Violence in the Lives of Women in Italy Who Have an Elective Abortion
Received 1 March 2009; received in revised form 16 July 2009; accepted 16 July 2009.
Background
Violence is an important health problem for pregnant women, with numerous studies showing that it may compromise maternal and infant health. Many women who seek an elective abortion (EA) live in difficult personal and social circumstances, in which violence often has a central role, yet few studies have analyzed the relationships between violence and having an EA.
Objectives
To analyze the role of family and partner violence among women seeking an EA, exploring the role of women's age, and controlling for sociodemographic factors.
Methods
An unmatched, case-control study was carried out in the Trieste Public Hospital, including all consecutive EAs (n=445) and live births (n=438). With an anonymous questionnaire, we collected information on sociodemographic characteristics, current violence (psychological, physical, and sexual) perpetrated by a partner or by other family members, and past violence.
Results
Compared with postpartum women, EA women were significantly more likely to report any type of current and past violence. Among women younger than 30 years old, adjusting for relevant social factors, partner psychological violence and family violence were strongly associated with EA, whereas among women 30 years old or older, there was no association with partner and family violence after adjustment.
Conclusion
These results highlight the role of violence in the lives of women, especially younger women, seeking an abortion, and the need for sensitive screening for partner and family violence among these women. Health professionals should be able to recognize violence among women seeking an EA and to support them.
aDepartment of Psychology, University of Trieste, Trieste, Italy
bCentre for Public Health Research, Valencia, Spain
cCIBER Epidemiología y Salud Pública (CIBERESP), Spain
eInstitute for Maternal and Child Health- IRCCS “Burlo Garofolo”, Trieste, Italy
fDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California
Correspondence to: Prof. Patrizia Romito, Department of Psychology, University of Trieste, via S. Anastasio 12, 34100 Trieste, Italy; Phone: 0039 040 558 2772; Fax: 0404528022.
Supported by a grant from the Istituto di Ricovero e Cura Burlo Garofolo, Trieste. Janet Molzan Turan's work on this article was also supported, in part, by grant # K01MH081777 from the U.S. National Institute of Mental Health (NIMH).
ABSTRACT