Influence of Intimate Partners’ Violence on Unintended Pregnancy in Bangladesh

Raihana, Shahreen; Shaheen, Rukhsana; Rahman, Md. Shafiqur

doi:10.5923/j.ijpbs.20120205.06

Cited by 9 publications

(10 citation statements)

References 24 publications

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“…Around 20% reported that their last birth had resulted from an unintended pregnancy (Table 2). Unintended pregnancy was significantly higher among women who had experienced physical or sexual violence in India and Bangladesh, and the results are consistent with those of previous studies (Silverman et al, 2007;Stephenson & Koenig 2008;Raihana et al, 2012). However, in the case of Nepal this association was not significant, but this could have been due to small sample size.…”

Section: Discussionsupporting

confidence: 90%

“…Women who ever used contraception were more likely to report unintended birth. Although some previous studies have suggested the use of contraception to be higher among women who reported unintended childbirth (Begum et al, 2010;Raihana et al, 2012;Shabnam & Mukherjee, 2013), the reasons for this are uncertain. In countries with moderate to high contraceptive prevalence, the majority of unintended or unplanned pregnancies are the result of either contraceptive discontinuation or contraceptive failure (Black et al, 2010).…”

Section: Discussionmentioning

confidence: 95%

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Intimate Partner Violence and Unintended Pregnancy Among Adolescent and Young Adult Married Women in South Asia

2016

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This study examined the relationship between Intimate Partner Violence (IPV) and unintended pregnancy among young women in South Asia using Demographic and Health Survey data from India (2005-2006), Bangladesh (2007) and Nepal (2011). The respondents were adolescent and young adult married women aged 15-24 years who had at least one childbirth in the five years preceding the survey. Bivariate and stepwise multivariate logistic regression analyses were performed to assess the relationship between IPV and unintended pregnancy. Thirty-eight per cent of the respondents in India, 52% in Bangladesh and 28% in Nepal reported having experienced physical or sexual IPV. Those who reported physical or sexual IPV had higher odds of unintended pregnancy (1.36 in India and 1.99 in Bangladesh). The findings indicate that IPV is a risk factor for unintended pregnancy among adolescent and young adult married women. Along with violence prevention programmes, a more responsive and youth-friendly health system needs to be in place to provide health care services to young women in these countries.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 95%

Intimate Partner Violence and Unintended Pregnancy Among Adolescent and Young Adult Married Women in South Asia

2016

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“…Differences in sample characteristics (age and pregnancy status) might explain this result or it might indicate a mediating role of sexual violence on the association of educational status with unintended pregnancy. Previous studies from Colombia and Bangladesh also found insignificant positive association between education and risk of unintended pregnancy [34]. Educated women may be more likely to reject traditional gender norms and may try to retaliate to their husband’s sexual violence which may have led to further revenge from husbands in a male dominated society [10].…”

Section: Discussionmentioning

confidence: 99%

“…Educated women may be more likely to report any kind of sexual violence and unintended pregnancy than women with less/no education [6]. Whereas, non-educated women might normalize sexual violence in marital relationship than their educated counterparts, which might have led to under-reporting of sexual violence and unintended pregnancy [34]. Despite these findings, importance of women’s education for positive health outcomes remains undisputed.…”

Section: Discussionmentioning

confidence: 99%

Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey

Acharya¹,

Paudel

Silwal

2019

BMC Pregnancy Childbirth

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Background Sexual violence in marital relationship is higher among women married at young age. Although sexual violence has been found to increase risk for unintended pregnancy, there is a limited published data from Nepal linking sexual violence with unintended pregnancy. The current study aimed to investigate association of partner sexual violence with unintended pregnancy among young married women who experienced child birth in last 5 years. Methods Using data from Nepal Demographic and Health Survey, we studied the prevalence of sexual violence and unintended pregnancy, and their association among 560 married women (weighted sample) of 15–24 years who gave childbirth in last 5 years of the survey. We used multivariate logistic regression to analyse the association of sexual violence and other factors with unintended pregnancy. Analysis was conducted considering inverse probability weighting, clustering, and stratification to provide unbiased estimates of the population parameters. Results Nearly a quarter of women (22.7%) reported to have experienced unintended pregnancy in the last 5 years of the survey and almost one in 10 women (9%) reported to have ever experienced sexual violence from their husbands. Women who ever experienced sexual violence from their husbands were at 2.3 times higher odds to report an unintended pregnancy (aOR = 2.3; 95% CI = 1.1–4.8) compared to women who did not experience sexual violence from their husbands independent of important socio-demographic variables and ever use of contraception. Conclusion The strong association of sexual violence within marital relationship with unintended pregnancy among young women in Nepal necessitates the provision of comprehensive sexual and reproductive health services. Women need routine assessment, and referral to appropriate services for sexual violence to reduce unintended pregnancy and its consequences.

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“…Other studies from South Asian countries like Pakistan and Bangladesh have reiterated that sexual IPV influences mistimed and unwanted pregnancies [18][19][20]. The differences in the prevalence of unwanted pregnancies could be partly due to inclusion criteria and sample size variations between the studies.…”

Section: Discussionmentioning

confidence: 99%

Sexual violence as a predictor of unintended pregnancy among married women of India: evidence from the fourth round of the National Family Health Survey (2015–16)

Garg

Verma

Sharma

et al. 2022

BMC Pregnancy Childbirth

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Background Sexual Intimate Partner Violence (IPV) is a public health problem globally, with about one in three women experiencing sexual IPV ever in their lifetime. Unintended pregnancy is one of the consequences of sexual IPV and has its repercussions that can span generations. The present study was conducted to estimate the prevalence of sexual intimate partner violence (IPV) and assess the association between sexual IPV and unintended childbirth in India among married women aged 15–49 years. Methods The National Family Health Survey-India (NFHS-4) fourth-round dataset was used for the present study. Pregnancies intention was the primary outcome variable, and the main predictor variable was self-reported sexual IPV in the past 12 months. Women’s current age, age at marriage, education and occupation, place of residence, wealth quintile, parity, religion, caste, region, mass media exposure, and husband’s education were other control variables. Weighted analysis depicted the prevalence of unintended pregnancies and their association with different socio-demographic variables. Binary logistic regression was done in two steps respecting a hierarchical approach for potential confounders. Results Approximately 6.4% of study participants had ever experienced sexual IPV in India. Prevalence of sexual IPV was significantly higher when the age of marriage was < 19 years, among uneducated, in the lowest wealth index quintile, belonging to scheduled caste, having multiparity, and not having mass media exposure. About 12.1% of pregnancies were considered unintended by the respondents, and 22.9% of women who ever had a history of sexual IPV considered the last pregnancy to be unintentional. Women who experienced sexual IPV were in younger age groups, having parity ≥1, and bigger families had significantly higher odds of having an unintended pregnancy compared to their reference groups. Conclusions We observed that sexual IPV has a significant role in unintended pregnancies. Effective counseling means should be rolled out for victims of sexual IPV as it is a taboo subject. The significant factors that can predict unintended pregnancies highlighted in our study should be acknowledged while counseling.

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Influence of Intimate Partners’ Violence on Unintended Pregnancy in Bangladesh

Cited by 9 publications

References 24 publications

Intimate Partner Violence and Unintended Pregnancy Among Adolescent and Young Adult Married Women in South Asia

Intimate Partner Violence and Unintended Pregnancy Among Adolescent and Young Adult Married Women in South Asia

Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey

Sexual violence as a predictor of unintended pregnancy among married women of India: evidence from the fourth round of the National Family Health Survey (2015–16)

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