Prevalence, Risks, and Health Consequences of Intimate Partner Violence during Pregnancy among Young Women: A Systematic Review

Authors

  • Tipparat Udmuangpia PhD student at Sinclair School of Nursing, University of Missouri, America
  • Mansoo Yu
  • Kathryn Laughon
  • Thoranit Saywat
  • Tina Lee Bloom

Keywords:

Prevalence, Risk, Consequence, Intimate partner violence, Low- and middle-income countries, Pregnancy, Systematic review, Unintended pregnancy

Abstract

             Intimate partner violence during pregnancy among young women is globally prevalent, but there is limited information on descriptions of this vulnerable population in low-andmiddle-income countries. A comprehensive search for primary research studies was conducted using PubMed, Medline (OVID), and CINAHL. Inclusion criteria consisted of research conducted in low-andmiddle-income countries, addressing intimate partner violence and pregnancy, at least 50% of participants under age 25 years, published in English, between 2009 to 2018. The aim of this systematic review was to describe what is known about the prevalence, risk factors, and health consequences associated with IPV among young pregnant women in these countries. 

              Results of the 12 articles that met the inclusion criteria showed that intimate partner violence during pregnancy in young women is prevalent in these countries.Across studies the range of prevalence was reported for physical violence (5%-52.8%), exual violence (2.8%-21%), and psychological violence (17%-67.4%). Negative health consequences to maternal and child health included postpartum depression, low birth weight and unwanted pregnancy. Risk factors associated with higher risk of intimate partner violence during pregnancy included having a husband/partner with a low education level, alow level of family income, and problem drinking among their partners.Protective factors included sex education for girls, youth services,and reducing gender inequality.Most risk factors identified were influenced by culture and were unique to low-andmiddle-income countries. Without promoting gender equality, the problem of intimate partner violence in this population is likely to continue,and more culturally tailored intervention research addressing this among this population in low-andmiddle- income countries is needed.

References

World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization; 2013.

Deveries K, Mak J, Garcia-Moreno C. Global health. The global prevalence of intimate partner violence against women. Science. 2013;340:1527-8.

Patel V, Weobong B, Weiss HA, Anand A, Bhat B, Katti B, Dimidjian S, Araya R, Hollon SD, King M, Vijayakumar L. The Healthy Activity Program (HAP), a lay counsellor-delivered brief psychological treatment for severe depression, in primary care in India: a randomised controlled trial. The Lancet. 2017 Jan 14;389(10065):176-85.

Decker M, Peitzmeier S, Olumide A, Acharya R, Ojengbede O, Covarrubias L, et al. Prevalence and health impact of intimate partner violence and non-partner sexual violence among female adolescents aged 15-19 years in vulnerable urban environments: A multi-country study. Journal of Adolescent Health. 2014;55(6 Suppl):S58-67. doi. org/10.1016/j.jadohealth.2014.08.022

Silverman JG, Raj A, Mucci LA, Hathaway JE: Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA. 2001, 286(5):572– 579. doi:10.1001/jama.286.5.572

Vezina J, Hebert M: Risk factors for victimization in romantic relationships of young women. Trauma, Violence, & Abuse 2007, 8(1):33–66. doi.org/10.1177/ 1524838006297029

Taft A, Watson L: Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: the confounding effect of women’s experience of violence. BMC Public Health 2008, 8(1):75.

Roberts TA, Auinger P, Klein JD: Intimate partner abuse and the reproductive health of sexually active female adolescents. Journal of Adolescent Health 2005, 36(5):380–385. doi.org/10.1016/j.jadohealth.2004.06.005

Garcia-Moreno C, Jansen HA, Ellsberg M, et al. Prevalence of intimate partner violence: Findings from the WHO multi-country study on women's health and domestic violence. Lancet 2006;368:1260–9.

