Division of Public Health Science, School of Life Sciences, University of Skovde, Skovde, Sweden.
J Biosoc Sci. 2012 Jan;44(1):83-94. doi: 10.1017/S0021932011000307. Epub 2011 Jun 16.
This study examines the association between contraception use and intimate partner violence (IPV) among women of reproductive age in Bangladesh. The observational study of 10,996 women used the chi-squared test and logistic regressions to assess the associations. Almost 80% of all respondents had used contraceptives at some point in their lives. About half of the respondents (48%) were victims of physical violence, while 11% experienced sexual abuse from their husbands. Urban residents, higher educated women and women aged 20-44 were more likely to use contraceptives than their peers in rural areas, those with lower education and those in their late forties (45-49 years). Women exposed to physical violence were almost two times (OR 1.93, CI 1.55-2.41) more likely to use contraceptives compared with their non-abused peers. Sexual abuse had no significant association with contraceptive use. Physical violence is a predictor for higher levels of contraceptive use among women in Bangladesh. The findings emphasize the importance of screening for IPV at health care centres. The differences in urban and rural contraceptive use and IPV exposure identified by the study have policy implications for service delivery and planning.
本研究考察了孟加拉国育龄妇女避孕措施使用与亲密伴侣暴力（IPV）之间的关联。这项对 10996 名女性进行的观察性研究使用了卡方检验和逻辑回归来评估关联。几乎 80%的受访者在其一生中的某个时候使用过避孕药具。大约一半的受访者（48%）遭受过身体暴力，而 11%的受访者遭受过丈夫的性虐待。城市居民、受教育程度较高的女性以及 20-44 岁的女性比农村地区、受教育程度较低以及 40 多岁（45-49 岁）的女性更有可能使用避孕药具。与未遭受身体暴力的同龄人相比，遭受过身体暴力的女性使用避孕药具的可能性几乎高出两倍（OR 1.93，CI 1.55-2.41）。性虐待与避孕措施使用之间没有显著关联。身体暴力是孟加拉国妇女更高水平避孕措施使用的预测因素。该研究确定的城市和农村避孕措施使用和 IPV 暴露之间的差异对服务提供和规划具有政策意义。
