ArticleSSM - population health2020
Effect of sexual violence on planned, mistimed and unwanted pregnancies among women of reproductive age in sub-Saharan Africa: A multi-country analysis of Demographic and Health Surveys.
Article in SSM - population health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- Pregnancy Loss and Women's Mental Health in Zambia: A Cross-Sectional Population-Based and Spatial Analysis Using 2023-2024 Zambia Demographic and Health Survey Data.Health science reports · 2026Article
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- Prevalence and risk factors of home delivery among rural women: evidence from 28 African countries.Reproductive health · 2026Article
- Hospital-based services for survivors of sexual violence in Ethiopia: who is missing out? A mixed-methods study.BMJ global health · 2026Article
- Reproductive coercion and violence against women with unplanned pregnancies in Turkiye.Archives of women's mental health · 2026Article
- Domestic violence laws and women's unmet need for family planning: Quasi-experimental evidence from Africa.Reproductive health · 2025Article
- Factors associated with unintended pregnancies in India among married women over the past one and half decade (2005-2021): a multivariable decomposition analysis.BMC pregnancy and childbirth · 2025Article
- Article
- Machine learning to predict unintended pregnancy among reproductive-age women in Ethiopia: evidence from EDHS 2016.BMC women's health · 2024Article
- Pathways to adverse pregnancy outcomes: exploring the mediating role of intimate partner violence and depression: results from a South African rape cohort study.Archives of women's mental health · 2023Article
- The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys.International journal for equity in health · 2023Article
- Prevalence and factors associated with condom use among sexually active young women in Haiti: evidence from the 2016/17 Haiti demographic and health survey.BMC women's health · 2023Article
- Beyond counting intended pregnancies among young women to understanding their associated factors in sub-Saharan Africa.International health · 2022Article
- Association between exposure to intimate partner violence and the nutritional status of women and children in Nigeria.PloS one · 2022Article
- Mapping evidence on predictors of adverse sexual and reproductive health outcomes among young women in South Africa: A scoping review.African journal of primary health care & family medicine · 2021Article
- Article
- Socio-demographic determinants of pregnancy termination among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa.BMC pregnancy and childbirth · 2021Article
- Article
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSexual violence plays a key role in women's pregnancy intention. We investigated the influence of sexual violence on planned, mistimed, and unwanted pregnancies in sub-Saharan Africa (SSA). MATERIALS AND
methodsData from the Demographic and Health Survey (DHS) of 22 countries in SSA were used in this study. Both descriptive and inferential analyses were conducted. We carried out a multinomial logistic regression analysis to examine the effect of sexual violence on planned, mistimed, and unwanted pregnancies. STATA version 14.2 was used to carry out all analyses. Statistical significance was declared at p<0.05.
resultsAt the descriptive level, we found that 74.1% of women of reproductive age in SSA had planned pregnancies, with the remaining 25.9% having either mistimed (20.4%) or unwanted (5.5%) pregnancies. Women in Nigeria had the lowest proportion of mistimed pregnancies (7.5%) whereas those in Burundi had the greatest percentage of unwanted pregnancies (12.4%). Women who had history of sexual violence had increased risk of mistimed [ARRR = 1.5, CI = 1.3-1.7] and unwanted pregnancies [ARRR = 1.6, CI = 1.3-2.0], compared to those with no history of sexual violence. Women aged 40-44 [ARRR = 3.3, CI = 1.4-7.6] and 45-49 [ARRR = 4.4, CI = 1.7-11.2] had higher risk of unwanted pregnancies, compared to women aged 15-19. Women who were cohabiting had higher risk of mistimed [ARRR = 1.3, CI = 1.1-1.4] and unwanted pregnancies [ARRR = 1.6, CI = 1.3-2.1], compared to married women.
conclusionSexual violence plays a key role in mistimed and unwanted pregnancies. It is, therefore, prudent to develop various assessment techniques to detect sexual violence in unions and refer victims to appropriate services to diminish the risk of mistimed and unwanted pregnancies. Our findings provide a basis for developing and implementing policies and interventions aimed at reducing mistimed and unwanted pregnancies.
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