Prevalence of intimate partner violence among pregnant women attending a public sector hospital in Bengaluru, southern India

2021 ◽  
Vol 34 ◽  
pp. 132-137
Author(s):  
ANITA NATH ◽  
SHUBHASHREE VENKATESH ◽  
J. VINDHYA ◽  
SHEEBA BALAN ◽  
CHANDRA S. METGUD

Background Intimate partner violence (IPV) is recognized as an important public health problem globally as well as in India. It may result in adverse physical and mental health consequences for the victim or unfavourable pregnancy outcomes if it happens during pregnancy. The possible risk factors for IPV can be explained by four levels of ecological factors: individual, partner, household and community. We estimated the prevalence of IPV and its association with selected ecological risk factors among pregnant women availing of antenatal care at a public sector hospital in Bengaluru, southern India. Methods We included 350 women above the age of 18 years with a confirmed pregnancy of less than 24 weeks and having no obstetric complication. We used the Conflict Tactics Scale to determine the presence of IPV. The risk factors measured were—individual level: respondent’s age, education, occupation, gravidity, planned or unplanned pregnancy, substance abuse, presence of depression and anxiety; partner-related: spouse’s education, occupation and marital discord; household/community-related: socioeconomic status, social support, religion and consanguinity. Results The prevalence of IPV was 3.7%. Factors that were significantly associated on multivariate analysis were higher age (above 20 years) (adjusted odds ratio [AOR] 1.82 [1.12–2.97], p=0.016) and presence of depression (AOR 6.84 [1.76–26.61], p=0.005). Conclusion The prevalence of IPV was less in our study population compared to figures reported from other Indian study settings.

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Getnet Mihretie Beyene ◽  
Telake Azale ◽  
Kassahun Alemu Gelaye ◽  
Tadesse Awoke Ayele

Abstract Background Antenatal depression is highly prevalent but a neglected public health problem in low income countries. It has serious effects on the general health of women, birth outcomes and child health. However, there has been limited substantial evidence on the prevalence and predictors of antenatal depression in Ethiopia. This lack of evidence potentiates the consequences of the problem and can limit the attention to intervention. Thus, this study aimed to assess the prevalence and potential predictors of antenatal depression at Debre Tabor and Woreta towns, Northeast Ethiopia. Methods A community-based cross-sectional study was employed on 548 pregnant women recruited by a cluster sampling method. Depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS). The List of Threatening Experiences Questionnaire (LTE-Q), the Oslo-3 Social Support Scale (OSSS-3), Intimate Partner Violence (IPV) Scale and Fast Alcohol Screening Test (FAST) were also used to measure stressful events, social support, intimate partner violence (IPV) and hazardous alcohol use respectively. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with antenatal depression. Results The prevalence of antenatal depression was found to be 24.45% (95% CI: 21.20, 28.30%). Being single (AOR =3.32, 95% CI = 1.36, 8.09); fear of pregnancy complication (AOR = 3.84, 95% CI = 1.53,9.62); history of chronic illness (AOR = 8.14, 95% CI = 2.14, 30.91); unplanned pregnancy (AOR = 2.99, 95% CI = 1.36,6.55); history of stillbirth (AOR = 3.56, 95% CI = 1.23, 10.29),one or more negative life events (AOR = 4.06, 95% CI = 1.71, 9.66) and intimate partner violence (AOR = 3.91, 95% CI = 1.65, 9.26) were factors significantly associated with antenatal depression. Conclusion Nearly a quarter of pregnant women suffer from depressive symptoms during pregnancy. Being single; fear of pregnancy complication; history of chronic illness; unplanned pregnancy; history of stillbirth; one or more negative life events and intimate partner violence were important predictors of antenatal depression in this study. Health care workers should consider addressing these risk factors during a routine antenatal care. Also, integrating early screening, detection, and treatment of antenatal depression into routine antenatal care is warranted to improve the quality of life of pregnant women and pregnancy outcomes as well.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Girmay Adhena ◽  
Lemessa Oljira ◽  
Yadeta Dessie ◽  
Hagos Degefa Hidru

