Married Women Research Articles

Intimate partner violence against women among contraceptive users at a primary health care setting in Southern Ethiopia: a facility-based cross-sectional study.

One in three women experienced intimate partner violence (IPV) worldwide which has remained major public health challenge. Women's reproductive health service utilization has been seriously impacted by IPV. There is a paucity of evidence on the magnitude of IPV among contraceptive users in southern Ethiopia. Hence, the main aim of this study was to determine the level of IPV and its associated factors among married women who were contraceptive users in primary health care settings in Adilo Zuria district in southern Ethiopia. A facility-based cross-sectional study was conducted among systematically recruited 405 married women who were contraceptive users in a primary health care setting in Adilo Zuria district in southern Ethiopia. Data were collected through face-to-face interviews using an adapted tool from existing literature including the World Health Organization IPV survey. Collected data were entered into EpiData 4.6 and exported to SPSS version 26 for cleaning and analysis. Descriptive and logistic regression analyses were performed to determine the level of IPV and identify factors associated with IPV. An adjusted odds ratio (AOR) from multiple logistic regression at a 95% confidence interval (CI) was used to declare a significant association. The prevalence of current IPV among contraceptive users was 72.6% (95% CI; 68.1-76.8%). Current psychological, physical, and sexual violence were 39.3%, 38.5%, and 31.9%, respectively. In multivariable analysis, women's being rural resident (AOR: 3.19, 95%CI: 1.69-6.02), women's formal education (AOR: 0.37, 95%CI: 0.19-0.70), partners alcohol consumption (AOR: 3.32, 95%CI: 1.89-5.84), partners Khat chewing (AOR: 7.22, 95%CI: 4.12-12.65) and poor social support (AOR: 2.47, 95%CI: 1.43-4.27) were significantly associated with current IPV against women. Women's experience of IPV on contraceptive users was found to be unacceptably high in the study area. Women's being rural residents, having poor social support and partners who drank alcohol and Khat chewing were predictors of women's experience of IPV. Thus, interventions in improving women's educational status, strengthen the social support systems, and the behavior of partners who use stimulant substances are highly relevant to tackle IPV among contraceptive users in the primary healthcare setting.

Effects of early marriage among women married before reaching 18 years old (qualitative study approach)

BackgroundThe consequences of early marriage have become a global concern for young women. The detrimental effects of early marriage disproportionately affect girls. Regarding its effects in poor nations like Ethiopia, there is a dearth of data. As a result, this study offers baseline, first-hand, and updated information for both the nation and the study area.ObjectiveThe purpose of this study was to investigate the effects of early marriage on Guji women who were married before the age of 18.MethodsThis qualitative study used a phenomenological approach and was carried out from January to April 2024. An in-depth interview technique was employed to collect the data. The interviews were conducted in the Oromo language. A purposive sampling technique was applied to choose the study participants. A total of 25 women who met the eligibility criteria were selected. A thematic data analysis approach was employed to analyze the data in this study.ResultsThree themes, 10 subthemes, and more than hundreds of codes were extracted after the interview data were analyzed. The main themes and subthemes of this study were as follows: 1-Precipitators of early marriage (abduction and arranged marriage); 2-Consequences of early marriage (emotional damage, moral damage, early marriage is a risk factor for maternal and child health, early marriage is a major cause for girls to drop out of school, poverty, gender-based violence and divorce, lack of essential life skills); and 3-Attitudes toward early marriage (early marriage is a harmful cultural practice; girls should be protected).ConclusionThe study’s findings illustrated the multidimensional effect of early marriage, necessitating the involvement of numerous sectors and stakeholders. The community, religious leaders, the health, education, and legal sectors, as well as the parents of young girls, should all take an active role in delaying early marriage. This indicates the development of policies that permit cooperation amongst all relevant parties. Creating awareness among girls, families, and the community through community-based education is crucial. Early married women should participate in intervention programs to provide their experience to young girls. Women who are victims of early marriage must receive full support to mitigate its negative consequences.

A decomposition study on the factors influencing China's total fertility rate changes between 1990 and 2020.

