Association between intimate partner violence and depressive symptoms in the first postpartum year in Peru
DOI:
https://doi.org/10.20453/rnp.v88i3.6107Keywords:
intimate partner violence, domestic violence, postpartum depressionAbstract
Objective: To evaluate the relationship between intimate partner violence (IPV) in the past year and the development of depressive symptoms within twelve months postpartum in women aged 15 to 49. Materials and Methods: A descriptive, analytical, cross-sectional, and secondary study using data from the 2021-2023 Demographic and Family Health Survey – ENDES surveys. The subsample included women aged 15-49 in their first postpartum year. A complex sample analysis was performed using prevalence estimates, chi-square tests, and multiple regression models. Results: The subsample included 5,903 women, with a prevalence of postpartum depressive symptoms (PDS) of 6.32% (95% CI: 5.40-7.40). Intimate partner violence affected 19.23% (95% CI: 17.68-20.88) of postpartum women during their first year, and victims had 4.53 times higher odds of developing PDS after adjusting for sociodemographic factors (aOR: 4.53; 95% CI: 2.99-6.88). Conclusions: There is a significant prevalence of PDS and IPV among women in their first postpartum year. The presence of IPV, in any of its forms, significantly increases the likelihood of developing PDS, underscoring the importance of systematic IPV screening during the postpartum period and timely psychological support.
Downloads
References
World Health Organization. Depression and Other Common Mental Disorders [Internet]. Geneva: WHO; 2017. Disponible en: https://iris.who.int/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders [Internet]. 5th ed. Washington D. C.: APA; 2013. Disponible en: https://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
Organización Mundial de la Salud. La inversión en el tratamiento de la depresión y la ansiedad tiene un rendimiento del 400 % [Internet]. OMS; 2016, 13 de abril. Disponible en: https://www.who.int/es/news/item/13-04-2016-investing-in-treatment-for-depression-and-anxiety-leads-to-fourfold-return
Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: a narrative review. J Educ Health Promot [Internet]. 2017; 6: 60. Disponible en: https://doi.org/10.4103/jehp.jehp_9_16
Shidhaye P, Giri P. Maternal depression: a hidden burden in developing countries. Ann Med Health Sci Res [Internet]. 2014; 4(4): 463-465. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC4160664/
Hanlon C. Maternal depression in low- and middle-income countries. Int Health [Internet]. 2013; 5(1): 4-5. Disponible en: https://doi.org/10.1093/inthealth/ihs003
Zeballos EP, Arias WL, Muñoz Á, Rivera R, Luna M. Depresión postparto en mujeres víctimas de violencia doméstica en la ciudad de Arequipa, Perú. Rev Cuba Obstet Ginecol [Internet]. 2020; 46(1): e502. Disponible en: https://revginecobstetricia.sld.cu/index.php/gin/article/view/83
Masías MA, Arias WL. Prevalencia de la depresión post parto en Arequipa, Perú. Rev Méd Hered [Internet]. 2018; 29(4): 226-231. Disponible en: https://revistas.upch.edu.pe/index.php/RMH/article/view/3447
Silvera M. Factores de riesgo de depresión postparto en puérperas del hospital de baja complejidad vitarte octubre-diciembre 2018 [tesis de título profesional en Internet]. Lima: Universidad Nacional Federico Villareal; 2019. Disponible en: https://hdl.handle.net/20.500.13084/2986
Campos EN. Nivel de depresión postparto en puérperas atendidas en el Hospital Nacional Dos de Mayo de Lima-Perú, 2017 [tesis de título profesional]. Lima: Universidad Inca Garcilaso de la Vega; 2018.
Vega-Dienstmaier JM. Depresión postparto en el Perú. Rev Méd Hered [Internet]. 2018; 29(4): 207-210. Disponible en: https://revistas.upch.edu.pe/index.php/RMH/article/view/3444
Çankaya S. The effect of psychosocial risk factors on postpartum depression in antenatal period: a prospective study. Arch Psychiatr Nurs [Internet]. 2020; 34(3): 176-183. Disponible en: https://doi.org/10.1016/j.apnu.2020.04.007
Della L, La Rosa VL, Cassinese E, Ciebiera M, Zaręba K, De Rosa N, et al. Prevalence and associated psychological risk factors of postpartum depression: a cross-sectional study. J Obstet Gynaecol [Internet]. 2022; 42(5): 976-980. Disponible en: https://doi.org/10.1080/01443615.2021.1980512
Instituto Nacional de Estadística e Informática (PE). Encuesta Demográfica y de Salud Familiar 2023 - Nacional y departamental [Internet]. Lima: INEI; 2023. Disponible en: https://cdn.www.gob.pe/uploads/document/file/6389989/5601739-resumen-peru-encuesta-demografica-y-de-salud-familiar-endes-2023.pdf?v=1716478980
Beydoun HA, Beydoun MA, Kaufman JS, Lo B, Zonderman AB. Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: a systematic review and meta-analysis. Soc Sci Med [Internet]. 2012; 75(6): 959-975. Disponible en: https://doi.org/10.1016/j.socscimed.2012.04.025
Bacchus LJ, Ranganathan M, Watts C, Devries K. Recent intimate partner violence against women and health: a systematic review and meta-analysis of cohort studies. BMJ Open [Internet]. 2018; 8(7): e019995. Disponible en: https://doi.org/10.1136/bmjopen-2017-019995
Wei X, Wang W, Law YW, Zhang H. The impacts of intimate partner violence on postpartum depression: an updated meta-analysis. Trauma Violence Abuse [Internet]. 2024; 25(2): 1531-1550. Disponible en: https://doi.org/10.1177/15248380231188068
