scholarly journals Community-level influences on women’s experience of intimate partner violence and modern contraceptive use in Nigeria: a multilevel analysis of nationally representative survey

2021 ◽  
Vol 4 ◽  
pp. 37
Author(s):  
Sunday A. Adedini ◽  
Grace Ololade Adewole ◽  
Funmilola F. Oyinlola ◽  
Olufunke Fayehun

Background: Modern contraceptives (MC) are important strategies for reducing unwanted pregnancies, unsafe abortion and maternal mortality, but MC remains low at 18% in Nigeria. Similarly, while there is increasing prevalence of intimate partner violence (IPV) in Nigeria, its effects on contraceptive use remain unclear. This study examined the influence of IPV on MC use, while adjusting for individual- and community-level confounders. Methods: The study utilized 2018 Nigeria Demographic and Health Survey data. We performed multilevel binary logistic regression analysis on 24,973 married women aged 15-49, who were sexually active and were not pregnant at the time of the survey. Results: Findings show that use of MC was higher among married women who reported experience of IPV than those without IPV exposure. After adjusting for individual-level and contextual factors, the odds of using MC was significantly higher among women who experienced any form of IPV (OR: 1.61, 95% CI: 1.17-2.21, p<0.005) compared to those who reported no IPV experience. Around one-quarter of the total variance in contraceptive use with respect to the different types of IPV could be explained at the community level. Conclusion: The study provides empirical evidence that there is significant community effect on IPV exposure and women’s contraceptive uptake. Attention must therefore be given to the context-specific social and gender norms that affect women’s sexual and reproductive health in Nigeria.

2021 ◽  
Vol 4 ◽  
pp. 37
Author(s):  
Sunday A. Adedini ◽  
Ololade Grace Adewole ◽  
Funmilola F. Oyinlola ◽  
Olufunke Fayehun

Background: Modern contraceptives (MC) are important strategies for reducing unwanted pregnancies, unsafe abortion and maternal mortality, but MC remains low at 18% in Nigeria. Similarly, while there is increasing prevalence of intimate partner violence (IPV) in Nigeria, its effects on contraceptive use remain unclear. This study examined the influence of IPV on MC use, while adjusting for individual- and community-level confounders. Methods : The study utilized 2018 Nigeria Demographic and Health Survey data. We performed multilevel binary logistic regression analysis on 24,973 married women aged 15-49 49 (nested within 1,400 communities), who were sexually active and were not pregnant at the time of the survey. Results : Findings show that use of MC was higher among married women who reported experience of IPV than those without IPV exposure. After adjusting for individual-level and contextual factors, the odds of using MC was significantly higher among women who experienced any form of IPV (OR: 1.61, 95% CI: 1.17-2.21, p<0.005) compared to those who reported no IPV experience. Around one-quarter of the total variance in contraceptive use with respect to the different types of IPV could be explained at the community level. Conclusion : The study provides empirical evidence that there is significant community effect on IPV exposure and women’s contraceptive uptake. Attention must therefore be given to the context-specific social and gender norms that affect women’s sexual and reproductive health in Nigeria.


2019 ◽  
Vol 34 (Spring 2019) ◽  
pp. 157-173
Author(s):  
Kashif Siddique ◽  
Rubeena Zakar ◽  
Ra’ana Malik ◽  
Naveeda Farhat ◽  
Farah Deeba

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.


Author(s):  
Ayodeji John ◽  
Ajayi Adeola

This study outlines intimate partner violence and contraceptive use among married women in South-South Nigeria. Attempt was made to investigate association between intimate partner violence and use of contraception among married women in south-south Nigeria. This study utilized secondary data. Secondary data were extracted from 2013, Nigeria Demographic and Health Survey (NDHS) dataset. Out of the 38,948 women interviewed, this study employed sample of the 4,932 women representing the number of married women in South-South Nigeria. The analysis were done in two stages of univariate and bivariate analysis. The result showed that almost all the married women use contraceptive which indicated that contraceptive use varies significantly by age of married women, education, place of resident, wealth status and occupation. The study concluded that married women who have ever experienced sexual violence are more likely to adopt contraception than married women whose experienced physical violence and emotional violence.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Priyanka Garg ◽  
Milan Das ◽  
Lajya Devi Goyal ◽  
Madhur Verma

Abstract Background The study aims to estimate the prevalence of Intimate partner violence (IPV) in India, and changes observed over a decade as per the nationally representative datasets from National Family Health Surveys (NFHS) Round 3 and 4. We also highlight various socio-demographic characteristics associated with different types of IPV in India. The NFHS round 3 and 4 interviewed 124,385, and 699,686 women respondents aged 15–49 years using a multi-stage sampling method across 29 states and 2 union territories in India. For IPV, we only included ever-married women (64,607, and 62,716) from the two rounds. Primary outcomes of the study was prevalence of the  ever-experience of different types of IPV: physical, emotional, and sexual violence by ever-married women aged 15 to 49 years. The secondary outcome included predictors of different forms of IPV, and changes in the prevalence of different types of IPV compared to the previous round of the NFHS survey. Results As per NFHS-4, weighted prevalence of physical, sexual, emotional, or any kind of IPV ever-experienced by women were 29.2%, 6.7%, 13.2%, and 32.8%. These subtypes of IPV depicted a relative change of − 14.9%, − 30.2%, − 11.0%, − 15.7% compared to round 3. Significant state-wise variations were observed in the prevalence. Multivariate  binary logistic regression analysis highlighted women's and partner’s education, socio-economic status, women empowerment, urban-rural residence, partner’s controlling behaviours as major significant predictors of IPV. Conclusions Our study findings suggest high prevalence of IPV with state-wise variations in the prevalence. Similar factors were responsible for different forms of IPV. Therefore, based on existing evidences, it is recommended to offer adequate screening and counselling services for the couples, especially in health-care settings so that they speak up against IPV, and are offered timely help to prevent long-term physical and mental health consequences.


2021 ◽  
pp. 002242782110499
Author(s):  
Brittany E. Hayes

Objectives: Building on the ecological model, multicontextual opportunity theory, and southern criminology, the study developed individual- and country-level indicators of opportunity to understand the experience of intimate partner violence (IPV) among married women in the Global South. Opportunity-related indicators considered the impact of globalization and variability across nations categorized as part of the Global South. Methods: Relying on data from the Demographic and Health Surveys and open-source country indicators, mixed effects logistic regression examined opportunity-related indicators on a sample of married women ( N  =  239,554) from the Global South ( N  =  41). Results: Exposure to motivated offenders was associated with higher odds of IPV. Individual-level vulnerability was associated with higher odds of IPV. Isolation and interviews that were interrupted, indicators of guardianship, were associated with higher odds of IPV while the number of people in the household was associated with lower odds. More Parliamentary seats held by women was associated with higher odds of IPV. Nine cross-level interactions were significant. Conclusions: National-level factors moderated the influence of individual-level opportunity, reinforcing the Global South is not monolithic. The traveling of IPV programing from the Global North to the Global South is likely ineffective. Programs must consider how context shapes individual experiences.


2019 ◽  
Vol 146 (3) ◽  
pp. 344-349 ◽  
Author(s):  
Ajay Acharya ◽  
Amy Weissman ◽  
Basant Thapa ◽  
Mario Chen

2012 ◽  
Vol 119 (5) ◽  
pp. 975-982 ◽  
Author(s):  
Kristin J. Hung ◽  
Jennifer Scott ◽  
Hope A. Ricciotti ◽  
Timothy R. Johnson ◽  
Alexander C. Tsai

Sign in / Sign up

Export Citation Format

Share Document