Married Women Research Articles

Maternal health in conflict-affected settings: a case study from a frozen conflict zone

Abstract Background Reproductive, maternal, newborn and child health are negatively impacted in conflict-affected settings, and may be acutely affected in frozen conflicts due to fragile health systems and uncertain geopolitical contexts. To better understand maternal health in a frozen conflict zone, we examined maternal health outcomes in Nagorno-Karabakh during a ceasefire period prior to the forced displacement of the entire population. Methods Multistage cluster sampling was used to sample 1023 households in Nagorno-Karabakh during the summer of 2022. From each household, one woman, age 18 to 49, participated in an interviewer-administered survey. Maternal health outcomes were assessed among all married women who had ever given birth. Women with at least one child under 5 years were also asked about their most recent pregnancy. Results Among all married women, 85.5% had ever given birth, 19.0% ever had a miscarriage, and 2.8% ever had a stillbirth. Of the 299 women with at least one child under 5, 97.7% received antenatal care, of which 90.4% had at least 4 visits. Over half experienced toxicosis (51.8%), 16.4% high blood pressure, 13.0% anemia, and 6.4% hemorrhage during their most recent pregnancy. The most common delivery complications were uterine scarring (19.7%), breached birth (7.0%), prolonged labor (6.4%) and hemorrhage (5.7%). Age was found to be a significant factor, with the odds of toxicosis (p = 0.039) and breached birth (p = 0.009) decreasing, yet the odds of miscarriage (p = 0.001) and hypertension (p = 0.007) increasing with age. Conclusions Almost all women reported adequate antenatal care with birth outcomes comparable to global statistics, demonstrating the ability of Nagorno-Karabakh to provide sufficient maternal healthcare while in a frozen conflict. Fortifying and ensuring access to maternal and reproductive healthcare, particularly antenatal care, is vital for ensuring the health and wellbeing of women and children in conflict-affected settings. Key messages • Women in Nagorno-Karabakh received antenatal care and experienced birth outcomes similar to global rates, demonstrating the value of access to reproductive healthcare in conflict-affected settings. • Future studies should examine the impact of forced displacement on the women of Nagorno-Karabakh to better understand the effect of conflict on reproductive and maternal health.

Regional variations in breast cancer screening uptake and its associated factors in Ghana

Abstract Introduction Timely identification of breast cancer is critical for successful treatment and prevention, reducing its burden. Despite its significance, breast cancer screening services in Ghana are underutilized, with considerable regional variations in uptake rates. We examined the regional differences in breast cancer screening uptake and its associated factors in Ghana. Methods We analyzed data from 15,014 women of reproductive age from the 2022 Ghana Demographic and Health Survey. Spatial mapping illustrated regional variations in screening uptake. Multilevel logistic regression was employed to examine the factors associated with breast cancer screening uptake. Results National breast cancer screening prevalence was 18.4%, with regional variations observed across the 16 regions. Eastern, Western, Brong Ahafo, and Greater Accra had the highest screening uptake. The likelihood of breast cancer screening was higher among women aged 45-49 (aOR = 3.59; 95% CI = 12.52, 5.12), Married women (aOR = 1.44; 95% CI = 1.17-1.77), Higher education, employment, health insurance, recent health facility visits, media access, and wealth index (middle: aOR = 1.45, 95% CI = 1.08, 1.94; richest: aOR = 1.91, 95% CI = 1.36, 2.70). Islamic and African Traditional affiliations decrease screening likelihood (aOR = 0.77; 95% CI = 0.63, 0.95; aOR = 0.46; 95% CI = 0.22, 0.97). Rural residence and specific regions (Ashanti, Oti, Savannah, Upper West) reduce odds, while living in North East increases odds (aOR: 1.86; 95% CI = 1.14-3.03). Conclusions Cost-effective breast cancer screening services are crucial, particularly in rural areas with geographical disparities. Culturally and religiously sensitive protocols are needed to address regional and religious differences. Expanding Ghana’s national health insurance to cover preventive measures like breast cancer screening is essential. Promoting awareness through conventional and digital platforms is crucial for advocating screening. Key messages • Addressing geographical and cultural differences crucial for equitable breast cancer screening in Ghana. • Expanding health insurance and raising awareness vital to promote screening access and reduce disparities.

