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Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power

BACKGROUND: In developing countries, intimate partner violence is increasing alarmingly, though attention to this issue is rarely given. It has devastating effects on the general wellbeing of women, pregnancy outcomes, and the long-term health of children, and this needs to be addressed. Hence, this...

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Autores principales: Kebede, Azmeraw Ambachew, Aklil, Mastewal Belayneh, Gessesse, Dereje Nibret, Tsega, Nuhamin Tesfa, Temesgan, Wubedle Zelalem, Abegaz, Marta Yimam, Anteneh, Tazeb Alemu, Tibebu, Nebiyu Solomon, Alemu, Haymanot Nigatu, Haile, Tsion Tadesse, Seyoum, Asmra Tesfahun, Tiguh, Agumas Eskezia, Yismaw, Ayenew Engida, Nenko, Goshu, Wondie, Kindu Yinges, Taye, Birhan Tsegaw, Mihret, Muhabaw Shumye
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280332/
https://www.ncbi.nlm.nih.gov/pubmed/35844863
http://dx.doi.org/10.3389/fpubh.2022.904792
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author Kebede, Azmeraw Ambachew
Aklil, Mastewal Belayneh
Gessesse, Dereje Nibret
Tsega, Nuhamin Tesfa
Temesgan, Wubedle Zelalem
Abegaz, Marta Yimam
Anteneh, Tazeb Alemu
Tibebu, Nebiyu Solomon
Alemu, Haymanot Nigatu
Haile, Tsion Tadesse
Seyoum, Asmra Tesfahun
Tiguh, Agumas Eskezia
Yismaw, Ayenew Engida
Nenko, Goshu
Wondie, Kindu Yinges
Taye, Birhan Tsegaw
Mihret, Muhabaw Shumye
author_facet Kebede, Azmeraw Ambachew
Aklil, Mastewal Belayneh
Gessesse, Dereje Nibret
Tsega, Nuhamin Tesfa
Temesgan, Wubedle Zelalem
Abegaz, Marta Yimam
Anteneh, Tazeb Alemu
Tibebu, Nebiyu Solomon
Alemu, Haymanot Nigatu
Haile, Tsion Tadesse
Seyoum, Asmra Tesfahun
Tiguh, Agumas Eskezia
Yismaw, Ayenew Engida
Nenko, Goshu
Wondie, Kindu Yinges
Taye, Birhan Tsegaw
Mihret, Muhabaw Shumye
author_sort Kebede, Azmeraw Ambachew
collection PubMed
description BACKGROUND: In developing countries, intimate partner violence is increasing alarmingly, though attention to this issue is rarely given. It has devastating effects on the general wellbeing of women, pregnancy outcomes, and the long-term health of children, and this needs to be addressed. Hence, this study was designed to assess intimate partner violence and associated factors in northwest Ethiopia. METHODS: A community-based cross-sectional study was conducted from July 1(st) to August 30(th), 2021, among 858 postpartum women in Gondar city. A cluster sampling technique was employed to select the study participants. EPI DATA version 4.6 and SPSS 25 were used for data entry, cleaning and analysis, respectively. A bivariable and multivariable logistic regression model was fitted to identify factors associated with intimate partner violence. The level of significant association was declared using the adjusted odds ratio (AOR) with 95 % confidence interval (CI) and a p-value of ≤ 0.05. RESULTS: In this study, 48.6% of women indicated having experienced intimate partner violence during pregnancy (95% CI: 45.3, 51.7). The odds of intimate partner violence during pregnancy were significantly higher among women who were not able to read and write (AOR = 4.96; 95% CI: 2.15, 11.41), were private workers (AOR = 1.78; 95% CI: 1.05, 3.02), and had low decision-making power (AOR = 1.43; 95% CI: 1.06, 1.95), a poor social support (AOR = 1.99; 95% CI: 1.32, 3.02), and unsupported pregnancy by family (AOR = 2.32; 95% CI: 1.26, 4.24). Whereas a family size of ≥ 5 (AOR = 0.73; 95% CI: 0.54, 0.98) appeared to be a protective factor for intimate partner violence. CONCLUSION: The magnitude of intimate partner violence was unacceptably high in the study area and connected to poor women's empowerment and social determinants of health. Thus, it is important to focus on interventions that improve women's access to social support and allow them to participate in all aspects of household decision-making through community-based structures and networks. It is also important to encourage women to improve their educational status and arrange risk-free employment opportunities.
