Journal of School of Public Health and Institute of Public Health Research
مجله دانشکده بهداشت و انستیتو تحقیقات بهداشتی
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2025
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تأثیر خشونت خانگی علیه زنان بر وضعیت رشد کودکان در میان مراجعهکنندگان به مراکز خدمات جامع سلامت شهر زاهدان
The Impact of Domestic Violence against Women on Child Growth Status among Attendees of Comprehensive Health Service Centers in Zahedan
بهداشت عمومی
Public Health
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">زمینه و هدف:</span></span></b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black"> خشونت خانگی<sup> </sup>یکی از آسیبهای اجتماعی علیه زنان است که بر سلامت مادران و فرزندان اثرات منفی می­گذارد. این مطالعه به منظور بررسی شیوع مواجهه با خشونت خانگی در زنان مراجعه</span></span><span arial="" dir="LTR" style="font-family:"><span style="color:black"></span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">کننده به مراکز خدمات جامع سلامت در شهر زاهدان و ارتباط آن با وضعیت رشد </span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">جسمی</span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black"> کودکان انجام شد.</span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">روش کار:</span></span></b> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">این مطالعه مقطعی بر روی </span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">454 نفر از </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">زنان مراجعه</span></span><span arial="" dir="LTR" style="font-family:"><span style="color:black"></span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">کننده به مراکز خدمات جامع سلامت به همراه کودکانشان در زاهدان در سال 1403 انجام شد. نمونه گیری به روش چند مرحله ای بود. داده</span></span><span arial="" dir="LTR" style="font-family:"><span style="color:black"></span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">ها با استفاده از پرسشنامه</span></span><span arial="" dir="LTR" style="font-family:"><span style="color:black"></span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black"> استاندارد سنجش خشونت خانگی</span></span> <span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">علیه زنان محسنی تبریزی </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">با ضریب آلفای کرونباخ 85/0 </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">جمع</span></span><span arial="" dir="LTR" style="font-family:"><span style="color:black"></span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">آوری گردید. داده ها </span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">با استفاده از آزمون های مجذور کای و رگرسیون لجستیک در </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">نرم افزار </span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">Stata14</span></span> <span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">تحلیل شد.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">نتایج:</span></span></b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black"> نتایج این مطالعه نشان داد شیوع کلی مواجهه با خشونت در زنان 43% می­باشد. خشونت خانگی با وضعیت نامناسب رشد جسمانی کودک ارتباط معنی داری نشان داد، نسبت شانس(</span></span><span century="" dir="LTR" style="font-family:"><span style="color:black">OR</span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">) برابر با</span></span> <span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">06/2 می باشد،</span></span> <a name="_Hlk188901969"><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">(</span></span></a><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">3-39/</span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">1</span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black"> :95% فاصله اطمینان </span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">،06/2</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">OR:</span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">). </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">همچنین در رگرسیون لجستیک </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">متغیرهای سن و اعتیاد پدر، سابقه خشونت در کودکی والدین در کنار مواجهه با خشونت خانگی مادر در مدل نهایی ارتباط خود را با اختلالات رفتاری نشان دادند</span></span><a name="_Hlk185104512"><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black"> (05/0</span></span></a><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">P</span></span><span century="" dir="LTR" style="font-family:"><span style="color:black">≤</span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">)</span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">نتیجه گیری</span></span></b><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">: </span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black">یافته های این مطالعه اهمیت مواجهه با خشونت خانگی در زنان و تاثیر آن بر وضعیت رشد جسمی کودک را نشان می­دهد. </span></span><span b="" lang="AR-SA" lotus="" style="font-family:"><span style="color:black">نتایج این مطالعه میتواند به سیاستگذاران و برنامهریزان اجتماعی کمک کند تا راهکارهای مؤثری برای کاهش خشونت خانگی و بهبود وضعیت رشد کودکان ارائه دهند.</span></span><span b="" lang="FA" lotus="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Background and Aim</span></span></b><span new="" roman="" style="font-family:" times=""><span style="color:black">: </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Domestic violence is a major social harm against women, with serious negative effects on the health and well-being of both mothers and children. This study aimed to determine the prevalence of domestic violence among women attending comprehensive health service centers in Zahedan and to examine its relationship with the developmental status of their children.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Materials and Methods:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This cross-sectional study was conducted in 2024 on 454 women who visited comprehensive health service centers in Zahedan with their children. Participants were selected through a multi-stage sampling method. Data were collected using the standardized Domestic Violence against Women questionnaire developed by Mohseni Tabrizi. Statistical analyses were performed using chi-square tests and logistic regression in Stata 14 software.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Results:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The overall prevalence of exposure to domestic violence among women was <b>43%</b>. Domestic violence showed a significant association with poor child development (CI: 1.39–3.00, OR: 2.06). Logistic regression analysis indicated that maternal exposure to domestic violence, along with factors such as parental history of childhood violence, paternal addiction, and maternal age, were significantly related to behavioral disorders in children (p ≤ 0.05).</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The findings highlight the crucial impact of domestic violence on women’s well-being and the developmental outcomes of their children. These results can assist policymakers and social planners in designing effective strategies to reduce domestic violence and promote healthy child development.</span></span></span></span></span>
خشونت خانگی, رشد جسمی کودکان, زنان, کودکان
Domestic Violence, Child Development, Women, Children
47
62
http://sjsph.tums.ac.ir/browse.php?a_code=A-10-1-273&slc_lang=other&sid=1
Fatemeh
Limoparvar
فاطمه
لیموپرور