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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthComputational Population & Health SciencesMethodology

Intimate partner violence and constraints to reproductive autonomy and reproductive health among women seeking abortion services in Bangladesh

TitleIntimate partner violence and constraints to reproductive autonomy and reproductive health among women seeking abortion services in Bangladesh
Publication TypeJournal Article
Year of Publication2017
AuthorsPearson, E, Andersen, KL, Biswas, K, Chowdhury, R, Sherman, SG, Decker, MR
JournalInt J Gynaecol Obstet
Volume136
Pagination290-297
Date PublishedMar
ISBN Number0020-7292
Accession Number28099690
KeywordsAbortion, Abortion, Induced/*statistics & numerical data, Abortion, Spontaneous/*epidemiology, Adolescent, Adult, Bangladesh, Contraception/*methods, Cross-Sectional Studies, Female, Humans, Intimate partner violence, Middle Aged, Pregnancy, Prospective Studies, Reproductive Health/*standards, Risk Factors, Spouse Abuse/*statistics & numerical data, Young Adult
Abstract

OBJECTIVE: To understand intersections between intimate partner violence (IPV) and other constraints to women's reproductive autonomy, and the influence of IPV on reproductive health. METHODS: A secondary analysis examined cross-sectional data from a facility-based sample of women seeking abortion care (for spontaneous or induced abortion) between March 1 and October 31, 2013. Women aged 18-49 years, who received abortion services and selected a short-acting contraceptive method or no contraception completed an interviewer-administered survey after treatment. Adjusted prevalence ratios (aPRs) were calculated for associations between IPV experience and potential constraints to reproductive autonomy and health outcomes. RESULTS: There were 457 participants included in the present analysis and 118 (25.8%) had experienced IPV in the preceding year. IPV was associated with discordance in fertility intentions with husbands/partners and in-laws, with in-law opposition to contraception, with perceived religious prohibition of contraception, and with presenting unaccompanied (all P<0.05). IPV was also associated with receiving post-abortion care after an induced abortion compared with accessing legal menstrual regulation, and with the use of medication abortion compared with manual vacuum aspiration (both P<0.05). CONCLUSION: Intimate partner violence was associated with additional constraints on reproductive autonomy from husbands/partners, in-laws, and religious communities. Seeking induced abortion unaccompanied and using medication abortion could be strategies to access abortion covertly among women experiencing IPV. Ensuring women's reproductive freedom requires addressing IPV and related constraints.

PMCID

PMC5324615