Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey
Abstract Background Sexual violence in marital relationship is higher among women married at young age. Although sexual violence has been found to increase risk for unintended pregnancy, there is a limited published data from Nepal linking sexual violence with unintended pregnancy. The current study...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-019-2342-3 |
| _version_ | 1818268084420476928 |
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| author | Kiran Acharya Yuba Raj Paudel Pramita Silwal |
| author_facet | Kiran Acharya Yuba Raj Paudel Pramita Silwal |
| author_sort | Kiran Acharya |
| collection | DOAJ |
| description | Abstract Background Sexual violence in marital relationship is higher among women married at young age. Although sexual violence has been found to increase risk for unintended pregnancy, there is a limited published data from Nepal linking sexual violence with unintended pregnancy. The current study aimed to investigate association of partner sexual violence with unintended pregnancy among young married women who experienced child birth in last 5 years. Methods Using data from Nepal Demographic and Health Survey, we studied the prevalence of sexual violence and unintended pregnancy, and their association among 560 married women (weighted sample) of 15–24 years who gave childbirth in last 5 years of the survey. We used multivariate logistic regression to analyse the association of sexual violence and other factors with unintended pregnancy. Analysis was conducted considering inverse probability weighting, clustering, and stratification to provide unbiased estimates of the population parameters. Results Nearly a quarter of women (22.7%) reported to have experienced unintended pregnancy in the last 5 years of the survey and almost one in 10 women (9%) reported to have ever experienced sexual violence from their husbands. Women who ever experienced sexual violence from their husbands were at 2.3 times higher odds to report an unintended pregnancy (aOR = 2.3; 95% CI = 1.1–4.8) compared to women who did not experience sexual violence from their husbands independent of important socio-demographic variables and ever use of contraception. Conclusion The strong association of sexual violence within marital relationship with unintended pregnancy among young women in Nepal necessitates the provision of comprehensive sexual and reproductive health services. Women need routine assessment, and referral to appropriate services for sexual violence to reduce unintended pregnancy and its consequences. |
| first_indexed | 2024-12-12T20:32:52Z |
| format | Article |
| id | doaj.art-c6a7f44de9c743959cf6b953d183735d |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-12T20:32:52Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-c6a7f44de9c743959cf6b953d183735d2022-12-22T00:12:59ZengBMCBMC Pregnancy and Childbirth1471-23932019-06-0119111010.1186/s12884-019-2342-3Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health surveyKiran Acharya0Yuba Raj Paudel1Pramita Silwal2New ERA, Rudramati MargaSchool of Public Health, University of AlbertaNepal Red Cross SocietyAbstract Background Sexual violence in marital relationship is higher among women married at young age. Although sexual violence has been found to increase risk for unintended pregnancy, there is a limited published data from Nepal linking sexual violence with unintended pregnancy. The current study aimed to investigate association of partner sexual violence with unintended pregnancy among young married women who experienced child birth in last 5 years. Methods Using data from Nepal Demographic and Health Survey, we studied the prevalence of sexual violence and unintended pregnancy, and their association among 560 married women (weighted sample) of 15–24 years who gave childbirth in last 5 years of the survey. We used multivariate logistic regression to analyse the association of sexual violence and other factors with unintended pregnancy. Analysis was conducted considering inverse probability weighting, clustering, and stratification to provide unbiased estimates of the population parameters. Results Nearly a quarter of women (22.7%) reported to have experienced unintended pregnancy in the last 5 years of the survey and almost one in 10 women (9%) reported to have ever experienced sexual violence from their husbands. Women who ever experienced sexual violence from their husbands were at 2.3 times higher odds to report an unintended pregnancy (aOR = 2.3; 95% CI = 1.1–4.8) compared to women who did not experience sexual violence from their husbands independent of important socio-demographic variables and ever use of contraception. Conclusion The strong association of sexual violence within marital relationship with unintended pregnancy among young women in Nepal necessitates the provision of comprehensive sexual and reproductive health services. Women need routine assessment, and referral to appropriate services for sexual violence to reduce unintended pregnancy and its consequences.http://link.springer.com/article/10.1186/s12884-019-2342-3Sexual violenceUnintended pregnancyYoung womenNepal |
| spellingShingle | Kiran Acharya Yuba Raj Paudel Pramita Silwal Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey BMC Pregnancy and Childbirth Sexual violence Unintended pregnancy Young women Nepal |
| title | Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey |
| title_full | Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey |
| title_fullStr | Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey |
| title_full_unstemmed | Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey |
| title_short | Sexual violence as a predictor of unintended pregnancy among married young women: evidence from the 2016 Nepal demographic and health survey |
| title_sort | sexual violence as a predictor of unintended pregnancy among married young women evidence from the 2016 nepal demographic and health survey |
| topic | Sexual violence Unintended pregnancy Young women Nepal |
| url | http://link.springer.com/article/10.1186/s12884-019-2342-3 |
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