scholarly journals 1139Predictors of Unintended Pregnancy among Indian women: An analysis from NFHS-IV Survey

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Jai Kishun

Abstract Background Low levels of women’s decision-making over control of sexual intercourse, contraceptive use, domestic violence with intimate partners not only have impact on socioeconomic and cultural aspects but also on unintended pregnancies. Which create serious public health issues associated with physical, reproductive and mental health consequences. This study explores associations between domestic violence, maternity and sociodemographic characteristics with unintended pregnancies Methods Total 32428 married women aged between 15-49 years, who responded on current pregnancy wanted were observed in NFHS-IV (2015-16) survey data. Out of these, 3,842 found eligible for this study. Logistic regressions used for analysis using SPSS23 software. Results Mean age of 3,842 women respondents were 25.27 ± 4.97 years. 12.3% of them were unintended pregnancies. Women aged between 25-34 years (OR = 1.21, 95% CI: 0.99-1.48) and 35-49 years (OR = 1.50, 95% CI: 1.02-2.21) were more likely to have unintended pregnancy than 15–24 years. Working women were 7% (OR = 0.93, 95% CI: 0.73-1.18) less likely to have unintended pregnancy than not working. Women never used contraception were 1.4 times more likely to have unintended pregnancy. Ever face domestic violence were 1.71 times (OR = 1.71, 95% CI: 1.40-2.10) more likely to have unwanted pregnancy. Conclusions Sociodemographic disparities need to be addressed to promote reproductive health and welfare services. Preventing physical violence by intimate partners against women, could reduce unintended pregnancy. Key messages Improving women’s status through educational and occupational initiatives could contribute to reducing physical violence and incidence of unintended pregnancies

2002 ◽  
Vol 8 (4-5) ◽  
pp. 521-536
Author(s):  
R. M. Youssef ◽  
I. I. Moubarak ◽  
Y. A. Gaffar ◽  
H. Y. Atta

This study looked at the frequency and determinants of unplanned births among women in Beheira governorate, Egypt, and the effects on antenatal and postnatal care sought by the mother for herself and her child. Unintended births comprised 23.6%; 13.8% were unwanted and 9.8% were mistimed. Contraceptive failure accounted for 28.8% of unintended pregnancies; 47.1% of women who reported unintended pregnancy were not using [corrected] contraception. Age, education and parity were predictors of unwanted pregnancy. Contraceptive use and maternal employment status predicted mistimed pregnancy. Unintended pregnancy was a barrier to antenatal care, but not to child care. Our findings suggest that family planning programmes should help women of reproductive age achieve spacing and fertility limits.


2021 ◽  
Vol 8 (6) ◽  
pp. 55-67
Author(s):  
Ömer Alkan ◽  
Şeyda Ünver

Purpose of the study: This study aims to determine the factors affecting the exposure of women in Turkey 15 years of age and older to physical violence by their husband/intimate partner. Methodology: In this study, the micro-data set of the "Research on Domestic Violence against Women in Turkey" conducted by Hacettepe University Institute of Population Studies in 2008 and 2014 was used. In this data set, the data of 18518 women aged 15 and over were used, 11722 in 2008 and 6796 in 2014. Factors affecting women's physical violence were determined using binary logistic and probit regression analysis. This study focuses on the physical violence of the husband/partner, which is the most common type of domestic violence against women. Main Findings: The variables of survey year, region, education level, individual income, marital status, health status, the number of children, and being exposed to violence from first degree relatives are seen to be significant. According to the results obtained, the expected probability of exposure to physical violence women who were subjected to economic, verbal, and sexual violence by their husbands/intimate partners was more than 39.8%, 127.35%, and 83.68%, respectively. Applications of this study: The study outcome indicate that important steps to reduce domestic physical violence against women in Turkey should be taken. In order to prevent new cases of abuse, coordinated efforts to raise awareness of the problem of domestic physical violence against women will encourage action. Novelty/Originality of this study: In this study, factors affecting the exposure of women in Turkey, 15 years old and older, to physical violence by their husband/intimate partner were identified. In the study, the socio-demographic and economic characteristics of women and to what extent the various risk factors related to husband/intimate partners were critical for the women's exposure to physical violence.