Low fertility is not conducive to healthy population development. The total fertility rate (TFR) is influenced by the education expansion (measured by the proportion of non-student women, NSP), marriage delay (measured by the proportion of married women, MP), and marital fertility rate (MFR). This study decomposes the TFR change into the changes in NSP, MP, and MFR using China's census and 1% population sample survey data. During 1990-2020, the changes in NSP, MP, and MFR contributed - 22%, - 90%, and 12%, respectively, to the changes in TFR. The continuous decline in NSP reduced the TFR, and the intensity continued to increase over time. As the primary negative driving force, the rapid decline in MP also consistently reduced the TFR. The marital fertility rate had a downward effect on the TFR before 2000 and an upward effect after 2000. The effects of NSP, MP, and MFR on the TFR varied with the birth order, age and region (among cities, towns, and villages). In summary, China's TFR has considerably changed in combination with changes in NSP, MP, and MFR. Without effective measures, China's TFR may further decline into the lowest-low fertility trap.

Prevalence and predictors of episiotomy among puerperal women accessing postnatal care in the Kumasi Metropolis.

This study investigated the prevalence and predictors of episiotomy among puerperal women accessing postnatal care in the Kumasi Metropolis. A cross-sectional survey was conducted among 1750 postnatal mothers who had spontaneous vaginal using a questionnaire. Descriptive statistics were conducted to show the rate of episiotomy. Chi-square and binary logistic regression analyses were conducted using Jamovi software version 2.5.3. The prevalence of episiotomy among the study population was 49.7% compared to the 10% of all deliveries recommended by World Health Organisation (WHO). Among those who had an episiotomy, 88.5% gave consent, and 77.6% required repairs. In the bivariate analysis educational status, age, perineal tearing, marital status, household monthly income, spontaneous vaginal deliveries and previous episiotomy had a significant association with episiotomy risk. In the multivariate analysis, married women, lower education levels, moderate household incomes, grand multiparous women, spontaneous vaginal delivery (SVD), instrumental deliveries, longer second stages of labour, and attending more antenatal care (ANC) sessions were all associated with a reduced likelihood of episiotomy. Higher one-minute Apgar scores and anemia also lowered the odds. Conversely, hypertensives, women with four or more previous vaginal deliveries, and those with a history of episiotomy were more likely to undergo the procedure. Episiotomies conducted was high, indicating potential overuse compared to WHO's recommendations. Antenatal attendance and timing should be prioritised to improve maternal preparation and outcomes. Policy interventions to reduce unnecessary episiotomies are needed. Midwifery education must also emphasise the importance of respectful maternity care.

Construction of women's empowerment index for Bangladesh

IntroductionThis study is dedicated to refining and enhancing the measurement model of women's empowerment in Bangladesh. Women's empowerment, a crucial and multifaceted aspect of societal growth, is often hindered by gender disparities. This is particularly evident in societies like Bangladesh, where women face inequalities in education, economic opportunities, and decision-making power. To address these disparities effectively, it is essential to have a comprehensive understanding of women's empowerment. Therefore, this study aims to refine and enhance the measurement model to capture the multifaceted nature of women's empowerment accurately.MethodsTo gather data for this study, a structured questionnaire was administered to married women of reproductive age (15–49) in eight Mouza/Mohalla in Dhaka, Bangladesh. This unique approach allowed us to capture a diverse range of perspectives. We used thirty-three indicators across economic, socio-cultural, household, and psychological dimensions to measure women's empowerment. The sample data were then randomly divided for exploratory factor analysis (EFA) and Confirmatory Factor Analysis (CFA) to identify and validate a comprehensive multidimensional framework.ResultsOut of 625 respondents, only 36% of women worked, and ~39% married before age 18. Employing thirty-three items in EFA led to identifying eight critical factors (economic independence, control over household financial decisions, household decision-making, reproductive decision-making, freedom of movement, media exposure, positive self-esteem, and negative self-esteem). These factors, which explained 72.661% of the total variance in the data, provide a practical framework for understanding and addressing women's empowerment. Each component was then divided into two sub-dimensions to acquire a better understanding. The CFA indicated a good model fit for each dimension, and convergent and discriminant validity assessments were used to establish reliability and validity, further enhancing the practical implications of our findings.ConclusionsThe results of our rigorous exploratory and confirmatory factor analyses not only confirmed the sample structures and internal consistency but also provided significant insights. The findings suggested an adequate fit for all CFA models, indicating the robustness of our measurement model. According to the CFA results, each dimension's variables are satisfactory, and all the dimensions can be combined to create a single index measuring women's empowerment. This comprehensive understanding of women's empowerment, with its specific dimensions and factors, equips policymakers and practitioners with the knowledge to develop a wide range of interventions appropriate to particular facets of empowerment, thereby fostering societal growth and gender equality.

