Intimate Partner Violence and Pregnancy Termination Among Women in Sub-Saharan Africa.

Publisher:
SAGE Publications
Publication Type:
Journal Article
Citation:
J Interpers Violence, 2022, pp. 8862605221098405
Issue Date:
2022-05-18
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Intimate partner violence is predominant in sub-Saharan Africa and has serious adverse effects on the physical, psychological, and reproductive health of those who experience it. For reproductive health outcomes, experiencing intimate partner violence has been linked with higher odds of unintended pregnancies that can result in abortion. Hence, we examined the association between intimate partner violence and pregnancy termination among women in sub-Saharan Africa. This study used data from the Demographic and Health Surveys of 25 countries in sub-Saharan Africa, which adopted a cross-sectional study design. Bivariate and multivariable binary logistic regression models were used to examine the association between intimate partner violence and pregnancy termination. The results were presented as crude odds ratios (cORs) and adjusted odds ratios (aORs), with 95% confidence intervals (CIs). The prevalence of intimate partner violence and pregnancy termination were 40.8% and 16.5%, respectively. The odds of pregnancy termination were higher among women who had experienced intimate partner violence [cOR = 1.57, 95% CI = 1.52-1.61] compared to those who had never experienced intimate partner violence. This persisted after controlling for potential confounders [aOR = 1.56, 95% CI = 1.51-1.61]. At the country level, intimate partner violence had a significant association with pregnancy termination in all the countries considered, except Sierra Leone and Namibia. These findings highlight the need for laws and policies to protect women from intimate partner violence in sub-Saharan Africa, especially in the countries that recorded higher odds of intimate partner violence and pregnancy termination.
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