Prevalence and Associated Factors of Intimate Partner Violence During Pregnancy in Eastern Ethiopia

被引:16
作者
Ashenafi, Wondimye [1 ]
Mengistie, Bezatu [2 ]
Egata, Gudina [1 ]
Berhane, Yemane [3 ]
机构
[1] Haramaya Univ, Coll Hlth & Med Sci, Sch Publ Hlth, Harar, Ethiopia
[2] Haramaya Univ, Coll Hlth & Med Sci, Dept Environm Hlth Sci, Harar, Ethiopia
[3] Addis Continental Inst Publ Hlth, Dept Epidemiol, Addis Ababa, Ethiopia
关键词
intimate partner violence; pregnancy; women; abuse; Ethiopia; DOMESTIC VIOLENCE; MATERNAL COMPLICATIONS; WOMEN; HEALTH; ABUSE; VICTIMIZATION; RISK; DEPRESSION; FREQUENCY; DRINKING;
D O I
10.2147/IJWH.S246499
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Intimate partner violence is a major public health problem and a gross violation of human rights. The consequences of this violation are severe during pregnancy as the fetus/newborn could also be affected negatively. The aim of this study was to assess the prevalence and associated factors of intimate partner violence during pregnancy (IPVP) in Eastern Ethiopia. Methods: A community-based cross-sectional study was conducted among 3015 postpartum mothers in Eastern Ethiopia. Data were collected using the WHO Violence Against Women questionnaire. Factors associated with IPVP were assessed by a log-binomial regression model using Stata version 14. Results: The overall prevalence of IPVP was 30.5% (95% CI: 28.8, 32.1); the prevalence for psychological violence was 24.4% (95% CI: 22.9, 26.0), physical violence was 11.9% (95% CI: 10.8, 13.2) and sexual violence was 11.0% (95% CI: 9.9, 12.2). About 95% of acts of sexual violence were in the form of forced sex. In multivariable analysis, women's education was associated with a decreased prevalence of all forms of IPVP. Previous experience of infant loss and not drinking alcohol were associated with lower prevalence of all IPVP types, except for the physical form. Working for cash and having medium household decision-making autonomy increased the prevalence of all forms of IPVP. Being older, living in an extended family, husband's/partner's habitual khat chewing and discordant pregnancy intentions increased the prevalence ratio (PR) of all forms of IPVP, except for sexual violence. Compared to being urban, being rural decreased the PR of sexual IPVP by 59% (adjusted prevalence ratio [APR]=0.41; 95% CI: 0.27, 0.60) and psychological IPVP by 32% (APR=0.68; 95% CI: 0.53, 0.87). Husband's/partner's support for antenatal care use decreased the PR of physical IPVP by 56% (APR=0.44; 95% CI: 0.25, 0.78). Conclusion: Nearly one-third of pregnant women experienced IPVP. The great majority of them were subjected to forced sex by their husband/partner. This calls for urgent attention at all levels of societal organization, requiring stakeholders and policy makers to tackle the situation.
引用
收藏
页码:339 / 358
页数:20
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