The Gendered Impact of In-State Tuition Policies on Undocumented Immigrants’ College Enrollment, Graduation, and Employment

Executive Summary Assessing the impact of policies offering in-state tuition and financial aid to undocumented immigrant youth is highly pertinent from a policy perspective. Eligible immigrants arrived as children and the United States is often the only home they have ever known. Without the right to stay or a path to citizenship, they cannot achieve their full potential as productive members of society. Policies improving access to higher education have the potential to elevate their social mobility and amplify economic contributions by improving job prospects and bolstering tax revenues. Since 2001, roughly half of the U.S. states have expanded in-state college tuition benefits to undocumented immigrants. Around one-third of states have also provided financial aid; yet approximately one-tenth have imposed heightened barriers to accessing higher education. While early studies found an increase in enrollment in states with in-state tuition policies, recent studies accounting for additional state policies found no impact on enrollment. These results mask varying impacts based on gender and marital status. We assess these policies, control for Deferred Action for Childhood Arrivals (DACA), and analyze the impact of in-state tuition on college enrollment, graduation rates, employment, and self-employment. Our analysis relies on data from the 2005 to 2019 American Community Survey. To identify individuals who are the most likely to be undocumented and affected by the policy, we focus on noncitizen Hispanic youth, excluding those likely authorized (e.g., licensed professionals, veterans, and refugees). That said, we are assuming that state policies are the same for all undocumented residents, not just the Hispanics in our sample. Our findings are as follows: - In our sample, there are 17,649 likely undocumented Hispanic men (14,249 women) aged 18–22 years who completed high school and arrived in the U.S. prior to age 16 years. Approximately 75 percent of them are Mexican. - The data reveals that approximately 30 percent of men are enrolled in college. Access to in-state tuition boosts enrollment by 7.2 percentage points for Hispanic men and by 13.2 percentage points for Mexican men. This response is driven by married men. Men in general do not graduate at higher rates. - Women enroll in college at the same rate across states. However, access to lower tuition raises graduation rates by 4.7 percentage points, representing nearly a 30 percent increase compared to the average graduation rate of 15.7 percent, particularly among single women. - Among men with access to in-state tuition, single men are more likely to be self-employed, while married men respond to the policy by working less, consistent with higher enrollment rates. - On average 55 percent of single women are employed. Access to in-state tuition increases employment by 12–19.8 percentage points for single women. We find no significant impact of the policy on the employment of married women. Our research indicates that while in-state tuition policies do make a difference, there is a need for a more nuanced policy approach, particularly due to gender disparities among the intended beneficiaries, which have previously been overlooked. However, we argue that relying solely on in-state tuition policies is insufficient. Single women are driven by these policies to complete their degrees and pursue employment. If policymakers aim for a broader impact and seek to include a more diverse group of undocumented youth, including men, they should consider enhancing opportunities within formal labor markets after college graduation. In support of this argument, we document higher graduation and employment rates and lower self-employment rates among DACA-eligible youth who have legal access to formal employment.

