Institute of Statistical Research and Training, University of Dhaka, Dhaka, Bangladesh.
Transport and Road Safety (TARS) Research Centre, School of Aviation, University of New South Wales, NSW, Australia.
PLoS One. 2020 Jul 28;15(7):e0236670. doi: 10.1371/journal.pone.0236670. eCollection 2020.
Intimate partner violence (IPV) is a social problem in Bangladesh with adverse effects on maternal healthcare. This study analyzed the sociodemographic factors responsible for intimate partner violence and its overall association with reproductive healthcare-specifically miscarriages, stillbirths and induced abortions (MSA)-using Bangladesh Demographic Health Survey 2007, which contains the latest available intimate partner violence data till date, with the hypothesis that intimate partner violence is associated with miscarriages, stillbirths and induced abortions. The generalized linear regression model was fitted to 3,920 women adjusting survey weights and cluster/strata variations. The study concluded that 1 out of every 4 women who reported experiencing intimate partner violence also reported having one or more of miscarriages, stillbirths and induced abortions. The results revealed that intimate partner violence and miscarriages, stillbirths and induced abortions were significantly associated with the age of the women, residence, age of the women at their first birth, sex of household head and the household's financial condition. Furthermore, the odds of having one or more miscarriages, stillbirths and abortions was increased by 35% for women who were victims to intimate partner violence, establishing a significant association between miscarriages, stillbirths and abortions and intimate partner violence. There appeared to be a need to address the issue in both paradigms, particularly for the poor rural women in Bangladeshi patriarchal society. These findings demand a combined intervention effort in the vulnerable cohorts, especially if Bangladesh intends to attain the goals 3.1 and 5.2 of the Sustainable Development Goals (SDG) by 2030.
亲密伴侣暴力（IPV）是孟加拉国的一个社会问题，对产妇保健有不良影响。本研究使用孟加拉国 2007 年人口健康调查分析了导致亲密伴侣暴力的社会人口因素，以及亲密伴侣暴力与生殖保健的总体关联，特别是流产、死产和人工流产（MSA）。该调查包含了截至目前最新的亲密伴侣暴力数据，假设亲密伴侣暴力与流产、死产和人工流产有关。通过广义线性回归模型，对 3920 名妇女进行了调整，考虑了调查权重和聚类/层次变化。研究得出结论，每 4 名报告经历亲密伴侣暴力的妇女中，就有 1 名或更多人报告有流产、死产和人工流产。结果表明，亲密伴侣暴力与流产、死产和人工流产与妇女的年龄、居住地、首次分娩时的年龄、家庭户主的性别和家庭的财务状况显著相关。此外，遭受亲密伴侣暴力的妇女发生一次或多次流产、死产和堕胎的几率增加了 35%，表明流产、死产和堕胎与亲密伴侣暴力之间存在显著关联。似乎需要在这两个方面都解决这个问题，特别是在孟加拉国父权制社会中贫困的农村妇女。如果孟加拉国打算到 2030 年实现可持续发展目标（SDG）的目标 3.1 和 5.2，这些发现需要在弱势群体中进行联合干预。
