婚姻暴力与不同避孕方式的关联：来自南亚的横断面研究结果
Associations of marital violence with different forms of contraception: cross-sectional findings from South Asia.
作者信息
Raj Anita, McDougal Lotus, Reed Elizabeth, Silverman Jay G
机构信息
Division of Global Public Health, Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA, USA; Center on Gender Equity and Health, University of California, San Diego, CA, USA; Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA.
Division of Global Public Health, Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA, USA; Center on Gender Equity and Health, University of California, San Diego, CA, USA.
出版信息
Int J Gynaecol Obstet. 2015 Aug;130 Suppl 3(0 3):E56-61. doi: 10.1016/j.ijgo.2015.03.013. Epub 2015 Mar 25.
OBJECTIVE
To assess associations between marital violence and type of contraception among women in South Asia.
METHODS
Cross-sectional analyses were conducted using marital violence data collected during the most recent Demographic and Health Surveys from Bangladesh (n=3665), India (n=56357), and Nepal (n=3037). Data were pooled to assess associations of marital violence (physical or sexual) with modern contraception use (current spacing or sterilization).
RESULTS
Sexual marital violence was associated with both modern spacing contraception (adjusted odds ratio [AOR] 1.30; 95% confidence interval [CI], 1.13-1.49) and sterilization (AOR 0.79; 95% CI, 0.70-0.88). Sexual violence was reported more often by pill users (9.8% vs 5.5% for non-users) but less often by condom users (4.5% vs 5.8% for non-users).
CONCLUSION
Sexual marital violence might increase use of contraception that need not require husband involvement (pill) but decrease use of methods that require his cooperation (condom) or support for mobility, funds, or time (sterilization).
目的
评估南亚女性中婚姻暴力与避孕方式之间的关联。
方法
采用横断面分析方法，利用在最近一次人口与健康调查中收集的来自孟加拉国（n = 3665）、印度（n = 56357）和尼泊尔（n = 3037）的婚姻暴力数据。汇总数据以评估婚姻暴力（身体暴力或性暴力）与现代避孕方法使用（当前的间隔避孕法或绝育）之间的关联。
结果
性婚姻暴力与现代间隔避孕法（调整后的优势比[AOR]为1.30；95%置信区间[CI]，1.13 - 1.49）和绝育（AOR为0.79；95% CI，0.70 - 0.88）均相关。使用避孕药的女性报告性暴力的情况更常见（使用者为9.8%，非使用者为5.5%），但使用避孕套的女性报告性暴力的情况较少见（使用者为4.5%，非使用者为5.8%）。
结论
性婚姻暴力可能会增加无需丈夫参与的避孕方法（避孕药）的使用，但会减少需要丈夫配合（避孕套）或在行动、资金或时间方面给予支持的方法（绝育）的使用。
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