Prevalence of domestic violence and associated factors among pregnant women using the Brazilian Unified Health System: a cross-sectional study, Curitiba, 2018-2020.
- 1Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil Pontifícia Universidade Católica do Paraná CuritibaPR Brazil.
Abstract
Objective
To analyze prevalence and factors associated with domestic violence among pregnant women using the public health network of Curitiba, based on data from the Curitiba Maternal and Child Health Cohort project.Methods
This was a cross-sectional observational study, conducted with pregnant women using the Brazilian Unified Health System in Curitiba between 2018 and 2020. Demographic, socioeconomic, emotional and obstetric variables were analyzed. The dependent variable was having experienced domestic violence (physical, psychological or sexual). Absolute and relative frequencies were calculated, and the chi-square test with Bonferroni correction was applied to select variables with a p-value<0.20. Independent associations were estimated using Poisson regression with robust variance, presenting prevalence ratios (PR) and 95% confidence intervals (95%CI).Results
194 pregnant women were analyzed. Prevalence of domestic violence was 27.5%, with 73.1% being physical and 75.0% psychological. Violence was associated with feelings of sadness (PR 2.83; 95%CI 1.46; 5.48; p-value 0.002), household arrangement (prevalence of violence was lower among pregnant women living with partners: PR 0.51; 95%CI 0.29; 0.92; p-value 0.025), and with intermediate gestational risk (PR 2.73; 95%CI 1.54; 4.84; p-value 0.011).Conclusion
Domestic violence was frequent among pregnant women using the public health network in Curitiba and was associated with emotional vulnerability, living without a partner, and intermediate gestational risk. These findings reinforce the need for intersectoral actions and psychological and social support during prenatal care in order to identify and manage violence.
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BibTeX
@article{valoski2026prevalence,
title = {{Prevalence of domestic violence and associated factors among pregnant women using the Brazilian Unified Health System: a cross-sectional study, Curitiba, 2018-2020.}},
author = {Julia Valoski and Ádelin Olívia Lopes Joly Rodrigues and Isabela Cristina Santos Freire de Paula and Renata Iani Wernek and Juliana Schaia Rocha Orsi},
journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
year = {2026},
month = jun,
doi = {10.1590/s2237-96222026v35e20250920.en},
url = {https://europepmc.org/article/MED/42922946},
note = {CC BY},
}
RIS
TY - JOUR
TI - Prevalence of domestic violence and associated factors among pregnant women using the Brazilian Unified Health System: a cross-sectional study, Curitiba, 2018-2020.
AU - Julia Valoski
AU - Ádelin Olívia Lopes Joly Rodrigues
AU - Isabela Cristina Santos Freire de Paula
AU - Renata Iani Wernek
AU - Juliana Schaia Rocha Orsi
PY - 2026
DA - 2026/06/07
JO - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
DO - 10.1590/s2237-96222026v35e20250920.en
UR - https://europepmc.org/article/MED/42922946
AB - Objective To analyze prevalence and factors associated with domestic violence among pregnant women using the public health network of Curitiba, based on data from the Curitiba Maternal and Child Health Cohort project.Methods This was a cross-sectional observational study, conducted with pregnant women using the Brazilian Unified Health System in Curitiba between 2018 and 2020. Demographic, socioeconomic, emotional and obstetric variables were analyzed. The dependent variable was having experienced domestic violence (physical, psychological or sexual). Absolute and relative frequencies were calculated, and the chi-square test with Bonferroni correction was applied to select variables with a p-value<0.20. Independent associations were estimated using Poisson regression with robust variance, presenting prevalence ratios (PR) and 95% confidence intervals (95%CI).Results 194 pregnant women were analyzed. Prevalence of domestic violence was 27.5%, with 73.1% being physical and 75.0% psychological. Violence was associated with feelings of sadness (PR 2.83; 95%CI 1.46; 5.48; p-value 0.002), household arrangement (prevalence of violence was lower among pregnant women living with partners: PR 0.51; 95%CI 0.29; 0.92; p-value 0.025), and with intermediate gestational risk (PR 2.73; 95%CI 1.54; 4.84; p-value 0.011).Conclusion Domestic violence was frequent among pregnant women using the public health network in Curitiba and was associated with emotional vulnerability, living without a partner, and intermediate gestational risk. These findings reinforce the need for intersectoral actions and psychological and social support during prenatal care in order to identify and manage violence.
SN - 1679-4974
SN - 2237-9622
ER -