Background. Intimate partner violence during pregnancy is the most common and major public health problem and human rights issue worldwide and has a negative effect on the lives of both mother and fetus. Despite its prominence, this issue has received little attention in Ethiopia as well as many sub-Saharan African countries. This study assessed the magnitude of intimate partner violence and associated factors among pregnant women in Ofla District, Tigray, Ethiopia. Methods. A facility-based cross-sectional study was conducted from March 1 to 30, 2019, among 543 pregnant women who visited antenatal care in the health facilities. A systematic random sampling technique was used to select study participants. Pretested, interviewer-administered data collection was done using a standardized World Health Organization multicountry questionnaire for women’s health and domestic violence against women. Bivariable and multivariable logistic regression analyses were carried out to identify factors associated with violence. p value was set at p<0.05. Results. The overall prevalence of intimate partner violence during the current pregnancy was 37.5%: psychological (25.1%), sexual (17.7%), and physical violence (13.4%). Violence was associated with unplanned pregnancy ((AOR = 4.56, 95% CI: (2, 10.28)), unmarried women ((AOR = 2.59, 95% CI: (1.18, 5.73)), having alcoholic partner ((AOR = 3.3, 95% CI: (2.1, 5.16)), spouse’s multiple sexual partners status ((AOR = 5.1, 95% CI: (2.2, 12)), acceptance of violence by women ((AOR = 1.85, 95% CI: (1.1, 3.16)), low decision-making power of women ((AOR = 2.64, 95% CI: (1.6, 4.3)), and no interest in current pregnancy by partner ((AOR = 5.9, 95% CI: (2.36, 14.9)). Conclusions. More than one-third of pregnant women experienced intimate partner violence during a recent pregnancy. This is high and may lead to health consequences for both mothers and fetuses. Addressing gender inequitable norms, the culture of silence (support) to intimate partner violence in the community and women’s reproductive health information through intervention measures are very important to minimize the problem.


2020 ◽  
Vol 9 (3) ◽  
pp. 15-27
Author(s):  
Jhantu Bakchi ◽  
Satyajit Kundu ◽  
Subarna Ghosh ◽  
Sumaiya Akter

Introduction: Intimate Partner Violence (IPV) has unfavorable consequences for women as well as for newborn babies, which is very serious and preventable public health problem. It is believed to have an excessive occurrence in lives of women in South Asia. The objective of this study is to describe the prevalence, risk factors and consequences of IPV in Bangladesh. Methods: A scoping review was carried out based on the past 12 years of posted and gray literature about IPV in Bangladesh using Arksey and O’Malley’s framework. Only the literature addressing abuses or violence in households or outside including physical, sexual or mental violence on the married woman in Bangladesh were taken into consideration for the study. Results: The overall prevalence of IPV in Bangladesh, the latest reviews of rates ranging from 15.5-82.7%.Most of the IPV in Bangladesh was based totally on the experience of legally married women. The main risk factors of IPV in Bangladesh were women being younger, from lower socioeconomic reputation, from lower academic attainment and lower education of husband, dowry, child marriage, perceived disobedience of wives, family conflict, children had recently been ill, and incapability of to furnish sexual satisfaction. Maternal depressive symptoms, signs of stress, anxiety and constraint to the better health of young children are the main consequences of IPV in Bangladesh. Besides, IPV causes unwanted pregnancy, pregnancy loss in the form of miscarriage, induced abortion, or stillbirth and termination of pregnancy in Bangladesh. Conclusions: Woman’s empowerment may reduce IPV and understanding attitudes towards IPV in cultural context could be crucial for developing interventions to reduce IPV and its consequences.


2017 ◽  
Vol 59 (2) ◽  
pp. 31
Author(s):  
Abayomi Olusola Ayodapo ◽  
Olutoyin O Sekoni ◽  
Michael C Asuzu

Background: Intimate partner violence (IPV) is a significant public health problem. Despite being a phenomenon that occurs globally, few studies have reviewed the issue of intimate partner violence among pregnant women as it relates to disclosure of abuse. This study sets out to determine the prevalence and pattern of disclosure of intimate partner violence among pregnant women attending antenatal clinic in Oyo East Local Government of Oyo State. Methods: A descriptive cross-sectional study among pregnant women aged 18–49 years. A total of 350 pregnant women in the sole secondary health care facility and 3 out of the 18 primary health care facilities randomly selected by balloting were consecutively recruited. A pre-tested semi-structured questionnaire adapted from the WHO Multi-Country Study on Women’s Health and Domestic Violence was used to collect data. Data were analysed with SPSS® version 16. Results: Of 252 (72.0%) women who had been exposed to violence by their partner in pregnancy, 72 (28.6%) disclosed their IPV experience. The experience was disclosed to relatives, friends and religious leaders. Of the 72 that disclosed their IPV experience, 31 (43.1%) reported for the purpose of seeking redress through religious or local leaders, healthcare professionals and law enforcement agencies. Conclusion: Intimate partner violence is common among pregnant women, but a culture of silence still persists, making identification of the exposed difficult. These data may encourage healthcare providers to include screening for IPV in the curriculum of the antenatal care. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1272245


PLoS ONE ◽  
2011 ◽  
Vol 6 (3) ◽  
pp. e17591 ◽  
Author(s):  
Simukai Shamu ◽  
Naeemah Abrahams ◽  
Marleen Temmerman ◽  
Alfred Musekiwa ◽  
Christina Zarowsky

2015 ◽  
Vol 30 (1) ◽  
pp. 97-119 ◽  
Author(s):  
Lynette M. Renner ◽  
Stephen D. Whitney ◽  
Matthew Vasquez

