The Relationship Between Childhood Abuse and Unintended Pregnancy Among Married Women of Reproductive Age in Bangladesh.

IF 1.4 4区 心理学 Q3 FAMILY STUDIES
Journal of Child Sexual Abuse Pub Date : 2024-02-01 Epub Date: 2024-02-07 DOI:10.1080/10538712.2024.2314283
Md Jahirul Islam
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Abstract

Childhood abuse has been associated with adverse medical, psychological, behavioral, and socioeconomic outcomes in adulthood. Despite this, limited research explores the connection between childhood abuse and unintended pregnancy during adulthood. Notably, existing studies have predominantly focused on high-income countries, leaving a significant gap regarding low- and middle-income nations. This study aims to investigate the impact of childhood physical, sexual, and psychological abuse on the prevalence of unintended pregnancies and explore the interaction effects of childhood abuse on unintended pregnancy occurrences. The cross-sectional survey study was conducted between October 2015 and January 2016 in the Chandpur District of Bangladesh. Data were collected from 426 married women aged 15-49 years who had at least one child of six months or younger. The assessment of child abuse pertains to the mother's own experiences of childhood abuse and not abuse inflicted on her child. The prevalence of childhood physical, psychological, and sexual abuse was 37%, 26%, and 15%, respectively. About 25.1% of their most recent pregnancies were unintended. Notably, women with a history of childhood sexual abuse were twice as likely to experience unintended pregnancy compared to those without such a history. Furthermore, a dose-response connection was observed between the combined exposure of all categories of childhood abuse and a higher risk of unintended pregnancy. These findings highlight the need for targeted interventions, such as comprehensive sex education, accessible mental health support, and improved child protection frameworks, to address the potential repercussions of maternal childhood abuse and reduce the incidence of unintended pregnancies.

孟加拉国已婚育龄妇女童年遭受虐待与意外怀孕之间的关系》(The Relationship Between Childhood Abuse and Unintended Pregnancy Among Married Women of Reproductive Age in Bangladesh)。
童年受虐与成年后的不良医疗、心理、行为和社会经济后果有关。尽管如此,探讨童年受虐与成年后意外怀孕之间关系的研究仍然有限。值得注意的是,现有的研究主要集中在高收入国家,在中低收入国家方面还存在很大差距。本研究旨在调查童年时期的身体虐待、性虐待和心理虐待对意外怀孕发生率的影响,并探讨童年时期的虐待对意外怀孕发生率的交互影响。这项横断面调查研究于 2015 年 10 月至 2016 年 1 月期间在孟加拉国昌德普尔区进行。数据收集对象为年龄在 15-49 岁之间、至少有一个六个月或更小的孩子的 426 名已婚妇女。对虐待儿童的评估涉及母亲自身的童年受虐经历,而非其子女遭受的虐待。童年遭受身体虐待、心理虐待和性虐待的比例分别为 37%、26% 和 15%。在她们最近的怀孕中,约有 25.1%是意外怀孕。值得注意的是,与没有性虐待史的妇女相比,有童年性虐待史的妇女意外怀孕的可能性要高出一倍。此外,在综合各类童年受虐经历与更高的意外怀孕风险之间,还发现了剂量-反应关系。这些研究结果突出表明,有必要采取有针对性的干预措施,如全面的性教育、便捷的心理健康支持和改进的儿童保护框架,以解决孕产妇童年受虐待的潜在影响,降低意外怀孕的发生率。
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来源期刊
CiteScore
3.20
自引率
10.50%
发文量
38
期刊介绍: The Journal of Child Sexual Abuse is interdisciplinary and provides an essential interface for researchers, academicians, attorneys, clinicians, and practitioners. The journal advocates for increased networking in the sexual abuse field, greater dissemination of information and research, a higher priority for this international epidemic, and development of effective assessment, intervention, and prevention programs. Divided into sections to provide clear information, the journal covers research issues, clinical issues, legal issues, prevention programs, case studies, and brief reports, focusing on three subject groups - child and adolescent victims of sexual abuse or incest, adult survivors of childhood sexual abuse or incest, and sexual abuse or incest offenders.
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