Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia
Violence against women as a public issue and health burden has only recently been acknowledged in Estonia. The aim of this study was to outline the prevalence and to explore the associations of intimate partner violence (IPV) and selected sexual health outcomes. Data from the population based cross-...
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| Veröffentlicht in: | European journal of public health 2013-08, Vol.23 (4), p.688-693 |
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| creator | Laanpere, Made Ringmets, Inge Part, Kai Karro, Helle |
| description | Violence against women as a public issue and health burden has only recently been acknowledged in Estonia. The aim of this study was to outline the prevalence and to explore the associations of intimate partner violence (IPV) and selected sexual health outcomes.
Data from the population based cross-sectional survey among representative sample of 16-44-year-old non-pregnant women (n = 1966) were analysed using multivariate logistic regression.
Of 1966 respondents, 362 (18.4%) reported IPV during 12 months preceding the survey. Physical IPV was reported by 339 (17.2%), sexual by 80 (4.1%) and both physical and sexual by 35 (1.8%) of respondents. After controlling for significant confounding socio-demographic factors, exposure to IPV was found to be associated with contraception non-use [adjusted odds ratio (AOR) = 2.02, 95% confidence interval (CI) 1.44-2.82] or the use of unreliable contraceptive methods (AOR = 1.54, CI 1.16-2.04) during the most recent sexual intercourse, having never used a condom (AOR = 1.53, CI 1.12-2.10), repeat induced abortion (AOR = 1.72, CI 1.24-2.37), lifetime sexually transmitted infections (AOR = 2.05, CI 1.56-2.68) and dyspareunia (AOR = 2.14, CI 1.65-2.77).
The exposure of IPV was an important contributor to sexual risk behaviour and adverse sexual health outcomes among women of reproductive age in Estonia. Any strategy to promote sexual health should include prevention of IPV and other forms of violence against women with the strengthening of women's sexual and reproductive rights. |
| doi_str_mv | 10.1093/eurpub/cks144 |
| format | Article |
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Data from the population based cross-sectional survey among representative sample of 16-44-year-old non-pregnant women (n = 1966) were analysed using multivariate logistic regression.
Of 1966 respondents, 362 (18.4%) reported IPV during 12 months preceding the survey. Physical IPV was reported by 339 (17.2%), sexual by 80 (4.1%) and both physical and sexual by 35 (1.8%) of respondents. After controlling for significant confounding socio-demographic factors, exposure to IPV was found to be associated with contraception non-use [adjusted odds ratio (AOR) = 2.02, 95% confidence interval (CI) 1.44-2.82] or the use of unreliable contraceptive methods (AOR = 1.54, CI 1.16-2.04) during the most recent sexual intercourse, having never used a condom (AOR = 1.53, CI 1.12-2.10), repeat induced abortion (AOR = 1.72, CI 1.24-2.37), lifetime sexually transmitted infections (AOR = 2.05, CI 1.56-2.68) and dyspareunia (AOR = 2.14, CI 1.65-2.77).
The exposure of IPV was an important contributor to sexual risk behaviour and adverse sexual health outcomes among women of reproductive age in Estonia. Any strategy to promote sexual health should include prevention of IPV and other forms of violence against women with the strengthening of women's sexual and reproductive rights.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/cks144</identifier><identifier>PMID: 23093715</identifier><identifier>CODEN: EJPHF6</identifier><language>eng</language><publisher>England: Oxford Publishing Limited (England)</publisher><subject>Abortion ; Adolescent ; Adult ; Birth Control ; Condoms ; Contraceptives ; Cross-Sectional Studies ; Domestic violence ; Estonia ; Estonia - epidemiology ; Female ; Females ; Gender-based violence ; Humans ; Partner Abuse ; Polls & surveys ; Pregnancy ; Prevention ; Public Health ; Reproductive health ; Reproductive Health - education ; Reproductive Health - trends ; Risk ; Risk factors ; Risk-Taking ; Sexual Behavior ; Sexual health ; Sexual Partners ; Sociodemographic Factors ; Surveys ; Violence ; Violence - classification ; Women ; Women's Health - ethnology ; Young Adult</subject><ispartof>European journal of public health, 2013-08, Vol.23 (4), p.688-693</ispartof><rights>Copyright Oxford Publishing Limited(England) Aug 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-cd899ef120cec20d58ea93a4b8a2961fc28aaf18c0dd3a191605e4f71acc12473</citedby><cites>FETCH-LOGICAL-c459t-cd899ef120cec20d58ea93a4b8a2961fc28aaf18c0dd3a191605e4f71acc12473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27865,27866,27924,27925,33775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23093715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Laanpere, Made</creatorcontrib><creatorcontrib>Ringmets, Inge</creatorcontrib><creatorcontrib>Part, Kai</creatorcontrib><creatorcontrib>Karro, Helle</creatorcontrib><title>Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Violence against women as a public issue and health burden has only recently been acknowledged in Estonia. The aim of this study was to outline the prevalence and to explore the associations of intimate partner violence (IPV) and selected sexual health outcomes.