Causes of Dropout from immunization among children in two selected slum area of Dhaka City

This study will contribute information that can be used by policymakers in the Ministry of Health (MOH) to create policies that will encourage mothers to complete their immunization schedule among children in Bangladesh. It will benefit health workers like nurses, doctors or clinicians by giving useful data on the factors associated with immunization dropout among children of one month to 18 months of age in Bangladesh. Materials and Methods: A cross-sectional household survey was conducted in two selected slum area in Dhaka city and 120 married women (60 from each slum area of Dhaka city) were interviewed through face -to-face by the researcher. The target population was the parents had children of age from 1 month to 18 month and had routine child vaccination card were interviewed. The total sample size was 120 in number and they were selected by using systematic sampling technique. The study was based on primary data. The instruments of the study were pretested semi-structured questionnaire. After editing and coding the coded data enter into the computer SPSS Version 16.0 was used to analyze the data. Immunization was categorized into ‘complete’ and ‘drop-out’. Bivariate associations were then evaluate using Chi-square and spearman’s correlation. Logistic regression was finally performed to evaluate the strength of the predictive variables to immunization dropout. A confidence interval of 0.05 was considered in this study. Place and Period of the Study: Study was conducted from 8th January 2022 to 21th February 2022 in Tongi (Arshadnagor, Bank field, Hazi Mazar, Nishad Nagar slums -60 household) and Dhaka north City Corporation (korail slum from Banani -60 household). Results: Among the 120 participants majority that is 84.2% represented the age group of 21-35 years followed by 15.0% of <20 years. Maximum and minimums age of the participant was 37 years & 14 years. Sex distribution of the children showed that out of 120 respondents, 59 (49.2%) were male & 61 (50.8%), were female. Male: Female ratio was 1:1.1. Opinion regarding importance of immunization status showed that 100% participants opinion were immunization was important for child. The study revealed that maximum 85.0% respondents told that immunization center distance is less than 1 km & 15.07% respondents stated it is 2-3 km. The study showed that, out of 100% children 74.2% were fully immunized & 25.8% were partially immunized. Conclusion: According to study findings, out of 100% children 74.2% were fully immunized & 25.8% were partially immunized. It was found that there were no associated factors determined to causes dropout rate of immunization from chi-square test. From spearman correlation test, it was found that there was positive association between dropout rate and sex of the children, type of the family. There is a need for intensified engagement with communities through the reaching every child approach so that children are fully immunized. EWMCJ Vol. 12, No. 1&2, January-July 2024: 14-20

Factors associated with the consumption of ultra-processed among Brazilian and Portuguese pregnant

Abstract Considering the recent evidence about the negative effect of the consumption of ultra-processed foods (UPF) on current and future generations, and pointing to the development of public food policies adapted to the needs of pregnant women, it is important to identify the factors associated with high consumption of UPF. Cross-sectional comparative study that used data from: 1) a randomized controlled clinical trial conducted with pregnant women treated at Health Units in a city in São Paulo (n = 350), Brazil; and 2) the National Dietary and Physical Activity Survey 2015-2016, Portuguese pregnant women (n = 226). Two 24-hour recall surveys were collected. The UPF were classified according to the Nova. Usual consumption was estimated using the Multiple Source Method software. The percentage of energy coming from UPF was calculated using the mean (±SD) and 95%CI. Adjusted and crude linear regression models were used. The analysis were conducted in SPSS (version 21), considering p < 0.05 as significant. The average age of the total sample was 29.4(±6.3) years and the BMI corresponded to 27.8(±3.4)kg/m². The average daily energy consumption from UPF among Brazilian pregnant women was 449.6(±207.6) kcal, representing 24.2(±8.8)% of the total energy consumed on a usual day; among Portuguese women the average corresponded to 484.2(±242.4)kcal and 22.3(9.3)%, respectively. In crude and adjusted linear regression models, the participation of UPF in total energy was higher among single Brazilian pregnant women compared to married women (3.2[0.8-5.5]p=0.009); Among Portuguese women, an inverse relationship was observed between weekly physical activity (PA) ≥150 minutes and UPF energy consumption (-3.2[-6.0 - -0.3]p= 0, 03). In the studied pregnant women, results showed that being single and practicing less than 150 minutes of PA weekly were factors associated with greater consumption of UPF, characterizing a priority group to receive nutritional interventions during prenatal care. Key messages • Public policies and strategies to reduce the consumption of ultra-processed foods during pregnancy. • Promotion of healthy lifestyle habits and impact on current and future health.

