亲密伴侣暴力与终止妊娠:孟加拉国已婚女性的横断面研究

Intimate partner violence and termination of pregnancy: a cross-sectional study of married Bangladeshi women.

作者信息

Rahman Mosfequr

机构信息

Department of Population Science and Human Resource Development, University of Rajshahi, Rajshahi, 6205, Bangladesh.

出版信息

Reprod Health. 2015 Nov 5;12:102. doi: 10.1186/s12978-015-0095-7.

Abstract

BACKGROUND

The prevalence of intimate partner violence (IPV) and its consequences on women's reproductive health and pregnancy outcomes have been well documented. Bangladesh is burdened with the high prevalence of IPV and induced abortion/menstrual regulation. Understanding their association may benefit strategies to reduce termination of pregnancy (TOP). Therefore, this study assesses the association between experience of IPV and TOP among married Bangladeshi women age 15-49 years.

METHODS

This cross-sectional study is based on data from 10,146 married women of reproductive age from the Bangladesh Demographic Health Survey, 2007 (BDHS). A subset of interviews from currently married women, living with a husband and who had at least one pregnancy in the last 5 years (n = 1875) were extracted.

RESULTS

Results of this study showed that among the respondents, 31.4 % experienced physical and/or sexual IPV: 13.4 % experienced only sexual violence and 25.8 % experienced only physical violence. 21.0 % respondents ever had a TOP and 5.8 % had a TOP in last 5 years. Physical IPV was significantly associated with both TOP ever (OR = 1.36; 95 % CI: 1.05-1.77) and TOP in last 5 years (OR = 1.72; 95 % CI: 1.11-2.06).

CONCLUSIONS

Prevention of intimate partner violence which was associated with pregnancy termination may reduce the high incidence of termination of pregnancies in Bangladesh.

摘要

背景

亲密伴侣暴力(IPV)的患病率及其对女性生殖健康和妊娠结局的影响已有充分记录。孟加拉国面临着亲密伴侣暴力以及人工流产/经期调控的高患病率问题。了解它们之间的关联可能有助于制定减少终止妊娠(TOP)的策略。因此,本研究评估了15至49岁已婚孟加拉国女性中亲密伴侣暴力经历与终止妊娠之间的关联。

方法

这项横断面研究基于2007年孟加拉国人口与健康调查(BDHS)中10146名育龄已婚女性的数据。提取了目前已婚、与丈夫生活在一起且在过去5年中至少有过一次怀孕经历的女性的部分访谈数据(n = 1875)。

结果

本研究结果显示,在受访者中,31.4%经历过身体和/或性亲密伴侣暴力:13.4%仅经历过性暴力,25.8%仅经历过身体暴力。21.0%的受访者曾有过终止妊娠经历,5.8%在过去5年中有过终止妊娠经历。身体亲密伴侣暴力与既往终止妊娠(OR = 1.36;95%CI:1.05 - 1.77)以及过去5年中的终止妊娠(OR = 1.72;95%CI:1.11 - 2.06)均显著相关。

结论

预防与妊娠终止相关的亲密伴侣暴力可能会降低孟加拉国高终止妊娠发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/747d/4635982/53f4230e5290/12978_2015_95_Fig1_HTML.jpg

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