2017 ◽  
Vol 13 (20) ◽  
pp. 140
Author(s):  
Titilayo A. ◽  
Ekundayo O.O. ◽  
Olaoye-Oyesola O.J. ◽  
Anuodo, A.O.

Gender-based domestic violence (GBDV) continues to pose a serious threat to woman folk and the society at large. All efforts to reduce the menace have not yielded an impressive result and thus, the prevalence rate is still unacceptably high. Employing analytic nationally representative weighted sample size, 15,941women aged 15-49 years who were currently pregnant or ever had at least one pregnancy experience were interviewed for domestic violence through quantitative instrument (questionnaire). The data were analysed with a chi-squared test and binary logistic regression using STATA 13. Overall, one quarter (24.7%) of the total respondents who ever experienced domestic violence from their spouses or intimate sexual partners reported having experienced unwanted/unintended pregnancy. It was evident in the study that GBDV is significantly related to unwanted pregnancy even after controlling for all other tested independent variables like age, educational attainment, wealth index, religion, place of residence and other fertility related variables such as number of children ever born, contraceptive use and pregnancy termination experience. Spousal abuse in any form is a crucial predictor of unwanted pregnancy in Nigeria. Therefore, addressing gender-based domestic violence is critical to reducing the menace of unwanted pregnancy and taming unnecessary population growth in Nigeria.


2021 ◽  
pp. bmjsrh-2020-200970
Author(s):  
Marcus Bergman ◽  
Anna-Maria Gray ◽  
Nina Sollier ◽  
Markus Sjöstrand ◽  
Helena Kopp Kallner

IntroductionUnintended pregnancies in Europe have been estimated to constitute 43% of all pregnancies, with the proportion in Sweden being unknown. In striving for equitable healthcare, increased knowledge about unintended pregnancies among women born outside Europe is needed. We aimed to estimate the proportion of unintended pregnancies in women born in Sweden compared with women born outside Europe in an unselected population seeking gynaecological emergency care in early pregnancy. Our secondary aim was to compare contraceptive use at the time of conception in unplanned pregnancies between women born in Sweden and women born outside Europe.MethodsPregnant women seeking gynaecological emergency care in early pregnancy at a tertiary hospital were asked to fill out a questionnaire in their native language. The questionnaire contained questions from the London Measure of Unplanned Pregnancy (LMUP) and questions regarding sociodemographic data, gynaecological health and previous contraception.ResultsOf 180 pregnancies, 66 were unintended (36.7%) according to the LMUP. Among patients born in Sweden, 49/129 (38.0%) of the pregnancies were unintended compared with 17/51 (33.3%) among patients born outside Europe (p=0.56). 86% of participants with unintended pregnancy did not use any form of contraception during the month of conception, with no difference between women born in Sweden and those born outside Europe.ConclusionsAmong women seeking gynaecological emergency care in early pregnancy, unintended pregnancies are common. Women with unintended pregnancies had low use of preconception contraceptives, which highlights a need for further interventions aimed at avoiding unintended pregnancies.


Partner Abuse ◽  
2021 ◽  
pp. PA-D-20-00006
Author(s):  
Naeem Akram

Domestic violence exists in every country, irrespective of the culture, ethnicity, age, income, and education of the women. World Health Organization (WHO) has estimated that approximately 35% of women worldwide had experienced sexual or physical violence. The present study has attempted to analyze the role of different socioeconomic indicators on the prevalence of domestic violence. In this regard, data of Pakistan Demographic and Health Survey (PDHS) 2017–2018 has been used and logit models have been estimated. It has been found that women married below the age of 18; living in rural areas; have more children; whose mothers experienced violence; feared their husbands; with little to or no autonomy in decision-making; had a bank account; married outside of the family; and had not inherited any land or property were significantly more vulnerable victims of domestic violence. It has been found that women’s education, education of her husband, and exposure to media by creating awareness may protect women from domestic violence. Furthermore, working women are more likely to face domestic violence, but women who have started working before marriage are significantly less vulnerable victims of domestic violence. However, the age of women herself, the age of husband, age of household head and wealth of household, living in the nucleus or joint family, receiving any support from Benazir Income Support Program (BISP) have no significant role in determining the domestic violence in Pakistan.


