Contraception, reproductive health and pregnancy outcomes among women exposed to intimate partner violence in Nigeria

Okenwa, Leah; Lawoko, Stephen; Jansson, Bjarne

doi:10.3109/13625187.2010.534515

Cited by 64 publications

(73 citation statements)

References 26 publications

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“…In other climes, studies have provided substantial evidence that exposure to spousal violence is related to pregnancy termination [34][35][36] . In one of the few studies conducted in Nigeria, it was found that women exposed to spousal violence had higher likelihood of miscarriages, induced abortions and stillbirths 37 . Against the backdrop of women's poor sexual and reproductive health, it is expected that more studies will be conducted in the country to further determine the relationship between spousal violence and pregnancy termination.…”

Section: Further Literaturementioning

confidence: 99%

Spousal violence and pregnancy termination among married women in Nigeria

Bola¹

2016

Afr H. Sci.

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Background: In Nigeria, the relationship between spousal violence and pregnancy termination had not been adequately explored. Objectives: To assess the prevalence of spousal violence, and examine the relationship between spousal violence and pregnancy termination. Methods: Data on spousal violence among ever married women was extracted from the 2013 Nigeria Demographic and Health Survey. The outcome variable is pregnancy termination. The explanatory variables were the type of spousal violence experienced by the women in the last 12 months preceding the survey. Descriptive statistical analysis and binary logistic regression were applied using stata version 12. Results: Results show that 13.8% of women had ever terminated pregnancy; 19.9% had ever experienced at least one type of spousal violence; and women who had ever terminated pregnancy had higher prevalence of all types of spousal violence. Women who had ever experienced spousal physical violence were 9% more likely to experience pregnancy termination (OR=1.09; CI: 1.03-2.86); and women who had ever experienced spousal emotional violence were 33% more likely to experience pregnancy termination (OR=1.33; CI: 0.97-1.95). Conclusions: Spousal violence is significantly related to pregnancy termination. Improving women's sexual and reproductive health in the country requires fresh initiatives that address spousal violence to further reduce women's exposure to pregnancy termination.

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Section: Further Literaturementioning

confidence: 99%

Spousal violence and pregnancy termination among married women in Nigeria

Bola¹

2016

Afr H. Sci.

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“…Globally, between 10% -69% of women experience Intimate Partner Violence (IPV), the most common form of domestic violence, with higher figures in low income countries. This coupled by the well documented physical, mental and reproductive health consequences of IPV (WHO, 2002;Campbell, 2002;Emenike, Lawoko, & Dalal, 2008;Okenwa, Lawoko, & Jansson, 2011;Gage, 2005), and higher frequency of healthcare seeking in this special group, when contrasted with the general population (Hegarty, 2006), is indicative that such violence may account for a significant portion of women's total health burden. In support of this notion, a recent systematic review of the literature by the World Health Organization (WHO) of over 80 countries including low, middle and high income countries concluded that Intimate Partner Violence (IPV) against women is a global health problem of epidemic magnitude (WHO, 2013b).…”

Section: Introductionmentioning

confidence: 99%

Inquiry about Domestic Violence against Women in Healthcare Uganda: Do Practitioner Attitudes, Role Conflicts, Efficacy, Safety Concerns and Support Networks Play a Role?

Ehrenberg¹,

Lawoko-Olwe²,

Loum³

et al. 2014

PSYCH

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Objectives: We scrutinized the extent of inquiry about domestic violence against women by practitioners in healthcare Uganda, and its relationship with individual, professional and organization factors. Specifically, we hypothesized that the frequency of IPV inquiry in healthcare would be associated with practitioner attitudes, professional role conflicts, self-efficacy, provider/client safety and system support. Methods: The Domestic Violence Healthcare Provider Survey Scale questionnaire was administered to a random sample of 376 health care providers (n = 250 valid responses) from Gulu, Anaka, Lacor and Iganga hospital situated in northern and eastern Uganda. The data was analyzed using chi-square tests, correlation tests and ordinal regressions analyses. Results and Conclusions: We found that over a three-month period, the majority of participants (31%) had inquired about domestic violence exposure among clients between 4 -6 times, with 18% having not inquired at all. As hypothesized, low self-efficacy, poor availability of a support network, high professional role conflicts/fears of offending patients, and concerns about victim/provider safety * Corresponding author.L. Ehrenberg et al. 631reduced the probability of IPV inquiry. These findings have implications for the reorganization of the health care settings, review of organization policy and further training of care personal before IPV inquiry can develop into a universal routine practice in healthcare Uganda.

