Intimate partner violence and sexually transmitted disease symptoms in a national sample of married Bangladeshi women

被引：43

作者：

Decker, M. R. ^{[1
]}

Miller, E. ^{[2
]}

Kapur, N. A. ^{[3
]}

Gupta, J. ^{[1
]}

Raj, A. ^{[4
]}

Silverman, J. G. ^{[1
]}

机构：

[1] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA

[2] Univ Calif Davis, Med Ctr, Ctr Reducing Hlth Dispar, Davis, CA 95616 USA

[3] Yale Univ, Sch Med, New Haven, CT USA

[4] Boston Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA

来源：

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS | 2008年 / 100卷 / 01期

关键词：

sexually transmitted disease; intimate partner violence; Bangladesh;

D O I：

10.1016/j.ijgo.2007.06.045

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objectives: To assess associations of intimate partner violence (IPV) with women's sexually transmitted disease (STD) symptoms, and to clarify biological and behavioral mechanisms underpinning heightened STD rates among abused women. Methods: A cross-sectional investigation of married couples (n = 2865) sampled via the Bangladesh Demographic Health Survey. Results: Over one third (38%) of married Bangladeshi women experienced physical or sexual IPV in the 12 months preceding the survey. Victimization was bivariately associated with vaginal irritation/discharge, pelvic pain during intercourse, genital sores/ulcers, and vaginal discharge with odor (OR 1.39-2.09). IPV demonstrated an independent effect on vaginal irritation with discharge (adjusted OR 1.34) and vaginal discharge with odor (adjusted OR 2.08) after accounting for STD exposure (i.e., husbands' recent STD). Conclusions: IPV elevates married Bangladeshi women's STD symptoms beyond the risk represented by husbands' STD alone, suggesting that high rates of STD among abusive men and the context of violence itself both relate to abused women's STD risk. (c) 2007 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

引用

页码：18 / 23

页数：6