Devries KM, Kishor S, Johnson H, Stöckl H, Bacchus LJ, Garcia-Moreno C, Watts C. Intimate partner violence during pregnancy: analysis of prevalence data from 19 countries. Reproductive Health Matters. 2010;18(36):158-70. doi.org/10.1016/S0968-8080(10)36533-5

James L, Brody D, Hamilton Z. Risk factors for domestic violence during pregnancy: a meta-analytic review. Violence and Victims. 2013 Jan 1;28(3):359-80. DOI:10.1891/0886-6708.VV-D-12-00034

Deuba K, Mainali A, Alvesson H, Karki D. Experience of intimate partner violence among young pregnant women in urban slums of Kathmandu Valley, Nepal: a qualitative study. BMC Women's Health. 2016;16:11.

Rahman M, Nakamura K, Seino K, Kizuki M. Are survivors of intimate partner violence more likely to experience complications around delivery? Evidence from a national Bangladeshi sample. The European Journal of Contraception & Reproductive Health. . 2013;18(1):49-60. doi.org/10.3109/13625187.2012.745932

Van Parys A, Deschepper E, Michielsen K, Galle A, Roelens K, Temmerman M, et al. Intimate partner violence and psychosocial health, a cross-sectional study in a pregnant population. BMC Pregnancy Childbirth. 2015;15:278.

Parker B, McFarlane J, Soeken K. Abuse during pregnancy: effects on maternal complications and birth weight in adult and teenage women. Obstetrics and Gynecology. 1994; 84(3):323-8.

Hillard PJ. Physical abuse in pregnancy. Obstetrics and Gynecology. 1985;66(2):185-90.

Bullock L, McFarlane J. A program to prevent battering of pregnant students. Response. 1988;11(1):18-9.

Parker B, McFarlane J, Soeken K, Torres S, Campbell D. Physical and emotional abuse in pregnancy: a comparison of adult and teenage women. Nursing Research. 1993; 42(3), 173-78. doi.org/10.1097/00006199-19930 5000-00009

Stewart DE. Incidence of postpartum abuse in women with a history of abuse during pregnancy. CAMAJ: Canadian Medical Association Journal. 1994;151(11):1601.

Curry M, Perrin N, Wall E. Effects of abuse on maternal complications and birth weight in adult and adolescent women. Obstetrics & Gynecology. 1998 Oct 1;92(4): 530-4.

Gessner BD, Perham-Hester KA. Experience of violence among teenage mothers in Alaska. Journal of Adolescent Health. 1998;22(5):383-8.

Joly L, Connolly J. Dating violence among high-risk young women: a systematic review using quantitative and qualitative methods. Behavioral Sciences. 2016;6(1):7.

Masanet Jordà M, Medina Bravo P, Ferrés i Prats J. Myths of romantic love and gender-based violence in the fan forum of the Spanish teen series Los Protegidos. Young. 2018 Jan 23; 26 (4): 96-112. 2018.

Stöckl H, March L, Pallitto C, Garcia-Moreno C. Intimate partner violence among adolescents and young women: prevalence and associated factors in nine countries: a cross-sectional study. BMC Public Health. 2014 Dec; 14(1):751.

Stark L, Asghar K, Yu G, Bora C, Baysa AA, Falb KL. Prevalence and associated risk factors of violence against conflict–affected female adolescents: a multi–country, cross– sectional study. Journal of Global Health. 2017;7(1): 010416.

Dartnall E, Jewkes R. Sexual violence against women: the scope of the problem. Best Practice & Research. Clinical Obstetrics & Gynaecology. 2013;27(1):3-13.

Roberts TA, Auinger P, Klein JD: Intimate partner abuse and the reproductive health of sexually active female adolescents. Journal of Adolescent Health 2005, 36(5):380–385. doi.org/10.1016/j.jadohealth.2004.06.005

Dhakal L. Berg-beckhoff G., Aro AR. Intimate partner violence (physical and sexual) and sexually transmitted infection: results from Nepal Demographic Health Survey. International Journal of Women’s Health. 2014;6:75–82.

