Abstract
BackgroundViolence as a serious health problem and one of the main manifestations of gender inequality brings about adverse health effects for women. Therefore, it is of utmost importance to recognize the reproductive health status of women subjected to violence in order to provide the health services they need. Considering that one of the ways to determine reproductive health status is the use of valid questionnaires in this field, this study aimed to determine the components of reproductive health in domestic violated women and design a valid and reliable assessment tool.MethodsThe present study was conducted based on a mixed-method design. The first part of the study (qualitative section) was conducted based on conventional content analysis. In this part, unstructured in-depth interviews were conducted with 18 violated women and 9 experts. In the next stage, the item pool was formed and the Reproductive Health Needs of Violated Women Scale was designed based on the review of the literature and the results of the qualitative section with 39 items using the Waltz approach. For psychometric assessment of the above instrument, face and content validity, item analysis, and construct validity were examined using exploratory factor analysis.ResultsBased on the results of factor analysis, the four following factors were extracted with a total variance of 47.62: "men's participation", "self-care", "support and health services", as well as "sexual and marital relationships. The internal consistency of the instrument was calculated at α = 0.70–0.89 and α = 0.94 for different constructs and the whole instrument, respectively. Moreover, intra-cluster correlation coefficients were obtained at ICC = 0.96–0.99 and ICC = 0.98 for constructs and the whole instruments, respectively.ConclusionsBased on the results of the current study, the present scale is a tool that specifically assesses the reproductive health needs of violated women and has appropriate validity and reliability. The results of the assessment using the aforementioned instruments can be of great help in promoting the reproductive health of women subjected to violence.
Highlights
La violence est un problème de santé dans le monde ainsi qu’une manifestation essentielle de l’inégalité entre les sexes qui a des conséquences nocives sur la santé des femmes
Intra-cluster correlation coefficients were obtained at intraclass correlation coefficient (ICC) = 0.96–0.99 and ICC = 0.98 for constructs and the whole instruments, respectively
The results of the assess‐ ment using the aforementioned instruments can be of great help in promoting the reproductive health of women subjected to violence
Summary
La violence est un problème de santé dans le monde ainsi qu’une manifestation essentielle de l’inégalité entre les sexes qui a des conséquences nocives sur la santé des femmes. C’est pourquoi, il est indispensable de reconnaître la santé reproductive des femmes victimes de violence et leurs besoins dans ce domaine pour fournir les services de santé dont elles ont besoin. According to a report which published by World Health Organization (WHO) in 2018, lifetime prevalence of physical and/or sexual IPV among ever-married/partnered women that age between 15 to 49 years was 35% and 31% in Southern Asia and Iran, respectively [3]. The majority of women in South Asian including Iran, who experience IPV tend to hide it due to the following reasons: concerns about their safety and that of their children, fear of family and social rejection, economic problems, fear of losing respect and social status, fear of not being believed by society, as well as emotional dependence on and love of the spouse [4,5,6]. Health problems are reported more frequently in violated women, compared to other women, and IPV is associated with a range of health issues [7]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
