Health Promot Perspect. 2021;11(4): 485-491.
doi: 10.34172/hpp.2021.61
  Abstract View: 238
  PDF Download: 73

Original Article

He hurts her womb: Physical-sexual violence and pregnancy complications among women in Afghanistan

Mostafizur Rahman 1* ORCID logo, Priom Saha 2 ORCID logo, Nahida Anwar 3, Afnan Hossain 4 ORCID logo

1 Department of Science and Humanities, Bangabandhu Sheikh Mujibur Rahman Aviation and Aerospace University, Old Airport, Tejgaon, Dhaka 1215, Bangladesh
2 Institute of Statistical Research and Training, University of Dhaka, Dhaka 1000, Bangladesh
3 Department of Philosophy, University of Dhaka, Dhaka 1000, Bangladesh
4 Department of Peace and Conflict Studies, University of Dhaka, Dhaka 1000, Bangladesh
*Corresponding Author: Mostafizur Rahman, Email: mostafizur.r@hotmail. com


Background: Though some studies show the association between intimate partner violence and pregnancy complications in developed countries, the association remains understudied in less developed and low-income settings. This study examines the association of physical and sexual violence with pregnancy complications among women in Afghanistan.

Methods: This study used the data from the 2015 Afghanistan Demographic and Health Survey (AfDHS). The analysis included 7229 women aged between 15 and 49 and used logistic regression to show the association of physical and sexual violence with pregnancy compilations. The analysis controlled for some potential variables and followed complex survey design factors such as strata, clusters, and survey weights.

Results: Fully adjusted regression model shows that the women who experienced physical violence were 21% (adjusted odds ratio [OR]=1.21; confidence interval [CI]=0.98, 1.50; P<0.1) more likely to endure pregnancy complications compared to those who did not face the violence. Likewise, the women experiencing sexual violence were 89% (adjusted OR=1.89; CI=1.37, 2.62; P<0.01) higher to face pregnancy complications than those who did not face any of sexual violence. More specifically, physically and sexually violated women were highly prey to the complications that increased with the increment of the violence.

Conclusion: This study adds that policymakers may formulate policies for ensuring 3C (caring couple counselling) by readdressing couple relationships, raising gender rights and awareness, providing reproductive health literacy, and increasing mental health awareness during pregnancy.

Keywords: Intimate partner violence, Physical abuse, Pregnancy complications, Sex offenses, Women
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Submitted: 12 Jun 2021
Accepted: 11 Aug 2021
ePublished: 19 Dec 2021
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