Factors associated with intimate partner violence among pregnant rural women in Rwanda.

INTRODUCTION Intimate partner violence (IPV) is a major public health problem in Africa and internationally, with consequences that include physical injury, significant morbidity and even death. The Rwandan 2005 Demographic and Health Survey (DHS) reported a national prevalence of IPV among pregnant women of 10.2% but there were limited data available on the factors involved. The aim of this study was to determine the factors associated with and prevalence of IPV among pregnant Rwandese women in the rural southern province of Kabutare. METHODS A total of 387 pregnant women attending antenatal clinics in the South Province of Rwanda answered a questionnaire which included items on demographics and IPV. Mean age and prevalence of IPV in the previous 12 months as well as lifetime IPV were assessed. Both univariate and multivariate odds of IPV exposure were estimated using logistic regression analysis. RESULTS The mean age of the 387 participants was 29.4 years (SD 6.3 years). More than one in two participants reported lifetime verbal abuse (53.7%). Other forms of lifetime IPV included pulling hair (9.4%), slapping (18.2%), choking (6.5%), punching with fists (19.3%), throwing to the ground and kicking with feet (12.8%), and burning with a hot liquid (3.1%). In the multivariate analysis, alcohol use by male partner was positively associated with lifetime IPV (OR = 2.52; 95% CI [1.35, 4.71] for occasional drinkers, and OR = 3.85; 95% CI [1.81, 8.21] for heavy drinkers). Compared with subjects with no formal education, women who had elementary education were less likely to report lifetime IPV (OR = 0.30; 95% CI [0.11, 0.78]). CONCLUSION Alcohol use by male partner and low education of women were positively associated with lifetime IPV. The high rates of IPV among Rwandan pregnant women indicate the need for urgent measures to prevent and curb domestic violence using public health education, an awareness campaign and policy advocacy.

[1]  A. Muula,et al.  Intimate partner violence among pregnant women in Rwanda , 2008, BMC women's health.

[2]  R. Tolman,et al.  Intimate Partner Violence, Depression, and Posttraumatic Stress Disorder as Additional Predictors of Low Birth Weight Infants Among Low-Income Mothers , 2007, Journal of interpersonal violence.

[3]  J. Silverman,et al.  Intimate partner violence and unwanted pregnancy, miscarriage, induced abortion, and stillbirth among a national sample of Bangladeshi women , 2007, BJOG : an international journal of obstetrics and gynaecology.

[4]  S. Deveci,et al.  Prevalence of domestic violence during pregnancy in a Turkish community. , 2007, The Southeast Asian journal of tropical medicine and public health.

[5]  N. Andersson,et al.  Risk factors for domestic physical violence: national cross-sectional household surveys in eight southern African countries , 2007, BMC women's health.

[6]  Jacquelyn C. Campbell,et al.  Intimate Partner Homicide , 2007, Trauma, violence & abuse.

[7]  J. Bowling,et al.  Correlates of intimate partner violence among female patients at a North Carolina emergency department. , 2007, North Carolina medical journal.

[8]  M. Makara-Studzińska,et al.  Intimate Partner Violence by Men Abusing and Non-abusing Alcohol in Poland , 2007, International journal of environmental research and public health.

[9]  Susana Patricia Collado Peña,et al.  [Relationship between domestic violence during pregnancy and risk of low weight in the newborn]. , 2007, Ginecologia y obstetricia de Mexico.

[10]  J. Silverman,et al.  Intimate partner violence victimization prior to and during pregnancy among women residing in 26 U.S. states: associations with maternal and neonatal health. , 2006, American journal of obstetrics and gynecology.

[11]  J. Silverman,et al.  Intimate Partner Violence Associated With Poor Health Outcomes in U.S. South Asian Women , 2006, Journal of Immigrant and Minority Health.

[12]  C. Schermer,et al.  Severe intimate partner violence and alcohol use among female trauma patients. , 2005, The Journal of trauma.

[13]  C. Pallitto,et al.  The relationship between intimate partner violence and unintended pregnancy: analysis of a national sample from Colombia. , 2004, International family planning perspectives.

[14]  R. Jewkes,et al.  Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. , 2004, American journal of epidemiology.

[15]  B. Duran,et al.  Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study , 2004, BMC medicine.

[16]  Ye Luo,et al.  International Family Planning Perspectives Intimate Partner Violence in China: National Prevalence, Risk Factors and Associated Health Problems , 2022 .

[17]  H. Sahin,et al.  An unaddressed issue: domestic violence and unplanned pregnancies among pregnant women in Turkey , 2003 .

[18]  R. Gray,et al.  Domestic violence in rural Uganda: evidence from a community-based study. , 2003, Bulletin of the World Health Organization.

[19]  Jacquelyn C. Campbell,et al.  HIV-positive women report more lifetime partner violence: findings from a voluntary counseling and testing clinic in Dar es Salaam, Tanzania. , 2002, American journal of public health.

[20]  R. Jewkes.  For Personal Use. Only Reproduce with Permission from the Lancet Publishing Group. Social and Demographic Characteristics Intimate Partner Violence: Causes and Prevention Violence against Women Iii , 2022 .