Partner violence victimization and unintended pregnancy in Latina and Asian American women: Analysis using structural equation modeling

Cha, Susan; Masho, Saba W.; Heh, Victor

doi:10.1080/03630242.2016.1170094

Cited by 11 publications

(6 citation statements)

References 48 publications

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“…A similar finding from the U.S also revealed that the significant association between IPV and unintended pregnancy, where abused women were twice as likely as non-abused women to have had an unintended pregnancy, was not mediated by condom use. In this study, condom use had a positive association with unintended pregnancy and IPV had a negative association with condom use but both associations were not significant [ 51 ]. While some previous evidence has shown that IPV is associated with contraception use [ 18 – 20 ], in this study the association between IPV and contraception use was not significant.…”

Section: Discussionmentioning

confidence: 99%

The mediation effect of contraceptive use and women’s autonomy on the relationship between intimate partner violence and unintended pregnancy in Ethiopia

et al. 2020

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Background Intimate partner violence (IPV) affects one in every three women globally. Previous studies have revealed that women’s experiences of different forms of IPV are significantly associated with a higher rate of unintended pregnancy, reduced uptake of contraception, and reduced ability to make decisions regarding their fertility. The aim of this study was to investigate whether previously observed relationships between IPV and unintended pregnancy in Ethiopia are mediated by contraceptive use and women’s autonomy. Methods This study was performed using nationally representative data from the 2016 Ethiopian Demographic and Health Survey (EDHS). A subsample of married women of reproductive age reporting a pregnancy within the 5 years preceding 2016 and who participated in the domestic violence sub-study of the survey were included in analyses. Logistic regression models, together with the product of coefficients method, were used to estimate direct and mediated effects. Results Twenty six percent of participants reported an unintended pregnancy in the 5 years preceding the survey. Sixty-four percent reported having ever experienced IPV (a composite measure of physical, sexual, emotional abuse, and partner controlling behaviour). After adjusting for potential confounding factors, unintended pregnancy was significantly positively associated with reporting sexual IPV, emotional IPV, IPV (a composite measure of physical, sexual, or emotional abuse), and multiple partner controlling behaviour. However, IPV (as a composite of all four forms), physical IPV, and partner control (single act) were not significantly associated with unintended pregnancy. Women’s autonomy, but not contraception use, had a significant partial mediation effect in the relationships between some forms of IPV and unintended pregnancy. Women’s autonomy mediated about 35, 35, and 43% of the total effect of emotional IPV, IPV (physical, sexual, and/or emotional), and multiple partner control on unintended pregnancy respectively. Conclusion Women’s autonomy appears to play a significant role in mediating the effect of IPV on unintended pregnancy in Ethiopia. Maternal health service interventions in Ethiopia could incorporate measures to improve women’s decision-making power to reduce the negative reproductive health effects of IPV.

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Section: Discussionmentioning

confidence: 99%

The mediation effect of contraceptive use and women’s autonomy on the relationship between intimate partner violence and unintended pregnancy in Ethiopia

et al. 2020

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“…In another study of women aged 18 or older, married or cohabitating Latina and Asian women, only those who experienced IPV, were twice as likely to experience a UIP relative to women who were not exposed to IPV. 32 Despite emerging work on the impact of RC on UIP, studies to date have not assessed the combined impact of race/ethnicity and RC/IPV on risk for UIP.…”

Section: Introductionmentioning

confidence: 99%

Racial/Ethnic Differences in Women's Experiences of Reproductive Coercion, Intimate Partner Violence, and Unintended Pregnancy

Holliday

McCauley

Silverman

et al. 2017

Journal of Women's Health

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Black and multiracial women seeking care in family planning clinics have a disproportionately high prevalence of RC and UIP. RC may partially explain differences in UIP prevalence, with the effect of race/ethnicity slightly attenuated in RC-adjusted models. However, the impact of RC on risk for UIP was similar for White and Black women. Findings from this study support the need to understand and prevent RC, particularly among women of color. Results are foundational in understanding disparities in RC and UIP that may have implications for refinement of clinical care.

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“…Among Asian women, physical violence experience included unwanted pregnancy by a husband/partner and imprisonment of self or husband. In general, a batterer is more likely to have control over a victim’s sexuality/life and engage in sexual risk-taking behaviors (e.g., unprotected sex), which elevates the risk of unwanted pregnancy (Cha, Masho, & Heh, 2017; Coker, 2007). Reversely, women whose partner does not want the current pregnancy are at more than 3 times greater risk of being a victim of physical violence relative to their counterparts who want the pregnancy (Chu, Goodwin, & D’Angelo, 2010).…”

Section: Discussionmentioning

confidence: 99%

Factor Structure for Chronic Stress Before and During Pregnancy by Racial/Ethnic Group

2018

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This study aimed to explore race/ethnicity-specific dimensionalities of chronic stress before and during pregnancy for non-Hispanic (N-H) White, N-H Black, Hispanic, and Asian women in the United States. This study analyzed the data among 6,850 women from the New York City and Washington State Pregnancy Risk Assessment Monitoring System (2004-2007) linked with birth certificates. Separate exploratory factor analysis was conducted by race/ethnicity using a maximum-likelihood extraction method with 26 chronic stress items before and during pregnancy. Correlations and internal consistency reliabilities among items and latent factors determined race/ethnicity-specific factor structures of chronic stress. Chronic stress was race/ethnicity-distinctive and multidimensional with low correlations among the factors ( r = .07-.28, p < .05). Despite financial hardship, perceived isolation, and physical violence underlying chronic stress among the racial/ethnic groups, intergroup variations existed under each group's cultural or sociopolitical contexts. This study could help develop targeted strategies to intervene with women's chronic stressors before childbirth.

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Partner violence victimization and unintended pregnancy in Latina and Asian American women: Analysis using structural equation modeling

Cited by 11 publications

References 48 publications

The mediation effect of contraceptive use and women’s autonomy on the relationship between intimate partner violence and unintended pregnancy in Ethiopia

The mediation effect of contraceptive use and women’s autonomy on the relationship between intimate partner violence and unintended pregnancy in Ethiopia

Racial/Ethnic Differences in Women's Experiences of Reproductive Coercion, Intimate Partner Violence, and Unintended Pregnancy

Factor Structure for Chronic Stress Before and During Pregnancy by Racial/Ethnic Group

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