Intimate partner violence (IPV) is a public health problem that reaches across age, sex, and ethnicity. In this study, we examined risk factors for physical IPV perpetration among young adult males and females from four ethnic groups. Data were taken from Waves 1–3 of the National Longitudinal Study of Adolescent Health (Add Health). The sample included 10,141 Wave 3 respondents (ages ranged from 18–27 years old) who reported being in a current romantic relationship. Physical IPV perpetration was reported by 14.10% of White, 23.28% of Black, 18.82% of Latino, and 18.02% of Asian males. Physical IPV perpetration was reported by 19.01% of White, 24.80% of Black, 25.97% of Latina, and 19.21% of Asian females. Following an ecological framework, proximal risk factors at intrapersonal and interpersonal levels were included in the analyses. Despite finding fairly consistent percentage of physical IPV perpetration across sample groups, the risk factors for physical IPV perpetration were rather uncommon across sex and ethnicity. Only 1 factor—psychological IPV perpetration toward a romantic partner—was consistently associated with physical IPV perpetration across all groups. Our findings have implications for tailoring prevention and intervention efforts toward risk factors of physical IPV perpetration that are uniquely associated with biological sex and ethnicity.


Author(s):  
Chitra Tomy ◽  
Minu Rose Mani ◽  
Sr. Deepa ◽  
Sr. Ann Christy ◽  
Avita Rose Johnson

Background: Intimate partner violence is a global phenomenon with 30% of women having faced physical or sexual violence by a partner in their lifetime. Rural women with poor access to health services and counselling, often suffer in silence. Intimate partner violence during pregnancy has a negative effect on maternal and foetal outcomes. The aims of the study were to estimate the prevalence of intimate partner violence among pregnant women availing antenatal care services in a rural area of South India in current pregnancy and in the past 12 months, and to study the various socio-demographic factors associated with intimate partner violence.Methods: A cross sectional study was done among antenatal women availing services at a rural maternity hospital, using a questionnaire based on NFHS-3, to document physical, emotional and sexual domains of intimate partner violence.Results: Among 150 pregnant women aged 18-29 years, the prevalence of any form of intimate partner violence was 30.7% in the past 12 months before pregnancy (physical 10.7%, sexual 2%, and emotional 26%), and 2.7%. in current pregnancy. Lower educational status of husband and wife, history of alcohol consumption, tobacco usage and unplanned pregnancy were all significantly associated with increased intimate partner violence.Conclusions: Routine antenatal care provides an opportunity to screen women for intimate partner violence, especially those with risk factors like lower level of education, unplanned pregnancy as well as alcohol and tobacco consumption by the husband, which were found to be significantly associated with intimate partner violence in our study.


2021 ◽  
Vol 04 (04) ◽  
Author(s):  
Anna E Lee ◽  
Claudia Rivera ◽  
Saskia Bunge Montes ◽  
Andrea Jimenez-Zambrano ◽  
Amy Nacht ◽  
...  

2021 ◽  
pp. 088626052199745
Author(s):  
Ko Ling Chan ◽  
C. K. M. Lo ◽  
Y. Lu ◽  
Frederick K. Ho ◽  
Wing Cheong Leung ◽  
...  

Intimate partner violence (IPV) against pregnant women is a global public health problem. Yet, the trajectory of IPV during pregnancy and its association with health are unclear. This study set out to investigate the trajectory of IPV by categorizing pregnant women according to changes of IPV exposure before, during, and after pregnancy and to examine the predictive factors of these IPV-related categories. During 2016 and 2017, we conducted a longitudinal study with a sample of 1,083 pregnant women in Hong Kong. Pregnant women reported their IPV experiences, depression, and demographics in the baseline survey (at about 24-week gestation), and their IPV experiences, mental health outcomes, social support, and perceived father’s involvement in the follow-up survey (around 4 weeks postpartum). We categorized pregnant women into four groups, including women with (a) sustaining abusive relationship (AR); (b) relationship with decreased violence over pregnancy (DVR); (c) relationship with stress-related violence (SVR); and (d) nonviolent relationship (NVR). Although we found an overall decline of IPV during pregnancy from 24.6% to 14.3%, there were still a considerable proportion of women reporting as a victim of IPV. We observed that a higher proportion of pregnant women were actually suffering from IPV during pregnancy and after childbirth continuously (22.3% of AR and SVR) than experiencing a termination of IPV due to pregnancy (11.4% of DVR). We also observed that more severe maternal depression, lower levels of father’s involvement, and poorer social support were significantly associated with the categories that reflected greater severity of IPV over the course of pregnancy. Our findings reflected that the complexity of IPV related to pregnancy should never be overlooked. Mere reporting of prevalence in an aggregate might not sufficiently explain the problem. Father’s involvement and social support are two important factors that might help reduce IPV related to pregnancy and childbirth.


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