2026-06-02T00:23:52Zhttps://riuma.uma.es/rest/oai/request

oai:riuma.uma.es:10630/286112026-02-03T11:36:15Zcom_10630_2254col_10630_37953

Screening for intimate partner violence during pregnancy: a test accuracy study Zapata-Calvente, Antonella Ludmila Megías, Jesús L. Velasco, Casilda Caño, África Khan, Khalid Saeed Rubio-Lamia, Leticia Olga Martín-de-las-Heras, Stella Maltratadas Vilencia de género Embarazadas Background: Intimate partner violence (IPV) against women is a serious health problem that affects pregnancy more frequently than other obstetric complications usually evaluated in antenatal visits. We aimed to estimate the accuracy of the Women Abuse Screening Tool-Short (WAST-Short) and the Abuse Assessment Screen (AAS) for the detection of IPV during and before pregnancy. Methods: Consecutive eligible mothers in 21 public primary health antenatal care 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 were WAST-Short (score range 0–2; cut-off 2) and AAS (score range 0–1; cut-off 1). The reference standard was World Health 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 during and 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 IPV during 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 no significant 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. 2024-01-10T13:36:56Z 2024-01-10T13:36:56Z 2022 journal article 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 https://hdl.handle.net/10630/28611 10.1093/eurpub/ckac009 eng open access European Public Health Association