Predictors of intention to use contraceptives among married and cohabiting women in Ghana: A cross-sectional study

BackgroundContraceptive use is a cost-effective intervention for reducing unintended pregnancies and sexually transmitted infections and their negative consequences. It is vital to increase contraceptive use among women to improve their reproductive health outcomes. This study examines the factors associated with contraceptive use intention among married and cohabiting women in Ghana.MethodsWe analysed data from the 2022 Ghana Demographic and Health Survey. A total of 5,846 married and cohabiting women were included in the study. A multivariable binary logistic regression analysis was used to examine the factors associated with the intention to use contraceptives. The regression results were presented using an adjusted odds ratio (aOR) with 95% confidence intervals (CIs).ResultsThe proportion of intention to use contraceptives among married and cohabiting women was 33.0% [31.1, 35.0]. Compared to women living in the Greater Accra, those living in Central (aOR = 1.69; 95% CI = 1.06, 2.69), Bono East (aOR = 1.63; 95% CI = 1.02, 2.61), Oti (aOR = 2.68; 95% CI = 1.63, 4.40), and Upper West Regions (aOR = 4.48; 95% CI = 2.68, 7.48) were more likely to have contraceptive use intention. The odds of intention to use contraceptives increased with increasing parity, with the highest odds among women with four or more births (aOR = 2.41; 95% CI: 1.66, 3.51). The intention to use contraceptives decreased with increasing age, with the lowest odds among those aged 45–49 (aOR = 0.04, 95% CI = 0.25, 0.07). Women with no education (aOR = 0.42, 95% CI = 0.28, 0.63), primary education (aOR = 0.56, 95% CI = 0.37, 0.86), and secondary education (aOR = 0.65, 95% CI = 0.45, 0.92) had lower odds of intention to use contraceptives compared to those with higher education. Married women (aOR = 0.61, 95% CI = 0.49, 0.76) had lower odds of contraceptive use intention relative to cohabiting women.ConclusionOur study revealed a low contraceptive use intention among women, signalling a barrier in access to family planning services in the country. Various factors, including age, region, marital status, parity, and educational level play a role in determining the intention to use contraceptives. These findings underscore the importance of implementing policy changes and enhancing existing programmes to improve the availability of information, contraceptive education, and family planning services, especially for younger women, those living in rural areas, and those with lower levels of education. Additionally, it is vital to address socio-cultural barriers and empower women to address the factors associated with intention to use contraceptives.

The Role of Spirituality, Marital Satisfaction and Socio-Economic Status on Attitudes Toward Childbearing Among Married Women Without the Intention and History of Pregnancy: A Cross-Sectional Study

Background: Iran has experienced a sharp decline in childbearing rates over the past three decades, and the extent to which attitudes toward childbearing are influenced by marital satisfaction, socio-economic status, and spiritual health remains unclear. Additionally, past research has largely focused on women who already have children. This study, however, examines all women who, after five years of marriage, have not yet decided to have children. Objectives: This study aimed to determine the role of spirituality, marital satisfaction, and socio-economic status in shaping attitudes toward childbearing among married women in Semnan City in 2023, specifically those without a history of pregnancy or intention to conceive. Methods: This cross-sectional study included 235 married women who had neither the intention nor history of pregnancy, with a minimum marriage duration of five years. Participants were purposefully selected during visits to the family health center in Semnan City in 2023. Data were collected using the Childbearing Attitudes Questionnaire, the Spiritual Health Questionnaire, the Marital Satisfaction Questionnaire, and the Socio-Economic Status Questionnaire. Statistical analysis was conducted using multiple linear regression tests in SPSS software version 24. Results: The largest proportion of participants belonged to the age group of 26-32 years (31.35%). A majority (137 individuals, 58.3%) had either an associate or bachelor’s degree, and most participants (58.3%) were employed. The results demonstrated that spirituality (41%), socio-economic status (56%), and marital satisfaction (65%) were significant predictors of attitudes toward childbearing (P < 0.01). Conclusions: As marital satisfaction emerged as the strongest predictor of attitudes toward childbearing, it is recommended that health centers offer courses to improve and enhance marital satisfaction among women.

