title: Intimate partner violence and perinatal common mental disorders among women in rural Vietnam.
abstract: BACKGROUND
  Intimate partner violence against women (IPV) is regarded increasingly as a public health problem worldwide. The overall aim of this study was to examine the associations between different exposures to IPV and women's mental health during pregnancy and after childbirth in rural Vietnam.
  
  
  METHODS
  This was a secondary analysis of data generated in a community-based longitudinal investigation in which a cohort of pregnant women were recruited and followed until 6 months after childbirth. Different forms of IPV were measured by the Intimate Partner Violence section of the WHO Multi-Country Study on Women's Health and Domestic Violence Against Women questionnaire. The Edinburgh Postnatal Depression Scale-Vietnam Validation was used to assess symptoms of the common perinatal mental disorders of depression and anxiety (CPMD).
  
  
  RESULTS
  Overall, 497 women were recruited and complete data were available from 417 (83.9%). Exposure to either lifetime or perinatal IPV including emotional abuse, physical violence and sexual violence was associated with increased CPMD symptoms (adjusted odds ratio, OR, ranges 1.3-14.3) and suicidal thoughts (OR ranges 4.7-6.1) in women during pregnancy and after childbirth. Experiencing more than one form of IPV increased the magnitude of the association between IPV and CPMD symptoms and thoughts of suicide.
  
  
  CONCLUSIONS
  It is clearly essential in this and other resource-constrained settings to address emotional, physical and sexual violence perpetrated by an intimate partner in any strategies to reduce the risk of perinatal mental health problems in women.
authors.affiliation: Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Alfred Centre, 89 Commercial Road, Melbourne, Australia.
authors.forename: Jane
authors.initials: J
authors.lastname: Fisher
authors.forename: Thach Duc
authors.initials: TD
authors.lastname: Tran
authors.forename: Beverley
authors.initials: B
authors.lastname: Biggs
authors.forename: Tho Hai
authors.initials: TH
authors.lastname: Dang
authors.forename: Trang Thu
authors.initials: TT
authors.lastname: Nguyen
authors.forename: Tuan
authors.initials: T
authors.lastname: Tran
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology; D015331:Cohort Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D016017:Odds Ratio; D049590:Postpartum Period; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D012747:Sexual Partners / Q000523:psychology*; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D014744:Vietnam / Q000453:epidemiology; D016387:Women's Health / Q000706:statistics & numerical data*
keywords: Intimate partner violence; Perinatal common mental disorders; Vietnam; Women