Gender-Based Violence in Rural Uttar Pradesh, India: Prevalence and Association With Reproductive Health Behaviors
Gender-Based Violence in Rural Uttar Pradesh, India: Prevalence and Association With Reproductive Health Behaviors
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DOI：
10.1177/0886260515584341
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发表时间：
2016-11-01
影响因子：
2.5
通讯作者：
Varma, Deepthi S.
中科院分区：
文献类型：
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作者：
Ahmad, Jaleel;Khan, M. E.;Varma, Deepthi S.
本研究探讨了印度北方邦农村地区不同形式的家庭暴力的发生率及其对妇女生殖健康行为的影响。数据是作为2009-2010年进行的大型家庭调查的一部分收集的。采用多阶段分层系统抽样设计。共有4 223名15至49岁的已婚妇女和2 274名这些妇女的丈夫接受了采访。采用双变量和多变量分析对数据进行分析。在北方邦农村地区，三分之一以上的已婚妇女遭受过一种或多种形式的暴力，如配偶的辱骂、粗暴对待和性虐待。近47%的女性在上次怀孕期间经历过某种形式的暴力。暴力与不正确的生殖健康行为、妊娠并发症、不良的生育准备、机构分娩的可能性低、产后护理有限以及配偶计划生育沟通有限之间存在显著关联。在多变量分析中控制了社会经济变量后，发现只有妊娠并发症（OR = 1.62，95%置信区间[CI] = [1.40，1.85]）和缺乏分娩准备（OR = 0.79，95% CI = [0.68，0.93]）与暴力显著相关。丈夫的态度和报告的暴力行为，他们的妻子在不同的情况下没有显着的相关性。这项研究提供的证据表明，暴力对印度农村已婚妇女的生殖健康行为的关联。研究结果表明，一线卫生工作者应在产前检查期间识别和咨询遭受暴力的孕妇，以降低孕产妇发病率和死亡率。
This study explores the prevalence of different forms of domestic violence and their impact on women's reproductive health behavior in rural Uttar Pradesh (UP), India. Data were collected as a part of a large household survey carried out in 2009-2010. A multistage stratified systematic sampling design was used. A total of 4,223 married women aged 15 to 49 years and 2,274 husbands of these women were interviewed. Data were analyzed using bivariate and multivariate analyses. More than one third of married women in rural UP had experienced one or more forms of violence, such as verbal abuse, physical manhandling, and sexual abuse by their spouse. Nearly 47% of the women had experienced some form of violence during their last pregnancy. Significant associations were found between violence and incorrect reproductive health behaviors, pregnancy complications, poor birth preparedness, poor likelihood of institutional delivery, limited postnatal care, and limited spousal communication for family planning. After controlling for socio-economic variables in multivariate analysis, only pregnancy complications (odds ratio [OR] = 1.62, 95% confidence interval [CI] = [1.40, 1.85]) and lack of delivery preparedness (OR = 0.79, 95% CI = [0.68, 0.93]) were found to be significantly associated with violence. Husband's attitude and reporting of violence by their wives in different situations were not significantly associated. This study provides evidence of the association of violence on the reproductive health behavior of married women in rural India. The results argue for frontline health workers to identify and counsel pregnant women experiencing violence during antenatal check-up to reduce maternal morbidity and mortality.