Evidence map›Paper›PMID 35291317›Full record

ArticleAJOG global reports2021

The association between intimate partner violence and recent self-managed abortion in India.

Sophie L Goemans, Abhishek Singh, Ajit Kumar Yadav, Lotus McDougal, Anita Raj, Sarah H Averbach

Open access · goldAbstract read
In one paragraph

Article in AJOG global reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Sophie L GoemansUniversity of California San Diego School of Medicine, La Jolla, CA.
Abhishek SinghDepartment of Public Health & Mortality Studies, International Institute for Population Sciences, Mumbai, India.
Ajit Kumar YadavGender Equity and Demographic Research Project, International Institute for Population Sciences, Mumbai, India.
Lotus McDougalCenter on Gender Equity and Health, University of California San Diego, La Jolla, CA.
Anita RajUniversity of California San Diego School of Medicine, La Jolla, CA; Center on Gender Equity and Health, University of California San Diego, La Jolla, CA.
Sarah H AverbachUniversity of California San Diego School of Medicine, La Jolla, CA; Center on Gender Equity and Health, University of California San Diego, La Jolla, CA; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Diego, La Jolla, CA.
University of California San Diego · USInternational Institute for Population Sciences · IN

Funding

UC San Diego Womens Reproductive Health Research ProgramK12HD001259 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CYNTHIA GYAMFI-BANNERMAN · 1999 to 2026
$9.1M
Enhancing male participation in interventions to prevent unintended pregnancyR01HD084453 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RAJ, ANITA · 2017 to 2021
$2.8M
Gates Foundation INV-002967NICHD NIH HHS K12 HD001259NICHD NIH HHS R01 HD084453
6 · The paper itself

Abstract

backgroundPrevious studies have shown that women who experience intimate partner violence have higher rates of unintended pregnancy and abortion-but whether there are differences between the types of abortion care accessed is unknown. Understanding the predictors of self-managed abortion is important for providing risk-mitigating information and resources to those at highest risk for unintended pregnancy and intimate partner violence. With access to information and medication abortion drugs, it is possible that self-managed abortion can be performed safely, increasing reproductive autonomy for women.

objectiveThe purpose of this study is to evaluate the association between experiencing intimate partner violence and using self-managed abortion. STUDY

designThis is a cross-sectional analysis of responses of 57,090 married women to the National Family Health Survey-4 conducted across India from 2015 to 2016. The association between the type of intimate partner violence and self-managed abortion was analyzed using multivariable multinomial logistic regression.

resultsWomen who have ever experienced physical intimate partner violence were more likely to have any abortion (adjusted relative risk=1.5; 95% confidence interval, 1.2-2.0) and use self-managed abortion (adjusted relative risk=1.7; 95% confidence interval, 1.1-2.6) than women who have not experienced physical intimate partner violence. Women who have ever experienced sexual intimate partner violence may have been more likely to use self-managed abortion, though this association was not statistically significant (adjusted relative risk=2.7; 95% confidence interval, 0.7-10.4).

conclusionWomen who have experienced physical intimate partner violence disproportionately use abortion care, both facility-based and self-managed. Women who have experienced sexual intimate partner violence may also be more likely to use self-managed abortion. Although abortion is legal, self-managed abortion is commonly occurring in India. Self-managed abortion represents an additional choice and enhances reproductive autonomy in settings where abortion is legal. The implementation of risk-mitigation resources and policies regarding self-managed abortion would provide protection and enhanced autonomy to susceptible groups across India.

Indexed as

autonomyclinician-managed abortiongender-based violenceintimate partner violenceNational Family Health Surveyphysical violencereproductiveself-use abortionsexual violence

Identifiers

PMID35291317
PMCPMC8920295
OpenAlexW3206108723

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.