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      The Effects of Gender-based Violence on Women’s Unwanted Pregnancy and Abortion

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          Abstract

          The aim of this research is to understand how gender-based violence across the life-course affects the likelihood of abortion. Women outpatients ( n = 309) revealed their exposure to four different forms of gender-based abuse: child sexual abuse (25.7 percent), teenage physical dating violence (40.8 percent), intimate partner violence (43.1 percent), and sexual assault outside an intimate relationship (22 percent). Logistic regressions revealed that no single form of gender-based abuse predicted abortion. The cumulative effect of multiple forms of abuse did increase the odds of having an abortion (OR = 1.39, CI = 1.13-1.69). Child sexual abuse predicted intimate partner violence (OR = 6.71, CI = 3.36-13.41). The cumulative effect of gender-based violence on women’s reproductive health warrants further research. Priority should be given to screening for multiple forms of victimization in reproductive healthcare settings.

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          Most cited references31

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          Longitudinal associations between teen dating violence victimization and adverse health outcomes.

          To determine the longitudinal association between teen dating violence victimization and selected adverse health outcomes.
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            Recall of childhood trauma: a prospective study of women's memories of child sexual abuse.

            One hundred twenty-nine women with previously documented histories of sexual victimization in childhood were interviewed and asked detailed questions about their abuse histories to answer the question "Do people actually forget traumatic events such as child sexual abuse, and if so, how common is such forgetting?" A large proportion of the women (38%) did not recall the abuse that had been reported 17 years earlier. Women who were younger at the time of the abuse and those who were molested by someone they knew were more likely to have no recall of the abuse. The implications for research and practice are discussed. Long periods with no memory of abuse should not be regarded as evidence that the abuse did not occur.
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              Intimate partner violence, abortion, and unintended pregnancy: results from the WHO Multi-country Study on Women's Health and Domestic Violence.

              To explore how intimate partner violence (IPV) is associated with unintended pregnancy and abortion in primarily low- and middle-income countries. Population data are presented from 17 518 ever-partnered women participating in the WHO Multi-country Study on Women's Health and Domestic Violence in 15 sites in 10 countries. Using multiple logistic regression analyses, associations between physical and/or sexual partner violence and abortion and unintended pregnancy were explored. Women with a history of IPV had significantly higher odds of unintended pregnancy in 8 of 14 sites and of abortion in 12 of 15 sites. Pooled estimates showed increased odds of unintended pregnancy (adjusted OR 1.69; 95% CI, 1.53-1.86) and abortion (adjusted OR 2.68; 95% CI, 2.34-3.06), after adjusting for confounding factors. Reducing IPV by 50% could potentially reduce unintended pregnancy by 2%-18% and abortion by 4.5%-40%, according to population-attributable risk estimates. IPV is a consistent and strong risk factor for unintended pregnancy and abortion across a variety of settings. Unintended pregnancy terminated through unsafe abortion can result in death or serious complications. Therefore, reducing IPV can significantly reduce risks to maternal and reproductive health. Copyright © 2012 International Journal of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd.. All rights reserved.
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                Author and article information

                Journal
                Yale J Biol Med
                Yale J Biol Med
                yjbm
                YJBM
                The Yale Journal of Biology and Medicine
                YJBM
                0044-0086
                1551-4056
                27 June 2016
                June 2016
                : 89
                : 2
                : 153-159
                Affiliations
                School of Public Health, Indiana University
                Author notes
                To whom all correspondence should be addressed: Laura A. McCloskey, School of Public Health, Indiana University, 1025 E. 7th St., Bloomington IN 47408.
                Article
                yjbm892153
                4918882
                27354842
                f8e05769-07cb-4344-8e72-088a459972e3
                Copyright ©2016, Yale Journal of Biology and Medicine

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way.

                History
                Categories
                Original Contribution
                Focus: Sex and Gender Health

                Medicine
                intimate partner violence,gender-based violence,domestic violence,child sexual abuse,reproductive health,unwanted pregnancy,abortion

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