IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i16p9783-d883563.html
   My bibliography  Save this article

Spousal Violence and Contraceptive Use among Married Afghan Women in a Nationally Representative Sample

Author

Listed:
  • Sahra Ibrahimi

    (Department of Family Science, School of Public Health, University of Maryland, 2242 Valley Drive, College Park, MD 20742, USA)

  • Julia R. Steinberg

    (Department of Family Science, School of Public Health, University of Maryland, 2242 Valley Drive, College Park, MD 20742, USA)

Abstract

Objective: Afghanistan is one of the countries with the highest prevalence of spousal violence (56%) and a low prevalence of contraceptive use (23%), yet there is no study assessing how spousal violence is related to contraceptive use, and what methods are most used by women. Therefore, this study examined the association between the number of types of spousal violence and contraceptive use. Method: Using data from 18,985 Afghan married women, aged 15 to 49, who responded to the 2015 Afghanistan Demographic and Health Survey, the current contraceptive method was grouped into five categories: male-involved methods, pills, injectables, long-acting reversible contraception, female sterilization, and Lactation Amenorrhea Method. The number of types of spousal violence in the past 12 months was categorized as none, one type, or two or more types, based on women’s experiences with verbal, physical, and sexual violence. For analysis, binary and multinomial logistic regression were used. Results: After adjusting for the covariates, the experience of any spousal violence was associated with contraception use (adjusted odds ratio (aOR) = 1.93, 95% CI: 1.64–2.27, p = 0.0001). Among those using contraception, experiencing two or three types of spousal violence was associated with using pills (adjusted risk ratio (aRRR) = 2.12, 95% CI: 1.63–2.77, p = 0.0001), injections (aRRR = 1.75, 95% CI: 1.26–2.41, p = 0.001), and LAM (aRRR = 3.27, 95% CI: 2.05–5.20, p = 0.0001), compared to male-involved methods. Conclusions: The findings of this study may inform policymakers and program implementers in designing interventions to address the pervasive problem of violence against women, and make pills and injectables more accessible to Afghan women, since these methods are under women’s control and more often used in Afghanistan.

Suggested Citation

  • Sahra Ibrahimi & Julia R. Steinberg, 2022. "Spousal Violence and Contraceptive Use among Married Afghan Women in a Nationally Representative Sample," IJERPH, MDPI, vol. 19(16), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9783-:d:883563
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/16/9783/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/16/9783/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lauren Maxwell & Karen Devries & Danielle Zionts & Jeanne L Alhusen & Jacquelyn Campbell, 2015. "Estimating the Effect of Intimate Partner Violence on Women’s Use of Contraception: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-25, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Groves, Allison K. & Smith, Patrick D. & Gebrekristos, Luwam T. & Keene, Danya E. & Rosenberg, Alana & Blankenship, Kim M., 2022. "Eviction, intimate partner violence and HIV: Expanding concepts and assessing the pathways through which sexual partnership dynamics impact health," Social Science & Medicine, Elsevier, vol. 305(C).
    2. Tenaw Yimer Tiruye & Melissa L. Harris & Catherine Chojenta & Elizabeth Holliday & Deborah Loxton, 2020. "Intimate partner violence against women in Ethiopia and its association with unintended pregnancy: a national cross-sectional survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(9), pages 1657-1667, December.
    3. Edward Kwabena Ameyaw & Eugene Budu & Francis Sambah & Linus Baatiema & Francis Appiah & Abdul-Aziz Seidu & Bright Opoku Ahinkorah, 2019. "Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-16, August.
    4. Andrea Miranda-Mendizabal & Pere Castellví & Oleguer Parés-Badell & Itxaso Alayo & José Almenara & Iciar Alonso & Maria Jesús Blasco & Annabel Cebrià & Andrea Gabilondo & Margalida Gili & Carolina Lag, 2019. "Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(2), pages 265-283, March.
    5. Torrisi, Orsola, 2024. "Violent instability and modern contraception: Evidence from Mali," World Development, Elsevier, vol. 177(C).
    6. Fortuna Procentese & Immacolata Di Napoli & Filomena Tuccillo & Alessandra Chiurazzi & Caterina Arcidiacono, 2019. "Healthcare Professionals’ Perceptions and Concerns towards Domestic Violence during Pregnancy in Southern Italy," IJERPH, MDPI, vol. 16(17), pages 1-17, August.
    7. Ojha, Manini & Babbar, Karan, 2023. "Power to choose? Examining the link between contraceptive use and domestic violence," GLO Discussion Paper Series 1336, Global Labor Organization (GLO).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9783-:d:883563. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.