Begum Shahina, Dwivedi S N, Pandey Arvind, Mittal Suneeta
R. D. Gardi Medical College, Surasa, Ujjain 456006, Madhya Pradesh, India.
Natl Med J India. 2010 Jul-Aug;23(4):198-200.
Violence against women, especially by their husbands, is a serious public health issue that is associated with physical, reproductive and mental health consequences. The association between physical violence and unintended pregnancies has not been explored in India.
Data were drawn from the second round of the National Family Health Survey (NFHS-2), India conducted in 1998-99. Unintended pregnancy, defined as a pregnancy that was not wanted at the time of conception, was the dependent variable. A set of independent covariates such as age, place of residence, education, working status, religion, standard of living index, type of family, number of surviving sons, use of contraceptive methods, pregnancies terminated and physical mistreatment by the husband were evaluated using a step-wise multiple logistic regression model.
Multiple logistic regression analysis showed that women who had been physically mistreated by their husbands were 47% (OR 1.47; 95% CI 1.25-1.72) more likely to experience unintended pregnancies.
Preventing physical violence against women by their husbands could reduce unintended pregnancies.
针对妇女的暴力行为，尤其是来自丈夫的暴力，是一个严重的公共卫生问题，与身体、生殖和心理健康后果相关。在印度，身体暴力与意外怀孕之间的关联尚未得到探讨。
数据取自1998 - 1999年在印度进行的第二轮全国家庭健康调查（NFHS - 2）。意外怀孕被定义为在受孕时不想要的怀孕，是因变量。使用逐步多元逻辑回归模型评估了一组独立协变量，如年龄、居住地点、教育程度、工作状况、宗教、生活水平指数、家庭类型、存活儿子数量、避孕方法的使用、终止妊娠情况以及丈夫的身体虐待。
多元逻辑回归分析表明，遭受丈夫身体虐待的女性发生意外怀孕的可能性高出47%（比值比1.47；95%置信区间1.25 - 1.72）。
防止丈夫对妇女实施身体暴力可减少意外怀孕。