2008 ◽  
Vol 39 (3) ◽  
pp. 177-186 ◽  
Author(s):  
Rob Stephenson ◽  
Michael A. Koenig ◽  
Rajib Acharya ◽  
Tarun K. Roy

2008 ◽  
Vol 20 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Zohreh Salari ◽  
Nouzar Nakhaee

The objective of this study was to estimate the prevalence of different kinds of physical and emotional violence in an Iranian pregnant population and to examine its associated risk factors. This cross-sectional study was done from March through July 2005 in the 4 main hospitals of Kerman, Iran, which had maternity units. In total, 416 out of 460 women who were asked to participate agreed to be interviewed, a 90.4% response rate. All respondents were interviewed privately during the first 48 hours after delivery. The mean age (± SD) was 28.0 ± 5.6, and all were married. Most of the women were urban residents (89.2%), and the majority of them were multiparous (78.8%). Nearly 16% of mothers said the pregnancies were unintended. In total, 35% (95% confidence interval: 30%-40%) of women had experienced 1 or more episodes of emotional violence during the pregnancy inflicted by their husbands, and 106 women (25%; 95% confidence interval: 21%-30%) had experienced at least 1 episode of physical violence. The highest odds of domestic violence during pregnancy was associated with unintended pregnancies (odds ratio: 7.66; 95% confidence interval: 3.45-16.99) and multiparous pregnancies (odds ratio: 6.88; 95% confidence interval: 3.46-13.68). Considering the high prevalence of different types of domestic violence during pregnancy, it should be regarded as a priority for health policy experts in Kerman and possibly Iran.


2021 ◽  
Author(s):  
Awoke Giletew Wondie ◽  
Gizachew Assefa Tessema

Abstract BackgroundAdolescent and young women aged 15–24 years experience higher rates of intimate partner violence (IPV). Even though IPV has been a common challenge in low-and middle-income countries, there is a paucity of research that explored the effect of intimate partner violence on unintended pregnancy in young women, despite their vulnerability. Therefore, investigating the association between IPV and unintended pregnancy in younger population is critical for developing a multifaceted intervention to reduce the rate of unintended pregnancy and its advese consequences.MethodsData were obtained from the 2016 Ethiopian Demographic and Health Survey (EDHS). A total of 706 ever married or in sexual union aged 15–24 who gave birth at least once in the last five years or became pregnant at the time of the survey were included in the final analysis. Bivariate and multiple logistic regression were carried out. SPSS version 20.0 was used for data analysis.ResultsAdolecent and young women aged 15–24 years reported 21.1% ( n = 149) unintended pregnancies and 64.2% experience at least one form of IPV (physical, sexual, emotional or marital control). Marital control (59.5%) and sexual violence (8.8%) were the most and least prevalent forms of reported IPV respectively. After adjusting for possible confounders, women who ever experienced physical violence (AOR: 1.54; 95% CI = 1.02–2.34), marital control (AOR: 1.68; 95% CI = 1.13–2.48) and emotional violence (AOR: 1.90; 95% CI = 1.25–2.89) had increased odds of unintended pregnancy, compared to those who had no history of the respective form of violence.ConclusionPhysical violence, marital control and emotional violence were an important predictors of unintended pregnancy among adolescent and young girls. Therefore, reducing unintended pregnancy among adolescent and young girls requires interventions beyond increasing access to contraceptive information and services; including empowering women, promoting men's involvement in fertility control and optimizing violent relationship is critical. Including intimate partner violence screening and treatment in reproductive health services is also necessary.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245923
Author(s):  
Alamgir Sarder ◽  
Sheikh Mohammed Shariful Islam ◽  
Maniruzzaman ◽  
Ashis Talukder ◽  
Benojir Ahammed

