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Prevalence and correlates of intimate partner violence, before and during pregnancy among attendees of maternal and child health services, Enugu, Nigeria: Mixed method approach, January 2015

Onoja Matthew Akpa · Ndadilnasiya Endie Waziri · Abisola Monisola Oladimeji · Elizabeth Bunmi Adedire · Ibrahim Saude · Patrick Nguku +2 more

28 citations0/0 files storedPan African Medical Journal

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Intimate Partner and Family Violence Elder Abuse and Neglect Stalking, Cyberstalking, and Harassment

Abstract

INTRODUCTION: Intimate Partner Violence (IPV) is an under-reported public health problem. This study determined the prevalence of IPV and types of IPV, complications and factors associated with IPV among women accessing health services. METHODS: we conducted a cross-sectional survey of 702 women accessing maternal and child health services in Enugu State, Nigeria using multi-stage sampling technique. Quantitative data was collected using semi-structured questionnaire, qualitative data by key informant interview (KII). We analysed data using descriptive statistics, bivariate and multivariate logistic regression analysis. The level of statistical significance was set at p-value < 0.05. Qualitative data was analysed using thematic content analysis. RESULTS: mean age of respondents was 27.71 ± 5.14 years and 654 (93.2%) were married. Prevalence of IPV, a year before last pregnancy, was 307 (43.7%) and during last pregnancy was 261 (37.2%). Frequent involvement in physical fights with other men, controlling behaviour and younger aged partners (< 40 years) were independent predictors of IPV experience both before and during pregnancy. Independent predictors of IPV experience before and during pregnancy were younger aged partners (< 40 years). [Adjusted Odds Ratio AOR 1.72; 95% confidence interval (CI) = 1.17, 2.53], partner having controlling behaviour AOR 2.24; 95% C.I=1.51-3.32) and Partner's frequent involvement in physical fights (AOR 2.29; 95% C.I = 1.43-3.66). Having a male child and married/cohabiting were protective against violence. KII revealed poverty, lack of education and infidelity as common triggers of IPV. CONCLUSION: the prevalence of IPV and types of IPV was high and the predisposing factors of IPV in Enugu were multifactorial. Couple counselling sessions that focus on non-violence conflict resolution techniques is crucial to end IPV.

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References

2013Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence.2009Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research 2011Controlling behavior, power relations within intimate relationships and intimate partner physical and sexual violence against women in Nigeria 2005Risk Factors for Intimate Partner Violence and Associated Injury Among Urban Women 2006A Qualitative Exploration of the Nature of Domestic Violence in Pregnancy 2013Intimate partner violence during pregnancy in Z imbabwe: a cross‐sectional study of prevalence, predictors and associations with HIV 2014Comparison of domestic violence against women in urban versus rural areas of southeast Nigeria 2015Prevalence and Factors Associated with Intimate Partner Violence among Married Women in an Urban Community in Lagos State, Nigeria.

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