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Association between intimate partner violence and utilization of facility delivery services in Nigeria: a propensity score matching analysis.
BMC Public Health ; 19(1): 1131, 2019 Aug 17.
Artículo en Inglés | MEDLINE | ID: mdl-31420028


Intimate partner violence (IPV) has been shown to be associated with poor maternal healthcare utilisation and poor pregnancy outcomes. IPV can be seen both as the cause and result of low socioeconomic status and lack of maternal autonomy that can limit women's access to resources and motivation necessary for seeking healthcare during pregnancy. This paper aims to study the relationship between intimate partner violence (IPV) and the utilisation of facility delivery services in Nigeria.


We applied propensity score matching (PSM) approach to examine the relationship between intimate partner violence (IPV) and the utilisation of facility delivery services. PSM is a popular strategy for reducing sampling bias through balancing sample characteristics, a technique that mimics randomization on cross-sectional data. Data were collected from Nigeria DHS surveys conducted in 2008 and 2013. IPV was the main explanatory variable of interest for delivery at health facility which was defined as delivering at any health institution including health clinics.


PSM generated 20,446 cases distributed into two equal groups i.e. those who delivered at health facility versus those who did not. The prevalence of facility delivery in 2013 was 56.8% (95%CI 55.0-58.6) indicating a moderate increase from its 2008 level of 43.2% (41.4-45.0%). Lifetime prevalence of emotional, physical and sexual abuse was respectively 21.5%(95%CI 20.6, 22.4), 14.9% (14.2, 15.7) and 5.0% (4.6-5.4). In the multivariable analysis after adjusting for potential confounders, ever experiencing emotional abuse was associated increased odds of not delivering at a health facility. (AOR = 1.228, 95%CI, 1.095-1.679).


Women experiencing emotional violence are less likely to use institutional delivery services, and hence are susceptible to increased risk of reproductive complications. IPV is a complex issue that needs to be tackled by introducing evidence based strategies contextually relevant to local sociocultural environment. Further studies are required to understand the roots of IPV and the pathways through which it hindrances healthcare utilisation among women.





Texto completo: Disponible Colección: Bases de datos internacionales Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Violencia de Pareja / Utilización de Instalaciones y Servicios / Servicios de Salud Materna Aspecto clínico: Etiología Límite: Adulto / Femenino / Humanos / Embarazo / Joven adulto País/Región como asunto: Africa Idioma: Inglés Revista: BMC Public Health Asunto de la revista: Salud Pública Año: 2019 Tipo del documento: Artículo País de afiliación: Reino Unido