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Reproductive Health
Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Review

Intimate partner violence and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

Authors: Animut Alebel, Getiye Dejenu Kibret, Fasil Wagnew, Cheru Tesema, Aster Ferede, Pammla Petrucka, Firew Tekle Bobo, Molla Yigzaw Birhanu, Animen Ayehu Tadesse, Setegn Eshetie

Published in: Reproductive Health | Issue 1/2018

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Abstract

Background

Intimate Partner Violence (IPV) during pregnancy is a serious public health concern globally. Within Sub-Saharan Africa nearly 40% of women reported abuse by their intimate partners. In Ethiopia, study findings regarding prevalence and associated factors of IPV among pregnant women have been inconsistently reported and highly variable. Thus, this systematic review and meta-analysis estimates the pooled prevalence of IPV and associated factors among pregnant women in Ethiopia.

Methods

International databases (i.e., PubMed, EMBASE, CINAHL, Google Scholar, Science Direct, and the Cochrane Library) were systematically searched during the period of January 1 to February 13, 2018. All identified observational studies reporting the prevalence of IPV and associated factors among pregnant women in Ethiopia were considered. Two authors (AA and CT) independently extracted all necessary data using a standardized data extraction format. Extracted quantitative data were analyzed using STATA Version 13. Heterogeneity among the included studies was assessed through the Cochrane Q test statistics and I2 test. Finally, a random effects meta-analysis model was computed to estimate the pooled prevalence of IPV. Associations between factors and IPV were also examined using a random effects model.

Results

After reviewing 605 studies, eight studies involving 2691 pregnant women fulfilled the inclusion criteria and were included in this meta-analysis. The findings of these eight studies revealed that a 26.1% (95% CI: 20, 32.3) overall prevalence of IPV among pregnant women in Ethiopia. The subgroup analysis of this study further revealed the highest observed prevalence was in Oromia region (35%), followed by Amhara region (29%). Mothers‘educational status (OR: 2.1, 95% CI: 1.1, 3.7), intimate partners’ educational status (OR: 3.5, 95%CI: 1.4, 8.5), and intimate partners’ alcohol use (OR: 11.4, 95%CI: 2.3, 56.6) were significantly associated with IPV among pregnant women.

