Associations of intimate partner violence with unintended pregnancy and pre-pregnancy contraceptive use in South Asia

Contraception
Anita Raj, Lotus McDougal

Abstract

To assess associations of intimate partner violence (IPV) with pregnancy intendedness and pre-pregnancy contraceptive use among pregnant women in South Asia. Cross-sectional analyses were conducted using the most recent Demographic and Health Surveys from Bangladesh, India and Nepal for married, pregnant women aged 15-49 years who responded to IPV assessments specific to current marriage (N=4738). Adjusted logistic and multinomial regression analyses were conducted with pooled data to assess associations of IPV ever (sexual only, physical only, sexual plus physical or none) with the outcomes of pregnancy intendedness (wanted, mistimed or unwanted) and pre-pregnancy contraceptive use (no, traditional or modern) for the current pregnancy. IPV was not associated with a mistimed or unwanted pregnancy. Sexual IPV was associated with pre-pregnancy modern contraceptive use (aOR=2.32, 95% CI=1.24, 4.36); sexual plus physical IPV was associated with pre-pregnancy traditional contraceptive use (aOR=1.85, 95% CI=1.12, 3.07). Post hoc analysis of reasons for pre-pregnancy contraceptive discontinuation revealed that women with a history of IPV, particularly sexual IPV, had higher prevalence of contraceptive failure (sexual only, 37.3%; sexu...Continue Reading

References

Dec 20, 2005·Maternal and Child Health Journal·Abdus SalamToshikuni Noguchi
Sep 20, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·J G SilvermanA Raj
Jun 11, 2008·Studies in Family Planning·Jessica D GipsonMichelle J Hindin
Oct 16, 2008·Studies in Family Planning·Rob StephensonTarun K Roy
Apr 6, 2011·Studies in Family Planning·Susheela SinghRubina Hussain
Jun 17, 2011·Journal of Biosocial Science·Koustuv DalalSuraya Dawad
May 3, 2012·Journal of Interpersonal Violence·Mosfequr RahmanSatoru Makinoda
Sep 26, 2012·Journal of Interpersonal Violence·Rob StephensonMichelle Hindin
Nov 29, 2012·Studies in Family Planning
Aug 21, 2013·American Journal of Public Health·Jenifer E AllsworthJeffrey F Peipert
Feb 14, 2014·BMC Women's Health·Mariano Salazar, Miguel San Sebastian
Mar 13, 2014·Lancet·Anita Raj, Lotus McDougal
Aug 12, 2014·The Lancet Global Health·Rachel JewkesUNKNOWN UN Multi-country Cross-sectional Study on Men and Violence research team

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Citations

Dec 1, 2017·BMC Pregnancy and Childbirth·Sabrina C BoyceAnita Raj

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