The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys
Abstract Background Intimate partner violence (IPV) affects millions of women each year and has been recognized as a leading cause of poor health, disability, and death among women of reproductive age. However, the existing studies about the association between IPV and contraceptive use have been fo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-01884-9 |
| _version_ | 1797836586865393664 |
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| author | Muluken Dessalegn Muluneh Lyn Francis Kingsley Agho Virginia Stulz |
| author_facet | Muluken Dessalegn Muluneh Lyn Francis Kingsley Agho Virginia Stulz |
| author_sort | Muluken Dessalegn Muluneh |
| collection | DOAJ |
| description | Abstract Background Intimate partner violence (IPV) affects millions of women each year and has been recognized as a leading cause of poor health, disability, and death among women of reproductive age. However, the existing studies about the association between IPV and contraceptive use have been found to be conflicting and relatively less studied, particularly in low and middle income countries, including Eastern Sub Saharan Africa (SSA). This study examines the relationship between IPV and contraceptive use in Eastern SSA countries. Methods The Demographic and Health Surveys (DHS) from 2014 to 2017 were a multi-stage cluster sample survey of 30,715 ever married (or cohabitating) women of reproductive age from six countries. The six Eastern SSA datasets were pooled and multivariable logistic regression using a hierarchical approach was performed to examine the association between IPV and contraceptive use after adjusting for women, partners, and household and health facility factors. Result Two thirds of women 67% [66.55, 67.88] were not using any modern contraceptive methods and almost half (48%) of the women had experienced at least one form of IPV from their partners. Our analysis showed a strong association with decreased odds of physical violence [adjusted odds ratios (aOR) = 0.72, 95%CI: 0.67, 0 0.78] among women not using any contraceptive methods. Other factors associated with women not using any contraceptive methods were older women (35–49 years), illiterate couples and women from poorest households. Women who had no access to any form of communication [aOR = 1.12, 95%CI: 1.08, 1.36], unemployed partner [aOR = 1.55, 95%CI: 1.23, 1.95] and women who travelled long distances to access health services [aOR = 1.16, 95%CI: 1.06, 1.26] significantly reported increased odds of not using any contraceptive methods. Conclusion Our study indicated that physical violence was negatively associated with not using any contraceptive method among married women in Eastern SSA countries. Tailored intervention messages to reduce IPV including physical violence among women not using contraceptive methods in East Africa should target those from low-socioeconomic groups especially, older women with no access to any form of communication, unemployed partners, and illiterate couples. |
| first_indexed | 2024-04-09T15:12:24Z |
| format | Article |
| id | doaj.art-f68ede63b849462c83f55dc298c69e94 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-04-09T15:12:24Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-f68ede63b849462c83f55dc298c69e942023-04-30T11:10:36ZengBMCInternational Journal for Equity in Health1475-92762023-04-0122111710.1186/s12939-023-01884-9The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveysMuluken Dessalegn Muluneh0Lyn Francis1Kingsley Agho2Virginia Stulz3Amref Health Africa in EthiopiaSchool of Nursing and Midwifery, Western Sydney UniversitySchool of Health Sciences, Western Sydney UniversitySchool of Nursing and Midwifery, Western Sydney UniversityAbstract Background Intimate partner violence (IPV) affects millions of women each year and has been recognized as a leading cause of poor health, disability, and death among women of reproductive age. However, the existing studies about the association between IPV and contraceptive use have been found to be conflicting and relatively less studied, particularly in low and middle income countries, including Eastern Sub Saharan Africa (SSA). This study examines the relationship between IPV and contraceptive use in Eastern SSA countries. Methods The Demographic and Health Surveys (DHS) from 2014 to 2017 were a multi-stage cluster sample survey of 30,715 ever married (or cohabitating) women of reproductive age from six countries. The six Eastern SSA datasets were pooled and multivariable logistic regression using a hierarchical approach was performed to examine the association between IPV and contraceptive use after adjusting for women, partners, and household and health facility factors. Result Two thirds of women 67% [66.55, 67.88] were not using any modern contraceptive methods and almost half (48%) of the women had experienced at least one form of IPV from their partners. Our analysis showed a strong association with decreased odds of physical violence [adjusted odds ratios (aOR) = 0.72, 95%CI: 0.67, 0 0.78] among women not using any contraceptive methods. Other factors associated with women not using any contraceptive methods were older women (35–49 years), illiterate couples and women from poorest households. Women who had no access to any form of communication [aOR = 1.12, 95%CI: 1.08, 1.36], unemployed partner [aOR = 1.55, 95%CI: 1.23, 1.95] and women who travelled long distances to access health services [aOR = 1.16, 95%CI: 1.06, 1.26] significantly reported increased odds of not using any contraceptive methods. Conclusion Our study indicated that physical violence was negatively associated with not using any contraceptive method among married women in Eastern SSA countries. Tailored intervention messages to reduce IPV including physical violence among women not using contraceptive methods in East Africa should target those from low-socioeconomic groups especially, older women with no access to any form of communication, unemployed partners, and illiterate couples.https://doi.org/10.1186/s12939-023-01884-9ContraceptivesIntimate partner violenceLogistic regressionEastern SSA |
| spellingShingle | Muluken Dessalegn Muluneh Lyn Francis Kingsley Agho Virginia Stulz The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys International Journal for Equity in Health Contraceptives Intimate partner violence Logistic regression Eastern SSA |
| title | The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys |
| title_full | The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys |
| title_fullStr | The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys |
| title_full_unstemmed | The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys |
| title_short | The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys |
| title_sort | association of intimate partner violence and contraceptive use a multi country analysis of demographic and health surveys |
| topic | Contraceptives Intimate partner violence Logistic regression Eastern SSA |
| url | https://doi.org/10.1186/s12939-023-01884-9 |
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