Intimate partner violence, abortion, and unintended pregnancy: Results from the WHO Multi-country Study on Women's Health and Domestic Violence

被引:283
作者
Pallitto, Christina C. [1 ]
Garcia-Moreno, Claudia [1 ]
Jansen, Henrica A. F. M. [2 ]
Heise, Lori [3 ]
Ellsberg, Mary [4 ]
Watts, Charlotte [3 ]
机构
[1] World Hlth Org, Dept Reprod Hlth & Res, CH-1211 Geneva 27, Switzerland
[2] UNFPA Pacific Subreg Off, Suva, Fiji
[3] Univ London London Sch Hyg & Trop Med, London WC1E 7HT, England
[4] George Washington Univ, Sch Publ Hlth & Hlth Serv, Dept Global Hlth, Global Womens Inst, Washington, DC USA
关键词
Abortion; Domestic violence; Intimate partner violence; Unintended pregnancy; RURAL SOUTH-AFRICA; NATIONAL SAMPLE; PREVALENCE; OUTCOMES; RISK; HIV;
D O I
10.1016/j.ijgo.2012.07.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To explore how intimate partner violence (IPV) is associated with unintended pregnancy and abortion in primarily low- and middle-income countries. Methods: Population data are presented from 17 518 ever-partnered women participating in the WHO Multi-country Study on Women's Health and Domestic Violence in 15 sites in 10 countries. Using multiple logistic regression analyses, associations between physical and/or sexual partner violence and abortion and unintended pregnancy were explored. Results: Women with a history of IPV had significantly higher odds of unintended pregnancy in 8 of 14 sites and of abortion in 12 of 15 sites. Pooled estimates showed increased odds of unintended pregnancy (adjusted OR 1.69; 95% Cl, 1.53-1.86) and abortion (adjusted OR 2.68; 95% Cl, 2.34-3.06), after adjusting for confounding factors. Reducing IPV by 50% could potentially reduce unintended pregnancy by 2%-18% and abortion by 4.5%-40%, according to population-attributable risk estimates. Conclusion: IPV is a consistent and strong risk factor for unintended pregnancy and abortion across a variety of settings. Unintended pregnancy terminated through unsafe abortion can result in death or serious complications. Therefore, reducing IPV can significantly reduce risks to maternal and reproductive health. (C) 2012 World Health Organization. Published by Elsevier Ltd. on behalf of the International Federation of Gynecology and Obstetrics. All rights reserved.
引用
收藏
页码:3 / 9
页数:7
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