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Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample

BACKGROUND: Data from a statewide survey in India and clinic-based studies in developed settings have previously suggested an association between maternal physical intimate partner violence (IPV) experiences and the low use of antenatal care (ANC). This study aimed to explore the association between...

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Autores principales: Rahman, Mosiur, Nakamura, Keiko, Seino, Kaoruko, Kizuki, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527149/
https://www.ncbi.nlm.nih.gov/pubmed/23102051
http://dx.doi.org/10.1186/1471-2458-12-913
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author Rahman, Mosiur
Nakamura, Keiko
Seino, Kaoruko
Kizuki, Masashi
author_facet Rahman, Mosiur
Nakamura, Keiko
Seino, Kaoruko
Kizuki, Masashi
author_sort Rahman, Mosiur
collection PubMed
description BACKGROUND: Data from a statewide survey in India and clinic-based studies in developed settings have previously suggested an association between maternal physical intimate partner violence (IPV) experiences and the low use of antenatal care (ANC). This study aimed to explore the association between maternal experiences of physical and sexual IPV and the use of reproductive health care services, using a large nationally representative data set from Bangladesh. METHODS: This paper used data from the 2007 Bangladesh Demographic Health Survey. The analyses were based on the responses of 2001currently married women living with at least one child younger than 5 years. Exposure was determined from maternal reports of physical and sexual IPV. The utilization of ANC according to amount and type of provider and utilization of delivery assistance according to provider type were used as proxy outcome variables for reproductive health care utilization. Descriptive statistics and multivariate logistic regression analysis used in the study. RESULTS: Approximately two out of four (48.2%) respondents had experienced physical IPV. Maternal experience of physical IPV was associated with low use of receiving sufficient ANC (adjusted odds ratio [AOR] 0.69; 95% confidence interval [CI] 0.49–0.96), lower likelihood of receiving ANC (AOR 0.69; 95% CI 0.53–0.89), and assisted deliveries from skilled provider (AOR 0.54; 95% CI 0.37–0.78). Women who had been sexually abused were significantly less likely to have visited a skilled ANC and delivery care provider. Furthermore, severity of physical IPV appeared to have more profound consequences on the outcome measured. CONCLUSIONS: The association between exposure to IPV and use of reproductive health care services suggests that partner violence plays a significant role in lower utilization of reproductive health services among women in Bangladesh. Our findings suggest that, in addition to a wide range of socio-demographic factors, preventing maternal physical and sexual IPV need to be considered as an important psychosocial determinates for the higher utilization of reproductive health care services in Bangladesh.
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spelling pubmed-35271492012-12-21 Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample Rahman, Mosiur Nakamura, Keiko Seino, Kaoruko Kizuki, Masashi BMC Public Health Research Article BACKGROUND: Data from a statewide survey in India and clinic-based studies in developed settings have previously suggested an association between maternal physical intimate partner violence (IPV) experiences and the low use of antenatal care (ANC). This study aimed to explore the association between maternal experiences of physical and sexual IPV and the use of reproductive health care services, using a large nationally representative data set from Bangladesh. METHODS: This paper used data from the 2007 Bangladesh Demographic Health Survey. The analyses were based on the responses of 2001currently married women living with at least one child younger than 5 years. Exposure was determined from maternal reports of physical and sexual IPV. The utilization of ANC according to amount and type of provider and utilization of delivery assistance according to provider type were used as proxy outcome variables for reproductive health care utilization. Descriptive statistics and multivariate logistic regression analysis used in the study. RESULTS: Approximately two out of four (48.2%) respondents had experienced physical IPV. Maternal experience of physical IPV was associated with low use of receiving sufficient ANC (adjusted odds ratio [AOR] 0.69; 95% confidence interval [CI] 0.49–0.96), lower likelihood of receiving ANC (AOR 0.69; 95% CI 0.53–0.89), and assisted deliveries from skilled provider (AOR 0.54; 95% CI 0.37–0.78). Women who had been sexually abused were significantly less likely to have visited a skilled ANC and delivery care provider. Furthermore, severity of physical IPV appeared to have more profound consequences on the outcome measured. CONCLUSIONS: The association between exposure to IPV and use of reproductive health care services suggests that partner violence plays a significant role in lower utilization of reproductive health services among women in Bangladesh. Our findings suggest that, in addition to a wide range of socio-demographic factors, preventing maternal physical and sexual IPV need to be considered as an important psychosocial determinates for the higher utilization of reproductive health care services in Bangladesh. BioMed Central 2012-10-29 /pmc/articles/PMC3527149/ /pubmed/23102051 http://dx.doi.org/10.1186/1471-2458-12-913 Text en Copyright ©2012 Rahman et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rahman, Mosiur
Nakamura, Keiko
Seino, Kaoruko
Kizuki, Masashi
Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample
title Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample
title_full Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample
title_fullStr Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample
title_full_unstemmed Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample
title_short Intimate partner violence and use of reproductive health services among married women: evidence from a national Bangladeshi sample
title_sort intimate partner violence and use of reproductive health services among married women: evidence from a national bangladeshi sample
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527149/
https://www.ncbi.nlm.nih.gov/pubmed/23102051
http://dx.doi.org/10.1186/1471-2458-12-913
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