Association between Intimate Partner Violence and Contraceptive Use Discontinuation in India

The aim of this study is to find the association between Intimate Partner Violence (IPV) and contraceptive use among married women in Pakistan. The analysis was conducted by using cross sectional secondary data from every married women of reproductive age 15-49 years who responded to domestic violence module (N = 3687) of the 2012-13 Pakistan Demographic and Health Survey. The association between contraceptive use (outcome variable) and IPV was measured by calculating unadjusted odds ratios and adjusted odds ratios with 95% confidence intervals using simple binary logistic regression and multivariable binary logistic regression. The result showed that out of 3687 women, majority of women 2126 (57.7%) were using contraceptive in their marital relationship. Among total, 1154 (31.3%) women experienced emotional IPV, 1045 (28.3%) women experienced physical IPV and 1402 (38%) women experienced both physical and emotional IPV together respectively. All types of IPV was significantly associated with contraceptive use and women who reported emotional IPV (AOR 1.44; 95% CI 1.23, 1.67), physical IPV (AOR 1.41; 95% CI 1.20, 1.65) and both emotional and physical IPV together (AOR 1.49; 95% CI 1.24, 1.72) were more likely to use contraceptives respectively. The study revealed that women who were living in violent relationship were more likely to use contraceptive in Pakistan. Still there is a need for women reproductive health services and government should take initiatives to promote family planning services, awareness and access to contraceptive method options for women to reduce unintended or mistimed pregnancies that occurred in violent relationships.

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Associations between intimate partner violence and married women’s condom and other contraceptive use in rural India

Sexual Health ◽

10.1071/sh17090 ◽

2018 ◽

Vol 15 (5) ◽

pp. 381 ◽

Cited By ~ 2

Author(s):

Anindita Dasgupta ◽

Niranjan Saggurti ◽

Mohan Ghule ◽

Elizabeth Reed ◽

Balaiah Donta ◽

...

Keyword(s):

Intimate Partner Violence ◽

Condom Use ◽

Partner Violence ◽

Contraceptive Use ◽

Multinomial Logistic Regression ◽

Intrauterine Device ◽

Married Couples ◽

Intimate Partner ◽

The Past ◽

Contraception Use

Background The existing literature on the intersection between women’s reports of spousal intimate partner violence (IPV) and contraceptive use in South Asia is conflicted. Results vary based on method of contraception use and form of violence (physical or sexual), and few examine the relationship between IPV and various methods of modern spacing contraceptive (MSC) use. This study examines associations between IPV and MSC use among a sample of married, not-currently pregnant couples in rural Maharashtra, India (n = 861). Methods: Multinomial logistic regression models assessed wives’ physical and sexual IPV victimisation (for the past 6-months) in relation to the wives’ past 3-month MSC use (categorised as condom use, other MSCs [oral pills, Intrauterine device (IUD)] and no MSCs). Results: In terms of violence, 9% (n = 78) and 4% (n = 34) of wives reported recent physical and sexual IPV victimisation, respectively. The majority (72%; n = 621) did not use any MSC method in the past 3 months; 14% (n = 119) reported recent condom use, and the same proportion reported other MSC use. Recent physical IPV was associated with increased likelihood of recent condom use (AOR: 2.46, 95% CI: 1.20, 5.04), and recent sexual IPV was associated with increased likelihood of recent use of other MSC (AOR: 3.27, 95% CI: 1.24, 8.56). Conclusions: These findings reinforce the need for integration of counselling around IPV prevention and intervention programming into existing family planning services targeting married couples in rural Maharashtra, India.

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