteria were analyzed in this systematic review.

RESULTS

The prevalence of physical violence was 19.0% (95% confidence intervals [CI]: 14.0, 24.0), verbal violence was 42.0% (95% CI: 24.0, 61.0), sexual violence was 26.0% (95% CI: 20.0, 32.0), psychological violence was 37.0% (95% CI: 28.0, 46.0), emotional violence was 51.0% (95% CI: 40.0, 62.0), economic 39.0% (95% CI: 19.0, 60.0), and the prevalence of other types of violence was 54.0% (95% CI: 46.0, 62.0).

CONCLUSIONS

This study revealed that Iranian pregnant women are often exposed to different types of violence. Therefore, screening for violence in this vulnerable group seems necessary due to the sensitive nature of pregnancy and its importance in maternal ‎health. This alarming rate of violence calls for adopting upstream policies and interventions to reduce violent practices against pregnant women in Iran.

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Address: Clinical Research Development Center of Imam Khomeini Hospital , Jiroft University of Medical Sciences, Jiroft, Iran.; Department of Public Health, Khomein University of Medical Sciences,, Khomein, Iran.; Molecular and Medicine Research Center, Khomein University of Medical Sciences, Khomein, Iran.; Department of Biostatistics and Epidemiology, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.; Department of Public Health, Esfarayen Faculty of Medical Science, Esfarayen, Iran.; HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.; Health Faculty, Mazandaran University of Medical Sciences, Sari, Iran.; Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.; HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. [email protected].

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