Aim Unintended pregnancy is a significant public health concern in South Asian countries because of its negative association with the socioeconomic and health outcomes for both children and mothers. The present study aimed to explore the prevalence of unintended pregnancy and explore its determinants among women of reproductive age in six South Asian countries. Methods Nationwide latest demography and health survey data from six South Asian countries, including Bangladesh (2014), Pakistan (2017–2018), Nepal (2016), Afghanistan (2015), Maldives (2016–2017) and India (2015–2016) were pooled for the present study. Multivariate analysis was performed to explore the association between unintended pregnancy and its associated factors. Results Amongst the total women (n = 41,689), overall, 19.1% pregnancies were reported as unintended (ranging from 11.9% in India to 28.4% in Bangladesh). The logistic regression model showed that younger women (15–19 years) had 1.42 times higher chance of unintended pregnancies. The odds of unintended pregnancies was 1.24 times higher for poorest women and 1.19 times higher for poorer women. Further, urban women (aOR = 0.70, 95% CI = 0.50–0.80), women having no children (aOR = 0.10, 95% CI = 0.09–0.12), smaller (≤4) family (aOR = 0.72, 95% CI = 0.67–0.78), those who intent to use contraceptive (aOR = 0.72, 95% CI = 0.60–0.86), currently living with partner (aOR = 0.90, 95% CI = 0.81–0.99), first cohabitation in teenage (≤19 years) (aOR = 0.85, 95% CI = 0.78–0.92) were less likely to report unintended pregnancies. Conclusions This study has showed that women’s age, wealth index, place of residence, number of children, family size, the intention of contraceptive use, living with a partner, and first cohabitation age are essential determinants of unintended pregnancy. These factors should be considered when trying to reduce unintended pregnancy in six South Asian countries. However, there is a need to improve health education, counselling, skills-building, sex education, modern contraceptive use and its access in this region. Intervention programs regarding reproductive health and policies are warranted to reduce rates of unintended pregnancy in South Asian countries.


2021 ◽  
Vol 49 (3) ◽  
pp. 155-166
Author(s):  
Ratna Dwi Wulandari ◽  
Agung Dwi Laksono

Unintended pregnancy can cause pregnancy termination, which leads to safety risks. This study analyzed factors affecting unintended pregnancy in Indonesia. The analysis units were women aged 15-49 who gave birth in the past five years. The sample size was 36,472 women. The research variable was unintended pregnancy, residence, age, education, husbands/partners, employment, wealth, parity, pregnancy termination, decision-maker in woman's access to health care, access to family planning information on radio, television, and newspapers/magazines. The final stage analysis used binary logistic regression. Women in urban were 1.834 times more likely to experience an unintended pregnancy than women in rural. The 20-24 age group was 0.202 times more likely to experience an unintended pregnancy than the 15-19 age group. Women with secondary education were 1.447 times more likely to experience an unintended pregnancy than no education women. The poorer were 1.190 times more likely to experience an unintended pregnancy than the poorest. Multiparity was a strong determinant of unintended pregnancy. History of pregnancy, a decision by husbands, and access to family planning information on radio and television in the last few months were risk factors for unintended pregnancies. The study concluded that eight variables affected unintended pregnancies. Keywords: unintended pregnancy, women of childbearing age, contraceptive use, family planning, maternal health. Abstrak Kehamilan yang tidak diinginkan dapat menyebabkan terminasi kehamilan, yang berujung pada risiko. Studi menganalisis faktor yang mempengaruhi kehamilan tidak diinginkan di Indonesia. Unit analisis wanita usia 15-49 tahun yang melahirkan dalam lima tahun terakhir. Besar sampel 36.472 responden. Variabel penelitian adalah kehamilan tidak diinginkan, tempat tinggal, usia, pendidikan, pasangan, pekerjaan, kekayaan, paritas, terminasi kehamilan, pengambil keputusan akses perempuan terhadap pelayanan kesehatan, akses informasi KB di radio, televisi, dan surat kabar/majalah. Analisis tahap akhir menggunakan regresi logistik biner. Hasil penelitian menunjukkan bahwa perempuan di perkotaan 1,834 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan perempuan di perdesaan. Usia 20-24 tahun 0,202 kali lebih mungkin mengalami kehamilan yang tidak diinginkan dibandingkan kelompok 15-19 tahun. Wanita dengan pendidikan menengah 1,447 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang tidak berpendidikan. Kelompok yang lebih miskin 1,190 kali lebih mungkin mengalami kehamilan yang tidak diinginkan daripada yang paling miskin. Multiparitas adalah determinan kuat dari kehamilan yang tidak diinginkan. Riwayat kehamilan, keputusan suami, dan akses informasi KB di radio/televisi merupakan faktor risiko terjadinya kehamilan yang tidak diinginkan. Studi menyimpulkan delapan variabel yang mempengaruhi kehamilan yang tidak diinginkan. Kata kunci: kehamilan tidak diinginkan, wanita usia subur, penggunaan kontrasepsi, keluarga berencana, kesehatan ibu


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