Document Detail


Community level effects of gender inequality on intimate partner violence and unintended pregnancy in Colombia: testing the feminist perspective.
MedLine Citation:
PMID:  15748669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Violence against women, especially by intimate partners, is a serious public health problem that is associated with physical, reproductive, and mental health consequences. The effect of intimate partner violence on women's ability to control their fertility and the mechanisms through which these phenomena are related merit further investigation. Building on findings from a previous analysis in which a statistically significant relationship between intimate partner violence and unintended pregnancy in Colombia was found, this analysis examines the effect of gender inequality on this association using data from the 2000 Colombian Demographic and Health Survey. Specifically, the objective of this analysis is to explore whether gender inequality (as measured by women's autonomy, women's status, male patriarchal control, and intimate partner violence) in municipalities partially explains the association between intimate partner violence and unintended pregnancy in Colombia. Results of logistic regression analysis with multi-level data show that living in a municipality with high rates of male patriarchal control significantly increased women's odds of having an unintended pregnancy by almost four times. Also, living in a municipality with high rates of intimate partner violence increased one's odds of unintended pregnancy by more than 2.5 times, and non-abused women living in municipalities with high rates of intimate partner violence were at a significantly increased risk of unintended pregnancy. In addition, abused women living in a municipality with high personal female decision-making autonomy had more than a fourfold increased risk of having an unintended pregnancy. These findings demonstrate the need for reproductive health programs to target areas at particularly high risk for unintended pregnancy by reducing intimate partner violence and gender inequality.
Authors:
Christina C Pallitto; Patricia O'Campo
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Publication Detail:
Type:  Journal Article     Date:  2004-12-18
Journal Detail:
Title:  Social science & medicine (1982)     Volume:  60     ISSN:  0277-9536     ISO Abbreviation:  Soc Sci Med     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-03-07     Completed Date:  2005-07-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303205     Medline TA:  Soc Sci Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  2205-16     Citation Subset:  IM    
Affiliation:
Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. cpallitt@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Battered Women*
Colombia / epidemiology
Domestic Violence / statistics & numerical data*
Family Characteristics
Family Planning Services
Female
Feminism*
Health Surveys
Humans
Pregnancy
Pregnancy, Unwanted*
Residence Characteristics*
Risk Factors
Sex Factors
Social Class*
Women's Health Services

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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