Associations between intimate partner violence and married women’s condom and other contraceptive use in rural India
Anindita Dasgupta A J , Niranjan Saggurti B , Mohan Ghule C , Elizabeth Reed D , Balaiah Donta E , Madhusudana Battala B , Saritha Nair F , Julie Ritter G H , Velhal Gajanan I , Jay Silverman G H and Anita Raj G H
+ Author Affiliations
- Author Affiliations
A School of Social Work, Columbia University, 1255 Amsterdam Avenue, New York, NY 10027, USA.
B Population Council, Zone 5A, Ground Floor, India Habitat Centre, Lodi Road, New Delhi 110003, India.
C Equal Community Foundation, B-14 Sasoon Road, Opp Ruby Hall Clinic, Pune-411 011, India.
D Division of Health Promotion and Behavior, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, USA.
E National Institute for Research in Reproductive Health, Jehangir, Merwanji Street, Parel, Mumbai-400 023, India.
F National Institute of Medical Statistics, Ansari Nagar, New Delhi, Delhi 110029, India.
G Division of Global Public Health, Department of Medicine, University of California, San Diego School of Medicine, San Diego, CA 92093-0507, USA.
H Center on Gender Equity and Health, University of California, 9500 Gilman Drive, MC 0507, La Jolla, CA 92093-0507, USA.
I Topiwala National Medical College & Bai Yamunabai Laxman Nair Charitable Hospital, Dr A. L. Nair Road, Mumbai, Maharashtra 400008, India.
J Corresponding author. Email: ad3341@columbia.edu
Sexual Health 15(5) 381-388 https://doi.org/10.1071/SH17090
Submitted: 3 May 2017 Accepted: 26 March 2018 Published: 26 July 2018
Abstract
Background: The existing literature on the intersection between women’s reports of spousal intimate partner violence (IPV) and contraceptive use in South Asia is conflicted. Results vary based on method of contraception use and form of violence (physical or sexual), and few examine the relationship between IPV and various methods of modern spacing contraceptive (MSC) use. This study examines associations between IPV and MSC use among a sample of married, not-currently pregnant couples in rural Maharashtra, India (n = 861). Methods: Multinomial logistic regression models assessed wives’ physical and sexual IPV victimisation (for the past 6-months) in relation to the wives’ past 3-month MSC use (categorised as condom use, other MSCs [oral pills, Intrauterine device (IUD)] and no MSCs). Results: In terms of violence, 9% (n = 78) and 4% (n = 34) of wives reported recent physical and sexual IPV victimisation, respectively. The majority (72%; n = 621) did not use any MSC method in the past 3 months; 14% (n = 119) reported recent condom use, and the same proportion reported other MSC use. Recent physical IPV was associated with increased likelihood of recent condom use (AOR: 2.46, 95% CI: 1.20, 5.04), and recent sexual IPV was associated with increased likelihood of recent use of other MSC (AOR: 3.27, 95% CI: 1.24, 8.56). Conclusions: These findings reinforce the need for integration of counselling around IPV prevention and intervention programming into existing family planning services targeting married couples in rural Maharashtra, India.
Additional keywords: contraception, physical intimate partner violence, sexual intimate partner violence.
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