Conclusion

This study found that the prevalence of IPV among pregnant women in Ethiopia was quite common; with slightly more than 1 in 4, pregnant women experienced IPV during pregnancy. Mothers’ educational status, intimate partners’ educational status, and intimate partners’ alcohol use were factors significantly associated with IPV among pregnant women.
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Literature
1.
2.
3.
Shamu S, Abrahams N, Temmerman M, Musekiwa A, Zarowsky C. A systematic review of African studies on intimate partner violence against pregnant women: prevalence and risk factors. PLoS One. 2011;6(3):e17591.CrossRefPubMedPubMedCentral
4.
Devries KM, Mak JY, García-Moreno C, Petzold M, Child JC, Falder G, Lim S, Bacchus LJ, Engell RE, Rosenfeld L. The global prevalence of intimate partner violence against women. Science. 2013;340(6140):1527–8.CrossRefPubMed
5.
World Health Organization: WHO multi-country study on Women's Health and Domestic Violence against women available at apps.who.int/iris/bitstream/10665/43310/1/9241593512_eng.pd. 2013.
6.
Stöckl H, Watts C, Mbwambo JKK. Physical violence by a partner during pregnancy in Tanzania: prevalence and risk factors. Reprod Health Matters. 2010;18(36):171–80.CrossRefPubMed
7.
Shamu S, Zarowsky C, Roelens K, Temmerman M, Abrahams N. High-frequency intimate partner violence during pregnancy, postnatal depression and suicidal tendencies in Harare, Zimbabwe. Gen Hosp Psychiatry. 2016;38:109–14.CrossRefPubMed
8.
Rodrigues T, Rocha L, Barros H. Physical abuse during pregnancy and preterm delivery. Am J Obstet Gynecol. 2008;198(2):171. e171–6.CrossRef
9.
Martin SL, Li Y, Casanueva C, Harris-Britt A, Kupper LL, Cloutier S. Intimate partner violence and women's depression before and during pregnancy. Violence Against Women. 2006;12(3):221–39.CrossRefPubMed
10.
Sipsma H, Ofori-Atta A, Canavan M, Udry C, Bradley E. Empowerment and use of antenatal care among women in Ghana: a cross-sectional study. BMC Pregnancy Childbirth. 2014;14(1):364.CrossRefPubMedPubMedCentral
11.
Idoko P, Ogbe E, Jallow O, Ocheke A. Burden of intimate partner violence in the Gambia-a cross sectional study of pregnant women. Reprod Health. 2015;12(1):34.CrossRefPubMedPubMedCentral
12.
Alhusen JL, Frohman N, Purcell G. Intimate partner violence and suicidal ideation in pregnant women. Arch Women's Mental Health. 2015;18(4):573–8.CrossRef
13.
Yigzaw T, Yibric A, Kebede Y. Domestic violence around Gondar in Northwest Ethiopia. Ethiop J Health Dev. 2004;18(3):133–9.
14.
Yimer T, Gobena T, Egata G, Mellie H. Magnitude of domestic violence and associated factors among pregnant women in Hulet Ejju Enessie District, Northwest Ethiopia. Adv Public Health. 2014;2014.
15.
Laelago T, Belachew T, Tamrat M. Prevalence and associated factors of intimate partner violence during pregnancy among recently delivered women in public health facilities of Hossana town, Hadiya zone, southern Ethiopia. Open Access Libr J. 2014;1(07):1.
16.
Kassa ZY, Menale AW. Physical violence and associated factors during pregnancy in Yirgalem town, South Ethiopia. Curr Pediatr Res. 2016;20(1).
17.
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, July 2015. Reprod Health. 2017;14(1):76.CrossRefPubMedPubMedCentral
18.
Demelash H, Nigatu D, Gashaw K. A case-control study on intimate partner violence during pregnancy and low birth weight, Southeast Ethiopia. Obstet Gynecol Int. 2015;2015.CrossRef
19.
Bifftu BB, Dachew BA, Tadesse Tiruneh B, Zewoldie AZ. Domestic violence among pregnant mothers in Northwest Ethiopia: prevalence and associated factors. Adv Public Health. 2017;2017.
20.
Abdurashid and Tesfahun. The Prevalence of Domestic Violence in Pregnant Women Attending Antenatal Care at the Selected Health Facilities in Addis Ababa. 2013.
21.
Abate BA, Wossen BA, Degfie TT. Determinants of intimate partner violence during pregnancy among married women in Abay Chomen district, Western Ethiopia: a community based cross sectional study. BMC Womens Health. 2016;16(1):16.CrossRef
22.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62(10):e1–34.CrossRef
23.
Moher D, Pham B, Lawson M, Klassen T. The inclusion of reports of randomised trials published in languages other than English in systematic reviews. Health Technol Assess. 2003;7(41):1–90.CrossRefPubMed
24.
Deshpande NA. Lewis-O’Connor a: screening for intimate partner violence during pregnancy. Rev Obstet Gynecol. 2013;6(3–4):141.PubMedPubMedCentral
25.
García-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts C. WHO multi-country study on women's health and domestic violence against women: initial results on prevalence, health outcomes and women's responses. Switzerland: World Health Organization; 2005.
26.
27.
28.
Borenstein M, Hedges LV, Higgins J, Rothstein HR. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods. 2010;1(2):97–111.CrossRefPubMed
29.
Abeya SG, Afework MF, Yalew AW. Intimate partner violence against women in western Ethiopia: prevalence, patterns, and associated factors. BMC Public Health. 2011;11(1):913.CrossRefPubMedPubMedCentral
30.
