Olorunsaiye Comfort Z, Brunner Huber Larissa, Laditka Sarah B, Kulkarni Shanti, Boyd A Suzanne
Health Services Research Program at the University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC 28223, United States.
Department of Public Health Sciences, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC 28223, United States.
Sex Reprod Healthc. 2017 Oct;13:110-117. doi: 10.1016/j.srhc.2017.01.003. Epub 2017 Jan 9.
This study examined associations of women's attitudes toward domestic violence (DV) and contraceptive use in West and Central Africa.
We used data from the Multiple Indicator Cluster Surveys for women in seven countries in West and Central Africa (2009-2011, n=80,055).
We measured contraceptive use as none, traditional, or modern contraceptives. DV approval was measured as no, low, or high tolerance of wife beating. Multinomial logistic regression estimated odds of using traditional or modern methods versus none, adjusting for age, education, wealth, residence, parity, marital structure, spousal age-difference, and religion.
Many women had no or low DV tolerance (41%, 44%, respectively); most used no contraception (81%). In adjusted results, women with low DV tolerance had lower odds of using traditional contraceptive methods (odds ratio, OR=0.87; 95% confidence interval, CI: 0.78-0.98) or modern methods (OR=0.86; 95% CI: 0.78-0.95) compared to women with no tolerance. Women with high DV tolerance had 28% lower odds of traditional contraceptive use (95% CI: 0.60-0.90), and 38% lower odds of modern contraceptive use (95% CI: 0.59-0.88) compared to women with no tolerance.
The high prevalence of DV approval may threaten the success of programs aimed at improving women's reproductive health, including contraceptive use.
本研究调查了西非和中非地区女性对家庭暴力的态度与避孕措施使用之间的关联。
我们使用了西非和中非七个国家的多指标类集调查中女性的数据（2009 - 2011年，n = 80,055）。
我们将避孕措施的使用情况分为未使用、传统避孕措施或现代避孕措施。对家庭暴力的认可程度通过对殴打妻子行为的零容忍、低容忍或高容忍来衡量。多项逻辑回归分析估计了使用传统或现代避孕方法与不使用避孕方法的几率，并对年龄、教育程度、财富状况、居住地点、生育次数、婚姻结构、配偶年龄差和宗教信仰进行了调整。
许多女性对家庭暴力零容忍或低容忍（分别为41%和44%）；大多数女性未采取避孕措施（81%）。在调整后的结果中，与零容忍的女性相比，低容忍家庭暴力的女性使用传统避孕方法的几率较低（优势比，OR = 0.87；95%置信区间，CI：0.78 - 0.98），使用现代避孕方法的几率也较低（OR = 0.86；95% CI：0.78 - 0.95）。与零容忍的女性相比，高容忍家庭暴力的女性使用传统避孕方法的几率低28%（95% CI：0.60 - 0.90），使用现代避孕方法的几率低38%（95% CI：0.59 - 0.88）。
对家庭暴力的高认可率可能会威胁到旨在改善女性生殖健康（包括避孕措施使用）的项目的成功实施。
