Department of Community Health Sciences, University of Edinburgh, Edinburgh, EH8 9AG, Scotland, UK.
Eur J Public Health. 2010 Apr;20(2):164-8. doi: 10.1093/eurpub/ckp110. Epub 2009 Aug 7.
The objectives of the present study were to determine the magnitude and factors associated with sexual intimate partner violence (SIPV) in women presenting to tertiary-care hospitals of Karachi, Pakistan.
Five hundred women who presented to four tertiary-care hospitals to deliver were interviewed from September to December 2005. SIPV was assessed by using questions on sexual abuse in WHO Domestic Violence Module designed to determine intimate partner violence. Multiple logistic regression analysis was applied to determine factors associated with SIPV.
Twenty-one percent of women reported experiencing sexual violence in their married life. Gravida with five or more pregnancies [adjusted odds ratio (AOR) = 2.78; 95% confidence interval (CI) 1.12-6.96], index pregnancy as unwanted (AOR = 2.64; CI 1.16-6.02) and conflict with in-laws (AOR 1.9 CI 1.14-3.16) were independently associated with sexual abuse. Women who had social support were less likely to be abused by their intimate partners (AOR 0.76; CI 0.58-0.98).
One in five women reported spousal sexual abuse in their married life. Women having more than five children, unwanted pregnancies or reporting differences with in-laws are more likely to be subjected to such abuse. Social support protects women from sexual abuse by intimate partner.
本研究旨在确定在巴基斯坦卡拉奇的三级保健医院就诊的女性中，性亲密伴侣暴力（SIPV）的严重程度和相关因素。
2005 年 9 月至 12 月，对 500 名在 4 家三级保健医院分娩的妇女进行了访谈。采用世界卫生组织家庭暴力模块中关于性虐待的问题来评估 SIPV，以确定亲密伴侣暴力。采用多因素逻辑回归分析来确定与 SIPV 相关的因素。
21%的女性报告在婚姻生活中经历过性暴力。有五次或更多次妊娠的孕妇[校正优势比（AOR）=2.78；95%置信区间（CI）1.12-6.96]、妊娠意愿不强（AOR=2.64；CI 1.16-6.02）和与姻亲冲突（AOR 1.9 CI 1.14-3.16）与性虐待独立相关。有社会支持的妇女不太可能受到亲密伴侣的虐待（AOR 0.76；CI 0.58-0.98）。
五分之一的女性报告在婚姻生活中遭受过配偶的性虐待。有五个以上孩子、意外怀孕或与姻亲存在分歧的女性更容易受到这种虐待。社会支持可以保护妇女免受亲密伴侣的性虐待。