Pallitto CC, Campo PO. Community level effects of gender inequality on intimate partner violence and unintended pregnancy in Colombia: testing the feminist perspective. Social Science & Medicine. 2005;60:2205–16 Elsevier. doi.org/10.1016/j.socscimed.2004.10.017

Howard, L. M., Oram, S., Galley, H., Trevillion, K., & Feder, G. (2013). Domestic violence and perinatal mental disorders: A systematic review and meta-analysis. PLoS Medicine, 10, e1001452. doi.org/10.1371/journal. pmed.1001452

Pallitto CC, Campbell JC, O’Campo P. Is intimate partner violence associated with unintended pregnancy? A review of the literature. Trauma, Violence, & Abuse. 2005 Jul; 6(3):217-35.

Centers for Disease Control ans Prevention. Intimate Partner Violence Survellance Uniform Definitions and Recommend Data Elements Version 2.0. 2015.

World Bank. Classifying countries by income: World Bank, 2019. https://datatopics.worldbank.org/worlddevelopment-indicators/stories/the-classification-ofcountries-by-income.html

Heise LL. Violence against women: An integrated, ecological framework. Violence against Women. 1998 Jun;4(3): 262-90.

Little L, Kaufman Kantor G. Using ecological theory to understand intimate partner violence and child maltreatment. Journal of Community Health Nursing. 2002;19(3):133-45.

Moher D, Liberati A, Tetzlaff J, Altman D. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.

Farrokh-Eslamlou H, Oshnouei S, Haghighi N. Intimate partner violence during pregnancy in Urmia, Iran in 2012. Journal of Forensic and Legal Medicine. 2014;24:28-32.

Islam MJ, Broidy L, Baird K, Mazerolle P. Intimate partner violence around the time of pregnancy and postpartum depression: The experience of women of Bangladesh. PLoS One. 2017;12(5):e0176211.

Islam MJ, Mazerolle P, Broidy L, Baird K. Exploring the prevalence and correlates associated with intimate partner violence during pregnancy in Bangladesh. Journal of Interpersonal Violence. 2017;0886260517730029. doi.org/10.1177/0886260517730029

Makayoto L, Omolo J, Kamweya A, Harder V, Mutai J. Prevalence and associated factors of intimate partner violence among pregnant women attending Kisumu District Hospital, Kenya. Journal of Maternal Child Health. 2013;17(3):441-7.

Rurangirwa AA, Mogren I, Nyirazinyoye L, Ntaganira J, Krantz G. Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study. BMC Pregnancy Childbirth. 2017;17(1):142.

Anand E, Unisa S, Singh J. Intimate partner violence and unintended pregnancy among adolescent and young adult married women in South Asia. Journal of Biosocial Science. 2016:1-16.

Ferdos J, Rahman MM. Maternal experience of intimate partner violence and low birth weight of children: A hospitalbased study in Bangladesh. PLoS One. 2017;12(10): e0187138.

Raj A, McDougal L. Associations of intimate partner violence with unintended pregnancy and pre-pregnancy contraceptive use in South Asia. Contraception. 2015; 91(6):456-63.

Gebrezgi BH, Badi MB, Cherkose EA, Weldehaweria NB. Factors associated with intimate partner physical violence among women attending antenatal care in Shire Endaselassie town, Tigray, northern Ethiopia: a cross-sectional study. Reproductive Health. 2017;14(1):76.

Gomez A. Sexual violence as a predictor of unintended pregnancy, contraceptive use, and unmet need among female youth in Colombia. Journal of Women’s Health (Larchmt). 2011;20(9):1349-56.

Tusiime S, Musinguzi G, Tinkitina B, Mwebaza N, Kisa R, Anguzu R. Prevalence of sexual coercion and its association with unwanted pregnancies among young pregnant females in Kampala, Uganda: a facility based cross-sectional study. BMC Women's Health. 2015;15:79.

Ferdousy E, Matin M. Association between intimate partner violence and child morbidity in South Asia. Journal of Health, Population and Nutrition.. 2015;33:16.