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spelling pubmed-92803322022-07-15 Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power Kebede, Azmeraw Ambachew Aklil, Mastewal Belayneh Gessesse, Dereje Nibret Tsega, Nuhamin Tesfa Temesgan, Wubedle Zelalem Abegaz, Marta Yimam Anteneh, Tazeb Alemu Tibebu, Nebiyu Solomon Alemu, Haymanot Nigatu Haile, Tsion Tadesse Seyoum, Asmra Tesfahun Tiguh, Agumas Eskezia Yismaw, Ayenew Engida Nenko, Goshu Wondie, Kindu Yinges Taye, Birhan Tsegaw Mihret, Muhabaw Shumye Front Public Health Public Health BACKGROUND: In developing countries, intimate partner violence is increasing alarmingly, though attention to this issue is rarely given. It has devastating effects on the general wellbeing of women, pregnancy outcomes, and the long-term health of children, and this needs to be addressed. Hence, this study was designed to assess intimate partner violence and associated factors in northwest Ethiopia. METHODS: A community-based cross-sectional study was conducted from July 1(st) to August 30(th), 2021, among 858 postpartum women in Gondar city. A cluster sampling technique was employed to select the study participants. EPI DATA version 4.6 and SPSS 25 were used for data entry, cleaning and analysis, respectively. A bivariable and multivariable logistic regression model was fitted to identify factors associated with intimate partner violence. The level of significant association was declared using the adjusted odds ratio (AOR) with 95 % confidence interval (CI) and a p-value of ≤ 0.05. RESULTS: In this study, 48.6% of women indicated having experienced intimate partner violence during pregnancy (95% CI: 45.3, 51.7). The odds of intimate partner violence during pregnancy were significantly higher among women who were not able to read and write (AOR = 4.96; 95% CI: 2.15, 11.41), were private workers (AOR = 1.78; 95% CI: 1.05, 3.02), and had low decision-making power (AOR = 1.43; 95% CI: 1.06, 1.95), a poor social support (AOR = 1.99; 95% CI: 1.32, 3.02), and unsupported pregnancy by family (AOR = 2.32; 95% CI: 1.26, 4.24). Whereas a family size of ≥ 5 (AOR = 0.73; 95% CI: 0.54, 0.98) appeared to be a protective factor for intimate partner violence. CONCLUSION: The magnitude of intimate partner violence was unacceptably high in the study area and connected to poor women's empowerment and social determinants of health. Thus, it is important to focus on interventions that improve women's access to social support and allow them to participate in all aspects of household decision-making through community-based structures and networks. It is also important to encourage women to improve their educational status and arrange risk-free employment opportunities. Frontiers Media S.A. 2022-06-30 /pmc/articles/PMC9280332/ /pubmed/35844863 http://dx.doi.org/10.3389/fpubh.2022.904792 Text en Copyright © 2022 Kebede, Aklil, Gessesse, Tsega, Temesgan, Abegaz, Anteneh, Tibebu, Alemu, Haile, Seyoum, Tiguh, Yismaw, Nenko, Wondie, Taye and Mihret. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Kebede, Azmeraw Ambachew
Aklil, Mastewal Belayneh
Gessesse, Dereje Nibret
Tsega, Nuhamin Tesfa
Temesgan, Wubedle Zelalem
Abegaz, Marta Yimam
Anteneh, Tazeb Alemu
Tibebu, Nebiyu Solomon
Alemu, Haymanot Nigatu
Haile, Tsion Tadesse
Seyoum, Asmra Tesfahun
Tiguh, Agumas Eskezia
Yismaw, Ayenew Engida
Nenko, Goshu
Wondie, Kindu Yinges
Taye, Birhan Tsegaw
Mihret, Muhabaw Shumye
Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power
title Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power
title_full Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power
title_fullStr Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power
title_full_unstemmed Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power
title_short Nearly Half of Women Have Experienced Intimate Partner Violence During Pregnancy in Northwest Ethiopia, 2021; The Role of Social Support and Decision-Making Power
title_sort nearly half of women have experienced intimate partner violence during pregnancy in northwest ethiopia, 2021; the role of social support and decision-making power
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9280332/
https://www.ncbi.nlm.nih.gov/pubmed/35844863
http://dx.doi.org/10.3389/fpubh.2022.904792
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