ArticleInternational journal for equity in health2023
The association of intimate partner violence and contraceptive use: a multi-country analysis of demographic and health surveys.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Investigating the relationship between intimate partner violence, reproductive health and pregnancy outcome: a systematic review.Reproductive health · 2025Pooled it
- Intimate Partner Violence During Pregnancy among Postnatal Mothers Attending Health Centers in Lalitpur District, Nepal: An Observational Study.JNMA; journal of the Nepal Medical Association · 2025Observational
- Prevalence, intention to use, and factors associated with the decision to use contraceptives among Peruvian women aged 40 to 49 years.Przeglad menopauzalny = Menopause review · 2025Article
- Domestic violence laws and women's unmet need for family planning: Quasi-experimental evidence from Africa.Reproductive health · 2025Article
- Validation of the contraception-focused Preference-aligned Fertility Management Index in Uganda and Nigeria.Contraception · 2025Article
- The shadow of violence: How intimate partner violence shapes contraceptive and maternal health service use across 25 African countries.PLOS global public health · 2025Article
- The Role of Family Planning in Enhancing Community Resilience: Insights from Drought-Affected Youths and Women in Ethiopia.International journal of environmental research and public health · 2025Article
- Intimate Partner Violence during the Index Pregnancy and its correlates among a panel of pregnant women in Ethiopia, evidence from performance, and monitoring for action (PMA) 2021 cohort two baseline survey.BMC pregnancy and childbirth · 2024Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIntimate partner violence (IPV) affects millions of women each year and has been recognized as a leading cause of poor health, disability, and death among women of reproductive age. However, the existing studies about the association between IPV and contraceptive use have been found to be conflicting and relatively less studied, particularly in low and middle income countries, including Eastern Sub Saharan Africa (SSA). This study examines the relationship between IPV and contraceptive use in Eastern SSA countries.
methodsThe Demographic and Health Surveys (DHS) from 2014 to 2017 were a multi-stage cluster sample survey of 30,715 ever married (or cohabitating) women of reproductive age from six countries. The six Eastern SSA datasets were pooled and multivariable logistic regression using a hierarchical approach was performed to examine the association between IPV and contraceptive use after adjusting for women, partners, and household and health facility factors.
resultTwo thirds of women 67% [66.55, 67.88] were not using any modern contraceptive methods and almost half (48%) of the women had experienced at least one form of IPV from their partners. Our analysis showed a strong association with decreased odds of physical violence [adjusted odds ratios (aOR) = 0.72, 95%CI: 0.67, 0 0.78] among women not using any contraceptive methods. Other factors associated with women not using any contraceptive methods were older women (35-49 years), illiterate couples and women from poorest households. Women who had no access to any form of communication [aOR = 1.12, 95%CI: 1.08, 1.36], unemployed partner [aOR = 1.55, 95%CI: 1.23, 1.95] and women who travelled long distances to access health services [aOR = 1.16, 95%CI: 1.06, 1.26] significantly reported increased odds of not using any contraceptive methods.
conclusionOur study indicated that physical violence was negatively associated with not using any contraceptive method among married women in Eastern SSA countries. Tailored intervention messages to reduce IPV including physical violence among women not using contraceptive methods in East Africa should target those from low-socioeconomic groups especially, older women with no access to any form of communication, unemployed partners, and illiterate couples.
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