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Publications (10 of 41) Show all publications
Lwin, M. W., Timby, E., Ivarsson, A., Eurenius, E., Vaezghasemi, M., Silfverdal, S.-A. & Lindkvist, M. (2023). Abnormal birth weights for gestational age in relation to maternal characteristics in Sweden: a five year cross-sectional study. BMC Public Health, 23(1), Article ID 976.
Open this publication in new window or tab >>Abnormal birth weights for gestational age in relation to maternal characteristics in Sweden: a five year cross-sectional study
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 976Article in journal (Refereed) Published
Abstract [en]

Background: Abnormal birth weight - small for gestational age (SGA) and large for gestational age (LGA) - are important indicators for newborn health. Due to changes in lifestyle in recent decades, it is essential to keep up-to-date with the latest information on maternal factors linked to abnormal birth weight. The aim of this study is to investigate SGA and LGA in relation to maternal individual, lifestyle and socioeconomic characteristics.

Methods: This is a register-based cross-sectional study. Self-reported data from Sweden's Salut Programme maternal questionnaires (2010-2014) were linked with records in the Swedish Medical Birth Register (MBR). The analytical sample comprised 5089 singleton live births. A Swedish standard method using ultrasound-based sex-specific reference curves defines the abnormality of birth weight in MBR. Univariable and multivariable logistic regressions were used to examine crude and adjusted associations between abnormal birth weights and maternal individual, lifestyle and socioeconomic characteristics. A sensitivity analysis, using alternative definitions of SGA and LGA under the percentile method, was undertaken.

Results: In multivariable logistic regression, maternal age and parity were associated with LGA (aOR = 1.05, CI = 1.00, 1.09) and (aOR = 1.31, CI = 1.09, 1.58). Maternal overweight and obesity were strongly associated with LGA (aOR = 2.28, CI = 1.47, 3.54) and (aOR = 4.55, CI = 2.85, 7.26), respectively. As parity increased, the odds of delivering SGA babies decreased (aOR = 0.59, CI = 0.42, 0.81) and preterm deliveries were associated with SGA (aOR = 9.46, CI = 5.67, 15.79). The well-known maternal determinants of abnormal birthweight, such as unhealthy lifestyles and poor socioeconomic factors, were not statistically significant in this Swedish setting.

Conclusions: The main findings suggest that multiparity, maternal pre-pregnancy overweight and obesity are strong determinants for LGA babies. Public health interventions should address modifiable risk factors, especially maternal overweight and obesity. These findings suggest that overweight and obesity is an emerging public health threat for newborn health. This might also result in the intergenerational transfer of overweight and obesity. These are important messages for public health policy and decision making.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Birth weight, Body mass index, Cross-sectional, Large for gestational age, Lifestyle, Maternal obesity, Small for gestational age
National Category
Public Health, Global Health, Social Medicine and Epidemiology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:umu:diva-209152 (URN)10.1186/s12889-023-15829-y (DOI)000995510200006 ()37237290 (PubMedID)2-s2.0-85160376071 (Scopus ID)
Funder
Region Västerbotten
Available from: 2023-06-26 Created: 2023-06-26 Last updated: 2023-08-28Bibliographically approved
Sampaio, F., Häggström, J., Ssegonja, R., Eurenius, E., Ivarsson, A., Pulkki-Brännström, A.-M. & Feldman, I. (2023). Health and economic outcomes of a universal early intervention for parents and children from birth to age five: evaluation of the Salut Programme using a natural experiment. Cost Effectiveness and Resource Allocation, 21(1), Article ID 29.
Open this publication in new window or tab >>Health and economic outcomes of a universal early intervention for parents and children from birth to age five: evaluation of the Salut Programme using a natural experiment
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2023 (English)In: Cost Effectiveness and Resource Allocation, E-ISSN 1478-7547, Vol. 21, no 1, article id 29Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this study was to investigate the health and economic outcomes of a universal early intervention for parents and children, the Salut Programme, from birth to when the child completed five years of age.

