The impact of violence against women on reproductive health and child mortality in Timor-Leste

Type Journal Article - Australian and New Zealand journal of public health
Title The impact of violence against women on reproductive health and child mortality in Timor-Leste
Author(s)
Volume 39
Issue 2
Publication (Day/Month/Year) 2015
Page numbers 177-181
URL https://www.ncbi.nlm.nih.gov/pubmed/25715972
Abstract
Objectives: To determine differences in reproductive health and infant and child mortality and health between abused and non-abused ever-married women in Timor-Leste.

Methods: Secondary data analysis of Timor-Leste Demographic Health Survey (1,959 ever-married women aged 15–49 years). Associations with violence estimated using multinomial logistic regression adjusted for sociodemographic variables and age of first intercourse.

Results: Overall, 45% of ever-married women experienced violence: 34% reported physical only and 11% reported combined physical, sexual and/or emotional violence. Compared to non-abused women, women reporting physical violence only were more likely to use traditional contraception (AdjOR 2.35, 95%CI 1.05–5.26) or report: a sexually transmitted infection (AdjOR 4.46, 95%CI 3.27–6.08); a pregnancy termination (AdjOR 1.42, 95%CI 1.03–1.96); a child who had died (AdjOR 1.30, 95%CI 1.05–1.60), a low birth weight infant (AdjOR 2.08, 95%CI 1.64–2.64); and partially vaccinated children (AdjOR 1.35, 95%CI 1.05–1.74). Women who reported combined abuse were more likely to report: a sexually transmitted infection (AdjOR 3.51, 95%CI 2.26–5.44); a pregnancy termination (AdjOR 1.95, 95%CI 1.27–3.01); few antenatal visits (AdjOR 1.76 95%CI 1.21–2.55); and a child who had died (AdjOR 1.45, 95%CI 1.06–2.00).

Conclusions: Violence exposes women to poor reproductive health, infant and child mortality and poor infant and child health.

Implications: Preventing and reducing violence against women should improve women and children's health outcomes in Timor-Leste.

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