Abstract
ABSTRACT Objective To investigate the association between physical intimate partner violence and low birth weight. Methods This cross-sectional study included 604 children with approximately 30 days of age who visited four primary health care units in the city of Rio de Janeiro , Brazil, for the second dose of hepatitis B vaccine. Children with a birth weight below 2.500 g were considered underweight. Information regarding physical intimate partner violence was obtained by the Portuguese version of the Conflict Tactics Scale. The study investigated the 12 months prior to interview. Physical intimate partner violence was analyzed as a dichotomous variable and cumulatively. Associations between physical intimate partner violence and low birth weight were verified by logistic regression models based on crude and adjusted odds ratios and their respective 95% confidence intervals. Results Some (7.1%) babies were born underweight, and 33.6% of the mothers had been exposed to physical intimate partner violence. Physical intimate partner violence was significantly associated with low birth weight (OR=3.69; 95%CI=1.57-8.66). Notably, the odds of low birth weight increase with the severity of violence. Conclusion These findings draw attention to the consequences of physical intimate partner violence on the nutritional status of newborns and emphasize the need of greater attention during prenatal care to improve women's quality of life and to reduce the rate of low birth weight.
Highlights
Low Birth Weight (LBW) is a severe public health problem
Physical intimate partner violence was significantly associated with low birth weight (OR=3.69; 95% Confidence Intervals (95%CI)=1.57-8.66)
In an attempt to contribute to the discussion about this relationship, the present study investigated the role of Physical Intimate Partner Violence (PIPV) on low birth weight
Summary
Low Birth Weight (LBW) is a severe public health problem. A recent Brazilian study found that 8% of the children born in 2011 had LBW2. In the Americas LBW is one of the main determinants of neonatal mortality, regardless of prematurity[1], and globally, together with prematurity, it is associated with the main causes of death in children aged less than one month[3]. Low birth weight has been associated with higher nutritional risk at age 12 months, delayed cognitive development, delayed learning in preschoolers and schoolers, sensory deficits, respiratory diseases, high blood pressure in childhood and adolescence, risk of coronary artery disease, diabetes type 2, abdominal obesity, metabolic syndrome, and adulthood hypertension[4,5,6]
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