Wandera Stephen Ojiambo, Kwagala Betty, Odimegwu Clifford
Department of Population Studies, School of Statistics and Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda.
Demography and Population Studies, Schools of Social Sciences and Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Pan Afr Med J. 2018 May 30;30:85. doi: 10.11604/pamj.2018.30.85.12722. eCollection 2018.
This paper examined the relationship between Intimate Partner Violence (IPV) and current modern contraceptive use (MCU) among married women in Uganda.
We used the 2011 Uganda Demographic and Health Survey (UDHS) data, selecting a weighted sample of 1,307 married women from the domestic violence module. Chi-squared tests and multivariate complementary log-log (clog-log) regressions were used to examine the relationship between IPV and current MCU, controlling for women's socio-demographic factors.
Significant predictors of current MCU (25.3%) among married women were: women's reported ability to ask a partner to use a condom, number of living children and wealth index. The odds of current MCU were higher among women who could ask their partners to use a condom (aOR = 1.87, 95% CI: 1.26-2.78), had more than one child (aOR = 2.05, 95% CI: 1.07,3.93) and were from better wealth indices for example the richest (aOR = 2.52, 95% CI: 1.25-5.08). IPV was not associated with current MCU independently and after adjusting for women's socio-demographic factors.
In Uganda's context, IPV was not associated with current MCU. Interventions to promote MCU should enhance women's capacity to negotiate MCU within union and target women of lower socio-economic status.
本文研究了乌干达已婚妇女中亲密伴侣暴力(IPV)与当前现代避孕方法使用(MCU)之间的关系。
我们使用了2011年乌干达人口与健康调查(UDHS)的数据,从家庭暴力模块中选取了1307名已婚妇女的加权样本。采用卡方检验和多变量互补对数-对数(clog-log)回归来研究IPV与当前MCU之间的关系,并控制妇女的社会人口学因素。
已婚妇女中当前MCU(25.3%)的显著预测因素包括:妇女报告的要求伴侣使用避孕套的能力、存活子女数量和财富指数。能够要求伴侣使用避孕套的妇女(调整后比值比[aOR]=1.87,95%置信区间[CI]:1.26-2.78)、生育一个以上子女的妇女(aOR=2.05,95%CI:1.07,3.93)以及来自较富裕财富指数组(如最富裕组)的妇女(aOR=2.52,95%CI:1.25-5.08)当前使用MCU的几率更高。IPV在独立分析以及在调整妇女社会人口学因素后均与当前MCU无关。
在乌干达的背景下,IPV与当前MCU无关。促进MCU的干预措施应增强妇女在婚姻关系中协商使用MCU的能力,并以社会经济地位较低的妇女为目标。