%0 Journal Article
%T Depression as a mediator between intimate partner violence and postpartum sexual issues: a structural analysis
%J Revista Brasileira de Epidemiologia
%D 2020
%A Sussmann, Leanndru Guilherme Pires Reis
%A Faisal-Cury, Alexandre
%A Pearson, Rebecca
%V 23
%N 
%P e200048-e200048
%X INTRODUCTION: No studies were found that evaluate the association between intimate partner violence (IPV) before childbirth and sexual issues in the postpartum period.   METHOD: A cross-sectional study with 700 women who received prenatal care in a basic health unit in São Paulo, between 2006 and 2007. Sexual issues were assessed through a questionnaire created by the authors, and intimate partner violence was evaluated using a structured questionnaire developed by the WHO. Postpartum depression was evaluated using the SRQ-20 instrument, with a cut-off point of 7/8 considered to be the mediating variable. A path analysis was performed to determine the different pathways: the direct association between outcome and exposure, and the indirect pathways through the mediator.   RESULTS: The prevalence of sexual issues, intimate partner violence and postpartum depression were 30; 42.8; 27.8%, respectively. Violence occurring exclusively before childbirth did not show a direct association (ED = 0.072 (-0.06 - 0.20, p = 0.060)) or indirect (EI: 0.045 (-0.06 - 0.20, p = 0.123)), with sexual issues.   CONCLUSION: Longitudinal studies that include other mediators may provide a better understanding of the causal chain and elucidate variables that influence postpartum sexuality issues.<p /> <p>Language: en</p>
%G en
%I Associacao Brasileira de Pos-Graduacao em Saude Coletiva
%@ 1415-790X
%U http://dx.doi.org/10.1590/1980-549720200048