CONTRACEPTION USE AND ASSOCIATIONS WITH INTIMATE PARTNER VIOLENCE AMONG WOMEN IN BANGLADESH
CONTRACEPTION USE AND ASSOCIATIONS WITH INTIMATE PARTNER VIOLENCE AMONG WOMEN IN BANGLADESH
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DOI：
10.1017/s0021932011000307
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发表时间：
2012-01-01
影响因子：
1.5
通讯作者：
Dawad, Suraya
中科院分区：
文献类型：
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作者：
Dalal, Koustuv;Andrews, Johanna;Dawad, Suraya
本研究考察了孟加拉国育龄妇女避孕使用与亲密伴侣暴力（IPV）之间的关系。10,996名妇女的观察性研究使用卡方检验和logistic回归来评估相关性。几乎80%的受访者在其生命的某个阶段使用过避孕药具。大约一半的受访者（48%）是身体暴力的受害者，而11%的受访者遭受过丈夫的性虐待。城市居民、受过高等教育的女性和年龄在20-44岁之间的女性比农村地区、受教育程度较低的女性和40多岁（45-49岁）的女性更有可能使用避孕药。遭受身体暴力的妇女使用避孕药具的可能性几乎是未遭受暴力的妇女的两倍（OR 1.93, CI 1.55-2.41）。性侵犯与避孕措施的使用没有显著的联系。身体暴力是孟加拉国妇女避孕药具使用率较高的一个预测指标。研究结果强调了在卫生保健中心进行IPV筛查的重要性。研究确定的城乡避孕药具使用和IPV暴露的差异对服务提供和规划具有政策意义。
This study examines the association between contraception use and intimate partner violence (IPV) among women of reproductive age in Bangladesh. The observational study of 10,996 women used the chi-squared test and logistic regressions to assess the associations. Almost 80% of all respondents had used contraceptives at some point in their lives. About half of the respondents (48%) were victims of physical violence, while 11% experienced sexual abuse from their husbands. Urban residents, higher educated women and women aged 20-44 were more likely to use contraceptives than their peers in rural areas, those with lower education and those in their late forties (45-49 years). Women exposed to physical violence were almost two times (OR 1.93, CI 1.55-2.41) more likely to use contraceptives compared with their non-abused peers. Sexual abuse had no significant association with contraceptive use. Physical violence is a predictor for higher levels of contraceptive use among women in Bangladesh. The findings emphasize the importance of screening for IPV at health care centres. The differences in urban and rural contraceptive use and IPV exposure identified by the study have policy implications for service delivery and planning.