scholarly journals Sexual and physical intimate partner violence among women using antenatal care in Nampula, Mozambique

Author(s):  
Eusébio Chaquisse ◽  
Sílvia Fraga ◽  
Paula Meireles ◽  
Glória Macassa ◽  
Joaquim Soares ◽  
...  

The aim was to estimate the prevalence of sexual and physical intimate partner violence (IPV) and its associated factors, in a sample of pregnant women using antenatal care (ANC) in Nampula province - Mozambique. This cross-sectional study was carried out in six health units in Nampula, from February 2013 to January 2014. Overall, 869 participants answered the Conflict Tactics Scale 2. The lifetime and past year prevalence of sexual abuse was 49% and 46%, and of physical abuse was 46% and 44%, respectively. Lifetime and past year sexual abuse was significantly associated with living as a couple, alcohol drinking and having a past diagnosis of gonorrhea. Lifetime and past year physical abuse increased significantly with age and was associated with living as a couple, alcohol drinking and history with syphilis. The prevalence of lifetime and previous year violence among women using ANC was high and similar showing that most women were constantly exposed to IPV. ANC provides a window of opportunity for identifying and acting on violence against women.

2020 ◽  
Vol 14 (4) ◽  
pp. 1-11
Author(s):  
Anna Grace Auma ◽  
Elizabeth Ayebare ◽  
Connie Olwit ◽  
Grace Ndeezi ◽  
Victoria Nankabirwa ◽  
...  

Background/aims Intimate partner violence during pregnancy is associated with adverse health outcomes for mothers and their unborn babies. Whereas the literature on intimate partner violence in the general population is extensive, little is known about this type of violence among pregnant teenagers, especially in resource-limited settings. This study aimed to determine the prevalence and factors associated with intimate partner violence among pregnant teenagers attending antenatal care clinics in Lira District, northern Uganda. Methods This was a cross-sectional study of 310 pregnant teenagers attending antenatal care clinics at the Lira Regional Referral Hospital and Ogur Health Center IV. Eligible teenagers were recruited consecutively until the required sample size was accrued. Data were collected using a structured questionnaire. Intimate partner violence was determined using the Revised Conflict Tactile Scale 2. Logistic regression analysis was performed to identify factors associated with violence during pregnancy, while considering potential confounding factors. Results The overall prevalence of intimate partner violence among pregnant teenagers was 40.6%. The prevalence of psychological violence was 37.1%, sexual assault was 29%, and physical violence was 24.8%. Partner alcohol intake (odds ratio=5.00, P=0.000); polygamy (odds ratio=2.80, P=0.001) and the inability of the teenage mother to make major decisions in the home (odds ratio=2.42, P=0.006) were independently associated with intimate partner violence during pregnancy. Conclusions Approximately 4 in 10 pregnant teenagers in Lira district, northern Uganda experienced intimate partner violence. This is higher than has been reported in the general population of pregnant women in Uganda. Intimate partner violence screening and counselling should be part of the routine antenatal care package.


2019 ◽  
Author(s):  
Anna Grace Auma ◽  
Elizabeth Ayebare ◽  
Connie Olwit ◽  
Grace Ndeezi ◽  
Victoria Nankabirwa ◽  
...  

Abstract Background: Intimate partner violence (IPV) during pregnancy is associated with adverse health outcomes for the mother and her unborn baby. Whereas the literature on IPV in the general population is extensive, little is known about IPV among pregnant teenagers especially in resource limited settings. This study determined the prevalence and factors associated with IPV among pregnant teenagers attending antenatal care clinics (ANC) in Lira District, Northern Uganda. Methods: This was a cross-sectional study of 310 pregnant teenagers attending ANC at Lira regional referral hospital and Ogur health center IV. Eligible teenagers were recruited consecutively until the required sample size was accrued. Data was collected using a structured questionnaire. IPV was determined using the Revised Conflict Tactile Scale (CTS2) screening tool. Logistic regression analysis was performed to identify factors associated with IPV during pregnancy while considering potential confounding factors. Results: The overall prevalence of IPV among pregnant teenagers was 40.6% [95% CI: 35.13-46.34]. The prevalence of psychological violence was 37.1%, [95% CI: 31.70-42.74]; sexual assault 29%, [95% CI: 24.04-34.43] and physical violence was 24.8%, [95% CI: 20.13-30.04]. Partner alcohol intake (OR=5.00, 95%CI: 2.87-8.71, P =0.000); polygamy (OR=2.80, 95%CI: 1.49-5.23, p=0.001); and inability to make major decision in the home by the teenage mother (OR=2.42, 95%CI: 1.29-4.54: P=0.006); were independently associated with IPV during pregnancy. Conclusion: About 4 in 10 of pregnant teenagers in Lira district, Northern Uganda experience IPV. This is higher than what has been reported in the general population of pregnant women in Uganda. Teenagers were more likely to experience IPV if they were in a polygamous relationship, were unable to make major decisions in the home and had an alcoholic partner. IPV screening and counselling should be part of the routine antenatal care package. Key words; Intimate partner violence, teenage pregnancy, factors associated.


