Nanthana Thananowan

Intimate Partner Violence Among Pregnant Thai Women

The purposes of this study are to describe intimate partner violence (IPV) among pregnant women in Thailand and compare maternal characteristics, health practices during pregnancy, and maternal health between abused and nonabused pregnant women. Of 475 pregnant Thai women, 13.1% report ever being abused, whereas 4.8% report physical abuse during pregnancy. Women abused during pregnancy, compared to nonabused women, are more likely to be younger, unmarried, have low income, be unemployed, and report that the pregnancy was unwanted. They also report lower levels of positive health practices and higher levels of depressive symptoms. Results demonstrate a need for screening of IPV among pregnant Thai women.

Factors Mediating the Relationship Between Intimate Partner Violence and Cervical Cancer Among Thai Women

Previous research suggests that intimate partner violence (IPV), particularly physical or sexual violence, was associated with cervical cancer. However, there is less work examining the mechanism of the relationship between IPV and cervical cancer. The purpose of this cross-sectional study was to examine psychosocial factors (e.g., stress, social support, self-esteem, and depressive symptoms) as mediators of the relationship between IPV and cervical cancer among 532 Thai women with gynecological problems. About 21.1% of participants reported any type of IPV (e.g., physical, sexual, or emotional violence) in the past year and 22.2% had cervical cancer. IPV was significantly positively associated with stress, depressive symptoms, and cervical cancer but negatively correlated with social support and self-esteem. Results from structural equation modeling indicated that not only did IPV exhibit significantly direct effects on social support, stress, and depressive symptoms, and indirect effects on self-esteem, but it also had a significant, positive, total effect on cervical cancer. IPV exhibited the significant indirect effect on cervical cancer through social support, self-esteem, stress, and depressive symptoms. The model fitted very well to the empirical data and explained 9% of variance. The findings affirmed that those psychosocial factors were mediators of the relationship between IPV and cervical cancer. Health care protocols for abused women should include screening for and treatment of IPV-related psychosocial factors. Interventions that provide social support and protect self-esteem should reduce stress and depressive symptoms among abused women, thereby reducing the risk of cervical cancer.