Multilevel analysis of factors for intimate partner violence during pregnancy in Gammo Goffa Zone, South Ethiopia

A community based study

Bibliographic Data

ID22075718
AuthorsMesfin Mamo Utaile (0000-0001-8439-3064, Arba Minch University, corresponding author), Ahmed Ali Ahmed (Addis Ababa University), Alemayehu Worku Yalew (0000-0003-3294-4236, Addis Ababa University)
Year2023
Volume11
Pages1122041-1122041
Publication date2023-03-14
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1122041
PMID36998288
OpenAlexW4324145492
LanguageEN
Citations received3
References cited36

Background: Intimate partner violence during pregnancy is a public health problem that can affect both maternal and fetal life. However, its prevalence and associated factors have not been well studied and understood in Ethiopia. Hence, this study was conducted to assess the individual and community-level factors associated with intimate partner violence during pregnancy in Gammo Goffa Zone, South Ethiopia. Methods: A community-based cross-sectional study was conducted among 1,535 randomly selected pregnant women from July to October 2020. Data were collected using an interviewer-administered, standardized WHO multi-country study questionnaire and analyzed using STATA 14. A two level mixed-effects logistic regression model was used to identify factors associated with intimate partner violence during pregnancy. Results: The prevalence of intimate partner violence during pregnancy was found to be 48% (95% CI: 45-50%). Factors affecting violence during pregnancy were identified at the community and individual levels. Access to health facilities (AOR = 0.61; 95% CI: 0.43, 0.85), women feeling isolated from the community (AOR= 1.96; 95% CI: 1.04, 3.69), and strict gender role differences (AOR= 1.45; 95% CI: 1.03, 2.04) were among higher-level factors found to be significantly associated with intimate partner violence during pregnancy. Low decision-making power was found to increase the odds of experiencing IPV during pregnancy (AOR= 2.51; 95% CI: 1.28, 4.92). Similarly, maternal education, maternal occupation, living with the partner's family, current pregnancy intended by the partner, dowry payment, and presence of marital conflict were among the individual- level factors found to increase the odds of experiencing intimate partner violence during pregnancy. Conclusions: The prevalence of intimate partner violence during pregnancy was high in the study area. Both individual and community-level factors had significant implications on maternal health programs related to violence against women. Socio-demographic and socio-ecological characteristics were identified as associated factors. Since it is a multifaceted problem, special emphasis has to be given to multi-sectoral approaches involving all responsible bodies to mitigate the situation

Domestic violence · Environmental health · Feeling · Injury prevention · Logistic regression · Marital status · Odds ratio · Poison control · Population · Pregnancy · COVID-19 Impact on Reproduction · Demography · Global Maternal and Child Health · Intimate Partner and Family Violence · Medicine · Psychology · Social Psychology

Tools

Open DOIOpen Access