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开罗爱资哈尔大学辅助生殖技术科就诊的不孕女性中的暴力行为及其相关因素。

Violence and its related factors among infertile women attending assisted reproductive technique unit at Al-Azhar University, Cairo.

作者信息

Ahmed Doaa Sadek, Elela Asmaa Mohammed Abo, Ismail Samar Samy, Almowafy Abeer A, Abou-Elyazid Hanaa

机构信息

Community and Occupational medicine department, faculty of medicine for girls Al-Azhar University, Cairo, Egypt.

International Islamic Center for Population Studies and Research, Al-Azhar University, Cairo, Egypt.

出版信息

BMC Public Health. 2024 Jul 31;24(1):2063. doi: 10.1186/s12889-024-19433-6.

Abstract

BACKGROUND

Violence against women is a distressing issue particularly when they are infertile. Nevertheless, many women who are infertile and exposed to violence continue their marriage and justify such choice.

AIM

The current study aimed to assess the prevalence of violence against infertile women and its associated factors.

PARTICIPANTS AND METHODS

This cross-sectional study involved 364 Egyptian women with primary infertility; they were randomly selected from the assisted reproductive technique unit of Al-Azhar University's International Islamic Center for Population Studies and Research. The data were collected through an interview questionnaire including the Infertile Women's Exposure to Violence Determination Scale (IWEVDS), socio-demographic, conception, and community-related factors.

RESULTS

Moderate/high violence level was detected among 50.5% (95% CI = 45.3- 55.8%) of the studied infertile women, the mean ± SD of total score of IWEVDS was 48.27 ± 21.6. Exclusion was the most frequent type of violence among them. Binary logistic regression revealed that wives who had lower-educated husbands, lived in low-income families, had undergone prior IVF treatment, and who perceived gender inequality acceptance in society were more likely to expose to violence than others (OR = 3.76, 4.25, 2.05, and 2.08 respectively) (P value < 0.05).

CONCLUSION AND RECOMMENDATIONS

Infertile women have frequent exposure to different types of violence and many factors were implicated in such condition. Despite exposure to violence, infertile women refused divorce because they had no alternative financial sources as well as they were afraid of loneliness. A community mobilization approach to control this problem through a collaboration of all stakeholders is recommended.

摘要

背景

针对女性的暴力是一个令人痛心的问题,尤其是当她们无法生育时。然而,许多遭受暴力的不孕女性仍维持婚姻并为这种选择辩解。

目的

本研究旨在评估针对不孕女性的暴力发生率及其相关因素。

参与者与方法

这项横断面研究纳入了364名患有原发性不孕症的埃及女性;她们是从爱资哈尔大学国际伊斯兰人口研究与研究中心的辅助生殖技术科室中随机选取的。通过一份访谈问卷收集数据,问卷包括不孕女性遭受暴力判定量表(IWEVDS)、社会人口学、受孕及社区相关因素。

结果

在50.5%(95%置信区间=45.3-55.8%)的被研究不孕女性中检测到中度/高度暴力水平,IWEVDS总分的均值±标准差为48.27±21.6。排斥是其中最常见的暴力类型。二元逻辑回归显示,丈夫受教育程度较低、生活在低收入家庭、曾接受过体外受精治疗以及认为社会存在性别不平等观念的妻子比其他人更易遭受暴力(比值比分别为3.76、4.25、2.05和2.08)(P值<0.05)。

结论与建议

不孕女性经常遭受不同类型的暴力,许多因素与这种情况有关。尽管遭受暴力,不孕女性仍拒绝离婚,因为她们没有其他经济来源,并且害怕孤独。建议通过所有利益相关者的合作采用社区动员方法来控制这一问题。

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