The magnitude of intimate partner violence during pregnancy and associated factors in rural Ethiopia.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2025-04-17 DOI:10.1093/inthealth/ihaf043

Zeleke Dutamo Agde, Nega Assefa, Muluemebet Abera Wordofa

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引用次数: 0

Abstract

Background: Intimate partner violence (IPV) during pregnancy is a global public health issue associated with adverse maternal and newborn health outcomes. The aim of this study was to assess the magnitude of IPV during pregnancy and associated factors in rural Ethiopia.

Methods: A cross-sectional survey was conducted among 432 pregnant women in the rural Hadiya Zone, Central Ethiopia, in July 2023, using structured interview questionnaires. Multivariable logistic regression was performed and the results were reported using adjusted ORs (AORs) with 95% CIs.

Results: The overall prevalence of IPV during recent pregnancy was 38.37% (95% CI 33.82 to 43.18%). Among the specific forms of IPV, psychological, physical and sexual violence were 28.84% (95% CI 24.62 to 33.43%), 22.09% (95% CI 18.29 to 26.31%) and 20.70% (95% CI 17.02 to 24.84%), respectively. Key factors significantly associated with IPV during pregnancy included early marriage (before the age of 20 y), being uneducated, lower autonomy among women, husbands' cigarette smoking and alcohol consumption, poor knowledge of IPV among husbands and husbands' involvement in antenatal care (ANC). IPV during pregnancy was notably high in the study setting.

Conclusions: Empowering women with low literacy, addressing male substance abuse, raising IPV awareness, promoting women's autonomy and encouraging male involvement in ANC visits are critical for reducing IPV.

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埃塞俄比亚农村怀孕期间亲密伴侣暴力的严重程度及其相关因素。

背景：怀孕期间亲密伴侣暴力（IPV）是一个与孕产妇和新生儿不良健康结果相关的全球公共卫生问题。本研究的目的是评估怀孕期间IPV的程度和相关因素在埃塞俄比亚农村。方法：于2023年7月对埃塞俄比亚中部Hadiya地区432名孕妇进行横断面调查，采用结构化访谈问卷。进行多变量logistic回归，并使用校正后的or （AORs）报告结果，ci为95%。结果：近期妊娠期IPV总患病率为38.37% （95% CI 33.82 ~ 43.18%）。在IPV的具体形式中，心理暴力、身体暴力和性暴力分别占28.84% （95% CI 24.62 ~ 33.43%）、22.09% （95% CI 18.29 ~ 26.31%）和20.70% （95% CI 17.02 ~ 24.84%）。与怀孕期间IPV显著相关的关键因素包括早婚（20岁以前）、未受教育、妇女自主权较低、丈夫吸烟和饮酒、丈夫对IPV的认识不足以及丈夫参与产前保健（ANC）。在研究环境中，怀孕期间的IPV明显很高。结论：赋予识字率低的妇女权力，解决男性药物滥用问题，提高IPV意识，促进妇女自主和鼓励男性参与非国大访问对于减少IPV至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.