Associations of intimate partner violence with postnatal health practices in Bihar, India
Abstract Background Reducing neonatal mortality is a global priority, and improvements in postnatal health (PNH) practices in India are needed to do so. Intimate partner violence (IPV) may be associated with PNH practices, but little research has assessed this relationship. Methods A cross-sectional...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-017-1577-0 |
| _version_ | 1819264643479109632 |
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| author | Sabrina C. Boyce Lotus McDougal Jay G. Silverman Yamini Atmavilas Diva Dhar Katherine Hay Anita Raj |
| author_facet | Sabrina C. Boyce Lotus McDougal Jay G. Silverman Yamini Atmavilas Diva Dhar Katherine Hay Anita Raj |
| author_sort | Sabrina C. Boyce |
| collection | DOAJ |
| description | Abstract Background Reducing neonatal mortality is a global priority, and improvements in postnatal health (PNH) practices in India are needed to do so. Intimate partner violence (IPV) may be associated with PNH practices, but little research has assessed this relationship. Methods A cross-sectional analysis of data from a representative household sample of mothers of neonates 0–11 months old in Bihar, India was conducted. The relationship between lifetime IPV experience (physical violence only, sexual violence only, or both physical and sexual violence) and PNH practices [clean cord care, kangaroo mother care, early initiation of breastfeeding (EIBF), delayed bathing, receipt of a postnatal care visit, exclusive breastfeeding, and current post-partum contraceptive use] was assessed using multivariate logistic regression. Results Over 45% of the 10,469 mothers experienced IPV in their lifetime. The three types of IPV experiences differentially related to PNH practices. Adjusted analyses revealed that compared to those who had never experienced IPV, women who experienced physical violence only (29.0%) had higher odds of skin-to-skin care (AOR = 1.67, 95% CI = 1.42, 1.96) and delayed bathing (AOR = 1.19, 95% CI = 1.03, 1.37), but lower odds of EIBF (AOR = 0.81, 95% CI = 0.70, 0.93) and exclusive breastfeeding (AOR = 0.83, 95% CI = 0.71, 0.96). Mothers who had experienced sexual violence only (2.3%) had lower odds of practicing EIBF (AOR = 0.52, 95% CI = 0.36, 0.76). Those who had both experiences of physical and sexual violence (14.0%) had increased odds of postpartum modern contraceptive use (AOR = 1.35, 95% CI = 1.07, 1.71) and lower odds of delayed bathing (AOR = 0.76, 95% CI = 0.63, 0.91). Conclusions The results of this study found differing patterns of vulnerability to poor PNH practices depending on the type of IPV experienced. Efforts to increase access to health services for women experiencing IPV and to integrate IPV intervention into such service may increase PNH practices, and as a result, reduce neonatal mortality. |
| first_indexed | 2024-12-23T20:32:45Z |
| format | Article |
| id | doaj.art-f2bc232af09640c4ab510ea22c421a88 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-23T20:32:45Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-f2bc232af09640c4ab510ea22c421a882022-12-21T17:32:11ZengBMCBMC Pregnancy and Childbirth1471-23932017-11-0117111410.1186/s12884-017-1577-0Associations of intimate partner violence with postnatal health practices in Bihar, IndiaSabrina C. Boyce0Lotus McDougal1Jay G. Silverman2Yamini Atmavilas3Diva Dhar4Katherine Hay5Anita Raj6Center on Gender Equity and Health, Department of Medicine, University of California, San Diego School of MedicineCenter on Gender Equity and Health, Department of Medicine, University of California, San Diego School of MedicineCenter on Gender Equity and Health, Department of Medicine, University of California, San Diego School of MedicineBill and Melinda Gates FoundationBill and Melinda Gates FoundationBill and Melinda Gates FoundationCenter on Gender Equity and Health, Department of Medicine, University of California, San Diego School of MedicineAbstract Background Reducing neonatal mortality is a global priority, and improvements in postnatal health (PNH) practices in India are needed to do so. Intimate partner violence (IPV) may be associated with PNH practices, but little research has assessed this relationship. Methods A cross-sectional analysis of data from a representative household sample of mothers of neonates 0–11 months old in Bihar, India was conducted. The relationship between lifetime IPV experience (physical violence only, sexual violence only, or both physical and sexual violence) and PNH practices [clean cord care, kangaroo mother care, early initiation of breastfeeding (EIBF), delayed bathing, receipt of a postnatal care visit, exclusive breastfeeding, and current post-partum contraceptive use] was assessed using multivariate logistic regression. Results Over 45% of the 10,469 mothers experienced IPV in their lifetime. The three types of IPV experiences differentially related to PNH practices. Adjusted analyses revealed that compared to those who had never experienced IPV, women who experienced physical violence only (29.0%) had higher odds of skin-to-skin care (AOR = 1.67, 95% CI = 1.42, 1.96) and delayed bathing (AOR = 1.19, 95% CI = 1.03, 1.37), but lower odds of EIBF (AOR = 0.81, 95% CI = 0.70, 0.93) and exclusive breastfeeding (AOR = 0.83, 95% CI = 0.71, 0.96). Mothers who had experienced sexual violence only (2.3%) had lower odds of practicing EIBF (AOR = 0.52, 95% CI = 0.36, 0.76). Those who had both experiences of physical and sexual violence (14.0%) had increased odds of postpartum modern contraceptive use (AOR = 1.35, 95% CI = 1.07, 1.71) and lower odds of delayed bathing (AOR = 0.76, 95% CI = 0.63, 0.91). Conclusions The results of this study found differing patterns of vulnerability to poor PNH practices depending on the type of IPV experienced. Efforts to increase access to health services for women experiencing IPV and to integrate IPV intervention into such service may increase PNH practices, and as a result, reduce neonatal mortality.http://link.springer.com/article/10.1186/s12884-017-1577-0Intimate partner violencePost-natal healthBreastfeedingPost-partum contraception |
| spellingShingle | Sabrina C. Boyce Lotus McDougal Jay G. Silverman Yamini Atmavilas Diva Dhar Katherine Hay Anita Raj Associations of intimate partner violence with postnatal health practices in Bihar, India BMC Pregnancy and Childbirth Intimate partner violence Post-natal health Breastfeeding Post-partum contraception |
| title | Associations of intimate partner violence with postnatal health practices in Bihar, India |
| title_full | Associations of intimate partner violence with postnatal health practices in Bihar, India |
| title_fullStr | Associations of intimate partner violence with postnatal health practices in Bihar, India |
| title_full_unstemmed | Associations of intimate partner violence with postnatal health practices in Bihar, India |
| title_short | Associations of intimate partner violence with postnatal health practices in Bihar, India |
| title_sort | associations of intimate partner violence with postnatal health practices in bihar india |
| topic | Intimate partner violence Post-natal health Breastfeeding Post-partum contraception |
| url | http://link.springer.com/article/10.1186/s12884-017-1577-0 |
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