Intimate partner violence and unintended pregnancy: prevalence and associated factors

Detalhes bibliográficos
Autor(a) principal: Azevêdo, Ana Carolina da C.
Data de Publicação: 2013
Outros Autores: Araújo, Thália Velho Barreto de, Valongueiro, Sandra, Ludermir, Ana Bernarda
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169
Resumo: This study investigated the association between unintended pregnancy and intimate partner violence before pregnancy. A cross-sectional study was carried out with 1,054 women, aged 18 to 49, in Recife, Northeastern Brazil, from July 2005 to March 2006. Non-conditional logistic regression analysis was performed with a hierarchical strategy for entering variables into the model, according to the conceptual framework defined. Unintended pregnancy was reported by 60.3% (636) women. Intimate partner violence prior to the pregnancy was associated with unintended pregnancy (ORadj = 1.57; 95%CI: 1.17-2.11), even when adjusted for the women's sociodemographic characteristics, the partner's behaviour, and the relationship dynamic. When the association was adjusted for the use of contraception and the partner's refusal to use contraception, the association was no longer significant, suggesting that the effect of partner violence on unintended pregnancy may be mediated by these variables. The findings point to the need of screening for intimate partner violence in reproductive health services.
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spelling Intimate partner violence and unintended pregnancy: prevalence and associated factorsViolence Against WomenSpouse AbuseUnplanned PregnancyReproductive HealthThis study investigated the association between unintended pregnancy and intimate partner violence before pregnancy. A cross-sectional study was carried out with 1,054 women, aged 18 to 49, in Recife, Northeastern Brazil, from July 2005 to March 2006. Non-conditional logistic regression analysis was performed with a hierarchical strategy for entering variables into the model, according to the conceptual framework defined. Unintended pregnancy was reported by 60.3% (636) women. Intimate partner violence prior to the pregnancy was associated with unintended pregnancy (ORadj = 1.57; 95%CI: 1.17-2.11), even when adjusted for the women's sociodemographic characteristics, the partner's behaviour, and the relationship dynamic. When the association was adjusted for the use of contraception and the partner's refusal to use contraception, the association was no longer significant, suggesting that the effect of partner violence on unintended pregnancy may be mediated by these variables. The findings point to the need of screening for intimate partner violence in reproductive health services.Se investigó la asociación entre el embarazo no deseado y la violencia de género antes del embarazo. Se trata de un estudio transversal con 1.054 mujeres de entre 18 y 49 años, que viven en Recife, nordeste de Brasil, entre julio de 2005 y marzo de 2006. Se utilizó el análisis de regresión logística con una estrategia jerárquica para la inserción de variables en el modelo, de acuerdo con un marco conceptual definido. El embarazo no deseado fue informado por un 60,3% (636) mujeres. La violencia de género antes del embarazo se asocia con embarazos no deseados (ORaj = 1.57; IC95%: 1.17-2.11), incluso después de ajustarla por las características demográficas y socioeconómicas de las mujeres, comportamiento de la pareja y la dinámica de la relación. Cuando la asociación fue ajustada para el uso de anticonceptivos y la negativa del compañero para usar anticonceptivos, hubo pérdida de significación estadística. Esto sugiere que el efecto de violencia de género en el embarazo no deseado puede estar influenciado por estas variables. Los hallazgos apuntan a la necesidad de la detección de violencia de género en los servicios de salud reproductiva.Este estudo investigou a associação entre gravidez não pretendida e violência por parceiro íntimo antes da gravidez atual. Estudo transversal foi realizado com 1.054 mulheres, com idade entre 18 e 49, residentes no Recife, Nordeste do Brasil, entre julho de 2005 e março de 2006. Utilizou-se análise de regressão logística com estratégia hierarquizada para a inserção de variáveis no modelo, de acordo com o quadro conceitual definido. Gravidez não pretendida foi relatada por 60,3% (636) das mulheres.Violência por parceiro íntimo antes da gravidez foi associada com gravidez não pretendida (ORajustado = 1,57; IC95%: 1,17-2,11), mesmo quando ajustada para as características demográficas e socioeconômicas das mulheres, pelo comportamento do parceiro e dinâmica da relação. Quando a associação foi ajustada pelo uso de contracepção e recusa do parceiro ao uso de contracepção, houve perda da significância estatística. Isso sugere que o efeito da violência por parceiro íntimo sobre gravidez não pretendida pode ser mediado por tais variáveis. Os achados apontam a necessidade de rastreamento da violência por parceiro íntimo nos serviços de saúde reprodutiva.Reports in Public HealthCadernos de Saúde Pública2013-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169Reports in Public Health; Vol. 29 No. 12 (2013): DecemberCadernos de Saúde Pública; v. 29 n. 12 (2013): Dezembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169/10591https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169/10592Azevêdo, Ana Carolina da C.Araújo, Thália Velho Barreto deValongueiro, SandraLudermir, Ana Bernardainfo:eu-repo/semantics/openAccess2024-03-06T15:28:34Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/5169Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:05:57.760608Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Intimate partner violence and unintended pregnancy: prevalence and associated factors
title Intimate partner violence and unintended pregnancy: prevalence and associated factors
spellingShingle Intimate partner violence and unintended pregnancy: prevalence and associated factors
Azevêdo, Ana Carolina da C.
Violence Against Women
Spouse Abuse
Unplanned Pregnancy
Reproductive Health
title_short Intimate partner violence and unintended pregnancy: prevalence and associated factors
title_full Intimate partner violence and unintended pregnancy: prevalence and associated factors
title_fullStr Intimate partner violence and unintended pregnancy: prevalence and associated factors
title_full_unstemmed Intimate partner violence and unintended pregnancy: prevalence and associated factors
title_sort Intimate partner violence and unintended pregnancy: prevalence and associated factors
author Azevêdo, Ana Carolina da C.
author_facet Azevêdo, Ana Carolina da C.
Araújo, Thália Velho Barreto de
Valongueiro, Sandra
Ludermir, Ana Bernarda
author_role author
author2 Araújo, Thália Velho Barreto de
Valongueiro, Sandra
Ludermir, Ana Bernarda
author2_role author
author
author
dc.contributor.author.fl_str_mv Azevêdo, Ana Carolina da C.
Araújo, Thália Velho Barreto de
Valongueiro, Sandra
Ludermir, Ana Bernarda
dc.subject.por.fl_str_mv Violence Against Women
Spouse Abuse
Unplanned Pregnancy
Reproductive Health
topic Violence Against Women
Spouse Abuse
Unplanned Pregnancy
Reproductive Health
description This study investigated the association between unintended pregnancy and intimate partner violence before pregnancy. A cross-sectional study was carried out with 1,054 women, aged 18 to 49, in Recife, Northeastern Brazil, from July 2005 to March 2006. Non-conditional logistic regression analysis was performed with a hierarchical strategy for entering variables into the model, according to the conceptual framework defined. Unintended pregnancy was reported by 60.3% (636) women. Intimate partner violence prior to the pregnancy was associated with unintended pregnancy (ORadj = 1.57; 95%CI: 1.17-2.11), even when adjusted for the women's sociodemographic characteristics, the partner's behaviour, and the relationship dynamic. When the association was adjusted for the use of contraception and the partner's refusal to use contraception, the association was no longer significant, suggesting that the effect of partner violence on unintended pregnancy may be mediated by these variables. The findings point to the need of screening for intimate partner violence in reproductive health services.
publishDate 2013
dc.date.none.fl_str_mv 2013-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169/10591
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/5169/10592
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 29 No. 12 (2013): December
Cadernos de Saúde Pública; v. 29 n. 12 (2013): Dezembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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