Domestic violence as risk factor for unwanted pregnancy and induced abortion in Mulago Hospital, Kampala, Uganda
Domestic violence as risk factor for unwanted pregnancy and induced abortion in Mulago Hospital, Kampala, Uganda
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DOI：
10.1111/j.1365-3156.2005.01531.x
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发表时间：
2006-01-01
影响因子：
3.3
通讯作者：
Ekstrom, AM
中科院分区：
文献类型：
--
作者：
Kaye, DK;Mirembe, FM;Ekstrom, AM
目的比较人工流产和自然流产妇女的怀孕意愿和家庭暴力情况。方法对乌干达穆拉戈医院2003年9月至2004年6月942名寻求流产后护理的妇女进行病例对照研究。通过直接询问、记录审查和临床检查，确定了 333 例人工流产（病例）和 609 例自然流产（对照），对他们的社会人口特征、避孕药具使用情况、住所（农村或城市、小家庭或大家庭）、怀孕意愿、家庭决策和家庭暴力进行比较。使用 EPI-INFO 和 STATA 分析数据，使用 Student t 检验以及连续变量的方差分析和分类变量的卡方分析。使用分层和多变量逻辑回归分析来调整混杂因素和交互作用，置信水平为 95%。 结果 病例与对照组有显着差异，因为它们更年轻或更经常单身；均等率和教育水平较低，家庭决策较少，在世儿童也较少。在就业、配偶年龄、婚姻关系年限和住所方面，它们与对照相似（P > 0.05）。更常见的病例（P < 0.001）在受孕和就诊时发生了不合时宜、计划外或意外怀孕。调整年龄、怀孕意愿和婚姻状况后，病例更有可能有近期家庭暴力史（身体、性或心理）[OR: 18.7 (95%CI: 11.2-31.0)]。 结论 对于寻求流产后护理的妇女来说，家庭暴力是意外怀孕和人工流产的危险因素。
OBJECTIVE To compare pregnancy intention and domestic violence among women with induced and spontaneous abortion.METHOD Case-control study in Mulago Hospital, Uganda, from September 2003 to June 2004 of 942 women seeking post-abortion care. Direct inquiry, records review and clinical examination identified 333 with induced abortion (cases) and 609 with spontaneous abortion (controls), who were compared regarding socio-demographic characteristics, contraceptive use, domicile (rural or urban, nuclear or extended families), pregnancy intention, household decision-making and domestic violence. Data was analysed with EPI-INFO and STATA, using Student t-test and analysis of variance for continuous and chi-square for categorical variables. Stratified and multivariate logistic regression analyses were used to adjust for confounding and interaction at the 95% confidence level.RESULTS Cases significantly differed from controls as they were younger or more often single; had lower parity and education, less household decision-making and fewer living children. They were similar to controls (P > 0.05) regarding employment, spouse's age, years spent in marital relationship and domicile. Cases more frequently (P < 0.001) had mistimed, unplanned or unwanted pregnancy at conception and presentation. Cases were more likely to have a recent history of domestic violence (physical, sexual or psychological) [OR: 18.7 (95%CI: 11.2-31.0)] after adjusting for age, pregnancy intention and marital status.CONCLUSION Domestic violence is a risk factor for unwanted pregnancy and induced abortion among women seeking post-abortion care.