Intimate partner violence as a predictor of antenatal care service utilization in Honduras
ABSTRACT Objective To describe the relationship between exposure to physical and/or sexual intimate partner violence (IPV) and indicators of antenatal care (ANC) service utilization among Honduran women of reproductive age. Methods Data from the 2011-2012 Honduras Demographic and Health Survey wer...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Pan American Health Organization
2017-08-01
|
Series: | Revista Panamericana de Salud Pública |
Subjects: | |
Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892017000100238&lng=en&tlng=en |
id |
doaj-b4b7597f8a7442d6a248cac8a0bcaa30 |
---|---|
record_format |
Article |
spelling |
doaj-b4b7597f8a7442d6a248cac8a0bcaa302020-11-24T22:32:47ZengPan American Health OrganizationRevista Panamericana de Salud Pública1680-53482017-08-01410S1020-49892017000100238Intimate partner violence as a predictor of antenatal care service utilization in HondurasAnne K. Sebert KuhlmannJanine FoggiaQiang FuManuel SierraABSTRACT Objective To describe the relationship between exposure to physical and/or sexual intimate partner violence (IPV) and indicators of antenatal care (ANC) service utilization among Honduran women of reproductive age. Methods Data from the 2011-2012 Honduras Demographic and Health Survey were analyzed to describe the relationship between self-reported exposure to IPV and two ANC outcomes: (1) sufficient ANC visits (defined by the Honduran Ministry of Health as five or more visits) and (2) early ANC initiation (within the first trimester). Multiple logistic regression was used to estimate effects of physical and sexual IPV on the outcomes, controlling for women’s age, education, literacy, residence, household size, religion, parity, wealth, husband’s age, and husband’s education. Results Of women who were married, had at least one living child 5 years or younger, and completed the IPV module (N = 6 629), 13.5% of them reported any physical IPV, and 4.1% reported both physical and sexual IPV. There was no significant association between IPV and early ANC; however, a significant relationship between IPV and sufficient ANC was found. Women who experienced any physical IPV (adjusted odds ratios (aOR) = 1.25; 95% confidence interval (CI): 1.00-1.56) or sexual IPV (aOR = 1.53; 95% CI: 1.08-2.16) were, respectively, 25% and 53% more likely to receive insufficient ANC. Conclusions Honduras has one of highest rates of interpersonal violence of any nation in the world. In Honduras, IPV is a contributor to this broader category of interpersonal violence as well as a risk factor for insufficient ANC. Our findings suggest that universal IPV screening during ANC as well as future initiatives aimed at reducing IPV might improve ANC utilization in the country.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892017000100238&lng=en&tlng=enViolencia de parejaatención prenatalsalud reproductivaHonduras |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anne K. Sebert Kuhlmann Janine Foggia Qiang Fu Manuel Sierra |
spellingShingle |
Anne K. Sebert Kuhlmann Janine Foggia Qiang Fu Manuel Sierra Intimate partner violence as a predictor of antenatal care service utilization in Honduras Revista Panamericana de Salud Pública Violencia de pareja atención prenatal salud reproductiva Honduras |
author_facet |
Anne K. Sebert Kuhlmann Janine Foggia Qiang Fu Manuel Sierra |
author_sort |
Anne K. Sebert Kuhlmann |
title |
Intimate partner violence as a predictor of antenatal care service utilization in Honduras |
title_short |
Intimate partner violence as a predictor of antenatal care service utilization in Honduras |
title_full |
Intimate partner violence as a predictor of antenatal care service utilization in Honduras |
title_fullStr |
Intimate partner violence as a predictor of antenatal care service utilization in Honduras |
title_full_unstemmed |
Intimate partner violence as a predictor of antenatal care service utilization in Honduras |
title_sort |
intimate partner violence as a predictor of antenatal care service utilization in honduras |
publisher |
Pan American Health Organization |
series |
Revista Panamericana de Salud Pública |
issn |
1680-5348 |
publishDate |
2017-08-01 |
description |
ABSTRACT Objective To describe the relationship between exposure to physical and/or sexual intimate partner violence (IPV) and indicators of antenatal care (ANC) service utilization among Honduran women of reproductive age. Methods Data from the 2011-2012 Honduras Demographic and Health Survey were analyzed to describe the relationship between self-reported exposure to IPV and two ANC outcomes: (1) sufficient ANC visits (defined by the Honduran Ministry of Health as five or more visits) and (2) early ANC initiation (within the first trimester). Multiple logistic regression was used to estimate effects of physical and sexual IPV on the outcomes, controlling for women’s age, education, literacy, residence, household size, religion, parity, wealth, husband’s age, and husband’s education. Results Of women who were married, had at least one living child 5 years or younger, and completed the IPV module (N = 6 629), 13.5% of them reported any physical IPV, and 4.1% reported both physical and sexual IPV. There was no significant association between IPV and early ANC; however, a significant relationship between IPV and sufficient ANC was found. Women who experienced any physical IPV (adjusted odds ratios (aOR) = 1.25; 95% confidence interval (CI): 1.00-1.56) or sexual IPV (aOR = 1.53; 95% CI: 1.08-2.16) were, respectively, 25% and 53% more likely to receive insufficient ANC. Conclusions Honduras has one of highest rates of interpersonal violence of any nation in the world. In Honduras, IPV is a contributor to this broader category of interpersonal violence as well as a risk factor for insufficient ANC. Our findings suggest that universal IPV screening during ANC as well as future initiatives aimed at reducing IPV might improve ANC utilization in the country. |
topic |
Violencia de pareja atención prenatal salud reproductiva Honduras |
url |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892017000100238&lng=en&tlng=en |
work_keys_str_mv |
AT anneksebertkuhlmann intimatepartnerviolenceasapredictorofantenatalcareserviceutilizationinhonduras AT janinefoggia intimatepartnerviolenceasapredictorofantenatalcareserviceutilizationinhonduras AT qiangfu intimatepartnerviolenceasapredictorofantenatalcareserviceutilizationinhonduras AT manuelsierra intimatepartnerviolenceasapredictorofantenatalcareserviceutilizationinhonduras |
_version_ |
1725732517543149568 |