259358 Assessment of spousal violence and use of modern contraceptives among couples in Bangladesh

Monday, October 29, 2012

Molly McGuire, MPH Candidate , Department of Global Health Systems & Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Mai Do, DrPH , Global Health Systems and Development, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Simon Andrade, MPH Candidate , Monitoring & Evaluation, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Objectives: This study examines the relationship between husband's report of ever using physical violence against his wife and couple's use of modern contraceptives reported by wife, as well as their determinants among Bangladeshi couples. Methods: Data come from the Bangladeshi Demographic and Health Survey 2007, which includes a Domestic Violence module. The study is limited to 3,333 couples, in which husband's were interviewed with the Domestic Violence module. Multivariate logistic regression was used to assess the associations between domestic violence and current use of modern contraceptives, controlling for couple and individual characteristics. Results: Couples' education, visits by family planning workers, women's household decision-making power, and wives talking with their husbands about family planning were positively associated with increased use of modern contraceptives, as was men's disagreement with the idea that women who use contraception may become promiscuous and desire for more children. Factors related to reduced use of physical violence against wives included: disagreement with belief that women who used contraception might become promiscuous, desire for more children, parental expression of violence, and positive attitudes towards domestic violence. Conclusions: The study has important program implications. It underlines the need for the integration of family planning and domestic-violence related services. The findings also emphasize the needed participation of men in family planning programs as well as in future research on contraceptive use within marital relationships.

Learning Areas:
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Program planning
Provision of health care to the public
Public health or related education

Learning Objectives:
1) To identify the determinants of physical violence and modern contraceptive use reported by husbands in Bangladesh 2) To analyze the predictive capacity of modern contraceptive use in determining physical violence

Keywords: Contraception, Domestic Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an MPH candidate and student researcher interested in the subject of spousal violence and contraceptive use. I have worked with various high risk groups, including youth living with HIV/AIDS in multiple country settings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.