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Social support and intimate partner violence during pregnancy among women attending antenatal care in Moshi Municipality, Northern Tanzania.
BMC Public Health. 2017 03 09; 17(1):240.BP

Abstract

BACKGROUND

Intimate Partner Violence (IPV) is a significant public health problem with negative health consequences for women and their pregnancies. While social support has a protective effect against IPV and reduces health consequences of violence, its association with experiencing IPV during pregnancy remain less explored. In our study we aimed to determine the effect of social support on IPV during pregnancy among women attending antenatal care in Moshi, Tanzania METHODS: The study was part of a prospective cohort study that assessed the impact of violence on reproductive health of 1,116 participants. Pregnant women were enrolled below 24 weeks of gestation and followed until delivery. The experiences of social support and IPV during pregnancy were assessed at the 34th week of gestation. Logistic regression analysis was performed to assess the relationship between social support and IPV, with adjustment for potential confounders.

RESULTS

The prevalence of IPV during pregnancy was 30.3% where the majority (29.0%) experienced repeated episodes of abuse. Regarding practical social support, having no one to help financially was associated with increased odds of IPV and repeated episodes of abuse during pregnancy, AOR 3.57, (95% CI 1.85 - 6.90) and AOR 3.21, (95% CI 1.69 - 6.11) respectively. For social support in terms of communication, talking to a member of the family of origin at least monthly was associated with decreased odds of IPV and repeated episodes of IPV during pregnancy, AOR 0.46 (95% CI 0.26 - 0.82) and AOR 0.41 (95% CI 0.23 - 0.73) respectively. Perceiving that family of origin will not offer support was associated with a increased odds of IPV and repeated episodes of IPV, AOR 2.29, (95% CI 1.31 - 3.99) and AOR 2.14, (95% CI 1.23 - 3.74) respectively.

CONCLUSIONS

Nearly one third of women experienced IPV during pregnancy. Social support to women is associated with decreased odds of experiencing IPV during pregnancy. The family of origin plays an important role in providing social support to women who experience abuse during pregnancy; however, their true involvement in mitigating the impact of violence in the African setting needs further research.

Authors+Show Affiliations

Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania. gnimrody@yahoo.com. Department of Health, Evangelical Lutheran Church in Tanzania, Arusha, Tanzania. gnimrody@yahoo.com.Department of Obstetrics and Gynecology, University of Southern Denmark, Odense, Denmark.Department of Anthropology, University of Copenhagen, Copenhagen, Denmark.Department of Public Health, University of Copenhagen, Copenhagen, Denmark.Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania. Department of Community Health, Kilimanjaro Christian Medical Center, Moshi, Tanzania.Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28274220

Citation

Sigalla, Geofrey Nimrod, et al. "Social Support and Intimate Partner Violence During Pregnancy Among Women Attending Antenatal Care in Moshi Municipality, Northern Tanzania." BMC Public Health, vol. 17, no. 1, 2017, p. 240.
Sigalla GN, Rasch V, Gammeltoft T, et al. Social support and intimate partner violence during pregnancy among women attending antenatal care in Moshi Municipality, Northern Tanzania. BMC Public Health. 2017;17(1):240.
Sigalla, G. N., Rasch, V., Gammeltoft, T., Meyrowitsch, D. W., Rogathi, J., Manongi, R., & Mushi, D. (2017). Social support and intimate partner violence during pregnancy among women attending antenatal care in Moshi Municipality, Northern Tanzania. BMC Public Health, 17(1), 240. https://doi.org/10.1186/s12889-017-4157-3
Sigalla GN, et al. Social Support and Intimate Partner Violence During Pregnancy Among Women Attending Antenatal Care in Moshi Municipality, Northern Tanzania. BMC Public Health. 2017 03 9;17(1):240. PubMed PMID: 28274220.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social support and intimate partner violence during pregnancy among women attending antenatal care in Moshi Municipality, Northern Tanzania. AU - Sigalla,Geofrey Nimrod, AU - Rasch,Vibeke, AU - Gammeltoft,Tine, AU - Meyrowitsch,Dan Wolf, AU - Rogathi,Jane, AU - Manongi,Rachel, AU - Mushi,Declare, Y1 - 2017/03/09/ PY - 2016/07/09/received PY - 2017/03/02/accepted PY - 2017/3/10/entrez PY - 2017/3/10/pubmed PY - 2017/9/13/medline KW - Intimate partner violence KW - Pregnancy KW - Social support KW - Tanzania SP - 240 EP - 240 JF - BMC public health JO - BMC Public Health VL - 17 IS - 1 N2 - BACKGROUND: Intimate Partner Violence (IPV) is a significant public health problem with negative health consequences for women and their pregnancies. While social support has a protective effect against IPV and reduces health consequences of violence, its association with experiencing IPV during pregnancy remain less explored. In our study we aimed to determine the effect of social support on IPV during pregnancy among women attending antenatal care in Moshi, Tanzania METHODS: The study was part of a prospective cohort study that assessed the impact of violence on reproductive health of 1,116 participants. Pregnant women were enrolled below 24 weeks of gestation and followed until delivery. The experiences of social support and IPV during pregnancy were assessed at the 34th week of gestation. Logistic regression analysis was performed to assess the relationship between social support and IPV, with adjustment for potential confounders. RESULTS: The prevalence of IPV during pregnancy was 30.3% where the majority (29.0%) experienced repeated episodes of abuse. Regarding practical social support, having no one to help financially was associated with increased odds of IPV and repeated episodes of abuse during pregnancy, AOR 3.57, (95% CI 1.85 - 6.90) and AOR 3.21, (95% CI 1.69 - 6.11) respectively. For social support in terms of communication, talking to a member of the family of origin at least monthly was associated with decreased odds of IPV and repeated episodes of IPV during pregnancy, AOR 0.46 (95% CI 0.26 - 0.82) and AOR 0.41 (95% CI 0.23 - 0.73) respectively. Perceiving that family of origin will not offer support was associated with a increased odds of IPV and repeated episodes of IPV, AOR 2.29, (95% CI 1.31 - 3.99) and AOR 2.14, (95% CI 1.23 - 3.74) respectively. CONCLUSIONS: Nearly one third of women experienced IPV during pregnancy. Social support to women is associated with decreased odds of experiencing IPV during pregnancy. The family of origin plays an important role in providing social support to women who experience abuse during pregnancy; however, their true involvement in mitigating the impact of violence in the African setting needs further research. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/28274220/Social_support_and_intimate_partner_violence_during_pregnancy_among_women_attending_antenatal_care_in_Moshi_Municipality_Northern_Tanzania_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4157-3 DB - PRIME DP - Unbound Medicine ER -