Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia

Laanpere, Made; Ringmets, Inge; Part, Kai; Karro, Helle

doi:10.1093/eurpub/cks144

Cited by 41 publications

(42 citation statements)

References 22 publications

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“…The findings of this study were consistent with results of other studies including systematic reviews of observational studies and clinical trials 7,15,16,18. Various studies based on self-report of STI also reported higher odds of getting STI among women who experienced IPV compared to those not exposed 7,21,22. A randomized controlled trial based on computer-based intervention reported higher incidence of STI (hazard rate ratio 1.68) among women who were exposed to IPV compared to those not exposed 18.…”

Section: Discussionsupporting

confidence: 91%

Intimate partner violence (physical and sexual) and sexually transmitted infection: results from Nepal Demographic Health Survey 2011

Dhakal¹,

Berg‐Beckhoff²,

Aro³

2014

IJWH

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IntroductionViolence against women perpetrated by their intimate partners is a social problem with adverse health consequences. Intimate partner violence has acute and chronic as well as direct and indirect health consequences related to physical, psychological, and reproductive health. Studies exploring relationships of intimate partner violence and health consequences are rare in Nepal. Hence, this study aimed to examine the relationships between intimate partner violence and sexually transmitted infections.MethodThis study used data from the nationally representative Nepal Demographic Health Survey 2011, which collected data through a two-stage complex sampling technique. Women 15–49 years were asked about domestic violence including intimate partner violence. For this analysis, 3,084 currently married women were included. Questions about domestic violence were adapted from the Conflict Tactic Scale. Relationships between different forms of physical and sexual intimate partner violence and reported signs and symptoms of sexually transmitted infections were examined using multiple logistic regression analysis.ResultsApproximately 15% of currently young and middle-aged married women experienced some form of violence in the last 12 months. About one in four women who were exposed to physical and sexual intimate partner violence reported sexually transmitted infection in the last 12 months. The odds of getting sexually transmitted infection were 1.88 [95% CI:1.29, 2.73] times higher among women exposed to any form of intimate partner violence in the last 12 months compared to women not exposed to any form of intimate partner violence.ConclusionIntimate partner violence was common among currently married women in Nepal. Being exposed to intimate partner violence and getting signs and symptoms of sexually transmitted disease were found to be associated. Integration of intimate partner violence prevention and reproductive health programs is needed to reduce the burden of sexually transmitted disease among currently married women.

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Section: Discussionsupporting

confidence: 91%

Intimate partner violence (physical and sexual) and sexually transmitted infection: results from Nepal Demographic Health Survey 2011

Dhakal¹,

Berg‐Beckhoff²,

Aro³

2014

IJWH

View full text Add to dashboard Cite

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“…IPV prevalence varies tremendously from one country to another as shown in the multi-country population-based household surveys carried out by the World Health Organization (WHO), where the prevalence of physical or sexual partner violence or both during past year fl uctuates between as low as 4 % in Japan to 54 % in Ethiopia (Garcia-Moreno et al 2006 ). The rates are also comparable to the ones observed in large population-based studies conducted in primary care settings with a prevalence of past year IPV of 6-21 % (Laanpere et al 2012 ;Xu et al 2005 ).…”

Section: Discussionsupporting

confidence: 81%

Gender-Based Violence

Djamba¹,

Kimuna²

2015

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“…Violence is known to be associated with poorer psychological adjustment and adverse sexual health outcomes in women. 29 30 In addition, having muscle pain was associated with dyspareunia in the bivariate analysis. This finding is in line with another study showing that musculoskeletal pain often interferes with sex and may be associated with dyspareunia.…”

Section: Discussionmentioning

confidence: 89%

Dyspareunia in HIV-positive and HIV-negative middle-aged women: a cross-sectional study

et al. 2014

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ObjectivesTo evaluate whether dyspareunia is associated with HIV status in menopausal women and also to assess which factors are associated with dyspareunia in a group of HIV-positive menopausal women.MethodsA cross-sectional study was conducted with 178 HIV-negative and 128 HIV-positive women aged 40–60 years. The Short Personal Experiences Questionnaire (SPEQ) was used to collect data. Sociodemographic, clinical, behavioural and reproductive factors were evaluated, as well as factors related to the HIV infection. Dyspareunia was defined as pain during intercourse. A bivariate analysis and Poisson multiple regression analysis were performed.ResultsOverall, 41.4% of the HIV-positive women reported dyspareunia compared with 34.8% of the HIV-negative women (p=0.242). In the HIV-positive women, bivariate analysis revealed an association between dyspareunia and having a steady partner (p=0.047); the woman’s partner having undergone HIV testing (p=0.020); vaginal dryness (p<0.001); muscle/joint pain (p=0.021); physical/emotional violence (p=0.049); urinary incontinence (p=0.004); and the use of lamivudine/zidovudine (p=0.048). The Poisson multiple regression analysis found an association between dyspareunia and vaginal dryness (prevalence ratio (PR)=1.96, 95% CI 1.10 to 3.50, p=0.023) and urinary incontinence (PR=1.86, 95% CI 1.06 to 3.27, p=0.031).ConclusionsDyspareunia was common in this group of HIV-positive women and was associated principally with vaginal dryness and urinary incontinence. The importance of treating dyspareunia within the context of sexual health in this group of women should be emphasised and appropriate management of this issue may reduce the likelihood of lesions on the vaginal wall, which may act as a portal of entry for other infections.

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Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia

Cited by 41 publications

References 22 publications

Intimate partner violence (physical and sexual) and sexually transmitted infection: results from Nepal Demographic Health Survey 2011

Intimate partner violence (physical and sexual) and sexually transmitted infection: results from Nepal Demographic Health Survey 2011

Gender-Based Violence

Dyspareunia in HIV-positive and HIV-negative middle-aged women: a cross-sectional study

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