Associations Between Intimate Partner Violence and Termination of Pregnancy: a Systematic Review and Meta-analysis

Overview

Journal PLoS Med

Specialty General Medicine

Date 2014 Jan 11

PMID 24409101

Citations 42

Authors

Megan Hall

Lucy C Chappell

Bethany L Parnell

Paul T Seed

Susan Bewley

Affiliations

Soon will be listed here.

Abstract

Background: Intimate partner violence (IPV) and termination of pregnancy (TOP) are global health concerns, but their interaction is undetermined. The aim of this study was to determine whether there is an association between IPV and TOP.

Methods And Findings: A systematic review based on a search of Medline, Embase, PsycINFO, and Ovid Maternity and Infant Care from each database's inception to 21 September 2013 for peer-reviewed articles of any design and language found 74 studies regarding women who had undergone TOP and had experienced at least one domain (physical, sexual, or emotional) of IPV. Prevalence of IPV and association between IPV and TOP were meta-analysed. Sample sizes ranged from eight to 33,385 participants. Worldwide, rates of IPV in the preceding year in women undergoing TOP ranged from 2.5% to 30%. Lifetime prevalence by meta-analysis was shown to be 24.9% (95% CI 19.9% to 30.6%); heterogeneity was high (I (2)>90%), and variation was not explained by study design, quality, or size, or country gross national income per capita. IPV, including history of rape, sexual assault, contraceptive sabotage, and coerced decision-making, was associated with TOP, and with repeat TOPs. By meta-analysis, partner not knowing about the TOP was shown to be significantly associated with IPV (pooled odds ratio 2.97, 95% CI 2.39 to 3.69). Women in violent relationships were more likely to have concealed the TOP from their partner than those who were not. Demographic factors including age, ethnicity, education, marital status, income, employment, and drug and alcohol use showed no strong or consistent mediating effect. Few long-term outcomes were studied. Women welcomed the opportunity to disclose IPV and be offered help. Limitations include study heterogeneity, potential underreporting of both IPV and TOP in primary data sources, and inherent difficulties in validation.

Conclusions: IPV is associated with TOP. Novel public health approaches are required to prevent IPV. TOP services provide an opportune health-based setting to design and test interventions.

Citing Articles

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References

Kalyanwala S, Zavier A, Jejeebhoy S, Kumar R . Abortion experiences of unmarried young women in India: evidence from a facility-based study in Bihar and Jharkhand. Int Perspect Sex Reprod Health. 2010; 36(2):62-71. DOI: 10.1363/ipsrh.36.062.10. View

Emenike E, Lawoko S, Dalal K . Intimate partner violence and reproductive health of women in Kenya. Int Nurs Rev. 2008; 55(1):97-102. DOI: 10.1111/j.1466-7657.2007.00580.x. View

Borins E, Forsythe P . Past trauma and present functioning of patients attending a women's psychiatric clinic. Am J Psychiatry. 1985; 142(4):460-3. DOI: 10.1176/ajp.142.4.460. View

Oram S, Stockl H, Busza J, Howard L, Zimmerman C . Prevalence and risk of violence and the physical, mental, and sexual health problems associated with human trafficking: systematic review. PLoS Med. 2012; 9(5):e1001224. PMC: 3362635. DOI: 10.1371/journal.pmed.1001224. View

Gissler M, Berg C, Bouvier-Colle M, Buekens P . Injury deaths, suicides and homicides associated with pregnancy, Finland 1987-2000. Eur J Public Health. 2005; 15(5):459-63. DOI: 10.1093/eurpub/cki042. View

Gee R, Mitra N, Wan F, Chavkin D, Long J . Power over parity: intimate partner violence and issues of fertility control. Am J Obstet Gynecol. 2009; 201(2):148.e1-7. DOI: 10.1016/j.ajog.2009.04.048. View

DerSimonian R, Laird N . Meta-analysis in clinical trials. Control Clin Trials. 1986; 7(3):177-88. DOI: 10.1016/0197-2456(86)90046-2. View

Campbell J . Health consequences of intimate partner violence. Lancet. 2002; 359(9314):1331-6. DOI: 10.1016/S0140-6736(02)08336-8. View

Woo J, Fine P, Goetzl L . Abortion disclosure and the association with domestic violence. Obstet Gynecol. 2005; 105(6):1329-34. DOI: 10.1097/01.AOG.0000159576.88624.d2. View

10.

Kaye D, Mirembe F, Bantebya G, Johansson A, Ekstrom A . Domestic violence as risk factor for unwanted pregnancy and induced abortion in Mulago Hospital, Kampala, Uganda. Trop Med Int Health. 2006; 11(1):90-101. DOI: 10.1111/j.1365-3156.2005.01531.x. View

11.

Stenson K, Heimer G, Lundh C, Nordstrom M, Saarinen H, Wenker A . The prevalence of violence investigated in a pregnant population in Sweden. J Psychosom Obstet Gynaecol. 2002; 22(4):189-97. DOI: 10.3109/01674820109049973. View

12.

Johnson J, John R, Humera A, Kukreja S, Found M, Lindow S . The prevalence of emotional abuse in gynaecology patients and its association with gynaecological symptoms. Eur J Obstet Gynecol Reprod Biol. 2006; 133(1):95-9. DOI: 10.1016/j.ejogrb.2006.04.035. View

13.

Evins G, Chescheir N . Prevalence of domestic violence among women seeking abortion services. Womens Health Issues. 1996; 6(4):204-10. DOI: 10.1016/1049-3867(95)00012-7. View

14.

Saftlas A, Wallis A, Shochet T, Harland K, Dickey P, Peek-Asa C . Prevalence of intimate partner violence among an abortion clinic population. Am J Public Health. 2010; 100(8):1412-5. PMC: 2901290. DOI: 10.2105/AJPH.2009.178947. View

15.

OReilly R, Beale B, Gillies D . Screening and intervention for domestic violence during pregnancy care: a systematic review. Trauma Violence Abuse. 2010; 11(4):190-201. DOI: 10.1177/1524838010378298. View

16.

Yimin C, Baohua K, Tieyan W, Xuejun H, Huan S, Yuren L . Case-controlled study on relevant factors of adolescent sexual coercion in China. Contraception. 2001; 64(2):77-80. DOI: 10.1016/s0010-7824(01)00230-x. View

17.

Jones R, Finer L . Who has second-trimester abortions in the United States?. Contraception. 2011; 85(6):544-51. DOI: 10.1016/j.contraception.2011.10.012. View

18.

Yimin C, Shouqing L, Arzhu Q, Yuke Z, Jianhua W, Jinxin Z . Sexual coercion among adolescent women seeking abortion in China. J Adolesc Health. 2002; 31(6):482-6. DOI: 10.1016/s1054-139x(02)00449-4. View

19.

Shah N, Hossain N, Noonari M, Khan N . Maternal mortality and morbidity of unsafe abortion in a university teaching hospital of Karachi, Pakistan. J Pak Med Assoc. 2011; 61(6):582-6. View

20.

Glander S, Moore M, Michielutte R, Parsons L . The prevalence of domestic violence among women seeking abortion. Obstet Gynecol. 1998; 91(6):1002-6. DOI: 10.1016/s0029-7844(98)00089-1. View