Violência física por parceiro íntimo e padrão de alimentação na gestação: uma coorte brasileira

Vaz, Juliana dos Santos; Souza, Maria Eduarda Monteiro da Cunha de; Valério, Inae Dutra; Silva, Manoela Teixeira da; Freitas-Vilela, Ana Amélia; Bierhals, Isabel Oliveira; Hasselmann, Maria Helena; Kac, Gilberto

Juliana dos Santos Vaz

Programa de Pós-Graduação em Nutrição e Alimentos, Faculdade de Nutrição, Universidade Federal de Pelotas (UFPel). R. Gomes Carneiro 1, Centro. 96010-610 Pelotas RS Brasil. juliana.vaz@gmail.com

https://orcid.org/0000-0002-2880-767X

Maria Eduarda Monteiro da Cunha de Souza

Programa de Pós-Graduação em Nutrição e Alimentos, Faculdade de Nutrição, Universidade Federal de Pelotas (UFPel). R. Gomes Carneiro 1, Centro. 96010-610 Pelotas RS Brasil. juliana.vaz@gmail.com

https://orcid.org/0000-0002-3334-514X

Inae Dutra Valério

Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, UFPel. Pelotas RS Brasil.

https://orcid.org/0000-0003-4855-7388

Manoela Teixeira da Silva

Programa de Pós-Graduação em Nutrição e Alimentos, Faculdade de Nutrição, Universidade Federal de Pelotas (UFPel). R. Gomes Carneiro 1, Centro. 96010-610 Pelotas RS Brasil. juliana.vaz@gmail.com

https://orcid.org/0000-0003-0665-9271

Ana Amélia Freitas-Vilela

Unidade Acadêmica Especial em Ciências da Saúde, Faculdade de Medicina, Universidade Federal de Jataí. Jataí GO Brasil.

https://orcid.org/0000-0002-1122-3846

Isabel Oliveira Bierhals

Programa de Pós-Graduação em Epidemiologia, Departamento de Medicina Social, UFPel. Pelotas RS Brasil.

https://orcid.org/0000-0002-8739-8669

Maria Helena Hasselmann

Departamento de Nutrição Social, Instituto de Nutrição, Universidade do Estado do Rio de Janeiro. Rio de Janeiro RJ Brasil.

https://orcid.org/0000-0002-3106-1522

Gilberto Kac

Observatório de Epidemiologia Nutricional, Instituto de Nutrição Josué de Castro, Departamento de Nutrição Social e Aplicada, Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil.

https://orcid.org/0000-0001-8603-9077

Collaborations

JS Vaz and G Kac worked on conceptualization, methodology, funding acquisition. MEMC Souza and IO Bierhals worked on statistical analysis and first draft preparation. MT Silva worked on statistical support and graphic/visual preparation. ID Valério and JS Vaz worked on edited and wrote the final version. AA Freitas-Vilela and MH Hasselmann worked on editing and critical review. All authors reviewed and commented on subsequent drafts and approved the final manuscript.

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Continuous variables	All (n=161)^§	Gestational Dietary Patterns* ^{† ‡}
	All (n=161)^§	Healthy (n=42)	Common-Brazilian (n=70)	Processed (n=49)
	Mean (SD) or Median (95%CI)	Mean (SD) or Median (95%CI)	Mean (SD) or Median (95% CI)	Mean (SD) or Median (95%CI)
Age (years)	26.7 (5.4)	27.1 (4.6)	27.3 (5.9)	25.7 (5.3)
Education (years)	8.6 (2.9)	9.1 (2.9)	8.3 (3.0)	8.4 (3.0)
Per capita total family income (US$)	263.9 (137.5 - 687.8)	355.3^\|\| (146.1 - 791.7)	251.3^\|\| (136.1 - 527.8)	266.7^\|\| (138.9 - 588.9)
Categorical variables	n (%)	n (%)	n (%)	n (%)
Alcohol consumption - yes	25 (15.5)	3 (7.1)	13 (18.8)	3 (6.5)
Current smoker - yes	8 (5.0)	2 (4.8)	3 (4.4)	1 (2.2)
Major depression**	23 (14.3)	7 (16.7)	10 (14.5)	6 (13.0)
Generalized anxiety**	14 (8.7)	2 (4.8)	9 (13.0)	3 (6.5)
Gestational overall physical intimate partner violence^††	33 (20.4)	3 (7.1)^\|\|	17 (23.9)^\|\|	13 (26.5)^\|\|
Gestational severe physical intimate partner violence^††	11 (6.8)	2 (4.8)	4 (5.7)	5 (10.2)

