Fetene Gossa, Alie Melsew Setegn, Girma Desalegn, Negesse Yilkal
Department of Midwifery, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan, Ethiopia.
Department of Reproductive Health and Nutrition, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan, Ethiopia.
SAGE Open Med. 2022 Feb 21;10:20503121221079317. doi: 10.1177/20503121221079317. eCollection 2022.
Preventive measures like staying-at-home and social distancing are among the top strategies on the list to avert the spread of coronavirus disease 2019 and its consequences. However, this strategy brings off another shadow pandemic of intimate partner violence against women, and no study has been done to assess the magnitude of intimate partner violence against pregnant women during the pandemic in Ethiopia. Therefore, this study was aimed to determine the prevalence of intimate partner violence and its predictors in Southwest Ethiopia amid the coronavirus disease 2019 pandemic.
A community-based cross-sectional study was conducted, from 15 June 2021 to 15 August 2021, on a total of 590 pregnant women recruited by systematic random sampling techniques. Pretested structured questionnaires were used to collect data, and the data were entered using EpiData version 3.1 and analyzed by SPSS version 24. Logistic regression analysis was used to identify predictors of intimate partner violence. Finally, statistical significance was declared at a -value <0.05.
The prevalence of intimate partner violence was 39.2%. Of this, 29.8%, 26.8%, and 22.2% of the pregnant women had experienced physical, sexual, and emotional intimate partner violence, respectively. Being illiterate (adjusted odds ratio = 2.36, 95% confidence interval: 1.33-4.19), having illiterate husbands (adjusted odds ratio = 4.79, 95% confidence interval: 2.69-8.55), household decisions made by the husband alone (adjusted odds ratio = 4.91, 95% confidence interval: 3.74-9.33), and pandemic-induced economic downturns (adjusted odds ratio = 9.03, 95% confidence interval: 5.18-15.98) were the predictors that were significantly associated with intimate partner violence.
The prevalence of intimate partner violence against pregnant women during the coronavirus disease 2019 pandemic has been found to be high in the study area. Thus, more efforts should be tried to integrating intimate partner violence screening in maternal and child healthcare services, and early identification of high-risk individuals, and continuous community-based awareness creation activities are recommended.
诸如居家和社交 distancing 等预防措施是避免2019冠状病毒病传播及其后果的首要策略之一。然而,这一策略引发了针对妇女的亲密伴侣暴力这另一重隐性大流行,且尚未有研究评估埃塞俄比亚疫情期间针对孕妇的亲密伴侣暴力的严重程度。因此,本研究旨在确定2019冠状病毒病大流行期间埃塞俄比亚西南部亲密伴侣暴力的患病率及其预测因素。
于2021年6月15日至2021年8月15日开展了一项基于社区的横断面研究,共纳入590名通过系统随机抽样技术招募的孕妇。使用经过预测试的结构化问卷收集数据,数据录入EpiData 3.1版本并采用SPSS 24版本进行分析。采用逻辑回归分析确定亲密伴侣暴力的预测因素。最后,当P值<0.05时判定具有统计学意义。
亲密伴侣暴力的患病率为39.2%。其中,分别有29.8%、26.8%和22.2%的孕妇经历过身体、性和情感方面的亲密伴侣暴力。文盲(调整优势比=2.36,95%置信区间:1.33 - 4.19)、丈夫为文盲(调整优势比=4.79,95%置信区间:2.69 - 8.55)、仅由丈夫做出家庭决策(调整优势比=4.91,95%置信区间:3.74 - 9.33)以及疫情导致的经济衰退(调整优势比=9.03,95%置信区间:5.18 - 15.98)是与亲密伴侣暴力显著相关的预测因素。
研究发现,在研究区域,2019冠状病毒病大流行期间针对孕妇的亲密伴侣暴力患病率较高。因此,应更加努力地将亲密伴侣暴力筛查纳入母婴保健服务,尽早识别高危个体,并建议持续开展基于社区的提高认识活动。