Shanko W, Wolday M, Assefa N, Aro AR. Domestic violence against women in Kersa, Oromia region, eastern Ethiopia. Eastern Mediterranean Health Journal. 2013;19:18–23.CrossRefPubMed
31.
Semahegn A, Belachew T, Abdulahi M. Domestic violence and its predictors among married women in reproductive age in Fagitalekoma Woreda, Awi zone, Amhara regional state, North Western Ethiopia. Reprod Health. 2013;10(1):63.CrossRefPubMedPubMedCentral
32.
Mohammed BH, Johnston JM, Harwell JI, Yi H, KW-k T, Haidar JA. Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia. BMC Health Serv Res. 2017;17(1):178.CrossRefPubMedPubMedCentral
33.
Hassen F, Deyassa N. The relationship between sexual violence and human immunodeficiency virus (HIV) infection among women using voluntary counseling and testing services in south Wollo zone, Ethiopia. BMC Res Notes. 2013;6(1):271.CrossRefPubMedPubMedCentral
34.
Gebrezigiabiher G, Tinsae F. Prevalence and associated factors of domestic violence among married women in Rural Eastern Zone Tigray, Ethiopia; 2015.
35.
36.
Dibaba Y. Prevalence of intimate partner physical violence against women and associated factoers in Kofale district, Arsi zone, central Ethiopia. Ethiop J Health Sci. 2006;16(2).
37.
Deyessa N, Berhane Y, Alem A, Ellsberg M, Emmelin M, Hogberg U, Kullgren G. Intimate partner violence and depression among women in rural Ethiopia: a cross-sectional study. Clin Pract Epidemiol Ment Health. 2009;5(1):8.CrossRefPubMedPubMedCentral
38.
Deribew A. Magnitude and risk factors of intimate partner violence against women in Agaro town, Southwest Ethiopia. Ethiop J Health Sci. 2007;17(2).
39.
Deribe K, Beyene BK, Tolla A, Memiah P, Biadgilign S, Amberbir A. Magnitude and correlates of intimate partner violence against women and its outcome in Southwest Ethiopia. PLoS One. 2012;7(4):e36189.CrossRefPubMedPubMedCentral
40.
Demissie DB, Abduro K, Teklu H. Intimate Partner Violence against Married Women and Associated Factors in Gedo Town, Oromia, Ethiopia. Journal of Culture, Socitey and Development. 2016:15.
41.
Abeya SG, Afework MF, Yalew AW. Intimate partner violence against women in West Ethiopia: a qualitative study on attitudes, woman’s response, and suggested measures as perceived by community members. Reprod Health. 2012;9(1):14.CrossRefPubMedPubMedCentral
42.
43.
Wang T, Liu Y, Li Z, Liu K, Xu Y, Shi W, Chen L. Prevalence of intimate partner violence (IPV) during pregnancy in China: a systematic review and meta-analysis. PLoS One. 2017;12(10):e0175108.CrossRefPubMedPubMedCentral
44.
Zhang Y. Correlation between psychological characteristics of the pre-postnatal, neurobiochemical mechanism in neonates and domestic violence and impact of gene-environment interaction on infants' cognitive-behavioral Development. Thesis, Central South University; 2008.
45.
Leung W-C, Leung T, Lam Y, Ho P. The prevalence of domestic violence against pregnant women in a Chinesecommunity. Int J Gynecol Obstet. 1999;66(1):23–30.CrossRef
46.
Leung W-C, Kung F, Lam J, Leung T, Ho P. Domestic violence and postnatal depression in a Chinese community. Int J Gynecol Obstet. 2002;79(2):159–66.CrossRef
47.
Menjívar C, Salcido O. Immigrant women and domestic violence: common experiences in different countries. Gend Soc. 2002;16(6):898–920.CrossRef
48.
Ntaganira J, Muula AS, Siziya S, Stoskopf C, Rudatsikira E. Factors associated with intimate partner violence among pregnant rural women in Rwanda. Rural Remote Health. 2009;9(3):1153.PubMed
49.
Mahenge B, Likindikoki S, Stöckl H, Mbwambo J. Intimate partner violence during pregnancy and associated mental health symptoms among pregnant women in Tanzania: a cross-sectional study. BJOG Int J Obstet Gynaecol. 2013;120(8):940–7.CrossRef
50.
Iliyasu Z, Abubakar IS, Galadanci HS, Hayatu Z, Aliyu MH. Prevalence and risk factors for domestic violence among pregnant women in northern Nigeria. J Interpers Violence. 2013;28(4):868–83.CrossRefPubMed
51.
Abdollahi F, Abhari FR, Delavar MA, Charati JY. Physical violence against pregnant women by an intimate partner, and adverse pregnancy outcomes in Mazandaran Province, Iran. J Fam Community Med. 2015;22(1):13.CrossRef
52.
Naved RT, Persson LÅ. Factors associated with physical spousal abuse of women during pregnancy in Bangladesh. International family planning perspectives. 2008;34:71–78.CrossRef
53.
Makayoto LA, Omolo J, Kamweya AM, Harder VS, Mutai J. Prevalence and associated factors of intimate partner violence among pregnant women attending Kisumu District hospital, Kenya. Matern Child Health J. 2013;17(3):441–7.CrossRefPubMedPubMedCentral
54.
Muhajarine N, D'Arcy C. Physical abuse during pregnancy: prevalence and risk factors. Can Med Assoc J. 1999;160(7):1007–11.
55.
Fawole AO, Hunyinbo KI, Fawole OI. Prevalence of violence against pregnant women in Abeokuta, Nigeria. Aust N Z J Obstet Gynaecol. 2008;48(4):405–14.CrossRefPubMed
Metadata
Title
Intimate partner violence and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis
Authors
Animut Alebel
Getiye Dejenu Kibret
Fasil Wagnew
Cheru Tesema
Aster Ferede
Pammla Petrucka
Firew Tekle Bobo
Molla Yigzaw Birhanu
Animen Ayehu Tadesse
Setegn Eshetie
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0637-x

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