RT Journal Article
T1 Screening for intimate partner violence during pregnancy: a test accuracy study
A1 Zapata-Calvente, Antonella Ludmila
A1 Megías, Jesús L.
A1 Velasco, Casilda
A1 Caño, África
A1 Khan, Khalid Saeed
A1 Rubio-Lamia, Leticia Olga
A1 Martín-de-las-Heras, Stella
K1 Maltratadas
K1 Vilencia de género
K1 Embarazadas
AB Background: Intimate partner violence (IPV) against women is a serious health problem that affects pregnancy morefrequently than other obstetric complications usually evaluated in antenatal visits. We aimed to estimate the accuracyof the Women Abuse Screening Tool-Short (WAST-Short) and the Abuse Assessment Screen (AAS) for the detection ofIPV during and before pregnancy. Methods: Consecutive eligible mothers in 21 public primary health antenatalcare centres in Andalusia (Spain) who received antenatal care and gave birth during January 2017–March 2019,had IPV data gathered by trained midwives in the first and third pregnancy trimesters. The index tests wereWAST-Short (score range 0–2; cut-off 2) and AAS (score range 0–1; cut-off 1). The reference standard was WorldHealth Organization (WHO) IPV questionnaire. Area under receiver operating characteristics curve (AUC), sensitivity and specificity with 95% confidence intervals (CI) were estimated for test performance to capture IPV duringand before pregnancy, and compared using paired samples analysis. Results: According to the reference standard,9.5% (47/495) and 19.4% (111/571) women suffered IPV during and before pregnancy, respectively. For capturing IPVduring pregnancy in the third trimester, the WAST-Short (AUC 0.73, 95% CI 0.63, 0.81), performed better than AAS(AUC 0.57, 95% CI 0.47, 0.66, P¼ 0.0001). For capturing IPV before pregnancy in the first trimester, there was nosignificant difference between the WAST-Short (AUC 0.69, 95% CI 0.62, 0.74) and the AAS (AUC 0.69, 95% CI 0.62,0.74, P¼ 0.99). Conclusions: The WAST-Short could be useful to screen IPV during pregnancy in antenatal visits.
PB European Public Health Association
YR 2022
FD 2022
LK https://hdl.handle.net/10630/28611
UL https://hdl.handle.net/10630/28611
LA eng
NO Antonella Ludmila Zapata-Calvente, Jesús L Megías, Casilda Velasco, Africa Caño, Khalid S Khan, Leticia Rubio, Stella Martín-de-las-Heras, Screening for intimate partner violence during pregnancy: a test accuracy study, European Journal of Public Health, Volume 32, Issue 3, June 2022, Pages 429–435, https://doi.org/10.1093/eurpub/ckac009
NO The study was funded by the Ministry of the Economy and Competitiveness of Spain (National Project IþDþI: FEM2016-79049-R). The funder had no part at any stage in analysis or in writing of this manuscript.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 21 ene 2026