关键词: Gender-based violence Low- and Middle-Income country National survey data Physical abuse Pregnancy outcome Secondary analysis South East Asian region Spatial distribution Spouse abuse Unwanted pregnancy

来  源:   DOI:10.1016/j.heliyon.2024.e27158   PDF(Pubmed)

Abstract:
UNASSIGNED: Women experiencing domestic violence might have restrictions in the pregnancy-related decision-making and care-seeking process leading to adverse pregnancy outcomes. We explored the association between domestic violence and undesirable pregnancy events.
UNASSIGNED: 63,796 women aged 18-49 years covered under the domestic violence module of National Family Health Survey-5, 2019-21. Stratification and clustering in the complex sampling design of the survey were accounted in analysis. Using Poisson regression, prevalence ratio (PR) was reported to provide association of domestic violence with undesirable pregnancy events.
UNASSIGNED: Prevalence of undesirable pregnancy events was 25.0% (95%CI: 24.4%-25.7%) amongst women aged 18-49 years. Prevalence of unintended, terminated pregnancy and complications during pregnancy was 3.2%, 5.1% and 20.9%, respectively. Women aged ≥35 years, educated, unemployed, primi or multi parity, intimate partner/husband being uneducated, facing problem with access to healthcare, belonging to large number of household members (≥4) and poorest or poorer quintile had significantly higher chance of having undesirable pregnancy events. Sexual violence (aPR: 1.11, p = 0.02) had higher chance of having undesirable pregnancy events.
UNASSIGNED: One-fourth of reproductive-age group women had undesirable pregnancy events. Sexual violence was significantly associated with these events. Effective policy should protect women from domestic violence to promote maternal well-being.
摘要:
遭受家庭暴力的妇女在与怀孕有关的决策和寻求护理过程中可能受到限制,从而导致不良的妊娠结局。我们探讨了家庭暴力与不良妊娠事件之间的关联。
63,796名年龄在18-49岁之间的妇女在国家家庭健康调查-5,2019-21的家庭暴力模块下覆盖。在分析中考虑了调查复杂抽样设计中的分层和聚类。使用泊松回归,据报道,患病率比(PR)将家庭暴力与不良妊娠事件联系起来.
18-49岁女性不良妊娠事件的患病率为25.0%(95CI:24.4%-25.7%)。意外的流行,终止妊娠和怀孕期间并发症为3.2%,5.1%和20.9%,分别。年龄≥35岁的女性,受过教育,失业,primi或多重奇偶校验,亲密伴侣/丈夫没有受过教育,面对获得医疗保健的问题,属于大量家庭成员(≥4名)和最贫穷或最贫穷的五分之一的家庭成员发生不良妊娠事件的机会显著较高.性暴力(aPR:1.11,p=0.02)发生不良妊娠事件的可能性更高。
四分之一的育龄妇女有不良妊娠事件。性暴力与这些事件密切相关。有效的政策应保护妇女免受家庭暴力,以促进产妇福祉。
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