Continuous variables	Initial sample (n=225)¹	Interviewed at 30-36 weeks of pregnancy (n=161)	Loss of follow-up (n=64)	p-value^†
Continuous variables	Mean (SD) or Median (95%CI)	Mean (SD) or Median (95%CI)	Mean (SD) or Median (95%CI)	p-value^†
Age (years)	26.6 (5.4)	26.7 (5.4)	25.6 (3.6)	0.360
Education (years)	8.8 (2.8)	8.6 (3.0)	9.7 (2.0)	0.118
Per capita total family income (US$)	267 (167 - 642)	260 (160 - 642)	402 (185 - 642)	0.171
Categorical variables	n (%)	n (%)	n (%)	p-value^‡
Alcohol consumption - yes	45 (20.1)	25 (15.5)	14 (23.7)	0.232
Current smoker - yes	15 (6.7)	8 (5.0)	5 (8.5)	0.431
Major depression	35 (16.2)	23 (14.3)	11 (28.9)	0.024
Generalized anxiety^§	22 (10.2)	14 (8.7)	5 (13.1)	0.487

Intimate partner violence*	Gestational Dietary Pattern (score)^{† ‡}
	Healthy	Common-Brazilian	Processed
	β (95%CI)	β (95%CI)	β (95%CI)
Overall Physical IPV - crude^§
Overall Physical IPV - adjusted^§
Age (years)	0.023 (-0.005; 0.053)	0.030 (-0.001; 0.061)	0.002 (-0.031; 0.034)
Schooling (years)	-0.002 (-0.056; 0.053)	-0.030 (-0.0870; 0.027)	0.013 (-0.047; 0.073)
Per capita family income (US$)	0.001 (0.0001; 0.001)	-0.0001 (-0.001; 0.0003)	0.0002 (-0.0005; 0.001)
Alcohol intake (yes, no)	-0.105 (-0.551; 0.341)	0.288 (-0.181; 0.756)	0.286 (-0.206; 0.778)
Current smoker (yes, no)	0.243 (-0.546; 1.032)	-0.301 (-1.129; 0.528)	-0.707 (-1.577; 0.163)
Major depression (yes, no)	-0.043 (-0.476; 0.390)	-0.086 (-0.541; 0.368)	0.043 (-0.434; 0.520)
Generalized anxiety (yes, no)	0.417 (-0.132; 0.966)	-0.016 (-0.592; 0.560)	-0.230 (-0.835; 0.374)
Severe Physical IPV - crude^§	-0.360 (-0.953; 0.234)	0.213 (-0.390; 0.817)	1.134 (0.523; 1.745) ^††
Severe Physical IPV - adjusted^§	-0.396 (-1.029; 0.237)	0.166 (-0.497; 0.828)	1.347 (0.670; 2.024) ^††
Age (years)	-0.397 (0.0004; 0.058)	0.024 (-0.006; 0.0539)	-0.007 (-0.038; 0.023)
Schooling (years)	0.0004 (-0.054; 0.055)	-0.036 (-0.094; 0.021)	0.010 (-0.049; 0.069)
Per capita family income (US$)	0.001 (0.0002; 0.001)	-0.002 (-0.001; 0.0002)	0.00005 (-0.0004;0.001)
Alcohol intake (yes, no)	-0.120 (-0.570; 0.329)	0.326 (-0.144; 0.796)	0.304 (-.176; 0.784)
Current smoker (yes, no)	0.202 (-0.646; 1.049)	-0.456 (-1.343; 0.431)	-0.657 (-1.564; 0.249)
Major depression (yes, no)	-0.014 (-0.457; 0.428)	-0.142 (-0.605; 0.322)	-0.052 (-0.525; 0.422)
Generalized anxiety (yes, no)	0.404 (-0.159; 0.967)	0.012 (-0.578; 0.602)	-0.389 (-0.992; 0.214)

[1] Collaborations

JS Vaz and G Kac worked on conceptualization, methodology, funding acquisition. MEMC Souza and IO Bierhals worked on statistical analysis and first draft preparation. MT Silva worked on statistical support and graphic/visual preparation. ID Valério and JS Vaz worked on edited and wrote the final version. AA Freitas-Vilela and MH Hasselmann worked on editing and critical review. All authors reviewed and commented on subsequent drafts and approved the final manuscript.

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Violência física por parceiro íntimo e padrão de alimentação na gestação: uma coorte brasileira

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