Methods: This study adopted a retrospective observational design using routinely collected linked register data with respect to both exposures and outcomes from Västerbotten county, in northern Sweden. Making use of a natural experiment, areas that received care-as-usual (non-Salut area) were compared to areas where the Programme was implemented after 2006 (Salut area) in terms of: (i) health outcomes, healthcare resource use and costs around pregnancy, delivery and birth, and (ii) healthcare resource use and related costs, as well as costs of care of sick child. We estimated total cumulative costs related to inpatient and specialised outpatient care for mothers and children, and financial benefits paid to mothers to stay home from work to care for a sick child. Two analyses were conducted: a matched difference-in difference analysis using the total sample and an analysis including a longitudinal subsample.

Results: The longitudinal analysis on mothers who gave birth in both pre- and post-measure periods showed that mothers exposed to the Programme had on average 6% (95% CI 3–9%) more full-term pregnancies and 2% (95% CI 0.03-3%) more babies with a birth weight ≥ 2500 g, compared to mothers who had care-as-usual. Savings were incurred in terms of outpatient care costs for children of mothers in the Salut area ($826). The difference-in-difference analysis using the total sample did not result in any significant differences in health outcomes or cumulative resource use over time.

Conclusions: The Salut Programme achieved health gains, as a health promotion early intervention for children and parents, in terms of more full-term pregnancies and more babies with a birth weight ≥ 2500 g, at reasonable cost, and may lead to lower usage of outpatient care. Other indicators point towards positive effects, but the small sample size may have led to underestimation of true differences.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Child health, Early intervention, Health care costs, Maternal health costs, Universal prevention
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-208946 (URN)10.1186/s12962-023-00439-7 (DOI)000980523200001 ()37143113 (PubMedID)2-s2.0-85157979665 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017-00912
Available from: 2023-06-02 Created: 2023-06-02 Last updated: 2024-07-02Bibliographically approved
Vaezghasemi, M., Eurenius, E., Ivarsson, A., Richter Sundberg, L., Silfverdal, S.-A. & Lindkvist, M. (2022). The Ages and Stages Questionnaire: Social-Emotional—What Is the Optimal Cut-Off for 3-Year-Olds in the Swedish Setting?. Frontiers in Pediatrics , 10, Article ID 756239.
Open this publication in new window or tab >>The Ages and Stages Questionnaire: Social-Emotional—What Is the Optimal Cut-Off for 3-Year-Olds in the Swedish Setting?
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2022 (English)In: Frontiers in Pediatrics , E-ISSN 2296-2360, Vol. 10, article id 756239Article in journal (Refereed) Published
Abstract [en]

Objective: Expressions of emotional and behavioral symptoms in preschool age can predict mental health problems in adolescence and adulthood. The Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) has been successful in detecting social and emotional problems in young children in some countries but had not been tested in Sweden. The objective of this study was to determine the optimal cut-off for the ASQ:SE instrument when administered to 3-year-old children in a northern Swedish setting, using the Strengths and Difficulties Questionnaire (SDQ) as the reference.

Methods: The ASQ:SE (36-month interval, first edition) was administered at routine 3-year-olds' visits to Child Health Care centers in Region Västerbotten, Sweden. During the study period (September 2017 to March 2018) parents were invited to also fill out the SDQ (2–4 year version). In the final analyses 191 children fulfilled the criteria for inclusion in the study sample. Non-parametric Receiver Operating Characteristic analysis was performed to quantify the discriminatory accuracy of ASQ:SE based on SDQ.

Results: The Pearson correlation between ASQ:SE and SDQ indicated strong correlation between the two instruments. The Receiver Operating Characteristic curve showed good accuracy of ASQ:SE in relation to SDQ. However, our results suggest that the existing ASQ:SE cut-off score of 59 was not optimal in the Swedish context. Changing the cut-off from 59 to 50 would allow us to detect 100% (n = 14) of children with problems according to SDQ, compared to 64% (n = 9) when the cut-off was 59. However, the proportion of false positives would be higher (9% compared to 3%).

