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Published in: BMC Medicine 1/2014

Open Access 01-12-2014 | Research article

Risk of violence from the man involved in the pregnancy after receiving or being denied an abortion

Authors: Sarah CM Roberts, M Antonia Biggs, Karuna S Chibber, Heather Gould, Corinne H Rocca, Diana Greene Foster

Published in: BMC Medicine | Issue 1/2014

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Abstract

Background

Intimate partner violence is common among women having abortions, with between 6% and 22% reporting recent violence from an intimate partner. Concern about violence is a reason some pregnant women decide to terminate their pregnancies. Whether risk of violence decreases after having an abortion, remains unknown.

Methods

Data are from the Turnaway Study, a prospective cohort study of women seeking abortions at 30 facilities across the U.S. Participants included women who: presented just prior to a facility’s gestational age limit and received abortions (Near Limit Abortion Group, n = 452), presented just beyond the gestational limit and were denied abortions (Turnaways, n = 231), and received first trimester abortions (First Trimester Abortion Group, n = 273). Mixed effects logistic regression was used to assess the relationship between receiving versus being denied abortion and subsequent violence from the man involved in the pregnancy over 2.5 years.

Results

Physical violence decreased for Near Limits (adjusted odds ratios (aOR), 0.93 per month; 95% Confidence Interval (CI) 0.90, 0.96), but not Turnaways who gave birth (P < .05 versus Near Limits). The decrease for First Trimesters was similar to Near Limits (P = .324). Psychological violence decreased for all groups (aOR, 0.97; CI 0.94, 1.00), with no differential change across groups.

