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The association and a potential pathway between gender-based violence and induced abortion in Thai Nguyen province, Vietnam
- Source :
- Global Health Action, Vol 5, Iss 0, Pp 1-11 (2012), Global Health Action; Vol 5 (2012): incl Supplements, Global Health Action
- Publication Year :
- 2012
- Publisher :
- Taylor & Francis Group, 2012.
-
Abstract
- Background: Gender-based violence (GBV) has profound adverse consequences on women’s physical, mental, and reproductive health. Although Vietnam has high rates of induced abortion and GBV, literature examining this relationship is lacking.Objective: This study examines the association of GBV with induced abortion among married or partnered women of reproductive age in Thai Nguyen province, Vietnam. In addition, we explore contraceptive use and unintended pregnancy as mediators in the pathway between GBV and induced abortion. Design and methods: Data were drawn from a cross-sectional survey of 1,281 women aged 18-49 years in four districts of Thai Nguyen province. Bivariate and multivariate logistic regression analyses were applied to examine the associations between lifetime history of GBV, contraceptive use, unintended pregnancy, induced abortion, and repeat abortion, controlling for other covariates.Results: One-third of respondents had undergone induced abortion in their lifetime (33.4%), and 11.5% reported having repeat abortions. The prevalence of any type of GBV was 29.1% (17.0% physical violence, 10.4% sexual violence, and 20.1% emotional violence). History of GBV was associated with induced abortion (OR=1.61, 95% CI: 1.20-2.16) and repeat abortion (OR=2.22, 95% CI: 1.48-3.32). Physical violence was significantly associated with induced abortion, and all three types of violence were associated with repeat abortion. Abused women were more likely than non-abused women to report using contraceptives and having an unintended pregnancy, and these factors were in turn associated with increased risk of induced abortion.Conclusions: GBV is pervasive in Thai Nguyen province and is linked to increased risks of induced abortion and repeat abortion. The findings suggest that a pathway underlying this relationship is increased risk of unintended pregnancy due in part to ineffective use of contraceptives. These findings emphasize the importance of screening and identification of GBV and incorporating women’s empowerment in reproductive health and family planning programs.Keywords: Gender-based violence; abortion; contraceptive use; unintended pregnancy; Thai Nguyen; Vietnam(Published: 29 November 2012)Citation: Glob Health Action 2012, 5: 19006 - http://dx.doi.org/10.3402/gha.v5i0.19006This paper is part of Supplement 2, 2013 entitled Public health in Vietnam: here's the data, where's the action? - more papers from this supplement (incl the complete file) can be found here.
- Subjects :
- Adult
Domestic Violence
medicine.medical_specialty
Adolescent
Thai Nguyen
Population
Poison control
Abortion
Social issues
Young Adult
Pregnancy
Gender-based violence
medicine
Humans
Psychiatry
education
reproductive and urinary physiology
Reproductive health
education.field_of_study
Marital Status
business.industry
Health Policy
lcsh:Public aspects of medicine
Sex Offenses
Public Health, Environmental and Occupational Health
Pregnancy, Unplanned
Abortion, Induced
lcsh:RA1-1270
Public Health in Vietnam: Here's the Data, Where's the Action?
Middle Aged
abortion
contraceptive use
unintended pregnancy
Vietnam
Cross-Sectional Studies
Logistic Models
Sexual abuse
Family planning
Female
Community Health
Public Health
business
Unintended pregnancy
Demography
Subjects
Details
- Language :
- English
- ISSN :
- 16549880 and 16549716
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Global Health Action
- Accession number :
- edsair.doi.dedup.....2e648b7a3cda7661770a26b7548ab3f9