Conclusion: The main finding was that for 3-year-olds in Sweden a decreased ASQ:SE cut-off score of 50 would be optimal. This would increase the detection rate of at-risk children according to SDQ (true positive), thus prioritizing sensitivity. Our conclusion is that, although this change would result in more false positives, this would be justifiable.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
emotional and behavioral problems, mental health, preschool children, screening, Strengths and Difficulties Questionnaire (SDQ), Receiver Operating Characteristic (ROC) analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Research subject
Pediatrics
Identifiers
urn:nbn:se:umu:diva-192313 (URN)10.3389/fped.2022.756239 (DOI)000760724700001 ()35223687 (PubMedID)2-s2.0-85125137892 (Scopus ID)
Funder
Public Health Agency of Sweden Region Västerbotten
Available from: 2022-02-09 Created: 2022-02-09 Last updated: 2023-09-05Bibliographically approved
Eurenius, E., Mohamed, A. F., Lindkvist, M., Ivarsson, A., Öhlund, I. & Vaezghasemi, M. (2021). Social-Emotional Problems Among 3-Year-Olds Are Associated With an Unhealthy Lifestyle: A Population-Based Study. Frontiers In Public Health, 9, Article ID 694832.
Open this publication in new window or tab >>Social-Emotional Problems Among 3-Year-Olds Are Associated With an Unhealthy Lifestyle: A Population-Based Study
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2021 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, article id 694832Article in journal (Refereed) Published
Abstract [en]

Introduction: Little attention has been paid to the association between preschool children’s social-emotional problems and lifestyle at the population level.

Objective: This study aimed to overcome this knowledge gap by investigating to what extent children’s social-emotional problems are associated with their lifestyle and if there are any gender differences.

Methods: This cross-sectional, population-based study used data from the regional Salut Register in northern Sweden, including 7,179 3-year-olds during 2014–2017. Parents responded to a questionnaire including the 36-month interval of the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) and questions regarding family and lifestyle characteristics. Single and multiple logistic regression were used to assess the association between children’s social-emotional problems and multiple family lifestyle characteristics.

Results: More reports of social-emotional problems were found among children who did not have parents living together or had markers of an unhealthy lifestyle. Children who ate vegetables less frequently, whose parent/-s brushed their teeth less often and did not read to them regularly were more likely to have social-emotional problems. Playing outdoors <3 h during weekdays and >1 h of sedentary screen time during weekends increased the risk of social-emotional problems among boys only, while >1 h of sedentary screen time during weekdays increased the risk among girls. When it comes to lifestyle and gender differences, a high proportion of the 3-year-olds had an unhealthy lifestyle, more so for boys than for girls. The dietary quality and tooth brushing were somewhat more adequate for the girls than for the boys, but boys spent more time playing outdoors compared to the girls.

Conclusions: This study provides us with an important overview picture of the family life situation of three-year-olds, including those with social-emotional problems. Such problems were significantly associated with markers of unhealthy lifestyle, with significant gender differences. Therefore, this study suggests that in order to maintain children’ssocial-emotional ability and support children at risk of problems, public health interventionprograms should have a broader perspective on improving children’s lifestyle rather thanmerely focusing on their social and emotional problems, and the gender differences foundmay be taken in account.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2021
Keywords
Public Health, Environmental and Occupational Health, ages and stages questionnaires, child behavior, cross-sectional studies, family characteristics, preschool children
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Identifiers
urn:nbn:se:umu:diva-189675 (URN)10.3389/fpubh.2021.694832 (DOI)000726079500001 ()34869138 (PubMedID)2-s2.0-85120747730 (Scopus ID)
Available from: 2021-11-18 Created: 2021-11-18 Last updated: 2021-12-15Bibliographically approved
Lindvall, K., Koistinen, S., Ivarsson, A., van Dijken, J. & Eurenius, E. (2020). Health counselling in dental care for expectant parents: a qualitative study. International Journal of Dental Hygiene, 18(4), 384-395
Open this publication in new window or tab >>Health counselling in dental care for expectant parents: a qualitative study
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2020 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 18, no 4, p. 384-395Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: Interventions during pregnancy and early childhood have been shown to impact dental health. Thus, Antenatal Care and Dental Care collaborated in an intervention called Health Counselling in Dental Care (HCDC). HCDC was offered free of charge to first-time expectant parents and was aimed at reducing the frequency of dental caries in children and their parents. However, the intervention reached less than 50% of the parents. The aim of this study was to explore facilitators of, barriers to, and suggestions for increased participation in HCDC.

