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Prevalence of domestic violence and associated factors among pregnant women attending antenatal care service at University of Gondar Referral Hospital, Northwest Ethiopia.
BMC Womens Health. 2018 08 14; 18(1):138.BW

Abstract

BACKGROUND

Domestic violence during pregnancy with its many negative fetal and maternal outcomes is a common public health problem all over the world. Nonetheless, the problem is not well investigated and understood in Ethiopia. Hence, this study aimed to assess the prevalence of domestic violence and associated factors among pregnant women attending the University of Gondar Referral Hospital antenatal care (ANC) services.

METHODS

A hospital-based cross-sectional study was conducted from March-May 2016. A total of 450 pregnant women who visited the clinic were included in the study. A systematic random sampling technique was used to select study participants, and a pretested structured questionnaire was employed to collect data. The WHO multi-country study on women's health and domestic violence against women was used to assess the violence against pregnant women. Descriptive statistics such as means, frequencies and percentages were computed. A multivariable logistic regression analysis was carried out to identify factors associated with domestic violence, and variables with p-values < 0.05 were considered as statistically significant.

RESULTS

Of the total pregnant women surveyed, 58.7% were victims of at least one form of domestic violence during pregnancy, emotional violence being the most common (57.8%). The multivariable logistic regression analysis showed that house wives (adjusted odd ratio (AOR) = 3.43, 95% CI: 1.63, 7.21), women with no salary of their own (AOR = 3.37, 95% CI: 2.14, 7.95), partners' daily use of alcohol (AOR = 4.59, 95%CI: 1.82, 11.56), women who believed in women's rights to decide to be pregnant (AOR = 1.77, 95%CI: 1.18, 2.89), and women who disobeyed their partner (AOR = 2.36, 95%CI: 1.37, 4.07) were found to be positively and significantly associated with domestic violence during pregnancy.

CONCLUSION

A high proportion of pregnant women experienced domestic violence during their pregnancy. Being a housewife, poor income status, partners' use of alcohol, unwanted pregnancy, and disobeying of the women to their partner were factors associated with domestic violence during pregnancy. Evidence based female empowerment, especially the empowerment of women without income of their own, partner education and positive relations between partners are very important to minimize the problem.

Authors+Show Affiliations

Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. Dabat Research Centre Health and Demographic Surveillance System, Institute of Public Health College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Gynecology and Obstetrics, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. destaw.fetene@gmail.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30107793

Citation

Fekadu, Elfalet, et al. "Prevalence of Domestic Violence and Associated Factors Among Pregnant Women Attending Antenatal Care Service at University of Gondar Referral Hospital, Northwest Ethiopia." BMC Women's Health, vol. 18, no. 1, 2018, p. 138.
Fekadu E, Yigzaw G, Gelaye KA, et al. Prevalence of domestic violence and associated factors among pregnant women attending antenatal care service at University of Gondar Referral Hospital, Northwest Ethiopia. BMC Womens Health. 2018;18(1):138.
Fekadu, E., Yigzaw, G., Gelaye, K. A., Ayele, T. A., Minwuye, T., Geneta, T., & Teshome, D. F. (2018). Prevalence of domestic violence and associated factors among pregnant women attending antenatal care service at University of Gondar Referral Hospital, Northwest Ethiopia. BMC Women's Health, 18(1), 138. https://doi.org/10.1186/s12905-018-0632-y
Fekadu E, et al. Prevalence of Domestic Violence and Associated Factors Among Pregnant Women Attending Antenatal Care Service at University of Gondar Referral Hospital, Northwest Ethiopia. BMC Womens Health. 2018 08 14;18(1):138. PubMed PMID: 30107793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of domestic violence and associated factors among pregnant women attending antenatal care service at University of Gondar Referral Hospital, Northwest Ethiopia. AU - Fekadu,Elfalet, AU - Yigzaw,Getachew, AU - Gelaye,Kassahun Alemu, AU - Ayele,Tadesse Awoke, AU - Minwuye,Tameru, AU - Geneta,Tinsae, AU - Teshome,Destaw Fetene, Y1 - 2018/08/14/ PY - 2018/02/13/received PY - 2018/08/03/accepted PY - 2018/8/16/entrez PY - 2018/8/16/pubmed PY - 2019/3/7/medline KW - Domestic violence KW - Emotional violence KW - Physical violence KW - Sexual violence SP - 138 EP - 138 JF - BMC women's health JO - BMC Womens Health VL - 18 IS - 1 N2 - BACKGROUND: Domestic violence during pregnancy with its many negative fetal and maternal outcomes is a common public health problem all over the world. Nonetheless, the problem is not well investigated and understood in Ethiopia. Hence, this study aimed to assess the prevalence of domestic violence and associated factors among pregnant women attending the University of Gondar Referral Hospital antenatal care (ANC) services. METHODS: A hospital-based cross-sectional study was conducted from March-May 2016. A total of 450 pregnant women who visited the clinic were included in the study. A systematic random sampling technique was used to select study participants, and a pretested structured questionnaire was employed to collect data. The WHO multi-country study on women's health and domestic violence against women was used to assess the violence against pregnant women. Descriptive statistics such as means, frequencies and percentages were computed. A multivariable logistic regression analysis was carried out to identify factors associated with domestic violence, and variables with p-values < 0.05 were considered as statistically significant. RESULTS: Of the total pregnant women surveyed, 58.7% were victims of at least one form of domestic violence during pregnancy, emotional violence being the most common (57.8%). The multivariable logistic regression analysis showed that house wives (adjusted odd ratio (AOR) = 3.43, 95% CI: 1.63, 7.21), women with no salary of their own (AOR = 3.37, 95% CI: 2.14, 7.95), partners' daily use of alcohol (AOR = 4.59, 95%CI: 1.82, 11.56), women who believed in women's rights to decide to be pregnant (AOR = 1.77, 95%CI: 1.18, 2.89), and women who disobeyed their partner (AOR = 2.36, 95%CI: 1.37, 4.07) were found to be positively and significantly associated with domestic violence during pregnancy. CONCLUSION: A high proportion of pregnant women experienced domestic violence during their pregnancy. Being a housewife, poor income status, partners' use of alcohol, unwanted pregnancy, and disobeying of the women to their partner were factors associated with domestic violence during pregnancy. Evidence based female empowerment, especially the empowerment of women without income of their own, partner education and positive relations between partners are very important to minimize the problem. SN - 1472-6874 UR - https://www.unboundmedicine.com/medline/citation/30107793/Prevalence_of_domestic_violence_and_associated_factors_among_pregnant_women_attending_antenatal_care_service_at_University_of_Gondar_Referral_Hospital_Northwest_Ethiopia_ L2 - https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-018-0632-y DB - PRIME DP - Unbound Medicine ER -