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多哥已婚妇女遭受亲密伴侣暴力和利用产前保健的经历。

Married women's experiences of intimate partner violence and utilization of antenatal health care in Togo.

机构信息

Department of Geography, Western University, 1151 Richmond Street, Social Science Building, London, Ontario N6A 3K7, Canada.

Sociology Department, Western University, 1151 Richmond Street, Social Science Building, London, Ontario N6A 3K7, Canada.

出版信息

Sex Reprod Healthc. 2020 Mar;23:100482. doi: 10.1016/j.srhc.2019.100482. Epub 2019 Nov 27.

Abstract

OBJECTIVES

The aim of this study is to explore the relationship between intimate partner violence (IPV) and antenatal care use (ANC) in the Togolese context. We explore the associations between three indicators of ANC utilization (i.e., timing and number of ANC visits, and place of delivery) and three types of IPV (i.e., physical, emotional, and sexual violence) among married women.

METHODS

Drawing data from the 2013-14 Togo Demographic and Health Survey, we employ a series of logistic regression analyses to explore the association between women's ANC use and experience of IPV.

RESULTS

At the bivariate level, women who have experienced any form of IPV were less likely to meet the requirement for all the indicators of ANC utilization, except that the relationship between the timing of the first ANC visit and sexual violence was not statistically significant. Some of these associations were attenuated when we controlled for socioeconomic variables such as education and household wealth.

CONCLUSION

Based on these findings, we have several policy recommendations. For example, there is a need for interventions targeted towards poorer and less educated women. There is also a need to address patriarchal gender norms with community-level education that targets both wives and husbands.

摘要

目的

本研究旨在探讨多哥背景下亲密伴侣暴力(IPV)与产前保健利用之间的关系。我们探讨了三种产前保健利用指标(即产前保健开始时间和次数、分娩地点)与已婚妇女三种类型的 IPV(即身体暴力、情感暴力和性暴力)之间的关联。

方法

本研究利用 2013-14 年多哥人口与健康调查的数据,采用一系列逻辑回归分析来探讨妇女产前保健利用与 IPV 经历之间的关联。

结果

在单变量水平上,经历过任何形式 IPV 的妇女不太可能符合所有产前保健利用指标的要求,除了第一次产前保健就诊时间与性暴力之间的关系没有统计学意义。当我们控制了教育和家庭财富等社会经济变量后,其中一些关联有所减弱。

结论

基于这些发现,我们提出了一些政策建议。例如,需要针对贫困和受教育程度较低的妇女开展干预措施。还需要通过以妻子和丈夫为目标的社区层面的教育来解决父权制性别规范问题。

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