scholarly journals Unplanned Pregnancy and Its Associated Factors

2018 ◽  
Vol 10 (8) ◽  
pp. 132
Author(s):  
Muslimah Yusof ◽  
Azah Abdul Samad ◽  
Maisarah Omar ◽  
Noor Ani Ahmad
Keyword(s):  
Intimate Partner Violence ◽  
Low Income ◽  
Partner Violence ◽  
Household Income ◽  
Unplanned Pregnancy ◽  
Unmet Need ◽  
Intimate Partner ◽  
Health Concern ◽  
Cross Sectional ◽  
History Of

INTRODUCTION: Unplanned pregnancy is a major public health concern globally. Numerous studies found various factors that can predict or determine unplanned pregnancy. However, there were no studies that reported this problem in Malaysia. The objective of this study is to determine the prevalence of unplanned pregnancy in Malaysia and the associated factors.METHODS: This nationwide cross-sectional study targeted to women at postpartum period at government primary health care clinics throughout Malaysia. Structured questionnaire with face-to-face interview was used for data collection. The factors studied included mothers’ age, husband’s age, ethnicity, religion, marital status, education, occupation, household income, polygamous marriage, family support, contraception used, and disagreement of husband on contraception, smoking and alcohol consumption. History of emotional, physical and sexual intimate partner violence (IPV) were also studied.RESULTS: A total of 5727 Malaysian postpartum mothers were involved in this survey. The prevalence of unplanned pregnancy was 42.9% (95% CI: 38.6, 47.4). The multivariate logistic regression revealed that older mothers aged 45-49 years old (aOR: 8.010; 95%CI: 1.909, 33.013) and Muslim mothers (aOR: 2.465; 95%CI: 1.432-4.241) were significantly associated with unplanned pregnancy. In terms of household income, mothers with less than RM1000 per month were 1.712 (95% CI: 1.080, 2.713) times more likely to have unplanned pregnancy. The other significant associated factor was history of emotional intimate partner violence; aOR [1.720 (95% CI: 1.011, 2.925)].CONCLUSIONS: Unplanned pregnancies were observed to be higher among older Muslim women from low income family. A possibility of unmet need for family planning should be considered and appropriate intervention strategies planned for these at-risk population. 

Intimate Partner Violence and Risk for Depression Among Postpartum Women in Lima, Peru

2009 ◽  
Vol 24 (3) ◽  
pp. 380-398 ◽  
Author(s):  
Alfredo Gomez-Beloz ◽  
Michelle A. Williams ◽  
Sixto E. Sanchez ◽  
Nelly Lam
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Postpartum Women ◽  
Depression Severity ◽  
Cross Sectional ◽  
Maternal Experience ◽  
Patient Health ◽  
History Of

A cross-sectional study of 2,317 women who delivered at Instituto Nacional Materno Perinatal, Lima, Peru, was carried out to evaluate risk of depression in relation to maternal experience with intimate partner violence (IPV) before and during pregnancy. Depression severity was assessed using the Patient Health Questionnaire Depression Subset (PHQ-9). The prevalence of IPV during lifetime and pregnancy was 44% and 21%, respectively. Adjusted odds ratios and 95% confidence intervals for each level of depression severity associated with history of IPV during pregnancy were: mild 1.4 (1.9–2.3); moderate 2.9 (1.8–4.5); moderately severe 5.5 (3.4–9.2); and severe 9.9 (5.1–19.9). A positive gradient was observed for severity of depression and IPV during pregnancy (trend p < 0.001). Postpartum women who experienced IPV during pregnancy had higher levels of depression severity than did nonabused women.

scholarly journals Intimate partner violence among pregnant women in Uganda

2019 ◽  
Vol 13 (2) ◽  
pp. 1-5 ◽  
Author(s):  
Joshua Epuitai ◽  
Samson Udho ◽  
Anna Grace Auma ◽  
Rose Chalo Nabirye
Keyword(s):  
Intimate Partner Violence ◽  
Pregnant Women ◽  
Partner Violence ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Cross Sectional ◽  
Marital Conflicts ◽  
History Of ◽  
Average Monthly Income ◽  
Violence During Pregnancy

