Sexual behaviors and reproductive health outcomes - Associations with wife abuse in India
Sexual behaviors and reproductive health outcomes - Associations with wife abuse in India
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DOI：
10.1001/jama.282.20.1967
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发表时间：
1999-11-24
影响因子：
120.7
通讯作者：
Kupper, LL
中科院分区：
文献类型：
--
作者：
Martin, SL;Kilgallen, B;Kupper, LL
虐待妻子与各种健康问题有关。在印度，虐待和生殖健康之间的关联并不为人所知。目的研究北方印度男性对妻子虐待和生殖健康问题的报告之间的关系。设计结构化的面对面访谈作为PERFORM指标调查系统的男性生殖健康补充的一部分进行，1995- 1996年进行的一项系统的多阶段调查。背景北方北方邦，参与者共有6632名年龄在15至65岁之间的已婚男性，他们与妻子住在一起，并完成了研究变量的所有调查问题结果54%的男性报告没有虐待妻子，17%的男性报告身体虐待但没有性虐待妻子，22%的男性报告没有身体暴力的性虐待，22%的男性报告没有性虐待妻子，22%的男性报告没有性虐待妻子，20%的男性报告没有性虐待妻子，20%的男性报告没有性虐待妻子，20%的男性报告没有性虐待妻子，20%的男性报告没有性虐待妻子。7%的人报告遭受了暴力性虐待。虐待在有婚外性行为的男性中更常见（使用武力的性虐待：比值比[OR]，6.22; 95%置信区间[CI]，3.98-9.72），同样，有性病症状的男性更容易虐待妻子（有当前症状：OR，2.43; 95% CI，1.73-3.42）。计划外怀孕显着更常见的虐待男性，尤其是性虐待的男性使用武力（OR，2.62; 95%CI，1.91-3.60）。结论虐待妻子似乎是相当普遍的北方印度。我们的研究结果表明，虐待男性更有可能从事婚外性行为，并有性病症状表明，这些男性可能从他们的婚外关系中获得性病，从而使他们的妻子处于性病感染的风险中，有时是通过性虐待。这些虐待性行为也可能导致意外怀孕率上升。
Context Wife abuse has been associated with a variety of health concerns. Associations between abuse and reproductive health in India are not well known.Objective To examine relationships between men's reports of wife abuse and reproductive health issues in northern India.Design Structured face-to-face interviews were conducted as part of the male reproductive health supplement of the PERFORM System of Indicators Survey, a systematic multistage survey conducted in 1995-1996.Setting The northern state of Uttar Pradesh, one of the least developed states in India.Participants A total of 6632 married men aged 15 to 65 years who lived with their wives and completed all survey questions for the study variables reported here.Main Measures Physically and sexually abusive behaviors toward wives, sexual activities outside marriage, sexually transmitted disease (STD) symptoms, contraception use, unplanned pregnancies, and sociodemographic characteristics.Results Fifty-four percent of men reported not abusing their wives, while 17% reported physically but not sexually abusing their wives, 22% reported sexual abuse without physical force, and 7% reported sexual abuse with physical force. Abuse was more common among men who had extramarital sex (for sexual abuse using force: odds ratio [OR], 6.22; 95% confidence interval [CI], 3.98-9.72), Similarly, men who had STD symptoms were more likely to abuse their wives (with current symptoms: OR, 2.43; 95% CI, 1.73-3.42). Unplanned pregnancies were significantly more common among wives of abusive men, especially sexually abusive men who used force (OR, 2.62; 95% CI, 1.91-3.60).Conclusions Wife abuse appears to be fairly common in northern India. Our findings that abusive men were more likely to engage in extramarital sex and have STD symptoms suggest that these men may be acquiring STDs from their extramarital relationships, thereby placing their wives at risk for STD acquisition, sometimes via sexual abuse. These abusive sexual behaviors also may result in an elevated rate of unplanned pregnancies.