Social support for women undergoing induced abortions in Belgrade, Serbia

Abstract Background Having an unwanted pregnancy requires social support to help women ease the stress and stigma of having an induced abortion. The study aimed to investigate the main providers of social support to women having induced abortions. Methods Women undergoing induced abortions from 2022 to 2024 in a University clinic in Belgrade were invited to participate. Data were collected using an anonymous questionnaire examining socio-demographic data of women and sources of social support. Results This study included 433 women out of which 50.1% informed their mothers about the abortion, 23.1% their fathers, 87.3% their partners, 42.3% their friends, and 1.6% women told no one about the abortion. A total of 40% of women were supported to undergo the abortion by their parents, 80.1% by their partner, 34.9% by friends, and there were 2.1% of women who did not get any support to perform abortion. There were significantly more (p = 0.001) mothers (163 vs. 54), fathers (87 vs. 13), partners (331 vs. 47), and friends (136 vs. 47) who were informed about the abortion and also supported women compared to those who did not provide support. Getting support for the abortion by the parents was associated with younger age, not being in a relationship, and not having children. Support of the partner was linked to older age, higher education, being unemployed, being married with more children, and having abortions previously. Being supported by friends or not being supported at all did not correlate with socio-demographic data of the investigated women. Conclusions Women are generally supported by their family and friends in their decision to have induced abortions. This study identified socio-demographic factors that impact the choice of principal supporting person when undergoing induced abortion. Key messages • Partners are the main source of social support for married women who had induced abortion. • Parents are principal social supporters for single younger women undergoing induced abortion.

Domestic Violence in India- Issues and Challenges

Domestic violence is violence or abusive behaviour which is used by one partner to control another partner in any relationship. Domestic violence can be physical, sexual, emotional, and psychological or any pattern. For example, it may take the form of sexual assault psychological abuse or verbal abuse to anyone. It affects people of all socioeconomic backgrounds and education levels. Domestic violence not only affects those who are abused, but also affects family members, friends, co-workers, other witnesses, and the community at large. According to the National Family Health Survey (NFHS), 2019-2021, 29.3% of married Indian women between the ages of 18 and 49 have experienced domestic or sexual violence in India. That is only the number of cases reported by women, there are frequently many more that never make it to the police. According to NFHS data, 87% of married women are victims of marital violence. The National Commission for Women said in 2020-21, it received 26,513 complaints from women, an increase of 25.09%, compared with the 20,309 complaints registered in 2019-20. The Indian legal system has formed Section 498A of the Indian Penal Code according to the Criminal Law (Second Amendment) Act, 1983 (46 of 1983), especially for dealing with domestic violence. 498A IPC states that “Husband or relative of husband of a woman subjecting her to cruelty. —Whoever, being the husband or the relative of the husband of a woman, subjects such woman to cruelty shall be punished with imprisonment for a term which may extend to three years and shall also be liable to a fine. Sec 498A IPC is cognizable, non-compoundable and non-bail able. Even though the law provides for the security of women, there is a big loophole; a lack of awareness among the victims, most of whom do not know that they have the option to approach the law. In this paper, the researchers have tried to explore the issue and challenges for stopping domestic violence in India.

Comparative efficacy of oral and vaginal probiotics in reducing the recurrence of bacterial vaginosis: a double-blind clinical trial

ObjectiveThe primary goal of this study is to discern the optimal adjuvant treatment for patients diagnosed with bacterial vaginosis, focusing on reducing recurrence rates.MethodsThis study is a double-blind clinical trial with no previous similar trials conducted to date. The study population consisted of non-pregnant, married women visiting teaching hospitals’ clinics in Mashhad, complaining of vaginal discharge. After informed consent and questionnaire completion, samples were obtained from vaginal discharge surrounding the cervix of clinically diagnosed bacterial vaginosis patients. Using Gram staining, a gold standard method for bacterial vaginosis diagnosis, samples were examined under a microscope according to the Nugent score. After initial treatment with metronidazole, patients were divided into two groups receiving either vaginal or oral probiotics.ResultsOf the 55 participating women, 20 were in the vaginal probiotic group and 35 were in the oral probiotic group. No significant demographic or clinical differences existed between groups at baseline. The Nugent score decreased from 8.5 to 3 in the vaginal group and from 9 to 3 in the oral group, suggesting the effectiveness of both treatments. While the difference between groups was not statistically significant, each group showed significant improvements from their initial states (p-value < 0.001).ConclusionNo significant difference was observed in the effectiveness of oral versus vaginal probiotics in reducing the recurrence of bacterial vaginosis after routine treatment. Therefore, the type of probiotic to be used could be chosen based on patient preference.

