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High rate of partner violence during pregnancy in eastern Ethiopia: Findings from a facility-based study.
PLoS One. 2020; 15(6):e0233907.Plos

Abstract

INTRODUCTION

Intimate partner violence during pregnancy can contribute to maternal mortality and morbidity by limiting women's ability to receive maternal health services including antenatal care and skilled delivery care. In Ethiopia, evidence regarding intimate partner violence during pregnancy is limited, and no previous studies have been conducted in the Harari region. Therefore, this study aimed to investigate the prevalence and associated factors of intimate partner violence during pregnancy among women who had given birth in public hospitals in Harari regional state, eastern Ethiopia.

METHODS

A hospital-based cross-sectional study was conducted from November 2018 to April 2019 among women who had given birth in public hospitals in Harari regional state, East Ethiopia. A systematic random sampling method was employed to select 648 participants. Data were collected using an interviewer-administered standardized questionnaire based on the World Health Organization Multi-Country Study on Women's Health and Domestic Violence against Women survey. Crude and adjusted odds ratios with respective confidence intervals were computed. Variables with a p-value of ≤0.05 were considered to have a significant association with intimate partner violence during pregnancy.

RESULTS

The prevalence of intimate partner violence during the most recent pregnancy was found to be 39.81%. Furthermore, the prevalence of physical, emotional and sexual violence were found to be 25.93%, 25.62% and 3.7%, respectively. Longer duration of marriage (adjusted odds ratio = 1.68, 95% confidence interval = 1.01-2.79), most recent pregnancy being unplanned (adjusted odds ratio = 1.55, 95% confidence interval = 1.03-2.34), experiencing controlling behaviour by a partner, (adjusted odds ratio = 2.23, 95% confidence interval = 1.46-3.40) and having an attitude that justifies intimate partner violence (adjusted odds ratio = 1.60, 95% confidence interval = 1.09-2.36) were associated with experiencing intimate partner violence.

CONCLUSION

The prevalence of intimate partner violence during pregnancy was found to be high. Pregnancy monitoring programs, which can detect and intervene with regard to partner's controlling behaviors and women's perception regarding justification of intimate partner violence, especially in those women with an unplanned pregnancy, could help to reduce intimate partner violence during pregnancy. Further, changing social norms that condone violence through advocacy and awareness creation might help in preventing partner violence.

Authors+Show Affiliations

College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia. Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.Research Centre for Generational Health and Ageing, Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.

Pub Type(s)

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

Language

eng

PubMed ID

32497059

Citation

Musa, Abdulbasit, et al. "High Rate of Partner Violence During Pregnancy in Eastern Ethiopia: Findings From a Facility-based Study." PloS One, vol. 15, no. 6, 2020, pp. e0233907.
Musa A, Chojenta C, Loxton D. High rate of partner violence during pregnancy in eastern Ethiopia: Findings from a facility-based study. PLoS One. 2020;15(6):e0233907.
Musa, A., Chojenta, C., & Loxton, D. (2020). High rate of partner violence during pregnancy in eastern Ethiopia: Findings from a facility-based study. PloS One, 15(6), e0233907. https://doi.org/10.1371/journal.pone.0233907
Musa A, Chojenta C, Loxton D. High Rate of Partner Violence During Pregnancy in Eastern Ethiopia: Findings From a Facility-based Study. PLoS One. 2020;15(6):e0233907. PubMed PMID: 32497059.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High rate of partner violence during pregnancy in eastern Ethiopia: Findings from a facility-based study. AU - Musa,Abdulbasit, AU - Chojenta,Catherine, AU - Loxton,Deborah, Y1 - 2020/06/04/ PY - 2019/11/27/received PY - 2020/05/14/accepted PY - 2020/6/5/entrez PY - 2020/6/5/pubmed PY - 2020/8/22/medline SP - e0233907 EP - e0233907 JF - PloS one JO - PLoS One VL - 15 IS - 6 N2 - INTRODUCTION: Intimate partner violence during pregnancy can contribute to maternal mortality and morbidity by limiting women's ability to receive maternal health services including antenatal care and skilled delivery care. In Ethiopia, evidence regarding intimate partner violence during pregnancy is limited, and no previous studies have been conducted in the Harari region. Therefore, this study aimed to investigate the prevalence and associated factors of intimate partner violence during pregnancy among women who had given birth in public hospitals in Harari regional state, eastern Ethiopia. METHODS: A hospital-based cross-sectional study was conducted from November 2018 to April 2019 among women who had given birth in public hospitals in Harari regional state, East Ethiopia. A systematic random sampling method was employed to select 648 participants. Data were collected using an interviewer-administered standardized questionnaire based on the World Health Organization Multi-Country Study on Women's Health and Domestic Violence against Women survey. Crude and adjusted odds ratios with respective confidence intervals were computed. Variables with a p-value of ≤0.05 were considered to have a significant association with intimate partner violence during pregnancy. RESULTS: The prevalence of intimate partner violence during the most recent pregnancy was found to be 39.81%. Furthermore, the prevalence of physical, emotional and sexual violence were found to be 25.93%, 25.62% and 3.7%, respectively. Longer duration of marriage (adjusted odds ratio = 1.68, 95% confidence interval = 1.01-2.79), most recent pregnancy being unplanned (adjusted odds ratio = 1.55, 95% confidence interval = 1.03-2.34), experiencing controlling behaviour by a partner, (adjusted odds ratio = 2.23, 95% confidence interval = 1.46-3.40) and having an attitude that justifies intimate partner violence (adjusted odds ratio = 1.60, 95% confidence interval = 1.09-2.36) were associated with experiencing intimate partner violence. CONCLUSION: The prevalence of intimate partner violence during pregnancy was found to be high. Pregnancy monitoring programs, which can detect and intervene with regard to partner's controlling behaviors and women's perception regarding justification of intimate partner violence, especially in those women with an unplanned pregnancy, could help to reduce intimate partner violence during pregnancy. Further, changing social norms that condone violence through advocacy and awareness creation might help in preventing partner violence. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/32497059/High_rate_of_partner_violence_during_pregnancy_in_eastern_Ethiopia:_Findings_from_a_facility_based_study_ L2 - https://dx.plos.org/10.1371/journal.pone.0233907 DB - PRIME DP - Unbound Medicine ER -