ArticleGlobal health action2025
Empowering women: intimate partner violence and its association with unintended pregnancies, contraceptive use, and HIV infection among Ugandan women: a cross-sectional population-based study in Wakiso and Hoima districts.
Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundWhile the adverse effects of intimate partner violence (IPV) on sexual and reproductive health are globally recognized, research in low- and middle-income countries, particularly Uganda, remains limited.
objectiveThis study aims to assess the association between past-year IPV and HIV, contraceptive use, and unintended pregnancies among Ugandan women.
methodsData from the Africa Medical and Behavioural Sciences Organization collected during the 2019 Population Health Surveillance in Hoima and Wakiso districts, Uganda were analysed including 1,819 women aged 15-49. Binary logistic regression was performed to estimate adjusted odds ratios (AOR) at 95% confidence interval. This study used a cross-sectional design; therefore, causal inference cannot be established.
resultsWomen with past-year sexual IPV had 3.2 times higher odds of having unintended pregnancy (adjusted odds ratio (AOR): 3.2, 95% CI: 1.72, 5.97). There was a borderline association between both HIV infection and physical (AOR: 1.67 95% CI: 1.00, 2.79) and psychological IPV (AOR: 1.42 95% CI: 1.00, 2.00). Contraceptive use was not found to be associated with IPV (AOR: 1.30 95% CI: 0.90, 1.89).
conclusionThe results indicate that the link between IPV and unintended pregnancies is suggestive of a potential association. While the association between IPV and HIV was not statistically significant, it points to a possible relationship that requires further research. There was no significant association between IPV and contraceptive use. Given the design of the study, causal inference cannot be established; however, the results may inform future studies aimed at preventing IPV and improving SRHR outcomes in Uganda.
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