Background: Intimate partner violence may be more prevalent during pregnancy as women are more vulnerable. Aims: To determine the prevalence of intimate partner violence and associated factors among pregnant women at Soroti Regional Referral Hospital, Uganda. Methods: A cross-sectional study was conducted among 180 pregnant women. Data were collected using a pre-tested, semi-structured questionnaire. Intimate partner violence was measured using the revised Conflict Tactile Scale 2. Findings: The overall prevalence of intimate partner violence during pregnancy was 27.8%. Household average monthly income, experiences of intimate partner violence before pregnancy and marital conflicts were independently associated with intimate partner violence during pregnancy. Conclusions: Screening should be done during antenatal care among women with low household income, marital conflicts, and history of intimate partner violence before pregnancy to identify and manage cases of intimate partner violence. More research is needed to identify interventions for reduction of intimate partner violence during pregnancy.

scholarly journals Husband’s Alcohol Use, Intimate Partner Violence, and Family Maltreatment of Low-Income Postpartum Women in Mumbai, India

2016 ◽  
Vol 33 (14) ◽  
pp. 2241-2267 ◽  
Author(s):  
Jennifer A. Wagman ◽  
Balaiah Donta ◽  
Julie Ritter ◽  
D. D. Naik ◽  
Saritha Nair ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Low Income ◽  
Partner Violence ◽  
Access To Health Care ◽  
Scale Up ◽  
Intimate Partner ◽  
Design Strategies ◽  
Cross Sectional ◽  
Increased Risk

Husbands’ alcohol use has been associated with family-level stress and intimate partner violence (IPV) against women in India. Joint family systems are common in India and IPV often co-occurs with non-violent family maltreatment of wives (e.g., nutritional deprivation, deprivation of sleep, blocking access to health care). Alcohol use increases for some parents following the birth of a child. This study examined 1,038 postpartum women’s reports of their husbands’ alcohol use and their own experiences of IPV (by husband) and non-violent maltreatment from husbands and/or in-laws. We analyzed cross-sectional, quantitative data collected in 2008, from women (ages 15-35) seeking immunizations for their infants <6 months at three large urban health centers in Mumbai, India. Crude and adjusted logistic regression models estimated associations between the independent variable (husbands’ past month use of alcohol) and two dependent variables (postpartum IPV and maltreatment). Overall, 15% of husbands used alcohol, ranging from daily drinkers (10%) to those who drank one to two times per week (54%). Prevalence of postpartum IPV and family maltreatment was 18% and 42%, respectively. Prevalence of IPV among women married to alcohol users was 27%. Most abused women’s husbands always (27%) or sometimes (37%) drank during violent episodes. Risk for IPV increased with a man’s increasing frequency of consumption. Women who lived with a husband who drank alcohol, relative to non-drinkers, were more likely to report postpartum IPV, aOR = 2.0, 95% confidence interval (CI) = [1.3, 3.1]. Husbands’ drinking was marginally associated with increased risk for family maltreatment, aOR = 1.4, 95% CI = [1.0, 2.1]. Our findings suggest that men’s alcohol use is an important risk factor for postpartum IPV and maltreatment. Targeted services for Indian women contending with these issues are implicated. Postpartum care offers an ideal opportunity to screen for IPV, household maltreatment, and other health risks, such as husband’s use of alcohol. There is need to scale up proven successful interventions for reducing men’s alcohol use and design strategies that provide at-risk women protection from alcohol-related IPV.

scholarly journals Intimate partner violence as a mechanism underlying the intergenerational transmission of maltreatment among economically disadvantaged mothers and their adolescent daughters

