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American Journal of Public Health logoLink to American Journal of Public Health
. 1990 May;80(5):575–579. doi: 10.2105/ajph.80.5.575

Violence during pregnancy and substance use.

H Amaro 1, L E Fried 1, H Cabral 1, B Zuckerman 1
PMCID: PMC1404633  PMID: 2327535

Abstract

Violent incidents were assessed as part of a prospective study of 1,243 pregnant women. Participants were predominantly poor, urban, minority group women. Seven percent (n = 92) of women reported physical or sexual violence during pregnancy. Most of the women (94 percent) knew their assailant. Victims of violence were at greater risk of having a history of depression and attempted suicide, having more current depressive symptoms, reporting less happiness about being pregnant, and receiving less emotional support from others for the current pregnancy. Comparisons of victims and non-victims showed that victims were more likely to be users of alcohol and drugs. In addition, partners of victims were more likely to use marijuana and cocaine. When possible confounders were controlled using multivariable analyses, a woman's alcohol use during pregnancy and her partner's drug use were independently associated with an increased risk of being a victim of violence during pregnancy. Results of this study highlight the importance of assessing exposure to violence during prenatal care, especially among women who are heavy users of alcohol or drugs or whose partners use these substances.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clark V. A., Aneshensel C. S., Frerichs R. R., Morgan T. M. Analysis of effects of sex and age in response to items on the CES-D scale. Psychiatry Res. 1981 Oct;5(2):171–181. doi: 10.1016/0165-1781(81)90047-0. [DOI] [PubMed] [Google Scholar]
  2. Craig T. J., Van Natta P. A. Presence and persistence of depressive symptoms in patient and community populations. Am J Psychiatry. 1976 Dec;133(12):1426–1429. doi: 10.1176/ajp.133.12.1426. [DOI] [PubMed] [Google Scholar]
  3. Eaton W. W., Kessler L. G. Rates of symptoms of depression in a national sample. Am J Epidemiol. 1981 Oct;114(4):528–538. doi: 10.1093/oxfordjournals.aje.a113218. [DOI] [PubMed] [Google Scholar]
  4. Eaton W. W., Kessler L. G. Rates of symptoms of depression in a national sample. Am J Epidemiol. 1981 Oct;114(4):528–538. doi: 10.1093/oxfordjournals.aje.a113218. [DOI] [PubMed] [Google Scholar]
  5. ElSohly M. A., ElSohly H. N., Jones A. B., Dimson P. A., Wells K. E. Analysis of the major metabolite of delta 9-tetrahydrocannabinol in urine II. A HPLC procedure. J Anal Toxicol. 1983 Nov-Dec;7(6):262–264. doi: 10.1093/jat/7.6.262. [DOI] [PubMed] [Google Scholar]
  6. Gayford J. J. Battered wives. Med Sci Law. 1975 Oct;15(4):237–245. doi: 10.1177/002580247501500404. [DOI] [PubMed] [Google Scholar]
  7. Helton A. S., McFarlane J., Anderson E. T. Battered and pregnant: a prevalence study. Am J Public Health. 1987 Oct;77(10):1337–1339. doi: 10.2105/ajph.77.10.1337. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hilberman E. Overview: the "wife-beater's wife" reconsidered. Am J Psychiatry. 1980 Nov;137(11):1336–1347. doi: 10.1176/ajp.137.11.1336. [DOI] [PubMed] [Google Scholar]
  9. Hillard P. J. Physical abuse in pregnancy. Obstet Gynecol. 1985 Aug;66(2):185–190. [PubMed] [Google Scholar]
  10. Hingson R., Zuckerman B., Amaro H., Frank D. A., Kayne H., Sorenson J. R., Mitchell J., Parker S., Morelock S., Timperi R. Maternal marijuana use and neonatal outcome: uncertainty posed by self-reports. Am J Public Health. 1986 Jun;76(6):667–669. doi: 10.2105/ajph.76.6.667. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Roberts R. E. Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Res. 1980 May;2(2):125–134. doi: 10.1016/0165-1781(80)90069-4. [DOI] [PubMed] [Google Scholar]
  12. Roberts R. E., Vernon S. W. The Center for Epidemiologic Studies Depression Scale: its use in a community sample. Am J Psychiatry. 1983 Jan;140(1):41–46. doi: 10.1176/ajp.140.1.41. [DOI] [PubMed] [Google Scholar]
  13. Sarason I. G., Johnson J. H., Siegel J. M. Assessing the impact of life changes: development of the Life Experiences Survey. J Consult Clin Psychol. 1978 Oct;46(5):932–946. doi: 10.1037//0022-006x.46.5.932. [DOI] [PubMed] [Google Scholar]
  14. Zuckerman B., Frank D. A., Hingson R., Amaro H., Levenson S. M., Kayne H., Parker S., Vinci R., Aboagye K., Fried L. E. Effects of maternal marijuana and cocaine use on fetal growth. N Engl J Med. 1989 Mar 23;320(12):762–768. doi: 10.1056/NEJM198903233201203. [DOI] [PubMed] [Google Scholar]

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