Original Articles

Domestic Violence, Unwanted Pregnancy and Pregnancy Termination among Urban Women of Bangladesh

Abstract

Objective: This paper explores the relationship between domestic violence against women inflicted by husbands, unwanted pregnancy and pregnancy termination of Bangladeshi urban women.
Materials and methods:
The study used the nationally representative 2007 Bangladesh Demographic and Health Survey (BDHS) data. The BDHS covered a representative sample of 10,996 ever married women from rural and urban areas. The BDHS used a separate module to collect information from women regarding domestic violence. The survey gathered information of domestic violence from 1,013 urban women which are the basis of the study. Simple cross tabulation, bivariate and multivariate statistical analyses were performed to analyzing data.
Results:
Overall, the lifetime prevalence of domestic violence was 47.5%. Of the most recent pregnancies, 15.6% were unwanted and 16.0% of the women terminated pregnancy in their marital life. The multivariate binary logistic regression analyses yielded quantitatively important and reliable estimate of unwanted pregnancy and pregnancy termination. The regression analyses yielded significantly (p < 0.05) increased risk of unwanted pregnancy only for physical violence (OR = 2.35, 95% CI = 1.28-4.32) and for both physical and sexual violence (OR = 2.27, 95% CI = 1.02-5.28), and higher risk of pregnancy termination for only physical violence (OR = 1.41, 95% CI = 0.95-2.10) and for both physical and sexual violence (OR = 1.81, 95% CI = 1.07-3.04) than women who were never abused. Current age, higher parity and early marriage are also important determinants of unwanted pregnancy and pregnancy termination.
Conclusion:
Violence against women inflicted by husbands is commonplace in Bangladesh. Any strategy to reduce the burden of unwanted pregnancy and induced abortion should include prevention of violence against women and strengthening women's sexual and reproductive health.

Wathen CN, MacMillan HL. Interventions for violence against women: Scientific review. The Journal of the American Medical Association 2003;289:589-600.

Hammoury N, Khawaja M, Mahfoud Z, Afifi RA, Madi H. Domestic violence against women during pregnancy: The case of Palestinian refugees attending an antenatal clinic in Lebanon. Journal of Women’s Health 2009;18:337-45.

World Health Organization (WHO). World Report on Violence and Health: Summary. Geneva: World Health Organization, 2002.

Heise L, Ellsberg M, Gottemoeller M. Ending violence against women. Population Reports: Ending Violence Against Women (Series L, Number 11). Baltimore,Maryland: Population Information Program, Johns Hopkins University School of Public Health, USA, 1999.

Hindin J, Kishor S, Ansara DL. Intimate Partner Violence among Couples in 10 DHS Countries: Predictors and Health Outcomes. DHS Analytical Studies No. 18. Calverton, Maryland: Macro International Inc, USA, 2008.

Dunn LL, Oths KS. Prenatal predictors of intimate partner abuse. Journal of Obstetrics Gynecologic and Neonatal Nursing 2004;33:54-63.

Bonomi AE, Anderson ML, Rivara FP, Thompson RS. Health outcomes in women with physical and sexual intimate partner violence. Journal of Women’s Health 2007:16:987-97.

Campbell JC. Health consequences of intimate partner violence. The Lancet, 2002;359:1331-6.

Nasir K, Hyder AA. Violence against pregnant women in developing countries: Review of evidence. European Journal of Public Health 2003;13:105-7.

Pallitto CC, O’Campo P. The relationship between intimate partner violence and unintended pregnancy: Analysis of a national sample from Colombia. International Family Planning Perspectives 2004;30:165-73.

Gazmararian JA, Adams MM, Saltzman LE, Johnson CH, Bruce FC, Marks JS, et al. The relationship between pregnancy intendedness and physical violence in mothers of newborns. Obstetics and Gynecology 1995;85:1031-8.

Glander SS, Moore ML, Michielutte R. The prevalence of domestic violence among women seeking abortion. Obstetrics and Gynecology 1998;91:1002-6.

Rothenberg KH, Paskey SJ. The risk of domestic violence and women with HIV infection: implications for partner notification, public policy, and the law. American Journal of Public Health 1995;85:1569-76.

Heise L, Pitanguy H, Germain A. Violence against women: The hidden health burden. World Bank Discussion Papers No. 255. Washington DC: The World Bank, USA, 1994.

Wahed T, Bhuiya A. Battered bodies & shattered minds: Violence against women in Bangladesh. Indian

Journal of Medical Research 2007;126:341-54.

Aklimunnesa K, Khan MMH, Kabir M, Mori M. Prevalence and correlates of domestic violence by husbands against wives in Bangladesh: Evidence from a national survey. Journal of Men’s Health 2007;4:52-63.

Naved RT, Persson AK. Factors associated with spousal physical violence against women in Bangladesh. Studies in Family Planning 2005;36:280-300.