2018 ◽  
Vol 31 (1) ◽  
pp. 83-93 ◽  
Author(s):  
Tangeria R. Adams ◽  
Elizabeth D. Handley ◽  
Jody Todd Manly ◽  
Dante Cicchetti ◽  
Sheree L. Toth
Keyword(s):  
Intimate Partner Violence ◽  
Child Abuse ◽  
Child Maltreatment ◽  
Intergenerational Transmission ◽  
Low Income ◽  
Partner Violence ◽  
Child Abuse And Neglect ◽  
Intimate Partner ◽  
Abuse And Neglect ◽  
History Of

AbstractChild maltreatment represents a pervasive societal problem. Exposure to maltreatment is predictive of maladjustment across development with enduring negative effects found in adulthood. Compelling evidence suggests that some parents with a history of child abuse and neglect are at elevated risk for the maltreatment of their own children. However, a dearth of research currently exists on mediated mechanisms that may underlie this continuity. Ecological and transactional theories of child maltreatment propose that child maltreatment is multiply determined by various risk factors that exist across different ecological systems. Intimate partner violence (IPV) often co-occurs with child maltreatment and may represent a pathway through which risk for child abuse and neglect is transmitted across generations within a family. Informed by theories on the intergenerational transmission of child maltreatment and utilizing a community-based, cross-sectional sample of 245 racially and ethnically diverse, low-income mothers and daughters, the objective of this study was to investigate IPV as a propagating process through which risk of child abuse and neglect is conferred from parent to child. We found evidence suggesting that mothers’ history of maltreatment is associated with both their IPV involvement and their adolescent daughters’ maltreatment victimization (with exposure to IPV as a maltreatment subtype excluded for clarity). Maternal IPV also partially accounted for the continuity of maltreatment victimization from mother to adolescent. A secondary analysis that included the adolescent's own engagement in dating violence provided compelling but preliminary evidence of the emergence of a similar pattern of relational violence, whereby adolescent girls with maltreatment histories were likewise involved in abusive intimate relationships. Future directions and clinical implications of these findings are discussed.

scholarly journals Intimate Partner Violence: A Potential Challenge for Women’s Health in Angola

Challenges ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 21 ◽  
Author(s):  
Sanni Yaya ◽  
Michael Kunnuji ◽  
Ghose Bishwajit
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Concern ◽  
Systematic Research ◽  
Age Difference ◽  
Adult Women ◽  
Healthcare Use ◽  
Childbearing Age ◽  
Cross Sectional

Intimate partner violence (IPV), as the most common form of violence against women, is recognised as a fundamental violation of women’s human rights and a significant public health concern worldwide. IPV is also a widespread phenomenon in Africa where the associated health challenges can be particularly serious due to fragile healthcare systems. To date, there is no systematic research on IPV and its association with healthcare use among adult women in Angola. Therefore, we conducted the present study on IPV among women of childbearing age (15–49 years) in Angola by analysing cross-sectional data from Angola Demographic and Health Survey (2015–2016). The objectives were to assess the predictors of IPV and its association with healthcare use. IPV was assessed by women’s experience of physical, emotional and sexual violence, and healthcare use was assessed by self-reported medical visits during last 12 months. Logistic regression methods were used to analyse the data. Our findings showed that more than two-fifths of the women reported experiencing any IPV (41.1%, 95%Confidence Interval (CI)= 38.7 to 43.6), with physical IPV (32.3%, 95%CI = 30.3 to 34.5) being the most prevalent followed by emotional (27.3%, 95%CI = 25.3 to 29.4), and sexual IPV (7.4%, 95%I = 6.6 to 8.4). In the multivariate analysis, women’s religious background, husband’s alcohol drinking, spousal age difference, and frequency of attending church appeared to be the most important predictors of IPV. Nonpregnant women who experienced emotional [OR = 1.476, 95%CI = 1.154,1.887] and sexual IPV [Odds Ratio (OR) = 1.393, 95%CI = 1.068,1.816] had increase odds of healthcare visits during last 12 months. In conclusion, our findings suggest a noticeably high prevalence of IPV among Angolan women. Those who experience emotional and sexual IPV might be at higher odds of suffering from medical conditions and should be given special attention in primary care settings.