School administrators’ and teachers’ pedagogical responses to demographic change based on their meaning-making of multicultural students in South Korea

ABSTRACT Public schools in South Korea have faced unprecedented changes because of demographic shifts, particularly the influx and growth of three types of ‘multicultural students’: children of married migrant women, foreign workers, and North Korean refugees. In this situation, teachers are challenged to implement educational policies and a standardised national curriculum for those unfamiliar with the Korean language, culture, and education system. This study, conducted between Fall 2022 and Summer 2023, involved interviews with 16 elementary and secondary school administrators and teachers from urban and rural regions. It revealed that teachers’ perceptions and biases about multicultural students significantly influenced their educational practices, resulting from interpretive processes and problematic framing. The data indicate that teachers’ meaning-making and pedagogical responses to multicultural students are insufficient for systematically addressing the structural inequalities and social injustices faced by these students. Ultimately, these teachers’ responses and practices fell short of providing equitable education that South Korea’s multicultural education policies aim for. The study concluded that comprehensive teacher training in cultural competence and bias awareness is essential for bridging the gap between policy and practice. It recommends the development of reflective practices, continuous professional development, and the creation of supportive school environments to enhance multicultural education’s effectiveness.

Examination of the relationship between dimensions of sexual perfectionism and female sexual function and sexual performance anxiety among Iranian married women of reproductive age: a cross-sectional study

BackgroundPerfectionism is a multidimensional personality trait that manifests itself through various aspects of life as well as sexuality. Yet, the specific nexus between perfectionism and women’s sexual experiences continues to remain unaddressed. Hence, this research aimed to investigate the relationship between the dimensions of sexual perfectionism, sexual function, and sexual performance anxiety (SPA) among Iranian married women of reproductive age in Gonabad, Iran.MethodA cross-sectional study was conducted in Gonabad City in 2021, involving 450 women of reproductive age. Stratified sampling was used to select public healthcare centers, and participants were chosen via simple random sampling. Data were collected online through platforms like WhatsApp and Telegram, using the Multidimensional Sexual Perfectionism Questionnaire (MSPQ), Female Sexual Function Index (FSFI), and Brief Sexual Performance Anxiety Scale (BSPAS). The validity and reliability of these instruments were confirmed through content validity assessments and Cronbach’s α. Hierarchical linear regression was performed using SPSS version 26, with the significance level set at p < 0.05.ResultsLinear regression analysis indicated that self-oriented sexual perfectionism was positively associated with all FSFI domains, including desire, arousal, lubrication, orgasm, satisfaction, total FSFI (p < 0.001), and pain (p < 0.01). Partner-oriented sexual perfectionism was positively associated with satisfaction (p < 0.05). In contrast, partner-prescribed sexual perfectionism was negatively associated with all domains of FSFI, including desire, pain (p < 0.05), arousal, lubrication, total FSFI (p < 0.001), orgasm, and satisfaction (p < 0.01). Socially-prescribed sexual perfectionism was positively associated with desire and negatively associated with pain (p < 0.05). In particular, only partner-prescribed and socially-prescribed sexual perfectionism were positively associated with SPA (p < 0.01).ConclusionThe association found between dimensions of sexual perfectionism, sexual function, and SPA in Iranian women underscores the necessity for educational initiatives tailored to psychologists, psychiatrists, counselors, sexologists, and other healthcare practitioners. These programs would help to build a deeper insight into the origins of women’s sexual complaints and identify and manage them within the context of marital relationships.

The Association Between Victimization and Perpetration of Physical Intimate Partner Violence and Unmet Healthcare Needs Among Married Women in South Korea.

This study assessed physical intimate partner violence (IPV) experiences and examined their association with unmet healthcare needs among married women in South Korea. We analyzed data from a nationally representative longitudinal survey of 6,533 women at baseline. Participants were asked yes/no questions about their experiences of physical IPV victimization and perpetration over the past year. The responses were classified into four categories of IPV experience: "none," "victimization only," "perpetration only," and "both victimization and perpetration." At baseline, 0.9% reported being victimized only, and 25.9% reported both victimization and perpetration. The prevalence of unmet healthcare needs over the past year at baseline was 0.8%. Compared to women without any IPV experience, women in the IPV "victimization only" category had greater unmet healthcare needs (OR: 5.49, 95% CI [2.30, 13.12]) after adjusting for sociodemographic variables. Experiencing IPV perpetration only and both IPV victimization and perpetration were not statistically significantly associated with unmet healthcare needs. These results imply that physical IPV victims face difficulties accessing healthcare services which could exacerbate health inequalities over time. Moreover, this study suggests that it is necessary to distinguish IPV victims from those who experience IPV victimization only and those who experience both IPV victimization and perpetration.