Silverman JG, Raj A, Mucci LA, Hathaway JE: Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. JAMA. 2001, 286(5):572–579. doi: 10.1001/jama.286.5.572

Ibitoye M, Choi C, Tai H, Lee G, Sommer M. Early menarche: A systematic review of its effect on sexual and reproductive health in low- and middle-income countries. PLoS One. 2017;12(6):e0178884.

Marphatia AA, Ambale GS, Reid AM. Women's marriage age matters for public health: A review of the broader health and social implications in South Asia. Front Public Health. 2017;5:269.

Kidman R. Child marriage and intimate partner violence: a comparative study of 34 countries. International Journal of Epidemiology. 2017;46(2):662-75.

McFarlane J, Nava A, Gilroy H, Maddoux J. Child brides, forced marriage, and partner violence in America: Tip of an iceberg revealed. Obstetrics and Gynecology. 2016; 127(4):706-13.

Zakar R, Zakar M, Mikolajczyk R, Kramer A. Intimate partner violence and its association with women's reproductive health in Pakistan. Internationl Journal of Gynecology. 2012;117(1):10-4.

Chandra-Mouli V, Armstrong A, Amin A, Ferguson J. A pressing need to respond to the needs and sexual and reproductive health problems of adolescent girls living with HIV in low- and middle-income countries. Journal of Internaitonal AIDS Society. 2015;18(Suppl 5): 20297.

56Abdollahi F, Abhari F, Delavar M, Charati J. Physical violence against pregnant women by an intimate partner, and adverse pregnancy outcomes in Mazandaran Province, Iran. Journal of Family & Community Medicine. 2015; 22(1):13-8.

Shamu S, Munjanja S, Zarowsky C, Shamu P, Temmerman M, Abrahams N. Intimate partner violence, forced first sex and adverse pregnancy outcomes in a sample of Zimbabwean women accessing maternal and child health care. BMC Public Health. 2018;18(1):595.

Thananowan N. Intimate partner violence (IPV), risk factors, and health outcomes in adult pregnant women. PRIJNR. 2008;12(4):310-23.

Abdollahi F, Abhari F, Delavar M, Charati J. Physical violence against pregnant women by an intimate partner, and adverse pregnancy outcomes in Mazandaran Province, Iran. Journal of Family & Community Medicine. 2015; 22(1):13-8.

Shamu S, Munjanja S, Zarowsky C, Shamu P, Temmerman M, Abrahams N. Intimate partner violence, forced first sex and adverse pregnancy outcomes in a sample of Zimbabwean women accessing maternal and child health care. BMC Public Health. 2018;18(1):595.

Singh B, Newton R, Cormie P, Galvao D, Cornish B, Reul-Hirche H, et al. Effects of compression on lymphedema during resistance exercise in women with breast cancer-related lymphedema: A randomized, cross-over trial. Lymphology. 2015;48(2):80-92.

Priya N, Abhishek G, Ravi V, Aarushi K, Nizamuddin K, Dhanashri B, et al. Study on masculinity, intimate partner violence and son preference in India. New Delhi, International Center for Research on Women. 2014.

Pun KD, Infanti JJ, Koju R, Schei B, Darj E. Community perceptions on domestic violence against pregnant women in Nepal: a qualitative study. Global Health Action. 2016; 9(1):31964.

Ragavan M, Iyengar K, Wurtz R. Perceptions of options available for victims of physical intimate partner violence in northern India. Violence Against Women. 2015;21(5): 652-75.

Santhya K, Jejeebhoy S. Sexual and reproductive health and rights of adolescent girls: Evidence from low- and middleincome countries. Global Public Health. 2015; 10(2):189-221.

Downloads

Published

2020-07-09

How to Cite

1.
Udmuangpia T, Yu M, Laughon K, Saywat T, Bloom TL. Prevalence, Risks, and Health Consequences of Intimate Partner Violence during Pregnancy among Young Women: A Systematic Review. PRIJNR [Internet]. 2020 Jul. 9 [cited 2024 Apr. 20];24(3):412-29. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/217503

Issue

Section

Original paper