Intimate Partner Violence and its Association With Contraceptive Use Among Women in Pakistan

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.

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.


2018 ◽  
Vol 2 ◽  
pp. 37-52
Author(s):  
Prativa Tiwari ◽  
Gauri Shrestha

Background: Intimate Partner Violence is a major health and human rights problem. Globally, intimate partner violence includes physical act of violence together with sexual coercion, physical threats, psychological abuse and controlling actions by the intimate partner.Objective: This study aims to identify the factors influencing intimate partner violence of married women in Pokhara, Lekhnath Metropolitan City ward number 27, Kaski, Nepal.Materials and Methods: This study is entirely based on the primary data. The sample contains 303 married women of 15-49 years selected by systematic sampling. Data was collected using structured questionnaire and face to face interview. The questionnaire used is modified version of the questionnaire designed and recommended by World Health Organization (WHO) and Program for Appropriate Technology in Health ‘PATH’ (2005). Data was analyzed using descriptive and inferential statistical methods. To determine the significant factors, Logistic regression model was used for establishing linkage between intimate partner violence and several explanatory variables.Results: Fitted model showed the variables, affair with other women and alcohol consumption habit were highly significant predictors for the intimate partner violence. Occupation of husband was significant predictor for physical violence and occupation of respondent was significant for sexual violence. Goodness of fit tests (Hosmer-Lemeshow chi-square statistic, Negelkerke R2) showed that all three models fit well to the proposed Logistic regression model.Conclusion: Although violence is a multidimensional concept, this study has attempted to capture three types of violence namely psychological, physical and sexual called IPV. The IPV was collapsed to create a dichotomous variable on the basis of whether the woman has IPV or not. A number of independent variables are taken into account based on scientific literature review.Nepalese Journal of Statistics, Vol. 2, 37-52


2011 ◽  
Vol 44 (1) ◽  
pp. 83-94 ◽  
Author(s):  
KOUSTUV DALAL ◽  
JOHANNA ANDREWS ◽  
SURAYA DAWAD

SummaryThis study examines the association between contraception use and intimate partner violence (IPV) among women of reproductive age in Bangladesh. The observational study of 10,996 women used the chi-squared test and logistic regressions to assess the associations. Almost 80% of all respondents had used contraceptives at some point in their lives. About half of the respondents (48%) were victims of physical violence, while 11% experienced sexual abuse from their husbands. Urban residents, higher educated women and women aged 20–44 were more likely to use contraceptives than their peers in rural areas, those with lower education and those in their late forties (45–49 years). Women exposed to physical violence were almost two times (OR 1.93, CI 1.55–2.41) more likely to use contraceptives compared with their non-abused peers. Sexual abuse had no significant association with contraceptive use. Physical violence is a predictor for higher levels of contraceptive use among women in Bangladesh. The findings emphasize the importance of screening for IPV at health care centres. The differences in urban and rural contraceptive use and IPV exposure identified by the study have policy implications for service delivery and planning.


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.


2020 ◽  
pp. 088626052096714
Author(s):  
Akram Hernández-Vásquez ◽  
Tatiana Chévez-Ramírez ◽  
Carlos Rojas-Roque

This article aims to identify the factors associated with intimate partner violence (IPV) using data from the latest available nationwide survey in Nicaragua. A secondary analysis of the 2011–2012 Nicaraguan Demography and Health Survey (ENDESA 2011–2012) was conducted. A total of 12,605 women aged 15–49 years who had reported being married or united were included. IPV (yes/no) was defined as the outcome variable, and it was considered if a woman suffered verbal, psychological, physical, or sexual violence during the previous 12 months. Crude and adjusted odds ratios with 95% CI were calculated using a bivariate and multivariate logistic regression model. A p value <.05 was considered statistically significant and did not correct p values for multiple testing. The overall prevalence of IPV was 17.5%. Women living in urban setting (AOR: 1.51, 95% CI: 1.26–1.80), women who self-identify as native (AOR: 1.34, 95% CI: 1.34–1.61) or women who have a history of abuse as a child (AOR: 1.96, 95% CI: 1.69–2.27) were more likely to suffer IPV compared to their counterparts. Age was found to be a protective factor for IPV. Variables such as educational level and wealth index, do not report any association with IPV. Our findings shows that IPV in Nicaragua continues to be a frequent event. The results provide evidence of drivers for IPV at a national level. These findings are useful for the design of intervention policies and strategies for the prevention of IPV.


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

2019 ◽  
Author(s):  
Tigist Temesgen ◽  
Kedir Teji ◽  
Merga Dheresa ◽  
Agezegn Asegid

Abstract ABSTRACT Background: Intimate partner violence is a problem of pandemic proportion affecting majority of world women the literature shows that pattern and underlying cause of women violence have socio-demographic and cultural difference is common in most parts of Ethiopia. To best of investigator knowledge no studies done on intimate partner violence on married women of reproductive age group in the study area. Therefore the aim of this study is to assess the intimate partner violence prevalence and its associated factors. Methods: A community based cross-sectional study design was used from March 1-15/2019 among 602 married women of Hosanna town Sothern Ethiopia. Systematic random sampling technique was used to select the study samples. Data were collected using pretested structured questionnaire, data entered into Epi-data version 3.1 software and exported to SPSS version 20 for analysis. Binary and multivariate logistic regressions were used to identify factors associated with intimate partner violence. Results: The prevalence of overall intimate partner violence among married women was 58.8 %( 54.8-62.4). Of which 45.3% reported psychological violence, while 38.1% of participant reported sexual violence. Partners who drink alcohol [(AOR= 1.44, 95%CI=1.133-2.09)], Partner’s smoke cigarettes [(AOR=4.16,CI=2.117-8.20)], partner’s experience of Fighting habit with other people [(AOR=1.56 CI=1.06-2.29),Has another wife[(AOR=1.60 CI=1.09- 2.36)],low wealth index household [(AOR= 2.97 CI=1.41-6.27)], and medium wealth index households [(AOR=2.636 CI=1.173-5.920)] were significantly associated with intimate partner violence. Conclusion: Study indicated that prevalence of intimate partner violence found to be high and affected by various factors. The problem sought harmonious urgent attention at all levels of societal hierarchy including policymakers, local leader, institutions and local community gathering and structures. Key words : Intimate partner violence, associated factors, women, Hossana, Ethiopia


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