Reproductive Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One. 2019 Jul 1;14(7):e0218722. doi: 10.1371/journal.pone.0218722. eCollection 2019.
Intimate partner violence is a thoughtful public health concern and human rights violation towards pregnant women for it has a significant negative health effect on the life of both the mother and her fetus. However, there is a scanty of information about the extent of intimate partner violence during pregnancy in Ethiopia, particularly in the study area. Therefore, the current study was conducted to determine the prevalence of intimate partner violence among pregnant women attending antenatal care and identify associated factors that cause it.
An institution based cross-sectional study was conducted on 409 pregnant women who were attending antenatal care service in Debre Markos town from March 17, 2018 -April 28, 2018. Systematic random sampling technique was used to select study participants. A pre-tested structured questionnaire was used to collect the data. Bivariable and Multivariable logistic regression models were done. Adjusted odds ratio with 95% confidence interval was used to identify factors associated with intimate partner violence during pregnancy.
The prevalence of intimate partner violence during current pregnancy was found to be 41.1% (95% confidence interval (CI): 36.0-46.0). Of this, the prevalence of psychological, physical, and sexual violence was 29.1%, 21%, 19.8% respectively. Lower educational status of partners (AOR = 3.26, 95%CI: 1.45-7.36), rural residency (AOR = 4.04, 95%CI: 1.17-13.93), frequent alcohol abuse by partner (AOR = 4.79, 95% CI: 2.08-11.04), early initiation of antenatal care (AOR = 0.44, 95% CI: 0.24-0.81), the age of women between 17-26 years (Adjusted odds ratio (AOR) = 0.21, 95%CI: 0.09-0.49),choice of partner by the women only (AOR = 3.26,95% CI:1.24-8.57) were statistically significant factors associated with intimate partner violence towards pregnant women.
In this study, the prevalence of intimate partner violence during pregnancy is found to be high. As a result, interventions that would address the above mentioned factors need to be implemented.
亲密伴侣暴力是一个值得关注的公共卫生问题，也是对孕妇的一种侵犯人权的行为，因为它对母婴的健康都有着显著的负面影响。然而，在埃塞俄比亚，尤其是在研究地区，有关怀孕期间亲密伴侣暴力的程度的信息非常有限。因此，本研究旨在确定在接受产前护理的孕妇中亲密伴侣暴力的发生率，并确定导致这种暴力的相关因素。
这是一项 2018 年 3 月 17 日至 4 月 28 日在德布雷马科斯镇进行的基于机构的横断面研究，研究对象为 409 名接受产前护理服务的孕妇。采用系统随机抽样技术选择研究参与者。使用预先测试的结构化问卷收集数据。进行单变量和多变量逻辑回归模型分析。使用调整后的优势比和 95%置信区间来确定与怀孕期间亲密伴侣暴力相关的因素。
研究发现，当前怀孕期间亲密伴侣暴力的发生率为 41.1%（95%置信区间：36.0-46.0）。其中，心理、身体和性暴力的发生率分别为 29.1%、21%和 19.8%。伴侣教育程度较低（调整后的优势比[OR] = 3.26，95%置信区间[CI]：1.45-7.36）、农村居住（调整后的优势比[OR] = 4.04，95%CI：1.17-13.93）、伴侣经常酗酒（调整后的优势比[OR] = 4.79，95%CI：2.08-11.04）、早期开始产前护理（调整后的优势比[OR] = 0.44，95%CI：0.24-0.81）、17-26 岁的女性（调整后的优势比[OR] = 0.21，95%CI：0.09-0.49）、女性自主选择伴侣（调整后的优势比[OR] = 3.26，95%CI：1.24-8.57）是与孕妇亲密伴侣暴力相关的统计学显著因素。
在这项研究中，怀孕期间亲密伴侣暴力的发生率很高。因此，需要实施针对上述因素的干预措施。
