Publication Date
5-14-2020
Document Type
Article
Publication Title
PLoS ONE
Volume
15
Issue
5
DOI
10.1371/journal.pone.0232079
Abstract
Background
India suffers some of the highest maternal and neonatal mortality rates in the world. Intimate partner violence (IPV) can be a barrier to utilization of perinatal care, and has been associated with poor maternal and neonatal health outcomes. However, studies that assess the relationship between IPV and perinatal health care often focus solely on receipt of services, and not the quality of the services received.
Methods and findings
Data were collected in 2016–2017 from a representative sample of women (15-49yrs) in Uttar Pradesh, India who had given birth within the previous 12 months (N = 5020), including use of perinatal health services and past 12 months experiences of physical and sexual IPV. Multivariate logistic regression models assessed whether physical or sexual IPV were associated with perinatal health service utilization and quality.
Reports of IPV were not associated with odds of receiving antenatal care or a health worker home visit during the third trimester, but physical IPV was associated with fewer diagnostic tests during antenatal visits (beta = -0.30), and fewer health topics covered during home visits (beta = -0.44). Recent physical and recent sexual IPV were both associated with decreased odds of institutional delivery (physical IPV AOR 0.65; sexual IPV AOR 0.61), and recent sexual IPV was associated with leaving a delivery facility earlier than recommended (AOR = 1.87). Neither form of IPV was associated with receipt of a postnatal home visit, but recent physical IPV was associated with fewer health topics discussed during such visits (beta = -0.26).
Conclusions
In this study, reduced quantity and quality of perinatal health care were associated with recent IPV experiences. In cases where IPV was not related to care receipt, IPV remained associated with diminished care quality. Additional study to understand the mechanisms underlying associations between IPV and care qualities is required to inform health services.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Department
Social Work
Recommended Citation
Jay G. Silverman, Ruvani W. Fonseka, Nabamallika Dehingia, Sabrina C. Boyce, Dharmendra Chandurkar, Kultar Singh, Katherine Hay, Yamini Atmavilas, and Anita Raj. "Associations between recent intimate partner violence and receipt and quality of perinatal health services in Uttar Pradesh" PLoS ONE (2020). https://doi.org/10.1371/journal.pone.0232079
Comments
This is the Version of Record and can also be read online here.