TY - JOUR
T1 - Prevalence, associated factors, and disclosure of intimate partner violence among mothers in rural Bangladesh
AU - Stake, Stephen
AU - Ahmed, Saifuddin
AU - Tol, Wietse
AU - Ahmed, Salahuddin
AU - Begum, Nazma
AU - Khanam, Rasheda
AU - Harrison, Meagan
AU - Baqui, Abdullah H.
N1 - Funding Information:
The authors are grateful for the support and contributions of Dr. Ishtiaq Mannan, Angela Nash-Mercado, Robin Anthony Kouyate, Berengere de Negri, and Carla Blauvelt. The authors thank the study participants and field staff for their efforts in implementing the study and delivering the intervention, and the Ministry of Health and Family Welfare, Government of Bangladesh, for their support and collaboration in all phases of the study.
Funding Information:
Funding for this study was made possible through support provided by U.S. Agency for International Development/Bangladesh and the Office of Population and Reproductive Health, U.S. Agency for International Development/Washington D.C., under the terms of Award No GHS-A-00-08-00002-00 (Maternal and Child Health Integrated Program (MCHIP)–Leader with Associates Cooperative Agreement), No. GPO-AA-05-00025-00 (Associate Cooperative Agreement with the Access Program), No. GHS-A-00-04-00002-00 (Reference Leader Cooperative Agreement with the Access Program), and No. GHS-A-00-03-00019-00 (Global Research Activity Cooperative Agreement with the Johns Hopkins Bloomberg School of Public Health).
Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12
Y1 - 2020/12
N2 - Background: The purpose of this study is to assess the prevalence and associated factors of physical and sexual intimate partner violence (IPV) among married women of reproductive age in a rural population in northeast Bangladesh. In addition, we examined women’s sharing and disclosure of violence experience with others. Methods: This cross-sectional study uses data from a household survey of 3966 women conducted in 2014 in the Sylhet District of Bangladesh. Interviews were completed in respondent’s homes by trained local female interviewers. Results: Twenty-nine percent (28.8%, 95% CI 27.4–30.3%) of the women reported ever experiencing physical or sexual IPV by their spouse; 13.2% (95% CI 12.1–14.3%) reported physical or sexual IPV in the past year. Of the 13.2%, 10.1% (95% CI 9.2–11.1%) reported experiencing physical IPV and 4.6% (95% CI 4.0–5.3%) reported sexual IPV. In a combined model, the adjusted odds of having experienced physical or sexual IPV in the past year were higher for women who were raised in households with history of IPV (AOR = 4.35, 95% CI 3.26–5.80); women with no formal education (AOR = 1.76, 95% CI 1.30–2.37); women whose husbands had no formal education (AOR = 1.63, 95% CI 1.22–2.17); Muslim (AOR = 1.63, 95% CI 1.03–2.57); women younger than age 30 (AOR = 1.53, 95% CI 1.11–2.12); and women who were members of an NGO or microcredit financial organization (AOR = 1.38, 95% CI 1.04–1.82). Wealth, parity, number of household members, and pregnancy status (pregnant, postpartum, neither pregnant nor postpartum) were not associated with physical or sexual IPV after adjusting for other factors. Data on disclosure was available for women who reported experiencing physical violence in the last year; only 31.8% of victims told someone about the violence they had experienced and 1% reported to police, clerics, health workers, or a counselor altogether. Conclusions: In rural northeast Bangladesh, a high proportion of women of reproductive age experience physical or sexual IPV. Women do not often speak of these experiences, especially to anyone outside of family. Interventions aimed at preventing future IPV and addressing current IPV should focus on women who witnessed IPV in childhood, as well as younger women and less educated couples. Trial registration: This study was registered as a Clinical Trial (Identifier: NCT01702402). https://clinicaltrials.gov/ct2/show/NCT01702402
AB - Background: The purpose of this study is to assess the prevalence and associated factors of physical and sexual intimate partner violence (IPV) among married women of reproductive age in a rural population in northeast Bangladesh. In addition, we examined women’s sharing and disclosure of violence experience with others. Methods: This cross-sectional study uses data from a household survey of 3966 women conducted in 2014 in the Sylhet District of Bangladesh. Interviews were completed in respondent’s homes by trained local female interviewers. Results: Twenty-nine percent (28.8%, 95% CI 27.4–30.3%) of the women reported ever experiencing physical or sexual IPV by their spouse; 13.2% (95% CI 12.1–14.3%) reported physical or sexual IPV in the past year. Of the 13.2%, 10.1% (95% CI 9.2–11.1%) reported experiencing physical IPV and 4.6% (95% CI 4.0–5.3%) reported sexual IPV. In a combined model, the adjusted odds of having experienced physical or sexual IPV in the past year were higher for women who were raised in households with history of IPV (AOR = 4.35, 95% CI 3.26–5.80); women with no formal education (AOR = 1.76, 95% CI 1.30–2.37); women whose husbands had no formal education (AOR = 1.63, 95% CI 1.22–2.17); Muslim (AOR = 1.63, 95% CI 1.03–2.57); women younger than age 30 (AOR = 1.53, 95% CI 1.11–2.12); and women who were members of an NGO or microcredit financial organization (AOR = 1.38, 95% CI 1.04–1.82). Wealth, parity, number of household members, and pregnancy status (pregnant, postpartum, neither pregnant nor postpartum) were not associated with physical or sexual IPV after adjusting for other factors. Data on disclosure was available for women who reported experiencing physical violence in the last year; only 31.8% of victims told someone about the violence they had experienced and 1% reported to police, clerics, health workers, or a counselor altogether. Conclusions: In rural northeast Bangladesh, a high proportion of women of reproductive age experience physical or sexual IPV. Women do not often speak of these experiences, especially to anyone outside of family. Interventions aimed at preventing future IPV and addressing current IPV should focus on women who witnessed IPV in childhood, as well as younger women and less educated couples. Trial registration: This study was registered as a Clinical Trial (Identifier: NCT01702402). https://clinicaltrials.gov/ct2/show/NCT01702402
KW - Bangladesh
KW - Intimate partner violence
KW - Maternal health
KW - Mental health
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U2 - 10.1186/s41043-020-00223-w
DO - 10.1186/s41043-020-00223-w
M3 - Article
C2 - 33287907
AN - SCOPUS:85097248551
SN - 1606-0997
VL - 39
JO - Journal of Health, Population and Nutrition
JF - Journal of Health, Population and Nutrition
IS - 1
M1 - 14
ER -