Data from the population based cross-sectional survey among representative sample of 16-44-year-old non-pregnant women (n = 1966) were analysed using multivariate logistic regression.
Of 1966 respondents, 362 (18.4%) reported IPV during 12 months preceding the survey. Physical IPV was reported by 339 (17.2%), sexual by 80 (4.1%) and both physical and sexual by 35 (1.8%) of respondents. After controlling for significant confounding socio-demographic factors, exposure to IPV was found to be associated with contraception non-use [adjusted odds ratio (AOR) = 2.02, 95% confidence interval (CI) 1.44-2.82] or the use of unreliable contraceptive methods (AOR = 1.54, CI 1.16-2.04) during the most recent sexual intercourse, having never used a condom (AOR = 1.53, CI 1.12-2.10), repeat induced abortion (AOR = 1.72, CI 1.24-2.37), lifetime sexually transmitted infections (AOR = 2.05, CI 1.56-2.68) and dyspareunia (AOR = 2.14, CI 1.65-2.77).
The exposure of IPV was an important contributor to sexual risk behaviour and adverse sexual health outcomes among women of reproductive age in Estonia. Any strategy to promote sexual health should include prevention of IPV and other forms of violence against women with the strengthening of women's sexual and reproductive rights.</description><subject>Abortion</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Birth Control</subject><subject>Condoms</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>Domestic violence</subject><subject>Estonia</subject><subject>Estonia - epidemiology</subject><subject>Female</subject><subject>Females</subject><subject>Gender-based violence</subject><subject>Humans</subject><subject>Partner Abuse</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Reproductive health</subject><subject>Reproductive Health - education</subject><subject>Reproductive Health - trends</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Risk-Taking</subject><subject>Sexual Behavior</subject><subject>Sexual health</subject><subject>Sexual Partners</subject><subject>Sociodemographic Factors</subject><subject>Surveys</subject><subject>Violence</subject><subject>Violence - classification</subject><subject>Women</subject><subject>Women's Health - ethnology</subject><subject>Young Adult</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqN0jtvFTEQBWALgUgIlLTIEg2Nicf2PkyHogCRItGARLea650lG3btxQ_g_nt8dQMFDans4psjPw5jz0G-Bmn1OZW4ld25-5bAmAfsFExrhG7ll4d1DxIEqFadsCcp3Uopm65Xj9mJ0nW0g-aU5Suf5xUz8Q1j9hT5jzks5B1x9CNP9Kvgwm8Il3zDQ8kurJTecORb2MqCeQ5e7DBRpbmMe45r8F85tMIYsSeMIiwj_1mHPJ89v0w5-BmfskcTLome3a1n7PO7y08XH8T1x_dXF2-vhTONzcKNvbU0gZKOnJJj0xNajWbXo7ItTE71iBP0To6jRrDQyobM1AE6B8p0-oy9OuZuMXwvlPKwzsnRsqCnUNIAnW7apm0b9X9qTD1MJ7W5B1WdlMpafQ8KqtE1W1b68h96G0r09XkOSmvZ2_5wI3FULoaUIk3DFuv3xf0Acjj0YTj2YTj2ofoXd6llt9L4V_8pgP4NMf6x2g</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Laanpere, Made</creator><creator>Ringmets, Inge</creator><creator>Part, Kai</creator><creator>Karro, Helle</creator><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope></search><sort><creationdate>201308</creationdate><title>Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia</title><author>Laanpere, Made ; Ringmets, Inge ; Part, Kai ; Karro, Helle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-cd899ef120cec20d58ea93a4b8a2961fc28aaf18c0dd3a191605e4f71acc12473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abortion</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Birth Control</topic><topic>Condoms</topic><topic>Contraceptives</topic><topic>Cross-Sectional Studies</topic><topic>Domestic violence</topic><topic>Estonia</topic><topic>Estonia - epidemiology</topic><topic>Female</topic><topic>Females</topic><topic>Gender-based violence</topic><topic>Humans</topic><topic>Partner Abuse</topic><topic>Polls & surveys</topic><topic>Pregnancy</topic><topic>Prevention</topic><topic>Public Health</topic><topic>Reproductive health</topic><topic>Reproductive Health - education</topic><topic>Reproductive Health - trends</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Risk-Taking</topic><topic>Sexual Behavior</topic><topic>Sexual health</topic><topic>Sexual Partners</topic><topic>Sociodemographic Factors</topic><topic>Surveys</topic><topic>Violence</topic><topic>Violence - classification</topic><topic>Women</topic><topic>Women's Health - ethnology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Laanpere, Made</creatorcontrib><creatorcontrib>Ringmets, Inge</creatorcontrib><creatorcontrib>Part, Kai</creatorcontrib><creatorcontrib>Karro, Helle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laanpere, Made</au><au>Ringmets, Inge</au><au>Part, Kai</au><au>Karro, Helle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2013-08</date><risdate>2013</risdate><volume>23</volume><issue>4</issue><spage>688</spage><epage>693</epage><pages>688-693</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><coden>EJPHF6</coden><abstract>Violence against women as a public issue and health burden has only recently been acknowledged in Estonia. The aim of this study was to outline the prevalence and to explore the associations of intimate partner violence (IPV) and selected sexual health outcomes.
Data from the population based cross-sectional survey among representative sample of 16-44-year-old non-pregnant women (n = 1966) were analysed using multivariate logistic regression.
Of 1966 respondents, 362 (18.4%) reported IPV during 12 months preceding the survey. Physical IPV was reported by 339 (17.2%), sexual by 80 (4.1%) and both physical and sexual by 35 (1.8%) of respondents. After controlling for significant confounding socio-demographic factors, exposure to IPV was found to be associated with contraception non-use [adjusted odds ratio (AOR) = 2.02, 95% confidence interval (CI) 1.44-2.82] or the use of unreliable contraceptive methods (AOR = 1.54, CI 1.16-2.04) during the most recent sexual intercourse, having never used a condom (AOR = 1.53, CI 1.12-2.10), repeat induced abortion (AOR = 1.72, CI 1.24-2.37), lifetime sexually transmitted infections (AOR = 2.05, CI 1.56-2.68) and dyspareunia (AOR = 2.14, CI 1.65-2.77).
The exposure of IPV was an important contributor to sexual risk behaviour and adverse sexual health outcomes among women of reproductive age in Estonia. Any strategy to promote sexual health should include prevention of IPV and other forms of violence against women with the strengthening of women's sexual and reproductive rights.</abstract><cop>England</cop><pub>Oxford Publishing Limited (England)</pub><pmid>23093715</pmid><doi>10.1093/eurpub/cks144</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of public health, 2013-08, Vol.23 (4), p.688-693 |
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| source | MEDLINE; PAIS Index; Access via Oxford University Press (Open Access Collection); Sociological Abstracts; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Abortion Adolescent Adult Birth Control Condoms Contraceptives Cross-Sectional Studies Domestic violence Estonia Estonia - epidemiology Female Females Gender-based violence Humans Partner Abuse Polls & surveys Pregnancy Prevention Public Health Reproductive health Reproductive Health - education Reproductive Health - trends Risk Risk factors Risk-Taking Sexual Behavior Sexual health Sexual Partners Sociodemographic Factors Surveys Violence Violence - classification Women Women's Health - ethnology Young Adult |
| title | Intimate partner violence and sexual health outcomes: a population-based study among 16-44-year-old women in Estonia |
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