Intimate partner violence, behaviours associated with risk of HIV acquisition and condom use in married women in Manicaland, East Zimbabwe: An HIV prevention cascade analysis

BackgroundIntimate partner violence (IPV) is widespread in the WHO African region with generalised HIV epidemics and may contribute to ongoing HIV transmission through its associations with behaviours associated with HIV acquisition risk and low use of prevention methods particularly in marital relationships.MethodsWe conducted a male condom HIV prevention cascade analysis using data from a general-population survey in Manicaland, Zimbabwe (July 2018-December 2019) to develop an understanding of how interventions that reduce IPV might be built upon to also reduce HIV incidence. Multivariable logistic regression was used to measure associations between currently-married HIV-negative women’s experience of IPV and: (1) being in the priority population for HIV prevention methods (i.e. married women engaging in behaviours associated with HIV acquisition risk or with a spouse who engages in similar behaviours or is living with HIV), and (2) male condom use by women in this priority population. Male condom HIV prevention cascades, with explanatory barriers for gaps between successive cascade bars (motivation, access and effective use), were compared for women in the priority population reporting and not reporting IPV.ResultsWe found a positive association between IPV and being in the priority population for HIV prevention methods (72.3% versus 58.5%; AOR = 2.26, 95% CI:1.74–2.93). Condom use was low (< 15%) for women in the priority population and did not differ between those reporting and not reporting IPV. The HIV prevention cascades for women reporting and not reporting IPV were similar; both showing large gaps in motivation and capacity to use male condoms effectively. Women reporting motivation and access to male condoms were more likely to report their partner being a barrier to condom use if they experienced IPV (84.8% versus 75.5%; AOR = 2.25, 95% CI:1.17–4.31).ConclusionThe findings of this study support the case for trials of integrated IPV/HIV prevention interventions that are tailored to improve HIV risk perception among HIV-negative married women and to make condom provision more acceptable for this group.

Contraceptive Intention, Religious Attitudes and Sources of Spirituality in Married Muslim Women: A Descriptive Correlational Study in Türkiye.

This study was carried out to reveal the relationship between contraceptive intents, religious attitudes, and spiritual resources of married Muslim women. The study was conducted using a descriptive-correlational design. The study was conducted with 273 participants between July and November 2023. To collect data, the Personal Information Form, Trait Sources of Spirituality Scale, Ok-Religious Attitude Scale, and Contraceptive Intent Questionnaire were used. The data were evaluated using Mann-Whitney U, Kruskal-Wallis, and Spearman correlation tests. No significant relationship was found between the total and sub-scales of the Contraceptive Intent Questionnaire, Trait Sources of Spirituality Scale, and Ok-Religious Attitude Scale (p>0.05). A positive and high correlation was detected between the total, emotion, relationship, and behavior sub-scales of the Trait Sources of Spirituality Scale and Ok-Religious Attitude Scale (p<0.05). The contraceptive intent levels of women were found to be associated with some of their socio-demographic and obstetric variables (age, previous delivery method, sex of existing children, and contraceptive method used). The only variable that showed a significant relationship with all three scales was found to be the sex of the existing children of women. Some socio-demographic and obstetric characteristics of married Muslim women are related to the sex of the child they have, their contraceptive intents, spiritual resources, and religious attitudes. In contraceptive counseling services provided to Muslim women, their religious attitudes and spiritual resources should be taken into consideration.

