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南亚已婚青少年及年轻成年女性中的亲密伴侣暴力与意外怀孕

INTIMATE PARTNER VIOLENCE AND UNINTENDED PREGNANCY AMONG ADOLESCENT AND YOUNG ADULT MARRIED WOMEN IN SOUTH ASIA.

作者信息

Anand Enu, Unisa Sayeed, Singh Jayakant

机构信息

*International Institute for Population Sciences,Mumbai,India.

†School of Health Systems Studies,Tata Institute of Social Sciences,Mumbai,India.

出版信息

J Biosoc Sci. 2017 Mar;49(2):206-221. doi: 10.1017/S0021932016000286. Epub 2016 Jun 21.

Abstract

This study examined the relationship between Intimate Partner Violence (IPV) and unintended pregnancy among young women in South Asia using Demographic and Health Survey data from India (2005-2006), Bangladesh (2007) and Nepal (2011). The respondents were adolescent and young adult married women aged 15-24 years who had at least one childbirth in the five years preceding the survey. Bivariate and stepwise multivariate logistic regression analyses were performed to assess the relationship between IPV and unintended pregnancy. Thirty-eight per cent of the respondents in India, 52% in Bangladesh and 28% in Nepal reported having experienced physical or sexual IPV. Those who reported physical or sexual IPV had higher odds of unintended pregnancy (1.36 in India and 1.99 in Bangladesh). The findings indicate that IPV is a risk factor for unintended pregnancy among adolescent and young adult married women. Along with violence prevention programmes, a more responsive and youth-friendly health system needs to be in place to provide health care services to young women in these countries.

摘要

本研究利用印度(2005 - 2006年)、孟加拉国(2007年)和尼泊尔(2011年)的人口与健康调查数据,考察了南亚年轻女性中亲密伴侣暴力(IPV)与意外怀孕之间的关系。受访者为年龄在15 - 24岁之间、在调查前五年内至少生育过一次的青春期及年轻成年已婚女性。进行了双变量和逐步多变量逻辑回归分析,以评估亲密伴侣暴力与意外怀孕之间的关系。印度38%的受访者、孟加拉国52%的受访者以及尼泊尔28%的受访者报告称遭受过身体或性方面的亲密伴侣暴力。报告遭受过身体或性方面亲密伴侣暴力的女性意外怀孕的几率更高(印度为1.36,孟加拉国为1.99)。研究结果表明,亲密伴侣暴力是青春期及年轻成年已婚女性意外怀孕的一个风险因素。除了暴力预防项目外,还需要建立一个更具响应性且对年轻人友好的卫生系统,以便为这些国家的年轻女性提供医疗保健服务。

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