scholarly journals Understanding Men’s Elevated Alcohol Use, Gender Equity Ideologies, and Intimate Partner Violence Among Married Couples in Rural India

2018 ◽  
Vol 12 (4) ◽  
pp. 1084-1093 ◽  
Author(s):  
Anindita Dasgupta ◽  
Jay Silverman ◽  
Niranjan Saggurti ◽  
Mohan Ghule ◽  
Balaiah Donta ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Gender Equity ◽  
Partner Violence ◽  
Quantitative Research ◽  
Married Couples ◽  
Intimate Partner ◽  
Cross Sectional ◽  
Increased Risk ◽  
History Of

Qualitative evidence suggests that husbands’ inequitable gender equity (GE) ideologies may influence associations between husbands’ alcohol use and intimate partner violence (IPV) against wives. However, little quantitative research exists on the subject. To address this gap in the literature, associations of husbands’ elevated alcohol use and GE ideologies with wives’ reports of IPV victimization among a sample of married couples in Maharashtra, India, were examined. Cross-sectional analyses were conducted using data from the baseline sample of the Counseling Husbands to Achieve Reproductive Health and Marital Equity (CHARM) study. Participants included couples aged 18 to 30 years ( N = 1081). Regression models assessed the relationship between husbands’ elevated alcohol use and GE ideologies (using the Gender-Equitable Men [GEM] Scale) and wives’ history of physical and/or sexual IPV victimization ever in marriage. Husbands and wives were 18 to 30 years of age, and married on average of 3.9 years ( SD ± 2.7). Few husbands (4.6%) reported elevated alcohol use. Husbands had mean GEM scores of 47.3 ( SD ± 5.4, range: 35–67 out of possible range of 24–72; least equitable to most equitable). Approximately one fifth (22.3%) of wives reported a history of physical and/or sexual IPV. Wives were less likely to report IPV if husbands reported greater GE ideologies (adjusted odds ratio [AOR]: 0.97, 95% CI [0.95, 0.99]), and husband’s elevated alcohol use was associated with increased risk of IPV in the final adjusted model (AOR: 1.89, 95% CI [1.01, 3.40]). Findings from this study indicate the need for male participation in violence intervention and prevention services and, specifically, the need to integrate counseling on alcohol use and GE into such programming.

scholarly journals Intimate partner violence experienced by pregnant women availing antenatal care at a rural hospital in South Karnataka

2018 ◽  
Vol 5 (8) ◽  
pp. 3548 ◽  
Author(s):  
Chitra Tomy ◽  
Minu Rose Mani ◽  
Sr. Deepa ◽  
Sr. Ann Christy ◽  
Avita Rose Johnson
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Intimate Partner ◽  
Access To Health Services ◽  
Cross Sectional ◽  
The Past

Background: Intimate partner violence is a global phenomenon with 30% of women having faced physical or sexual violence by a partner in their lifetime. Rural women with poor access to health services and counselling, often suffer in silence. Intimate partner violence during pregnancy has a negative effect on maternal and foetal outcomes. The aims of the study were to estimate the prevalence of intimate partner violence among pregnant women availing antenatal care services in a rural area of South India in current pregnancy and in the past 12 months, and to study the various socio-demographic factors associated with intimate partner violence.Methods: A cross sectional study was done among antenatal women availing services at a rural maternity hospital, using a questionnaire based on NFHS-3, to document physical, emotional and sexual domains of intimate partner violence.Results: Among 150 pregnant women aged 18-29 years, the prevalence of any form of intimate partner violence was 30.7% in the past 12 months before pregnancy (physical 10.7%, sexual 2%, and emotional 26%), and 2.7%. in current pregnancy. Lower educational status of husband and wife, history of alcohol consumption, tobacco usage and unplanned pregnancy were all significantly associated with increased intimate partner violence.Conclusions: Routine antenatal care provides an opportunity to screen women for intimate partner violence, especially those with risk factors like lower level of education, unplanned pregnancy as well as alcohol and tobacco consumption by the husband, which were found to be significantly associated with intimate partner violence in our study.