Pathways Linking Acculturation Profiles to Health Trajectories of Married Immigrant Women in South Korea

This study investigated the health trajectories of married immigrant women in South Korea and examined the mediating role of psychosocial resources in linking acculturation profiles to health trajectories. A sample of 1635 mothers who participated in the Multicultural Adolescents Panel Study was examined. The results identified three distinct health trajectories, that is, high-stable, decrease-from-high, and low-stable. In addition, three acculturation profiles (maladaptive, Korean-oriented bicultural, and undifferentiated) indirectly predicted health class through self-esteem and social network. Specifically, self-esteem mediated the path from the maladaptive and Korean-oriented bicultural profiles to a stable-low health class. Further, social networks mediated the effect of the Korean-oriented bicultural profile on the decrease from the high health class. These findings highlight the heterogeneity of married immigrant women’s health and suggest the importance of considering the relationship between individual acculturation profiles and psychosocial resources to promote the health of married immigrant women.

The Relationship Between Maternal Education Level and Stunting: Literature Review

Children who are shorter than their peers due to malnutrition before and after birth are called stunting. Stunting occurs when a married adolescent woman has a low socioeconomic status and education level, thus increasing psychological stress caused by limited human resources and childcare so that child growth and development are not optimal. One important factor that influences the prevalence of stunting in early childhood and toddlers is maternal education. Increasing public awareness of the importance of maternal education in preventing stunting and improving the quality of child health. This review study aims to present evidence on the correlation between stunting and maternal education and to determine the extent to which maternal education affects the nutritional status and growth of children, especially stunting. With these objectives, this study is expected to make a significant contribution to understanding and addressing stunting problems in the community. The literature review method and the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) meta-analysis process were used throughout the investigation. There is a correlation between stunting and maternal education based on many research findings. In conclusion, education level, low maternal age, poor toddler care and nutritional intake during pregnancy are associated with stunting

Prevalence, reasons, and attitude towards abortion among Iranian married women of reproductive age in Qazvin province

Background and aimsAbortion influences the composition and size of population. Estimating the overall and type-specific abortion rates, the reasons to choose the abortion can be helpful in designing and implementing preventive intervention. Therefore, the present study was designed to determine the: (i) prevalence of abortion, (ii) attitude of married women of reproductive age towards abortion, and (iii) reasons for choosing abortion by married women of reproductive age in Qazvin province.MethodsA cross-sectional study was conducted between February and April 2023, and comprised married women of reproductive age (N = 1571) referred to urban and rural comprehensive health centers in five cities of Qazvin province. Utilizing multi-stage proportional sampling process, data for the survey (including demographic and fertility information, reasons for choosing abortion, and attitudes toward abortion) were collected online.ResultsThe lifetime prevalence of abortion was 18.6% (among the total sample). The past-year prevalence was 22.3% (among those who reported having had an abortion). Of those reporting having had an abortion, 73.6% reported it was their first one, and 65.1% reported it was non-spontaneous . Women’s reasons for choosing abortion fell into one of three main clusters: (i) couple’s behavior, health and relationship problems, (ii) fertility-related stressful experiences, and (iii) family economic situations. The main reported reason to choose abortion was a couple’s behavior (e.g., drug use), health (e.g., physical disease, psychological problems), and relationship problems (e.g., sexual infidelity, divorce) explaining 27% of the variance. Also, pro-abortion attitude was the most important attitude towards non-spontaneous abortion explaining 26.33% of variance. The variables that increased the likelihood of non-spontaneous abortion included choosing a reason for abortion vs. having no reason (OR = 1.77, p = 0.05), having poor vs. good mental health (OR = 1.74, p = 0.03), having a pro-abortion attitude (OR = 1.09, p = 0.09), and having ≥ 3 children vs. having no children (OR = 0.53, p = 0.06).ConclusionWomen in high-risk groups for non-spontaneous abortion (i.e., those aged over 35 years, those married for more than five years, those with an infertility history, those with a lower number of children, those living in rural areas, and those having poor mental health status) should be assessed by primary healthcare services during preconception and have early prenatal counseling to help in decisions regarding abortion.