METHODS: Data was collected through semi-structured, face-to-face interviews with expectant parents. Participants were purposively sampled based on having been invited to HCDC and to achieve a variation in socio-demographics. Interviews were audio recorded, transcribed verbatim, and analysed using conventional qualitative content analysis.

RESULTS: In total, 16 interviews were conducted (10 women, 6 men). Six categories representing three facilitators and three barriers for participation emerged. The facilitators were the midwife's crucial role for disseminating information about HCDC and motivating participation, that the parents perceived HCDC as valuable for themselves and their offspring, and a desire for new or more knowledge. The barriers included a shortage of information regarding the counselling, a perceived lack of value for the parents and offspring, and the timing of the counselling during pregnancy.

CONCLUSIONS: The midwives were crucial in providing information and motivation for HCDC participation. To increase attendance, sufficient information regarding the benefits of counselling is required, and the timing needs to be flexible and family-centred.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
Antenatal care, Dental care, Health Counselling, Interviews, Pregnancy, Prevention
National Category
Public Health, Global Health, Social Medicine and Epidemiology Dentistry Pediatrics
Identifiers
urn:nbn:se:umu:diva-174119 (URN)10.1111/idh.12461 (DOI)000564456900001 ()32794308 (PubMedID)2-s2.0-85090060845 (Scopus ID)
Available from: 2020-08-18 Created: 2020-08-18 Last updated: 2024-07-02Bibliographically approved
Pedrós Barnils, N., Eurenius, E. & Gustafsson, P. E. (2020). Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors. International Journal for Equity in Health, 19(1), Article ID 85.
Open this publication in new window or tab >>Self-rated health inequalities in the intersection of gender, social class and regional development in Spain: exploring contributions of material and psychosocial factors
2020 (English)In: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 19, no 1, article id 85Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Inequalities in health across social class, gender and regional context in Spain are well-known; however, there is a lack of research examining how these dimensions of inequality interact. This study explores self-rated health (SRH) inequalities across intersectional positions of gender, social class and region, and the contribution of material and psychosocial factors to these inequalities.

METHODS: Participants were drawn from the cross-sectional 2015 National Living Conditions Survey of Spanish residents aged 19-88 years (N = 27,215; 77% response rate). Eight intersectional positions were formed by combining dichotomous variables of gender, social class and regional development. Poisson regression was used to estimate intersectional inequalities in SRH as prevalence ratios, and the contributions of material and psychosocial factors.

RESULTS: Results showed both cumulative and heterogeneous inequalities within and across intersectional positions. Inequalities in the intersection of social class and regional development were best explained by the joint contributions of material and psychosocial factors, while gender inequalities within non-manual social class were better explained by material factors alone.

CONCLUSIONS: The results illustrate the complexity of interacting inequalities in health and their underpinnings in Spain. Local and national policies taking this complexity into account are needed to broadly improve equity in health in Spain.

Place, publisher, year, edition, pages
BioMed Central, 2020
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-171634 (URN)10.1186/s12939-020-01202-7 (DOI)000540230700003 ()32503650 (PubMedID)2-s2.0-85086007927 (Scopus ID)
Available from: 2020-06-08 Created: 2020-06-08 Last updated: 2024-01-17Bibliographically approved
Vaezghasemi, M., Eurenius, E., Ivarsson, A., Richter Sundberg, L., Silfverdal, S.-A. & Lindkvist, M. (2020). Social-emotional problems among Swedish three-year-olds: an Item Response Theory analysis of the Ages and Stages Questionnaires: Social-Emotional. BMC Pediatrics, 20(1), Article ID 149.
Open this publication in new window or tab >>Social-emotional problems among Swedish three-year-olds: an Item Response Theory analysis of the Ages and Stages Questionnaires: Social-Emotional
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2020 (English)In: BMC Pediatrics, E-ISSN 1471-2431, Vol. 20, no 1, article id 149Article in journal (Refereed) Published
Abstract [en]