Conclusions

Policies restricting abortion provision may result in more women being unable to terminate unwanted pregnancies, potentially keeping them in contact with violent partners, and putting women and their children at risk.
Appendix
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Literature
1.
go back to reference Pallitto CC, Garcia-Moreno C, Jansen HA, Heise L, Ellsberg M, Watts C: Intimate partner violence, abortion, and unintended pregnancy: results from the WHO multi-country study on women’s health and domestic violence. Int J Gynaecol Obstet. 2013, 120: 3-9. 10.1016/j.ijgo.2012.07.003.CrossRefPubMed Pallitto CC, Garcia-Moreno C, Jansen HA, Heise L, Ellsberg M, Watts C: Intimate partner violence, abortion, and unintended pregnancy: results from the WHO multi-country study on women’s health and domestic violence. Int J Gynaecol Obstet. 2013, 120: 3-9. 10.1016/j.ijgo.2012.07.003.CrossRefPubMed
2.
go back to reference Saftlas AF, Wallis AB, Shochet T, Harland KK, Dickey P, Peek-Asa C: Prevalence of intimate partner violence among an abortion clinic population. Am J Public Health. 2010, 100: 1412-1415. 10.2105/AJPH.2009.178947.CrossRefPubMedPubMedCentral Saftlas AF, Wallis AB, Shochet T, Harland KK, Dickey P, Peek-Asa C: Prevalence of intimate partner violence among an abortion clinic population. Am J Public Health. 2010, 100: 1412-1415. 10.2105/AJPH.2009.178947.CrossRefPubMedPubMedCentral
3.
go back to reference Jones RK, Moore AM, Frohwirth LF: Perceptions of male knowledge and support among U.S. women obtaining abortions. Womens Health Issues. 2011, 21: 117-123. 10.1016/j.whi.2010.10.007.CrossRefPubMed Jones RK, Moore AM, Frohwirth LF: Perceptions of male knowledge and support among U.S. women obtaining abortions. Womens Health Issues. 2011, 21: 117-123. 10.1016/j.whi.2010.10.007.CrossRefPubMed
4.
go back to reference Evins G, Chescheir N: Prevalence of domestic violence among women seeking abortion services. Womens Health Issues. 1996, 6: 204-210. 10.1016/1049-3867(95)00012-7.CrossRefPubMed Evins G, Chescheir N: Prevalence of domestic violence among women seeking abortion services. Womens Health Issues. 1996, 6: 204-210. 10.1016/1049-3867(95)00012-7.CrossRefPubMed
5.
go back to reference Glander SS, Moore ML, Michielutte R, Parsons LH: The prevalence of domestic violence among women seeking abortion. Obstet Gynecol. 1998, 91: 1002-1006. 10.1016/S0029-7844(98)00089-1.PubMed Glander SS, Moore ML, Michielutte R, Parsons LH: The prevalence of domestic violence among women seeking abortion. Obstet Gynecol. 1998, 91: 1002-1006. 10.1016/S0029-7844(98)00089-1.PubMed
6.
go back to reference Chibber KS, Biggs MA, Roberts SC, Foster DG: The role of intimate partners in women’s reasons for seeking abortion. Womens Health Issues. 2014, 24: e131-138. 10.1016/j.whi.2013.10.007.CrossRefPubMed Chibber KS, Biggs MA, Roberts SC, Foster DG: The role of intimate partners in women’s reasons for seeking abortion. Womens Health Issues. 2014, 24: e131-138. 10.1016/j.whi.2013.10.007.CrossRefPubMed
8.
go back to reference Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM: Reasons U.S. women have abortions: quantitative and qualitative perspectives. Perspect Sex Reprod Health. 2005, 37: 110-118. 10.1363/3711005.CrossRefPubMed Finer LB, Frohwirth LF, Dauphinee LA, Singh S, Moore AM: Reasons U.S. women have abortions: quantitative and qualitative perspectives. Perspect Sex Reprod Health. 2005, 37: 110-118. 10.1363/3711005.CrossRefPubMed
9.
go back to reference Kirkman M, Rowe H, Hardiman A, Mallett S, Rosenthal D: Reasons women give for abortion: a review of the literature. Arch Womens Ment Health. 2009, 12: 365-378. 10.1007/s00737-009-0084-3.CrossRefPubMed Kirkman M, Rowe H, Hardiman A, Mallett S, Rosenthal D: Reasons women give for abortion: a review of the literature. Arch Womens Ment Health. 2009, 12: 365-378. 10.1007/s00737-009-0084-3.CrossRefPubMed
10.
go back to reference Fergusson DM, Boden JM, Horwood LJ: Abortion among young women and subsequent life outcomes. Perspect Sex Reprod Health. 2007, 39: 6-12. 10.1363/3900607.CrossRefPubMed Fergusson DM, Boden JM, Horwood LJ: Abortion among young women and subsequent life outcomes. Perspect Sex Reprod Health. 2007, 39: 6-12. 10.1363/3900607.CrossRefPubMed
11.
go back to reference Rocca C, Kimport K, Gould H, Foster D: Women’s emotional responses to unintended pregnancy, abortion and being denied an abortion in the United States. Perspect Sex Reprod Health. 2013, 45: 122-131. 10.1363/4512213.CrossRefPubMed Rocca C, Kimport K, Gould H, Foster D: Women’s emotional responses to unintended pregnancy, abortion and being denied an abortion in the United States. Perspect Sex Reprod Health. 2013, 45: 122-131. 10.1363/4512213.CrossRefPubMed
12.
go back to reference Roberts SC, Avalos LA, Sinkford D, Foster DG: Alcohol, tobacco and drug use as reasons for abortion. Alcohol Alcohol. 2012, 47: 640-648. 10.1093/alcalc/ags095.CrossRefPubMed Roberts SC, Avalos LA, Sinkford D, Foster DG: Alcohol, tobacco and drug use as reasons for abortion. Alcohol Alcohol. 2012, 47: 640-648. 10.1093/alcalc/ags095.CrossRefPubMed
13.
