The association and a potential pathway between gender-based violence and induced abortion in Thai Nguyen province, Vietnam.
The association and a potential pathway between gender-based violence and induced abortion in Thai Nguyen province, Vietnam.
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DOI：
10.3402/gha.v5i0.19006
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发表时间：
2012-11-29
影响因子：
2.6
通讯作者：
Pham HQ
中科院分区：
文献类型：
--
作者：
Nguyen PH;Nguyen SV;Nguyen MQ;Nguyen NT;Keithly SC;Mai LT;Luong LT;Pham HQ
基于性别的暴力对妇女的身心健康和生殖健康产生了严重的不利影响。虽然越南的人工流产率和性别暴力率很高，但缺乏研究这种关系的文献。本研究探讨了越南阮泰省已婚或有伴侣的育龄妇女中GBV与人工流产的关系。此外，我们探讨避孕药具的使用和意外怀孕的介导剂之间的途径GBV和人工流产。数据来自对阮泰省四个区1 281名18-49岁妇女的横断面调查。应用双变量和多变量Logistic回归分析来检查GBV的终生史、避孕药使用、意外怀孕、人工流产和重复流产之间的关联，控制其他协变量。三分之一的受访者（33.4%）在其一生中经历过人工流产，11.5%的人报告有重复流产。任何类型的基于性别的暴力的发生率为29.1%（17.0%身体暴力，10.4%性暴力，20.1%情感暴力）。GBV病史与人工流产（OR=1.61，95%CI：1.20-2.16）和重复流产（OR=2.22，95%CI：1.48-3.32）相关。身体暴力与人工流产显著相关，所有三种类型的暴力都与重复流产有关。受虐待的妇女比未受虐待的妇女更有可能报告使用避孕药具和意外怀孕，这些因素反过来又与人工流产风险增加有关。基于性别的暴力在阮泰省普遍存在，并与人工流产和重复流产的风险增加有关。研究结果表明，这种关系的潜在途径是部分由于避孕药的无效使用而增加意外怀孕的风险。这些研究结果强调了筛查和识别性别暴力以及将增强妇女权能纳入生殖健康和计划生育方案的重要性。
Gender-based violence (GBV) has profound adverse consequences on women's physical, mental, and reproductive health. Although Vietnam has high rates of induced abortion and GBV, literature examining this relationship is lacking. This study examines the association of GBV with induced abortion among married or partnered women of reproductive age in Thai Nguyen province, Vietnam. In addition, we explore contraceptive use and unintended pregnancy as mediators in the pathway between GBV and induced abortion. Data were drawn from a cross-sectional survey of 1,281 women aged 18–49 years in four districts of Thai Nguyen province. Bivariate and multivariate logistic regression analyses were applied to examine the associations between lifetime history of GBV, contraceptive use, unintended pregnancy, induced abortion, and repeat abortion, controlling for other covariates. One-third of respondents had undergone induced abortion in their lifetime (33.4%), and 11.5% reported having repeat abortions. The prevalence of any type of GBV was 29.1% (17.0% physical violence, 10.4% sexual violence, and 20.1% emotional violence). History of GBV was associated with induced abortion (OR=1.61, 95% CI: 1.20–2.16) and repeat abortion (OR=2.22, 95% CI: 1.48–3.32). Physical violence was significantly associated with induced abortion, and all three types of violence were associated with repeat abortion. Abused women were more likely than non-abused women to report using contraceptives and having an unintended pregnancy, and these factors were in turn associated with increased risk of induced abortion. GBV is pervasive in Thai Nguyen province and is linked to increased risks of induced abortion and repeat abortion. The findings suggest that a pathway underlying this relationship is increased risk of unintended pregnancy due in part to ineffective use of contraceptives. These findings emphasize the importance of screening and identification of GBV and incorporating women's empowerment in reproductive health and family planning programs.
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