性暴力对已婚年轻女性意外怀孕的预测作用：来自 2016 年尼泊尔人口与健康调查的证据。
Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey.
机构信息
New ERA, Rudramati Marga, Kalopul, Kathmandu, 44621, Nepal.
School of Public Health, University of Alberta, Edmonton, Canada.
出版信息
BMC Pregnancy Childbirth. 2019 Jun 7;19(1):196. doi: 10.1186/s12884-019-2342-3.
BACKGROUND
Sexual violence in marital relationship is higher among women married at young age. Although sexual violence has been found to increase risk for unintended pregnancy, there is a limited published data from Nepal linking sexual violence with unintended pregnancy. The current study aimed to investigate association of partner sexual violence with unintended pregnancy among young married women who experienced child birth in last 5 years.
METHODS
Using data from Nepal Demographic and Health Survey, we studied the prevalence of sexual violence and unintended pregnancy, and their association among 560 married women (weighted sample) of 15-24 years who gave childbirth in last 5 years of the survey. We used multivariate logistic regression to analyse the association of sexual violence and other factors with unintended pregnancy. Analysis was conducted considering inverse probability weighting, clustering, and stratification to provide unbiased estimates of the population parameters.
RESULTS
Nearly a quarter of women (22.7%) reported to have experienced unintended pregnancy in the last 5 years of the survey and almost one in 10 women (9%) reported to have ever experienced sexual violence from their husbands. Women who ever experienced sexual violence from their husbands were at 2.3 times higher odds to report an unintended pregnancy (aOR = 2.3; 95% CI = 1.1-4.8) compared to women who did not experience sexual violence from their husbands independent of important socio-demographic variables and ever use of contraception.
CONCLUSION
The strong association of sexual violence within marital relationship with unintended pregnancy among young women in Nepal necessitates the provision of comprehensive sexual and reproductive health services. Women need routine assessment, and referral to appropriate services for sexual violence to reduce unintended pregnancy and its consequences.
背景
在婚姻关系中，年轻女性遭受性暴力的比例较高。尽管性暴力已被发现会增加意外怀孕的风险，但尼泊尔关于性暴力与意外怀孕之间关联的已有文献数据有限。本研究旨在调查在过去 5 年内分娩的年轻已婚女性中，伴侣性暴力与意外怀孕之间的关联。
方法
本研究使用来自尼泊尔人口与健康调查的数据，研究了过去 5 年内分娩的 560 名 15-24 岁已婚女性（加权样本）中性暴力和意外怀孕的流行率及其相关性。我们使用多变量逻辑回归分析性暴力和其他因素与意外怀孕的关联。分析考虑了逆概率加权、聚类和分层，以提供对人口参数的无偏估计。
结果
近四分之一（22.7%）的女性报告在过去 5 年内经历过意外怀孕，近十分之一（9%）的女性报告曾遭受过丈夫的性暴力。与未遭受过丈夫性暴力的女性相比，曾遭受过丈夫性暴力的女性报告意外怀孕的几率高 2.3 倍（调整后的比值比[aOR] = 2.3；95%置信区间[CI] = 1.1-4.8），独立于重要的社会人口学变量和任何一次使用避孕措施的情况。
结论
尼泊尔婚姻关系中性暴力与年轻女性意外怀孕之间的强烈关联，需要提供全面的性健康和生殖健康服务。妇女需要进行常规评估，并转介到适当的性暴力服务机构，以减少意外怀孕及其后果。
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