Data management practice of health extension workers and associated factors in Central Gondar Zone, northwest Ethiopia

IntroductionGenerating quality data for decision-making at all levels of a health system is a global imperative. The assessment of the Ethiopian National Health Information System revealed that health information system resources, data management, dissemination, and their use were rated as “not adequate” among the six major components of the health system. Health extension workers are the frontline health workforce where baseline health data are generated in the Ethiopian health system. However, the data collected, compiled, and reported by health extension workers are unreliable and of low quality. Despite huge problems in data management practices, there is a lack of sound evidence on how to overcome these health data management challenges, particularly among health extension workers. Thus, this study aimed to assess data management practices and their associated factors among health extension workers in the Central Gondar Zone.MethodAn institution-based cross-sectional study was conducted among 383 health extension workers. A simple random sampling method was used to select districts, all health extension workers were surveyed in the selected districts, and a structured self-administered questionnaire was used for data collection. The data was entered using EpiData version 4.6 and analyzed using STATA, version 16. Bivariable and multivariable binary logistic regression analyses were executed. An odds ratio with a 95% confidence interval and a p-value of &amp;lt;0.05 was calculated to determine the strength of the association and to evaluate statistical significance, respectively.ResultsOf the 383 health extension workers enrolled, all responded to the questionnaire with a response rate of 100%. Furthermore, 54.7% of the respondents had good data management practices. In the multivariable logistic regression analysis, being a married woman, having good data management knowledge, having a good attitude toward data management, having 1–5 years of working experience, and having a salary ranging from 5,358 to 8,013 Ethiopian Birr were the factors significantly associated with good data management practices among health extension workers. The overall data management practice was poor with only five health extension workers out of ten having good data management practices.

Awareness and Utilization of Reproductive and Child Health Services among Married Women

Awareness and Utilization of Reproductive and Child Health Services among Married Women

Empowerment through technology: domestic violence acceptance among Iraqi women in an intersectional context

BackgroundAcceptance of domestic violence against women refers to the belief that violence can be justified. Women’s attitudes towards domestic violence shape societal acceptance, victimization, disclosure, and help-seeking behaviors. This study explored the role of gender, socio-economic status, regional disparities, and empowerment in domestic violence acceptance among Iraqi women.MethodsUsing data from the 2018 Iraq Multiple Indicator Cluster Survey (MICS 6) with 19,443 married Iraqi women, this cross-sectional study employed logistic regression analyses to investigate individual, interpersonal, community, and societal determinants of domestic violence acceptance.Results48.4% of married Iraqi women accepted domestic violence, with higher acceptance in South/Central regions (62–73%). Factors associated with higher acceptance included lower education (aOR = 0.39, 95% CI: 0.35–0.45 for upper secondary education compared to preprimary or non), functional difficulties (aOR = 1.60, 95% CI: 1.40–1.83), marriage to blood-related spouses (aOR = 1.45, 95% CI: 1.36–1.54), and rural residence (aOR = 1.20, 95% CI: 1.15–1.33). Conversely, owning a mobile phone (aOR = 0.47, 95% CI: 0.44–0.50) and using a computer/tablet (aOR = 0.34, 95% CI: 0.30–0.38) were associated with lower acceptance.ConclusionThese findings, given the lack of research on domestic violence among Iraqi women, highlight the urgent need for policy discussions supporting Sustainable Development Goals on gender equity and well-being. Enhanced access to technology could help women have better access to resources, support systems, and information, which would lower acceptance for domestic violence.

Exploring religion's influence on causing emotional distress

While Hinduism offers many positive teachings and practices that promote well-being, certain interpretations and pressures within the religion—such as rigid social hierarchies, religious guilt, and community pressure—can also contribute to feelings of isolation, low self-worth, and anxiety. Cultural pressures and gender-specific roles within Hindu families can also significantly impact mental health, particularly for married Hindu women who face the dual responsibilities of managing household chores and fulfilling religious obligations. These expectations to raise children, participate in daily prayers, and uphold familial honor can lead to emotional and psychological overwhelm, resulting in heightened stress levels and decreased mental well-being. It is essential to recognize that the effects of these pressures vary widely based on individual experiences, family dynamics, and personal beliefs. By emphasizing flexibility, inclusivity, and mental health awareness within Hindu communities, we can help mitigate these negative impacts and foster a supportive environment where individuals can balance spiritual practices with their well-being.