Prevalence of Intimate Partner Violence Among Pregnant Women in the Poor Neighborhoods of Hamadan, Iran

2021 ◽  
Vol 36 (4) ◽  
pp. 565-579
Author(s):  
Babak Moeini ◽  
Shyesteh Jahanfar ◽  
Forouzan Rezapur-Shahkolai ◽  
Manoochehr Karami ◽  
Asadollah Naghdi ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Pregnant Women ◽  
Partner Violence ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Health Concern ◽  
Cross Sectional ◽  
The Poor ◽  
Short And Long Term

Intimate partner violence (IPV) occurs in all settings, especially in poor neighborhoods. It is considered to be a serious public health concern with serious consequences in the short and long term for abused women because of distinct barriers in obtaining support sources. Therefore this cross-sectional study focuses on the prevalence and the determinants of IPV among pregnant women residents in poor neighborhoods. Overall, 63.8% experienced at least one type of IPV. Also, educational status, family's monthly income, husband's employment status, and having a smoker husband were found to be important predictors of IPV against pregnant women. A better understanding of social determinants of violence can help decision-makers in developing effective policies. It is crucial to prioritize the poor neighborhoods for future interventions to reduce IPV imposed during pregnancy.

scholarly journals Depression remains a neglected public health problem among pregnant women in Northwest Ethiopia

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Getnet Mihretie Beyene ◽  
Telake Azale ◽  
Kassahun Alemu Gelaye ◽  
Tadesse Awoke Ayele
Keyword(s):  
Intimate Partner Violence ◽  
Pregnant Women ◽  
Partner Violence ◽  
Unplanned Pregnancy ◽  
Public Health Problem ◽  
Antenatal Depression ◽  
Intimate Partner ◽  
Pregnancy Complication ◽  
History Of ◽  
Routine Antenatal Care

Abstract Background Antenatal depression is highly prevalent but a neglected public health problem in low income countries. It has serious effects on the general health of women, birth outcomes and child health. However, there has been limited substantial evidence on the prevalence and predictors of antenatal depression in Ethiopia. This lack of evidence potentiates the consequences of the problem and can limit the attention to intervention. Thus, this study aimed to assess the prevalence and potential predictors of antenatal depression at Debre Tabor and Woreta towns, Northeast Ethiopia. Methods A community-based cross-sectional study was employed on 548 pregnant women recruited by a cluster sampling method. Depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS). The List of Threatening Experiences Questionnaire (LTE-Q), the Oslo-3 Social Support Scale (OSSS-3), Intimate Partner Violence (IPV) Scale and Fast Alcohol Screening Test (FAST) were also used to measure stressful events, social support, intimate partner violence (IPV) and hazardous alcohol use respectively. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with antenatal depression. Results The prevalence of antenatal depression was found to be 24.45% (95% CI: 21.20, 28.30%). Being single (AOR =3.32, 95% CI = 1.36, 8.09); fear of pregnancy complication (AOR = 3.84, 95% CI = 1.53,9.62); history of chronic illness (AOR = 8.14, 95% CI = 2.14, 30.91); unplanned pregnancy (AOR = 2.99, 95% CI = 1.36,6.55); history of stillbirth (AOR = 3.56, 95% CI = 1.23, 10.29),one or more negative life events (AOR = 4.06, 95% CI = 1.71, 9.66) and intimate partner violence (AOR = 3.91, 95% CI = 1.65, 9.26) were factors significantly associated with antenatal depression. Conclusion Nearly a quarter of pregnant women suffer from depressive symptoms during pregnancy. Being single; fear of pregnancy complication; history of chronic illness; unplanned pregnancy; history of stillbirth; one or more negative life events and intimate partner violence were important predictors of antenatal depression in this study. Health care workers should consider addressing these risk factors during a routine antenatal care. Also, integrating early screening, detection, and treatment of antenatal depression into routine antenatal care is warranted to improve the quality of life of pregnant women and pregnancy outcomes as well.

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