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Estimating the Effect of Intimate Partner Violence on Women’s Use of Contraception: A Systematic Review and Meta-Analysis

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  • Lauren Maxwell
  • Karen Devries
  • Danielle Zionts
  • Jeanne L Alhusen
  • Jacquelyn Campbell

Abstract

Background: Intimate partner violence (IPV) is an important global public health problem. While there is a growing literature on the association between IPV and women’s reproductive health (RH) outcomes, most studies are cross-sectional—which weakens inference about the causal effect of IPV on women’s RH. This systematic review synthesizes existing evidence from the strongest study designs to estimate the impact of IPV on women’s use of contraception. Methods: We searched 11 electronic databases from January of 1980 to 3 December 2013 and reviewed reference lists from systematic reviews for studies examining IPV and contraceptive use. To be able to infer causality, we limited our review to studies that had longitudinal measures of either IPV or women’s use of contraception. Results: Of the 1,574 articles identified by the search, we included 179 articles in the full text review and extracted data from 12 studies that met our inclusion criteria. We limited the meta-analysis to seven studies that could be classified as subject to low or moderate levels of bias. Women’s experience of IPV was associated with a significant reduction in the odds of using contraception (n = 14,866; OR: 0.47; 95% CI: 0.25, 0.85; I2 = 92%; 95% CII2: 87%, 96%). Restricting to studies that measured the effect of IPV on women’s use of partner dependent contraceptive methods was associated with a reduction in the heterogeneity of the overall estimate. In the three studies that examined women’s likelihood of using male condoms with their partners, experience of IPV was associated with a significant decrease in condom use (OR: 0.48; 95% CIOR: 0.32, 0.72; I2 = 51%; 95% CII2: 0%, 86%). Conclusions: IPV is associated with a reduction in women’s use of contraception; women who experience IPV are less likely to report using condoms with their male partners. Family planning and HIV prevention programs should consider women’s experiences of IPV.

Suggested Citation

  • Lauren Maxwell & Karen Devries & Danielle Zionts & Jeanne L Alhusen & Jacquelyn Campbell, 2015. "Estimating the Effect of Intimate Partner Violence on Women’s Use of Contraception: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-25, February.
    • Handle: RePEc:plo:pone00:0118234
    DOI: 10.1371/journal.pone.0118234
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    References listed on IDEAS

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    1. Fortuna Procentese & Immacolata Di Napoli & Filomena Tuccillo & Alessandra Chiurazzi & Caterina Arcidiacono, 2019. "Healthcare Professionals’ Perceptions and Concerns towards Domestic Violence during Pregnancy in Southern Italy," IJERPH, MDPI, vol. 16(17), pages 1-17, August.
    2. Edward Kwabena Ameyaw & Eugene Budu & Francis Sambah & Linus Baatiema & Francis Appiah & Abdul-Aziz Seidu & Bright Opoku Ahinkorah, 2019. "Prevalence and determinants of unintended pregnancy in sub-Saharan Africa: A multi-country analysis of demographic and health surveys," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-16, August.
    3. Ojha, Manini & Babbar, Karan, 2023. "Power to choose? Examining the link between contraceptive use and domestic violence," GLO Discussion Paper Series 1336, Global Labor Organization (GLO).
    4. Groves, Allison K. & Smith, Patrick D. & Gebrekristos, Luwam T. & Keene, Danya E. & Rosenberg, Alana & Blankenship, Kim M., 2022. "Eviction, intimate partner violence and HIV: Expanding concepts and assessing the pathways through which sexual partnership dynamics impact health," Social Science & Medicine, Elsevier, vol. 305(C).
    5. Andrea Miranda-Mendizabal & Pere Castellví & Oleguer Parés-Badell & Itxaso Alayo & José Almenara & Iciar Alonso & Maria Jesús Blasco & Annabel Cebrià & Andrea Gabilondo & Margalida Gili & Carolina Lag, 2019. "Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(2), pages 265-283, March.
    6. Tenaw Yimer Tiruye & Melissa L. Harris & Catherine Chojenta & Elizabeth Holliday & Deborah Loxton, 2020. "Intimate partner violence against women in Ethiopia and its association with unintended pregnancy: a national cross-sectional survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(9), pages 1657-1667, December.
    7. Sahra Ibrahimi & Julia R. Steinberg, 2022. "Spousal Violence and Contraceptive Use among Married Afghan Women in a Nationally Representative Sample," IJERPH, MDPI, vol. 19(16), pages 1-10, August.

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