Islamic Family Law Perspective on Marrying Pregnant Women

Background. Sexual intercourse between a man and a woman without a valid marriage contract is called zina. Zina does not differentiate between a girl, a man, a husband or a widow, a wife or a widower. Islamic law strictly forbids zina, never even approaching zina. One of the consequences of zina is pregnancy outside of marriage.. Aims. This article examines pregnant marriage from the perspective of Islamic law in the four imams of the school of thought, and the Compilation of Islamic Law. Method. The study uses a normative legal approach. Results. Pregnant marriage is a marriage with a woman who is pregnant outside of marriage, either married to the man who impregnated her or to the man who did not impregnate her. The Marriage Law only implicitly regulates the marriage of pregnant women, namely in Article 2 paragraph (1). The Compilation of Islamic Law regulates the marriage of pregnant women in Article 53. The differences of opinion among scholars regarding the marriage of pregnant women due to adultery do not bring blessings to the community. The Compilation of Islamic Law states that children resulting from adultery legally do not have a kinship relationship with their father, even though the father formally acknowledges and legitimizes that the child is his own child. They do not have the intended relationship, be it family relationships, guardianship in marriage or inheritance issues. The child only has a bloodline relationship with his mother.

Validation of a family planning self-efficacy measure with married women in Bihar, India: Findings from the Bihar Integrated Family Planning Survey

ObjectivesAdapting and testing a novel measure of family planning self-efficacy (FPSE) capturing reproductive agency and examining its association with fertility intention and contraceptive use in India. Study DesignData were analyzed from 13,901 non-sterilized, currently married women of reproductive age (15-49 years) in the Bihar Integrated Family Planning Survey (BIFS) 2021. We adapted an FP Self Efficacy measure previously developed in Guatemala comprising women’s agency to overcome barriers to accessing, discussing and using contraception, regardless of family pressure and social judgment. We used factor analyses to assess construct metrics including reliability and validity. Regression analyses were used to examine the associations of FPSE with key family planning outcomes, adjusted for age, education, caste/tribe status, religion, parity, age at marriage and family type. ResultsThe BIFS women’s sample was relatively young (35% below 25 years of age), with 43% reporting no education and over half (52%) married before 18 years of age. The 9-item FPSE scale demonstrated high reliability (Cronbach’s α=0.82) with two factors – self-efficacy to access and discuss contraception versus self-efficacy to use contraception in the face of resistance. Higher FPSE was associated with spousal communication [AOR: 2.35 (95% CI: 2.18, 2.54), traditional [AOR: 1.24 (95% CI: 1.12,1.36)] and reversible modern contraception [AOR: 1.58 (95% CI: 1.43,1.75)], and fertility intention [AOR: 1.13 (95% CI: 1.01,1.25)]. ConclusionFP Self Efficacy was found to be a reliable and valid measure associated with spousal communication, reversible contraception use and fertility intention. ImplicationsInnovations in measurement to understand reproductive agency, such as family planning self efficacy, place women’s choice as important goals of FP programming. Placing women’s choice and agency as goals of FP programs can help in meeting community needs and the demand for contraceptive use.

Domestic violence against women in rural areas of Saharanpur: A population-based study on prevalence and risk factors

ABSTRACT Background: Domestic violence (DV) against women is a global problem and is present in every country. It is a matter of serious concern in most communities and cultures and has consequences on women’s mental, physical, reproductive, and sexual health. The study aimed to determine the prevalence and pattern of DV among married women. Materials and Methods: A community-based, cross-sectional study was conducted among 400 reproductive age group females in the rural area of district Saharanpur for a period of six months using multistage random sampling. Results: The prevalence of DV was found to be 21%. The most common type of DV was physical violence (18%) followed by psychological violence (12.8%), financial violence (5.5%), and sexual violence (2.3%). The major perpetrators of DV were the husbands in 79% of the cases. Regression analysis depicted a significant association between age, education of husband, husband’s addiction, and depression of study participants with events of DV. Multivariate analysis shows only the addictions of husbands and the depression status of study participants to be significantly associated with DV. Conclusion: The prevalence of DV was 21% which is still high and appropriate measures should be taken to strengthen the laws for women and to empower them.