go back to reference Gould H, Perrucci A, Barar R, Sinkford D, Foster D: Patient education and emotional support practices in abortion care facilities in the United States. Womens Health Issues. 2012, 22: e359-e364. 10.1016/j.whi.2012.04.003.CrossRefPubMed Gould H, Perrucci A, Barar R, Sinkford D, Foster D: Patient education and emotional support practices in abortion care facilities in the United States. Womens Health Issues. 2012, 22: e359-e364. 10.1016/j.whi.2012.04.003.CrossRefPubMed
14.
go back to reference Upadhyay UD, Weitz TA, Jones RK, Barar RE, Foster DG: Denial of abortion because of provider gestational age limits in the United States.Am J Public Health. in press.. Upadhyay UD, Weitz TA, Jones RK, Barar RE, Foster DG: Denial of abortion because of provider gestational age limits in the United States.Am J Public Health. in press..
15.
go back to reference Roberts SC, Rocca CH, Foster DG: Receiving versus being denied an abortion and subsequent drug use. Drug Alcohol Depend. 2014, 134: 63-70. 10.1016/j.drugalcdep.2013.09.013.CrossRefPubMed Roberts SC, Rocca CH, Foster DG: Receiving versus being denied an abortion and subsequent drug use. Drug Alcohol Depend. 2014, 134: 63-70. 10.1016/j.drugalcdep.2013.09.013.CrossRefPubMed
16.
go back to reference Dobkin L, Gould H, Barar R, Ferrari M, Weiss E, Foster DG: Implementing a prospective study of women seeking abortion in the United States: understanding and overcoming barriers to recruitment. Womens Health Issues. 2014, 24: e115-123. 10.1016/j.whi.2013.10.004.CrossRefPubMed Dobkin L, Gould H, Barar R, Ferrari M, Weiss E, Foster DG: Implementing a prospective study of women seeking abortion in the United States: understanding and overcoming barriers to recruitment. Womens Health Issues. 2014, 24: e115-123. 10.1016/j.whi.2013.10.004.CrossRefPubMed
17.
go back to reference Pazol K, Zane S, Parker WY, Hall LR, Gamble SB, Hamdan S, Berg C, Cook DA: Abortion surveillance - United States, 2007. MMWR. 2011, 60: 1-42. Pazol K, Zane S, Parker WY, Hall LR, Gamble SB, Hamdan S, Berg C, Cook DA: Abortion surveillance - United States, 2007. MMWR. 2011, 60: 1-42.
18.
go back to reference Maternal and Infant Health Assessment Survey. 2005 Maternal and Infant Health Assessment Survey. 2005
19.
go back to reference Mauldon J, Foster DG, Roberts SC: Effect of abortion vs. carrying to term on a woman’s relationship with the man involved in the pregnancy.Perspect Sex Reprod Health. in press.. Mauldon J, Foster DG, Roberts SC: Effect of abortion vs. carrying to term on a woman’s relationship with the man involved in the pregnancy.Perspect Sex Reprod Health. in press..
20.
go back to reference Campbell JC: Health consequences of intimate partner violence. Lancet. 2002, 359: 1331-1336. 10.1016/S0140-6736(02)08336-8.CrossRefPubMed Campbell JC: Health consequences of intimate partner violence. Lancet. 2002, 359: 1331-1336. 10.1016/S0140-6736(02)08336-8.CrossRefPubMed
21.
go back to reference Sarkar NN: The impact of intimate partner violence on women’s reproductive health and pregnancy outcome. J Obstet Gynaecol. 2008, 28: 266-271. 10.1080/01443610802042415.CrossRefPubMed Sarkar NN: The impact of intimate partner violence on women’s reproductive health and pregnancy outcome. J Obstet Gynaecol. 2008, 28: 266-271. 10.1080/01443610802042415.CrossRefPubMed
22.
go back to reference Wolfe DA, Crooks CV, Lee V, McIntyre-Smith A, Jaffe PG: The effects of children’s exposure to domestic violence: a meta-analysis and critique. Clin Child Fam Psychol Rev. 2003, 6: 171-187. 10.1023/A:1024910416164.CrossRefPubMed Wolfe DA, Crooks CV, Lee V, McIntyre-Smith A, Jaffe PG: The effects of children’s exposure to domestic violence: a meta-analysis and critique. Clin Child Fam Psychol Rev. 2003, 6: 171-187. 10.1023/A:1024910416164.CrossRefPubMed
23.
go back to reference Evans S, Davies C, DiLillo D: Exposure to domestic violence: a meta-analysis of child and adolescent outcomes. Aggress Violent Behav. 2008, 13: 131-140. 10.1016/j.avb.2008.02.005.CrossRef Evans S, Davies C, DiLillo D: Exposure to domestic violence: a meta-analysis of child and adolescent outcomes. Aggress Violent Behav. 2008, 13: 131-140. 10.1016/j.avb.2008.02.005.CrossRef
24.
go back to reference Intimate partner violence. Obstet Gynecol. 2012, 119: 412-417. 10.1097/AOG.0b013e318249ff74. Intimate partner violence. Obstet Gynecol. 2012, 119: 412-417. 10.1097/AOG.0b013e318249ff74.
25.
go back to reference Morton LM, Cahill J, Hartge P: Reporting participation in epidemiologic studies: a survey of practice. Am J Epidemiol. 2006, 163: 197-203. 10.1093/aje/kwj036.CrossRefPubMed Morton LM, Cahill J, Hartge P: Reporting participation in epidemiologic studies: a survey of practice. Am J Epidemiol. 2006, 163: 197-203. 10.1093/aje/kwj036.CrossRefPubMed
26.
go back to reference Galea S, Tracy M: Participation rates in epidemiologic studies. Ann Epidemiol. 2007, 17: 643-653. 10.1016/j.annepidem.2007.03.013.CrossRefPubMed Galea S, Tracy M: Participation rates in epidemiologic studies. Ann Epidemiol. 2007, 17: 643-653. 10.1016/j.annepidem.2007.03.013.CrossRefPubMed
Metadata
Title
Risk of violence from the man involved in the pregnancy after receiving or being denied an abortion
Authors
Sarah CM Roberts
M Antonia Biggs
Karuna S Chibber
Heather Gould
Corinne H Rocca
Diana Greene Foster
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2014
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/s12916-014-0144-z

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Reviewer acknowledgement

Reviewer acknowledgements for 2013