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La violencia doméstica como factor de riesgo de embarazos no deseados y abortos inducidos en el hospital Mulago, Kampala, Uganda
Author(s) -
Kaye Dan K.,
Mirembe Florence M.,
Bantebya Grace,
Johansson Annika,
Ekstrom Anna Mia
Publication year - 2006
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2005.01531.x
Subject(s) - abortion , medicine , domestic violence , pregnancy , marital status , spouse , demography , family planning , socioeconomic status , odds ratio , unintended pregnancy , obstetrics , population , gynecology , poison control , environmental health , injury prevention , genetics , pathology , sociology , anthropology , research methodology , biology
Summary Objective To compare pregnancy intention and domestic violence among women with induced and spontaneous abortion. Method Case‐control study in Mulago Hospital, Uganda, from September 2003 to June 2004 of 942 women seeking post‐abortion care. Direct inquiry, records review and clinical examination identified 333 with induced abortion (cases) and 609 with spontaneous abortion (controls), who were compared regarding socio‐demographic characteristics, contraceptive use, domicile (rural or urban, nuclear or extended families), pregnancy intention, household decision‐making and domestic violence. Data was analysed with EPI‐INFO and STATA, using Student t ‐test and analysis of variance for continuous and chi‐square for categorical variables. Stratified and multivariate logistic regression analyses were used to adjust for confounding and interaction at the 95% confidence level. Results Cases significantly differed from controls as they were younger or more often single; had lower parity and education, less household decision‐making and fewer living children. They were similar to controls ( P > 0.05) regarding employment, spouse's age, years spent in marital relationship and domicile. Cases more frequently ( P < 0.001) had mistimed, unplanned or unwanted pregnancy at conception and presentation. Cases were more likely to have a recent history of domestic violence (physical, sexual or psychological) [OR: 18.7 (95%CI: 11.2–31.0)] after adjusting for age, pregnancy intention and marital status. Conclusion Domestic violence is a risk factor for unwanted pregnancy and induced abortion among women seeking post‐abortion care.