Association between intimate partner violence and induced abortion in Cameroon
Association between intimate partner violence and induced abortion in Cameroon
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DOI：
10.1016/j.ijgo.2010.08.024
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发表时间：
2011-02-01
影响因子：
3.8
通讯作者：
Marty, Phillip J.
中科院分区：
文献类型：
--
作者：
Alio, Amina P.;Salihu, Hamisu M.;Marty, Phillip J.
目的：研究喀麦隆亲密伴侣暴力（IPV：身体、性和情感暴力）与人工流产之间的关系。研究方法：我们使用2004年喀麦隆人口健康调查（OHS）的数据和分层多变量模型来比较IPV类型的人工流产率。结果：2004年，2 570名妇女接受了职业健康和安全部家庭暴力单元的管理。在这些妇女中，126人（4.9%）报告至少有过一次人工流产。爱沙尼亚妇女报告的IPV发生率很高：身体暴力（995 [38.7%]）;情感暴力（789 [30.7%]）;性暴力（381 [14.8%]）。调整协变量后，身体和性IPV增加了人工流产的风险，而情感暴力和人工流产之间的关联在多变量模型中并不显着。结论：鉴于喀麦隆不安全人工流产后产妇发病率和死亡率的风险增加，人工流产与IPV之间的联系在公共卫生方面值得关注。以预防IPV为目标的方案可能会降低孕产妇发病率和死亡率。(C)2010年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To examine the association between intimate partner violence (IPV: physical, sexual, and emotional violence) and induced abortion in Cameroon. Methods: We used data from the 2004 Cameroon Demographic Health Survey (OHS) and hierarchic multivariate modeling to compare the rates of induced abortion by IPV type. Results: In 2004, 2570 women were administered the domestic violence module of the OHS. Of those women, 126(4.9%) reported having had at least 1 induced abortion. Cameroonian women reported high rates of IPV: physical violence (995 [38.7%]); emotional violence (789 [30.7%]); and sexual violence (381 [14.8%]). After adjusting for covariates, physical and sexual IPV increased the risk for induced abortion, whereas the association between emotional violence and induced abortion was not significant in multivariate models. Conclusion: Given the increased risk for maternal morbidity and mortality following unsafe induced abortions in Cameroon, the association between induced abortion and IPV is of interest in terms of public health. Programs targeted at preventing IPV might reduce the rate of maternal morbidity and mortality. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.