FHI 360, Country Office, Kathmandu, Nepal.
FHI 360, Asia Pacific Regional Office, Bangkok, Thailand.
Int J Gynaecol Obstet. 2019 Sep;146(3):344-349. doi: 10.1002/ijgo.12883. Epub 2019 Jun 27.
To examine relationships between lifetime experience of intimate partner violence (IPV), and current contraceptive use and method among married women of reproductive age in Nepal.
A cross-sectional analysis of 2016 Nepal Demographic Health Survey data on contraceptive use and IPV experience among ever-married women of reproductive age. Weighted percentages were reported and multinomial logistic regression was used to assess associations between IPV (physical, sexual, emotional, or any form) and contraception use (modern reversible, sterilization, or traditional).
Among 3562 women who responded to the violence module, 26% reported experiencing any form (physical, sexual or emotional) of IPV in their lifetime. Lifetime exposure to any form of IPV was associated with sterilization (adjusted odds ratio [aOR], 1.50; 95% confidence interval [CI], 1.12-2.00) and lifetime exposure to physical violence only was significantly associated with having been sterilized (aOR, 1.59; 95% CI, 1.17-2.16).
Experience of violence, particularly physical violence, was found to be associated with sterilization in Nepal. Research is needed to understand the causes of this association, and the decision-making power dynamics related to contraceptive use, husbands' attitudes toward sterilization, and the reasons why sterilization-relative to other contraceptive options-was the contraceptive method of choice.
研究尼泊尔已婚育龄妇女一生中经历亲密伴侣暴力（IPV）与当前避孕措施使用和方法之间的关系。
对 2016 年尼泊尔人口健康调查中关于避孕措施使用和育龄已婚妇女 IPV 经历的横断面数据分析。报告了加权百分比，并使用多变量逻辑回归评估了 IPV（身体、性、情感或任何形式）与避孕措施使用（现代可逆、绝育或传统）之间的关联。
在回答暴力模块的 3562 名妇女中，26%报告在其一生中经历过任何形式（身体、性或情感）的 IPV。一生中经历过任何形式的 IPV 与绝育（调整后的优势比 [aOR]，1.50；95%置信区间 [CI]，1.12-2.00）有关，仅经历过身体暴力与绝育显著相关（aOR，1.59；95%CI，1.17-2.16）。
在尼泊尔，暴力经历，特别是身体暴力，与绝育有关。需要研究了解这种关联的原因，以及与避孕措施使用相关的决策权力动态、丈夫对绝育的态度，以及为什么与其他避孕方法相比，绝育是首选的避孕方法。