Who dominates? Multiple constructions of women's subjective social status and their cohort dynamics in transitional China

The way women construct their subjective social status has garnered significant attention. However, the roles of husbands and fathers in this process have been underexplored, with even less focus on how these roles have evolved across generations. This study aims to answer two important questions against the backdrop: First, which is the most dominant factor in shaping married women's subjective social status, their own objective class or those of their husband or father? Answers to this question reveal the impacts of assortative mating and intergenerational mobility. Second, how does the construction pattern change across birth cohorts? Cohort dynamics help reflect the evolution of gender roles and family values in China. Using pooled data from the Chinese General Social Survey in 2010–2017 and the diagonal reference model, our study finds that Chinese married women previously tended to construct their own social status based on the objective class of their husbands. However, this trend is reversed for younger cohorts. Father's objective class status carries roughly the same weight as women's own, but its impact becomes moderately stronger in younger cohorts. Taken together, the above findings reveal a unique pathway of family modernization in transitional China. Married women, although increasingly independent of their spouses, still remain closely connected with their natal families.

Pattern of Family Planning in Bani-Talib village in Assiut, Egypt-cross Sectional Study

Family planning programs have emerged as one of the most successful public health interventions of the 20th century, significantly improving maternal and child health outcomes. This study aims to evaluate the prevalence and patterns of contraceptive use in Bani-Talib village, Assiut governorate, and to identify barriers to family planning method utilization. Conducted as part of a baseline survey by the Ministry of Health and Population in 2010, this cross-sectional study included all married women aged 15-49 in the village. Data were collected through structured questionnaires addressing demographic information and contraceptive practices. Ethical approval was obtained, and data were analyzed using SPSS. The mean age of participants was 30.38 years, with an illiteracy rate of 63.8% and only 4.6% employed. The prevalence of contraceptive use was 46%, with 36.9% never having used any method. The most commonly used contraceptive method was the intrauterine device (IUD) at 40.4%, followed by injectables (32%) and oral contraceptive pills (22.1%). Major barriers to contraceptive use included newly married status (34.9%), cost (24.8%), and concerns about infertility (20.2%). The findings revealed no significant differences in contraceptive use related to education, employment status, or number of children, but age was significantly associated with usage patterns. The results highlight the need for targeted interventions to address barriers to contraceptive use and increase awareness of family planning among men. Future studies should further explore family planning utilization patterns in urban versus rural settings in Egypt. Enhanced training for healthcare providers is also recommended to improve family planning service delivery in rural communities.

Do immigrant women spend more time on unpaid labor? Generational differences by race, ethnicity, and household composition in household work within the United States

ABSTRACT Despite relative progress, it is an overt fact that women still take on the heavier burden of unpaid work in the household compared to men in the United States. Our study expands the horizons of previous studies by looking at women specifically and analyzes how women’s performance of unpaid labor differentiates based on various contexts such as generational status, household composition, race, and ethnicity. Using the pooled cross-sectional data from the 2011-2021 American Time Use Survey (ATUS), we test hypotheses derived from an absolute resources perspective and a structural perspective to examine migrant generational differences among married, cohabiting, and single women as well as investigate the intra-group differences of racial and ethnic groups. From our descriptive analysis and ordinary least squares (OLS) regression analyses, we find support for the structural perspective for housework, as the generational differences remain even after controlling for socioeconomic factors, but only for first-generation married women. However, socioeconomic factors account for the differences between cohabiting or single first-generation women, which is supported by the absolute resources perspective. Our intra-group analysis by racial and ethnic groups yielded similar findings but found that Hispanic and Asian first-generation women take on a larger proportion of housework, relative to later-generation women.

Contribution of Ultrasound in the Management of Haemorrhages in the Third Trimester of Pregnancy at the Kalabancoro Reference Health Center, Mali 2023

Introduction: Haemorrhages in the third trimester of pregnancy are nowadays a frequent situation that can jeopardize the maternal-fetal prognosis. Given its scale and degree of seriousness, this work was initiated to assess the contribution of ultrasound in its management. Material and Methods: This was a descriptive cross-sectional study with retrospective data collection which took place at the Kalabancoro Reference Health Center from May 1, 2022 to October 31, 2022. Its objective was to study the contribution of ultrasound in the management of haemorrhage in the third trimester of pregnancy. Results: During the study, 154 cases of haemorrhage in the third part of pregnancy out of 2,546 pregnancies were recorded, representing a frequency of 3.4%. The average age of the patients was 27 ± 3.5 years with extremes of 16 and 38 years. Married women were the most represented with 84.4%. Out-of-school women were the most represented, accounting for 63.6% of cases. Multiparous women were the most represented with 39.6% cases. Arterial hypertension was the most common medical history, i.e. 66.6%. Bleeding during pregnancy was the most frequent reason for consultation with 87.6%. Retroplacental hematoma was the predominant etiology, i.e. 67.5%. In utero fetal death was found in 54.5% of cases. Conclusion: The contribution of ultrasound was very important in the therapeutic decision-making. Emergency caesarean section was performed in 66.7% of cases.