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“…Though the epidemiology of IPV has over the past decade received increasing attention in the research in lowincome countries, the issue of IPV screening in healthcare is not yet sufficiently addressed [1] [3] [4]. In Uganda, the context for the current study, nationally representative data places the prevalence of physical, sexual and emotional abuse with women as victims at 25%, 20% and 33% respectively, and up to 70% of the population justify wife abuse for scenarios where a wife defies from normative roles expected of her in the house hold (e.g.…”

Section: Study Contextmentioning

confidence: 99%

“…The World Health Organization (WHO) places the global prevalence of IPV against women at between 3% -38% [1] with higher figures in low income countries. A substantial proportion of physically assaulted women sustain injuries ranging in severity from bruises to fractured bones, exhibit symptoms of depression, anxiety and post-traumatic stress disorder, indulge in health risk behaviors including unhealthy feeding habits, substance abuse, alcoholism and suicidal behaviors and encounter reproductive health complications including terminated and undesired pregnancies and child loss during infancy [1]- [4]. In low income countries, poverty, inadequate health services and a culture of acceptance for violence against women [1] [3] [4] further aggravate the problem.…”

Section: Epidemiology Of Intimate Partner Violencementioning

confidence: 99%

“…A substantial proportion of physically assaulted women sustain injuries ranging in severity from bruises to fractured bones, exhibit symptoms of depression, anxiety and post-traumatic stress disorder, indulge in health risk behaviors including unhealthy feeding habits, substance abuse, alcoholism and suicidal behaviors and encounter reproductive health complications including terminated and undesired pregnancies and child loss during infancy [1]- [4]. In low income countries, poverty, inadequate health services and a culture of acceptance for violence against women [1] [3] [4] further aggravate the problem. Despite the poorer health scenario, female victims of IPV underutilize community and healthcare services and exhibit constraint in their contact with healthcare providers and employers [5], a reflection of institutional marginalization and/or incapacity to deal with IPV.…”

Section: Epidemiology Of Intimate Partner Violencementioning

confidence: 99%

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Readiness to Screen for Domestic Violence against Women in Healthcare Uganda: Associations with Demographic, Professional and Work Environmental Factors

Lawoko¹,

Ochola²,

Oloya³

et al. 2014

OJPM

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Aim: We assessed demographic, professional and work environmental determinants of readiness to screen for Intimate Partner Violence among healthcare practitioners in healthcare Uganda. Methods: The Domestic Violence Healthcare Provider Survey Scale and the Demand-Control-Support questionnaire was administered to a random sample of 376 health care providers (n = 279 valid responses) from Gulu, Anaka, Lacor and Iganga hospital situated in northern and eastern Uganda. Correlation tests, t-tests, ANOVA and Multiple Linear regression were used to analyse the data. Results: Male care providers were more likely than female peers to blame the victim for the occurrence of Intimate Partner Violence in a relationship. Participants from Lacorhospital graded a lower self-efficacy and a poorer support network with regard to screening for Intimate partner violence, and a higher propensity to blame the victim when contrasted with other hospitals. Doctors experienced a lower self-efficacy with regard to IPV screening than other professions. Blaming the victim for abuse was associated with a high work load and low support at work. In * Corresponding author. S. Lawoko et al.146 addition, with increasing work control and support, participants' appraisal of system support and self-efficacy increased. Conclusion: Gender, profession, facility of work, work demand, control and support are important determinants of the readiness to screen for IPV in healthcare Uganda, and should inform strategy for the introduction and implementation of routine IPV inquiry in healthcare Uganda.

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Contraception, reproductive health and pregnancy outcomes among women exposed to intimate partner violence in Nigeria

Abstract: Though causal inference cannot be drawn due to the cross-sectional design, the study has important implications for incorporation of IPV detection and management in initiatives aimed at improving women's reproductive health.

Cited by 64 publications

References 26 publications

Spousal violence and pregnancy termination among married women in Nigeria

Spousal violence and pregnancy termination among married women in Nigeria

Inquiry about Domestic Violence against Women in Healthcare Uganda: Do Practitioner Attitudes, Role Conflicts, Efficacy, Safety Concerns and Support Networks Play a Role?

Readiness to Screen for Domestic Violence against Women in Healthcare Uganda: Associations with Demographic, Professional and Work Environmental Factors

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