Background: There is enough evidence to believe that young children's social-emotional problems can have a long-term effect if extra support is not given early. Therefore, early identification of such problems and any differences between boys and girls are of importance. We utilized the 36-month interval of the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) among 3-year-olds aiming: 1) to report the normative values of social-emotional problems for Swedish boys and girls; 2) to identify ASQ:SE items that are most commonly endorsed by children with high level of social-emotional problems (high score on ASQ:SE); 3) to assess whether certain ASQ:SE items differ between boys and girls at the same level of social-emotional problems; and 4) to examine whether ASQ:SE performs well in identifying children with high level of social-emotional problems (high score on ASQ:SE).

Method: During 2014–2017, data were collected from 7179 three-year-old children (boys = 3719, girls = 3460) through Child Health Care in the Region Västerbotten in the northern part of Sweden. Unidimensionality was assessed by Confirmatory Factor Analysis and goodness-of-fit was reported. Item Response Theory was used to answer the aims of the study.

Results: Items regarding interest in sexual words, too little sleep, disinterest in things around, unhappiness and self-injury were more commonly endorsed by children with high levels of social-emotional problems, as reported by their parents. For the same level of social-emotional problem, girls were more likely to demonstrate difficulties in occupying themselves, clinging behaviour and repetitive behaviour. On the other hand, boys were more likely to score high in items regarding destruction of things on purpose, difficulty to name friends and to express feelings. We have also found that the ASQ:SE is suitable for identifying children with high level of social-emotional problems.

Conclusion: The salient point of our study was to increase knowledge about Swedish children's social-emotional problems at 3-years of age based on the psychometric characteristics of the ASQ:SE using Item Response Theory model. The gender differences as well as those items that occurred at high levels of social-emotional problems should be of concern for everyday practice in Child Health Care.

Place, publisher, year, edition, pages
Springer Nature, 2020
Keywords
Ages & Stages Questionnaires: Social-Emotional (ASQ:SE), Item Response Theory (IRT), Pre-school children, Social-emotional problems
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-169929 (URN)10.1186/s12887-020-2000-y (DOI)000523716100001 ()32247313 (PubMedID)2-s2.0-85083022924 (Scopus ID)
Available from: 2020-04-22 Created: 2020-04-22 Last updated: 2024-07-04Bibliographically approved
Pulkki-Brännström, A.-M., Lindkvist, M., Eurenius, E., Häggström, J., Ivarsson, A., Sampaio, F. & Feldman, I. (2020). The equity impact of a universal child health promotion programme. Journal of Epidemiology and Community Health, 74, 605-611
Open this publication in new window or tab >>The equity impact of a universal child health promotion programme
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2020 (English)In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 74, p. 605-611Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Real-world evaluations of complex interventions are scarce. We evaluated the effect of the Salut Programme, a universal child health promotion intervention in northern Sweden, on income-related inequalities in positive birth outcomes and healthcare utilisation up to 2 years after delivery.

METHODS: Using the mother's place of residence at delivery, the child and the mother were classified as belonging to either the control area (received care-as-usual) or the intervention area (where the intervention was implemented from 2006) and either the premeasure (children born between 2002 and 2004) or the postmeasure (children born between 2006 and 2008) period. Parents' earned income was used as the socioeconomic ranking variable. The Relative Concentration Index was computed for six binary birth outcome indicators and for inpatient and day patient care for children and their mothers. Changes in inequality over time were compared using a difference-in-difference approach.

RESULTS: Income-related inequalities in birth outcomes and child healthcare utilisation were absent, except that full-term pregnancies were concentrated among the poor at premeasure in the intervention area. In contrast, mothers' healthcare utilisation was significantly pro-poor in the control area. The extent of inequality changed differentially between premeasure and postmeasure for two birth outcomes: full-term pregnancies and infants with normal birth weight. Inequalities in healthcare utilisation did not change significantly in either area over time.