Multifaceted Exploration of Public Awareness, Government Perspectives, and Community Attitudes Toward HIV.

The purpose of this research is to quantify the knowledge of students about HIV, social media contribution, and their satisfaction with the government and society's acceptance of HIV patients. A cross-sectional survey of 579 participants was conducted at Punjab University, University of Peshawar, Karachi University, Baluchistan University of Information Technology, Engineering and Management Sciences University, and Quaid-i-Azam University. Student self-administered surveys included demographics, knowledge, government satisfaction, social media rumors, and PLWHA acceptability. The response rate was 96.5%. The four variables are knowledge, government satisfaction, social media rumors, and HIV patient acceptance. The knowledge score in married males (Beta=-0.075) and married females (Beta=-0.022), government satisfaction in married males (Beta=0.087) and females (-0.412), social media rumors in married males (Beta=-0.125) and married female (Beta=-0.301, and HIV acceptance in society married male -0.301 and married female 0.07. the knowledge and government satisfaction, score showed that males had higher knowledge about HIV than married females. Married women say HIV acceptability in society is strong, whereas men believe social media spreads less misinformation. Similarly, there is a negative correlation between government satisfaction social media rumors (-0.687**) and HIV acceptance in society (-0.687**). HIV acceptance has a strong correlation with knowledge (0.711**) and social media rumors (0.727**). The p<0.001 indicates that there is a significant correlation. Sufficient knowledge and the positive role of social media, effective government contributions to eradicate HIV, and more awareness and knowledge can significantly change the attitude of the community toward PLWHA.

Validating measurement of social norms for entertainment-education: a five-factor model.

Though the measurement of social norms is important for evaluating entertainment-education interventions, there is a dearth of validity evidence for measuring tools to assess different social norm constructs. Identical survey items were used to assess family planning norms among married Zambian women in 2019 and 2022 following an entertainment-education radio program intervention. Confirmatory Factor Analysis was used for confirmation of the internal structure of several subscales used to measure social norms found in a previous study. There were no statistically significant demographic differences between participant groups at T1 and T2. CFA supported a five-factor model at T2 comprising descriptive norms (4 items), outcome expectations (3 items), and 3 different constructs capturing injunctive norms (3 items each). Results indicate good structural validity evidence for measuring social norms in entertainment-education using existing tools.

Incidence and Correlates of Husband-Perpetrated Rape Among Currently Married Women in Nigeria.

Husband-perpetrated rape (HPR), which implies every form of unwilling sex with a husband as a result of force, threat or drug, is rarely discussed or reported, and it has been quite understudied in Nigeria. Hence, this study answers two questions: What is the incidence of HPR, and what are the correlates among currently married women in Nigeria? Descriptive and multi-level logistic regression tools are used to analyze data from a sub-sample of 1,583 currently married women (16 years and above) surveyed in a larger survey conducted in mid-2022. The results suggest that the national incidence rate of HPR among currently married women in Nigeria is 20%. Although any married woman could experience HPR anywhere, the main correlates that are likely to elevate the risk in Nigeria are childhood sexual abuse experience (OR = 3.9, p < .001, 95% CI [2.9, 5.2]), membership in Yoruba ethnic group (OR = 2.7, p < .001, [1.7, 4.3]), and having husbands who smoke (OR = 2.4, p < .001, [1.7, 3.4]). Other minor risk factors are minority ethnic groups membership (OR = 2.1, p < .01, [1.4, 3.3]), husband's substance use (OR = 1.7, p < .001, [1.3, 2.2]), childhood family situation wherein parents separated/divorced (OR = 1.8, p < .01, [1.3, 2.6]) and membership of the Igbo ethnic group (OR = 1.7, p < .05, [1.1, 2.8]). Therefore, to reduce HPR experience in Nigeria, appropriate organs should design and implement an invigorated child protection law targeting childhood sexual abuse reduction. An aggressive campaign against smoking and substance consumption among married men is also imperative. Also, a sustained campaign against HPR using multiple media all over Nigeria is crucial.