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med [Internet]. 2001; 16(9): 606-613. Disponible en: https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Mendoza CA. Factores asociados a síntomas depresivos en mujeres de 15 a 49 años dentro del primer año postparto. ENDES 2017-2019 [tesis de pregrado en Internet]. Lima: Universidad Ricardo Palma; 2022. Disponible en: https://repositorio.urp.edu.pe/handle/20.500.14138/5065
Limascca ND. Factores asociados a sintomatología de depresión postparto en puérperas de edad fértil en el Perú: subanálisis de la ENDES 2021 [tesis de título profesional en Internet]. Lima: Universidad Nacional Federico Villarreal; 2023. Disponible en: https://hdl.handle.net/20.500.13084/7897
Fernández FM. Violencia conyugal y depresión perinatal en el Perú según la Encuesta Demográfica y Salud Familiar 2021 [tesis de título profesional en Internet]. Lima: Universidad Nacional Mayor de San Marcos; 2023. Disponible en: https://hdl.handle.net/20.500.12672/20603
Lebel C, MacKinnon A, Bagshawe M, Tomfohr-Madsen L, Giesbrecht G. Elevated depression and anxiety symptoms among pregnant individuals during the COVID-19 pandemic. J Affect Disord [Internet]. 2020; 277: 5-13. Disponible en : https://doi.org/10.1016/j.jad.2020.07.126
Dadi AF, Akalu TY, Baraki AG, Wolde HF. Epidemiology of postnatal depression and its associated factors in Africa: a systematic review and meta-analysis. PloS One [Internet]. 2020; 15(4): e0231940. Disponible en: https://doi.org/10.1371/journal.pone.0231940
Desta M, Memiah P, Kassie B, Ketema DB, Amha H, Getaneh T, et al. Postpartum depression and its association with intimate partner violence and inadequate social support in Ethiopia: a systematic review and meta-analysis. J Affect Disord [Internet]. 2021; 279: 737-748. Disponible en: https://doi.org/10.1016/j.jad.2020.11.053
Liu X, Wang S, Wang G. Prevalence and risk factors of postpartum depression in women: a systematic review and meta‐analysis. J Clin Nurs [Internet]. 2021; 31(19-20): 2665-2677. Disponible en: https://doi.org/10.1111/jocn.16121
Hahn-Holbrook J, Cornwell-Hinrichs T, Anaya I. Economic and health predictors of national postpartum depression prevalence: a systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Front Psychiatry [Internet]. 2018; 8: 248. Disponible en: https://doi.org/10.3389/fpsyt.2017.00248
Wang X, Jin Y, Xu P, Feng S. Urinary incontinence in pregnant women and its impact on health-related quality of life. Health Qual Life Outcomes [Internet]. 2022; 20: 13. Disponible en: https://doi.org/10.1186/s12955-022-01920-2
Meneses J, Miguel AR. Asociación entre violencia doméstica y síntomas de depresión en la madre de niño lactante entre los 0 a 6 meses de edad: un estudio secundario de la ENDES 2014-20 [tesis de pregrado en Internet]. Lima: Universidad Peruana de Ciencias Aplicadas; 2022. Disponible en: https://repositorioacademico.upc.edu.pe/handle/10757/667327
Santos DF, Silva RP, Tavares FL, Primo CC, Maciel PM, de Souza RS, et al. Prevalência de sintomas depressivos pós-parto e sua associação com a violência: estudo transversal, Cariacica, Espírito Santo, 2017. Epidemiol Serv Saúde [Internet]. 2021; 30(4): e20201064. Disponible en: https://doi.org/10.1590/S1679-49742021000400002
Edwards LM, Le HN, Garnier-Villarreal M. A systematic review and meta-analysis of risk factors for postpartum depression among latinas. Matern Child Health J [Internet]. 2021; 25(4): 554-864. Disponible en: https://doi.org/10.1007/s10995-020-03104-0
Kebede AA, Gessesse DN, Aklil MB, Temesgan WZ, Abegaz MY, Anteneh TA, et al. Low husband involvement in maternal and child health services and intimate partner violence increases the odds of postpartum depression in northwest Ethiopia: a community-based study. PLoS One [Internet]. 2022; 17(10): e0276809. Disponible en: https://doi.org/10.1371/journal.pone.0276809
Abadiga M. Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: a community-based study. PloS One [Internet]. 2019; 14(11): e0224792. Disponible en: https://repositorioacademico.upc.edu.pe/handle/10757/648828
Silva A. Asociación entre violencia de pareja y síntomas depresivos en mujeres de 15-45 años en el Perú. Un Sub-análisis de la ENDES 2014-2016 [tesis de título profesional en Internet]. Lima: Universidad Peruana de Ciencias Aplicadas; 2020. Disponible en: http://hdl.handle.net/10757/648828
Nhi TT, Hanh NT, Hinh ND, Toan NV, Gammeltoft T, Rasch V, et al. Intimate partner violence among pregnant women and postpartum depression in Vietnam: a longitudinal study. Biomed Res Int [Internet]. 2019(1): 4717485. Disponible en: https://doi.org/10.1155/2019/4717485
Tasnim F, Rahman M, Islam MM, Hasan M, Mostofa MG, Rahman MM. Exposure to domestic violence and the risk of developing depression within 6 months postpartum in Bangladesh. Soc Psychiatry Psychiatr Epidemiol [Internet]. 2021; 56(7): 1189-1200. Disponible en: https://doi.org/10.1007/s00127-020-01998-3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Shantal Rosa Muñoz-Callupe, Pablo Gerardo Sánchez-Valiente, Ysela Dominga Agüero Palacios, Javier Esteban Saavedra Castillo

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.















RNP is distributed under a