2020 ◽  
Author(s):  
Caleb L Ward ◽  
Siobán D Harlow

Abstract Background Thirty percent of all women experience intimate partner violence (IPV) in their lifetime. The aim of this study was to examine the association between the World Health Organization’s (WHO) novel R.E.S.P.E.C.T framework for intervention and IPV prevalence among women in Kenya. Methods We used the 2014 Kenya Demographic and Health Survey (KDHS). Only women selected for the domestic violence module and who were married/living with their partner were eligible for this study (n=3,737). We created a summary score for each strategy denoted by R.E.S.P.T based on availability of questions addressing these strategies in the KDHS, and a total score that summed responses across all strategies. Each letter was assessed with Cronbach’s Alpha. Multiple logistic regression models were used to investigate the relationship between R.E.S.P.T scores and IPV.Results All strategies except for E lowered the odds of IPV. Decision-making (R) was negatively associated with experiencing IPV (OR = 0.62 [0.53-0.72]). Land and property ownership (E) were positively associated with experiencing IPV (OR = 1.25 [1.08-1.43]). Access to health care (S) was negatively associated with experiencing IPV (OR = 0.55 [0.48-0.63]). Higher levels of wealth (P) were negatively associated with experiencing IPV (OR = 0.47 [0.37-0.62]). Not justifying wife-beating in any scenario (T) was negatively associated with experiencing IPV (OR = 0.39 [0.29-0.53]). After adjusting for demographics, a 1-unit increase in total R.E.S.P.T score was negatively associated with experiencing IPV (AOR= 0.63 [0.57-0.70]) with a similar finding for IPV in the past 12 months (AOR = 0.59 [0.53-0.66]). Younger age, higher education, and Muslim religion were associated with decreased odds of experiencing IPV while living in a rural location and working were associated with increased odds of experiencing IPV.Conclusions Our study provides initial evidence that by implementing the multi-strategy R.E.S.P.E.C.T framework, countries can dramatically lower the odds of women experiencing IPV. The DHS can be used as a tool to monitor implementation and efficacy of this novel strategy.


2019 ◽  
Author(s):  
Jane S. Sillman

Intimate-partner violence describes relationships characterized by intentional controlling or violent behavior by someone who is in an intimate relationship with the victim. The abuser’s controlling behavior may take many forms, including psychological abuse, physical abuse, sexual abuse, economic control, and social isolation. Abuse may ultimately lead to the death of the victim from homicide or suicide. Typically, an abusive relationship goes through cycles of violence. There are periods of calm, followed by increasing tension in the abuser, outbursts of violence, and return to periods of calm. These cycles often spiral toward increasing violence over time. The victims of intimate-partner violence are usually women, but intimate-partner violence is also a significant problem for gay couples and for the disabled and elderly of both sexes. This review discusses the epidemiology, diagnosis, treatment, outcomes, and prevention of intimate-partner violence. Risk factors for experiencing violence, risk factors for perpetrating violence, and consequences of abuse are also analyzed. This review contains 5 figures, 14 tables, and 30 references. Keywords: Domestic abuse, intimate-partner violence, elder abuse, child abuse, batterer, sexual abuse, physical abuse


2009 ◽  
Vol 24 (3) ◽  
pp. 380-398 ◽  
Author(s):  
Alfredo Gomez-Beloz ◽  
Michelle A. Williams ◽  
Sixto E. Sanchez ◽  
Nelly Lam

A cross-sectional study of 2,317 women who delivered at Instituto Nacional Materno Perinatal, Lima, Peru, was carried out to evaluate risk of depression in relation to maternal experience with intimate partner violence (IPV) before and during pregnancy. Depression severity was assessed using the Patient Health Questionnaire Depression Subset (PHQ-9). The prevalence of IPV during lifetime and pregnancy was 44% and 21%, respectively. Adjusted odds ratios and 95% confidence intervals for each level of depression severity associated with history of IPV during pregnancy were: mild 1.4 (1.9–2.3); moderate 2.9 (1.8–4.5); moderately severe 5.5 (3.4–9.2); and severe 9.9 (5.1–19.9). A positive gradient was observed for severity of depression and IPV during pregnancy (trend p < 0.001). Postpartum women who experienced IPV during pregnancy had higher levels of depression severity than did nonabused women.


2019 ◽  
Vol 13 (2) ◽  
pp. 1-5 ◽  
Author(s):  
Joshua Epuitai ◽  
Samson Udho ◽  
Anna Grace Auma ◽  
Rose Chalo Nabirye

Background: Intimate partner violence may be more prevalent during pregnancy as women are more vulnerable. Aims: To determine the prevalence of intimate partner violence and associated factors among pregnant women at Soroti Regional Referral Hospital, Uganda. Methods: A cross-sectional study was conducted among 180 pregnant women. Data were collected using a pre-tested, semi-structured questionnaire. Intimate partner violence was measured using the revised Conflict Tactile Scale 2. Findings: The overall prevalence of intimate partner violence during pregnancy was 27.8%. Household average monthly income, experiences of intimate partner violence before pregnancy and marital conflicts were independently associated with intimate partner violence during pregnancy. Conclusions: Screening should be done during antenatal care among women with low household income, marital conflicts, and history of intimate partner violence before pregnancy to identify and manage cases of intimate partner violence. More research is needed to identify interventions for reduction of intimate partner violence during pregnancy.


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