Experiences of intimate-partner violence and contraception use among ever-married women in Jordan

Abstract

This study explored the relationship between intimate partner violence (IPV) and current contraception use among ever-married women in Jordan. Analysing a sample (n = 3434) from the 2007 Jordan demographic and health survey, women who reported ever experiencing severe physical violence from their husband were significantly less likely to use contraception than women who did not report severe physical violence (OR = 0.34). Conversely, women who reported ever experiencing sexual IPV were significantly more likely to use contraception (OR = 1.50). Emotional and less severe physical IPV were not significantly related to contraception use. Education, wealth, age, number of children, and fertility preferences were positively associated with contraception use, while residence in the Badia area and consanguineous marriages were negatively associated with contraception use. The findings have implications for the provision of IPV screening and contraception services in Jordan, as well as the specification of services for women most vulnerable to IPV. RÉSUMÉ La présente étude a évalué la relation entre la violence exercée par un partenaire intime et l'utilisation courante de la contraception chez des femmes mariées ou l'ayant déjà été en Jordanie. D'après l'analyse d'un échantillon (n = 3434) de l'Enquête démographique et de santé menée en Jordanie en 2007, les femmes déclarant avoir déjà subi une forme de violence physique grave exercée par leur mari avaient nettement moins tendance à avoir recours à la contraception que les femmes exemptes de violence physique grave (O.R. = 0,34). En revanche, les femmes ayant déclaré avoir déjà souffert de violence sexuelle de la part de leur partenaire intime étaient significativement plus susceptibles d'utiliser un mode de contraception (O.R. = 1,50). La violence psychologique ainsi que la violence physique de gravité moindre exercées par un partenaire intime n'étaient pas significativement liées au recours à la contraception. Le niveau d'études, le revenu, l'âge, le nombre d'enfants et les préférences en matière de fécondité étaient des éléments positivement associés à l'utilisation de la contraception, alors qu'une résidence dans la région de Badia et des mariages consanguins étaient négativement associés au recours à la contraception. Ces résultats ont des conséquences sur l'offre de services de contraception et le dépistage de la violence exercée par le partenaire intime en Jordanie, ainsi que pour le contenu des services destinés aux femmes les plus vulnérables à la violence de leur partenaire intime.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫التاسع‬ ‫املجلد‬ ‫العارش‬ ‫العدد‬ 877

Determinants of Modern Contraceptive Use among Women of Reproductive Age in Tanzania: Evidence from Tanzania Demographic and Health Survey Data

“…This study shows that child desire was negatively associated with use of modern contraceptive. This finding is similar to previous studies [2] [7] [16]- [18]. In the present study when husbands want more children, women were less likely to use contraceptives compared with when couples wants the same number of children.…”

“…Contraceptive use could be the source of conflict among couples, to escape from such harassment women are likely to withdraw from using contraceptive use to allow men's interest to prevail within the family. Similar in a study done by Dalal [8] and his colleagues found that sexual violence was not an important predictor for modern contraceptive use, contrary to a study done in Jordan by Montes, O'Hara and their colleagues [18] [22] found the odds of currently using contraception were greater for women who reported experiencing sexual violence compared those who did not. IPV could be associated with use of modern contraceptive among married/cohabiting women as means of protection for future problems especially unwanted pregnancy in case of sexual violence.…”

“…Low use of modern contraceptive could be a defensive mechanism to avoid conflicts and facilitate men's interest and culture during their future life time thus in turn leads to poor perinatal and maternal outcome. Previous author [18] has also reported that women who experience physical violence are less likely to use modern contraceptive. The lower usage of modern contraceptive in both studies could be explained by social cultural factors as reported.…”

Nurses' roles in screening for intimate partner violence: a phenomenological study

“…Intimate partner violence (IPV) is a recognized global health problem with a 37% prevalence for the Eastern Mediterranean region (World Health Organization, 2013). In Jordan, a Middle Eastern country, IPV prevalence is 30% (O'Hara et al 2013), lower than the regional mean but still clinically significant. There is compelling research evidence that women who have experienced IPV are at high risk for immediate and long-term psychosocial depression, low level of perceived social support and poor physical health consequences (Lacey et al 2013;Hamdan-Mansour et al 2011).…”

The influence of family violence and child marriage on unmet need for family planning in Jordan

“…Studies of consanguinity in the Arab region suggest that consanguinity may be viewed more positively by men compared to women28 and be more common among individuals of lower socioeconomic status and individuals living in rural areas 11 29. In Jordan, consanguinity appears to have the additional benefits of reducing women's risk of experiencing interference in their ability to use contraception7 and appears to be protective against IPV;30 but has been associated with poor reproductive health outcomes such as preterm delivery and congenital malformations,29 31 and a reduced likelihood of using modern contraceptive methods 32. Polygyny, while not commonly practised, often places co-wives in competition.…”