CONCLUSION: In northern Sweden, income-related inequalities in birth outcomes and child healthcare utilisation are largely absent. However, relative inequalities in mothers' healthcare utilisation are large. We found no evidence that the Salut Programme affected changes in inequality over time.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2020
Keywords
health promotion, income, pregnancy outcome, public health, registries
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-169927 (URN)10.1136/jech-2019-213503 (DOI)000568209000009 ()32303594 (PubMedID)2-s2.0-85083690730 (Scopus ID)
Available from: 2020-04-22 Created: 2020-04-22 Last updated: 2024-07-02Bibliographically approved
Eurenius, E. (2019). Cultural parenting programmes could play an important role in helping immigrants adapt to their host countries. Acta Paediatrica, 108(8), 1491-1491
Open this publication in new window or tab >>Cultural parenting programmes could play an important role in helping immigrants adapt to their host countries
2019 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, no 8, p. 1491-1491Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2019
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-161808 (URN)10.1111/apa.14853 (DOI)000474935600020 ()31099086 (PubMedID)2-s2.0-85067664764 (Scopus ID)
Available from: 2019-08-14 Created: 2019-08-14 Last updated: 2023-03-23Bibliographically approved
Wilson, I. M., Eurenius, E., Lindkvist, M., Edin, K. & Edvardsson, K. (2019). Is there an association between pregnant women's experience of violence and their partner's drinking?: A Swedish population-based study. Midwifery, 69, 84-91
Open this publication in new window or tab >>Is there an association between pregnant women's experience of violence and their partner's drinking?: A Swedish population-based study
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2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 69, p. 84-91Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Pregnancy is a time of heightened vulnerability for women, especially for experiencing violence in their close and intimate relationships. Alcohol misuse by a male intimate partner is a known contributor to increased risk and severity of intimate partner violence generally, however less is known about the relationship between partner drinking patterns and women's experience of violence in their relationship, and particularly in early pregnancy. This study aimed to explore these associations in a large, population-based sample of Swedish expectant parents.

DESIGN, SETTING AND PARTICIPANTS: Data for this cross-sectional study were drawn from 11 461 couples (22 922 participants) enrolled in Salut, a child health promotion programme in Västerbotten County Council, Sweden. Data were collected at women's antenatal care visits during the first trimester of pregnancy.

MEASUREMENTS: Questionnaires included male partners' self-reported drinking patterns using AUDIT (Alcohol Use Disorders Identification Test) and pregnant women's reports of violence. Descriptive and logistic regression analyses were undertaken to examine prevalence of reported violence and association with partner drinking patterns.

FINDINGS: There was a strong association between male partner alcohol misuse and the odds of pregnant women experiencing violence in general, experiencing violence since becoming pregnant, and fear for their own safety at the time of enrolment in ANC. The odds of having experienced being controlled or physically hurt in a relationship, or having ever experienced sexual violence, were higher with more serious alcohol misuse by the male partner. Most striking was that women whose partners reported hazardous drinking or alcohol dependence had nearly nine times higher odds of experiencing being physically hurt by a partner since becoming pregnant, compared to women whose partners reported non-harmful alcohol use (OR 8.50, CI 2.39-30.17, p = 0.001). Fearing for current safety was also strongly linked to more severe alcohol use by their current male partner (OR 7.65, CI 1.02-57.24, p = 0.048).

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: This study contributes population-level evidence that the risk for women of experiencing violence in general or in early pregnancy is exacerbated when a male partner drinks in harmful ways. Health professionals and those supporting pregnant women should pay attention to the role of risk factors such as partner alcohol use. Ensuring the health of pregnant women and safety in their relationships is important for maternal, foetal and infant health and family functioning.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Alcohol drinking, Cross-sectional study, Intimate partner violence, Pregnancy, Risk factors, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-153435 (URN)10.1016/j.midw.2018.10.019 (DOI)000454129800011 ()30415105 (PubMedID)2-s2.0-85056169104 (Scopus ID)
Available from: 2018-11-21 Created: 2018-11-21 Last updated: 2019-10-16Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8184-6360

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