Document Detail

Comparative analyses of stressors experienced by rural low-income pregnant women experiencing intimate partner violence and those who are not.
MedLine Citation:
PMID:  18754988     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe the daily lives of rural pregnant women who smoked during pregnancy, with a focus on their sources of stress and the compounding effects of intimate partner violence.
DESIGN: A qualitative study using content analysis of research nurses' telephone logs from a large smoking cessation randomized controlled trial (N=695) in which 33% of the sample (n=227) experienced intimate partner violence in the past year.
PARTICIPANTS: Fifty pregnant women, 25 who had experienced intimate partner violence in the past year and 25 who had never experienced intimate partner violence, were randomly selected from those who received a nurse-delivered telephone intervention for smoking cessation (n=345). The mean age of the sample was 22 years, and the majority were White and living in a married-like relationship.
RESULTS: Women experiencing intimate partner violence discussed certain stressors significantly more often than nonabused women. These stressors included finances, lack of social support, legal issues, transportation issues, and abuse by the intimate partner and others.
CONCLUSION: Health care providers need to recognize that intimate partner violence creates a stress, which can compound the stressors of pregnancy and poverty in rural areas. Offering these women a chance to talk about their lives can help them not only to locate necessary resources, but also to break down the barriers of isolation.
Shreya Bhandari; Alison H Levitch; Kathleen K Ellis; Katharine Ball; Kevin Everett; Elizabeth Geden; Linda Bullock
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  37     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-08-29     Completed Date:  2008-12-02     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  492-501     Citation Subset:  IM; N    
Department of Social Work, University of Missouri-Columbia, Columbia, MO 65211, USA.
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MeSH Terms
Adaptation, Psychological
Attitude to Health*
Case-Control Studies
Midwestern United States
Nursing Methodology Research
Poverty / psychology*
Pregnancy Complications / psychology*
Qualitative Research
Randomized Controlled Trials as Topic
Risk Factors
Rural Population*
Smoking / prevention & control,  psychology
Smoking Cessation / psychology
Social Support
Spouse Abuse / psychology*
Stress, Psychological / psychology*
Young Adult
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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