Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa, Peru.
Carrera de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.
BMC Womens Health. 2024 Feb 24;24(1):140. doi: 10.1186/s12905-024-02958-8.
Intimate partner violence (IPV) in Peru represents a significant public health challenge. IPV can influence women's reproductive and social behaviors, undermining fertility control, and exacerbating unintended pregnancies. Our objective was to assess the association between IPV and pregnancy intention among Peruvian women of reproductive age.
We conducted a secondary analysis of Peru's 2020 Demographic and Family Health Survey data. The independent variable in this study was IPV against women, which includes psychological IPV, sexual IPV, and physical IPV. If a respondent experienced any of these three forms of IPV, the IPV variable was labeled as "yes"; if none were present, it was labeled as "no". The dependent variable was pregnancy intention (no vs. yes). We utilized a generalized linear model (GLM) from the Poisson family with a log link function to assess the relationship between IPV occurrences (total and each IPV type) and pregnancy intention. We report crude and adjusted prevalence ratios (aPR) with 95% confidence intervals (95%CI).
We analyzed data from 8466 women aged 15 to 49. The prevalence of any IPV was 49.6% (psychological IPV: 45.8%; physical IPV: 22.2%; and sexual IPV: 4.3%). Exposure to physical IPV (aPR: 1.05; 95% CI: 1.03-1.07), psychological IPV (aPR: 1.04; 95% CI: 1.02-1.06), and sexual IPV (aPR: 1.09; 95% CI: 1.04-1.13), as well as a history of any IPV (aPR: 1.05; 95% CI: 1.02-1.07), were associated with a higher probability of not intending to become pregnant. This association persisted after adjusting for confounders like age, marital status, educational attainment, education level of the child's father, place of residence, wealth, ethnicity, and parity.
One in two Peruvian women reported experiencing IPV. An association was observed between IPV exposure and a higher probability of not holding an intention to become pregnant.
亲密伴侣暴力（IPV）在秘鲁是一个重大的公共卫生挑战。IPV 会影响女性的生殖和社会行为，破坏生育控制，并加剧非意愿妊娠。我们的目的是评估秘鲁育龄妇女中 IPV 与妊娠意愿之间的关联。
我们对秘鲁 2020 年人口与家庭健康调查的数据进行了二次分析。本研究的自变量是针对妇女的 IPV，包括心理 IPV、性 IPV 和身体 IPV。如果受访者经历了这三种形式的 IPV 中的任何一种，则将 IPV 变量标记为“是”；如果都没有，则标记为“否”。因变量是妊娠意愿（否与是）。我们使用来自泊松家族的广义线性模型（GLM）和对数链接函数来评估 IPV 发生（总发生和每种 IPV 类型）与妊娠意愿之间的关系。我们报告了未经调整和调整后的患病率比（aPR）及其 95%置信区间（95%CI）。
我们分析了 8466 名 15 至 49 岁的妇女的数据。任何形式的 IPV 的流行率为 49.6%（心理 IPV：45.8%；身体 IPV：22.2%；性 IPV：4.3%）。暴露于身体 IPV（aPR：1.05；95%CI：1.03-1.07）、心理 IPV（aPR：1.04；95%CI：1.02-1.06）和性 IPV（aPR：1.09；95%CI：1.04-1.13）以及任何形式的 IPV 史（aPR：1.05；95%CI：1.02-1.07）与更高的非意愿妊娠概率相关。在调整了年龄、婚姻状况、教育程度、孩子父亲的教育程度、居住地、财富、种族和生育次数等混杂因素后，这种关联仍然存在。
在秘鲁，每两名妇女中就有一名报告经历过 IPV。接触 IPV 与更高的非意愿妊娠概率之间存在关联。