BatesLM, Schuler SR, Islam F,Islam MK.Socioeconomic factors and processes associated with domestic violence in rural Bangladesh. International Family Planning Perspectives 2004;30:190-9.

Bhuiya A, Sharmin T, Hanifi SMA. Nature of domestic violence against women in a rural area of Bangladesh: Implication for preventive Interventions. Journal of Health Population and Nutrition 2003;21:48-54

Schuler SR, Islam F. Women’s acceptance of intimate partner violence within marriage in rural Bangladesh. Studies in Family Planning 2008;39:49-58.

Asling-Monemi K, Naved RT, Persson LA. Violence against women and the risk of under-five mortality: Analysis of community-based data from rural Bangladesh. Acta P ædiatrica 2008;97:226-32.

Silverman JG, Decker MR, Kapur NA, Gupta J, Raj A.Violence against wives, sexual risk and sexually transmitted infection among Bangladeshi men. Sexually Transmitted Infection 2007;83:211-5.

Dixon-Mueller R. The sexuality connection in reproductive health. Studies in Family Planning 1993;24:269-82.

Folch-Lyon E, de la Macorra L, Schearer SB. Focus group and survey research on family planning in Mexico. Studies in Family Planning 1981;12:409-32.

National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International. Bangladesh Demographic and Health Survey 2007. Dhaka, Bangladesh and Calverton, Maryland, USA: ational Institute of Population Research and Training, Mitra and Associates, and Macro International, 2009.

World Health Organization (WHO). Violence: a public health priority. Geneva: World Health Organization, 1996. 27. Silverman JG, Gupta J, Decker MR, Kapur N, Raj A. Intimate partner violence and unwanted pregnancy, miscarriage, induced abortion, and stillbirth among a national sample of Bangladeshi women. British Journal of Gynecology 2007;114:1246-52.

Fischer RC, Stanford JB, Jameson P, DeWitt MJ.Exploring the concepts of intended, planned and wanted pregnancy. Journal of Family Practice 1999;48:117-22.

Zabin LS, Huggins GR, Emerson MR, Cullins VE. Partner effects on a woman’s intention to conceive: ‘not with this partner’. International Family Planning Perspectives 2000;32:39-45.

Kaye DK, Mirembe FM, Bantebya G, Johansson A, Esktrom AM. Domestic violence as risk factor for unwanted pregnancy and induced abortion in Mulago Hospital, Kampala, Uganda. Tropical Medicine and International Health 2006;11: 1576-84.

Wu J, Guo S, Qu C. Domestic violence against women seeking induced abortion in China. Contraception 2005;72:117-21.

Fisher WA, Singh SS, Shuper PA, Carey M, Otchet F, MacLean-Brine D, Bello DD, Gunter J. Characteristics of women undergoing repeat induced abortion. Canadian Medical Association Journal 2005;172:637-41.

Muthal-Rathore A, Tripathi R, Arora R. Domestic violence against pregnant women interviewed at a hospital in New Delhi. International Journal of Gynecological and Obstetrics 2002;76:83-5.

Martin SL, Kilgallen B, Tsui AO, Maitra K, Singh KK, Kupper LL. Sexual behaviors and reproductive health outcomes: associations with wife abuse in India. Journal of American Medical Association 1999;282:1967-72.

Hegarty KL, Gunn J, Chondros P, Small R. Association between depression and abuse by partners of women attending general practice: descriptive, cross-sectional survey. British Medical Journal 2004;328:621-24.

Golding JM. Intimate partner violence as a risk factor for mental disorders: A meta-analysis. Journal of Family Violence 1999;14:99-132.

Taft A, Watson L. Termination of pregnancy: associations with partner violence and other factors in a national cohort of young Australian women. Australian and New Zealand Journal of Public Health

;31:135-42.

Russo NF, Denious JE. Violence in the lives of women having abortions: implications for practice and public policy. Professional psychology, Research and Practice

;32:142-50.

Adhikari R, Soonthorndhada K, Prasartkul P.Correlates of unintended pregnancy among currently pregnant married women in Nepal. BMC International Health and Human Rights 2009;9:17.

Islam MM, Rashid M. Determinants of unwanted pregnancy among ever married women in Bangladesh. Journal of Family Welfare 2004;50:40-7.

Goto A, Seiji Y, Michael RR, Akira F. Factors associated with unintended pregnancy in Yamagata, Japan. Social Science and Medicine 2002;54:1065-79.

Files
IssueVol 7, No 1 (March 2013) QRcode
SectionOriginal Articles
Keywords
Bangladesh Domestic Violence Logistic Regression Pregnancy Termination Unwanted Pregnancy

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Kamal SMM. Domestic Violence, Unwanted Pregnancy and Pregnancy Termination among Urban Women of Bangladesh. J Family Reprod Health. 2013;7(1):11-22.