Knowledge, practices,and barriers to access of emergency contraceptive pills in married women and men:a multicenter clinic-based cross-sectional study from Karachi, Pakistan.

Emergency contraceptive pills (ECPs) are significantly underutilized in many parts of the world, especially in South-Asia. Within Pakistan, despite the population surge, the utilization of ECPs remains alarmingly low. The purpose of this study was to investigate the knowledge and practices regarding ECPs amongst married women and men in Karachi, Pakistan and the possible barriers hindering access to and use of these contraceptives. A multi-centric cross-sectional study was conducted in Karachi, Pakistan. Interviews were conducted with participants using validated questionnaire involving different sections on demographics, knowledge, practices, and barriers to ECP use. Categorical variables were summarized as frequencies and percentages while continuous variables were characterized using mean and standard deviation. A chi-square test of variance was used for association between knowledge scores and different categorical values. A p-value of < 0.05 at 95% CI was statistically significant. Over half of the respondents (52.5%) were not using any method of contraception. 11.1% of respondents had used ECP at some point in their life. 337 (85.8%) participants had low knowledge, 55 (14%) had moderate while only 1 (0.25%) had high knowledge regarding ECPs. There was no significant association of knowledge scores with gender, age, employment status or parity. However, participants who had received counseling for family planning in the past or had previously used ECPs had significantly higher knowledge regarding ECPs. A majority 58% (221) of the participants expressed concerns about the potential side effects and 128 (33.9%) of them believed that ECPs were in contradiction to their religious and moral values. Our study in Karachi, Pakistan, highlights critical challenges in ECP awareness, utilization, and family planning. Although the results show improved ECP usage than studies previously done in Pakistan, there is a further need to increase the reach of ECPs through a variety of methods. Persistent myths and misconceptions and a severe lack of awareness further hinders their use.

Connecting Urban Mobility and Gender Roles: Ho Chi Minh City, Vietnam

Good transport infrastructure and services improve the well-being of all groups of the population, including women, men, children, the elderly and people with disabilities. However, they are often incorrectly considered ‘gender-neutral’. Mobility is socially determined by gender roles related to reproduction, production and community. This research investigates the cohesive relationship of urban transportation, including mobility, gender and care, by studying the case of Ho Chi Minh City (HCMC). The differences between women’s and men’s participation in transportation are identified and connected to gender-role activities. The findings show a clear relationship between urban mobility and gender roles. There is clear evidence of women’s trade-off between travelling less than men and carrying more unpaid work in the family, which is more pronounced for married women who live with their families. Differences in women’s traffic experiences compared to men’s reveal the disadvantages that women face in traffic. The findings of this research will assist the HCMC transport sector and project executive agencies in designing gender-inclusive projects. The dissemination of this research will draw attention to the gender dimension of transport and encourage gender mainstreaming across the transport sector to promote and support equality and women’s empowerment.

Investigating the relationship between internet addiction, domestic violence, and emotional divorce among married women in Tehran

BackgroundIdentifying the factors affecting emotional divorce due to the negative consequences of this social problem in women can play an important role in preventing its occurrence. Therefore, the present study aimed to investigate the relationship between internet addiction, domestic violence, and emotional divorce among married women in Tehran.MethodsA cross-sectional survey was conducted among married women in Tehran, Iran. Sampling was conducted first through a multi-stage cluster method and then continued using a random method. Tehran was divided into five parts: central, northern, southern, eastern, and western. The sample size was divided by 5, resulting in 80 participants selected from each part. In each part, two regions were selected, and in each region, 40 houses were randomly selected. Researchers visited the selected houses, and the questionnaires were filled out at home by the women. Tools such as Gottman’s Emotional Divorce Test, Young’s Internet Addiction Test, and the Domestic Violence against Women Survey were used to collect data. Descriptive and inferential statistics were used to analyze the data in SPSS (version 24) software.ResultsA total of 400 women participated in the study. 46% of all married women suffered emotional divorce. The analysis of these tests showed that are positive and significant relationships between emotional divorce and internet addiction (r = 0.626, p < 0.0001), emotional divorce and domestic violence (r = 0.632, p < 0.0001), and internet addiction and domestic violence (r = 0.455, p < 0.0001). It was also found that there are significant negative relationships between emotional divorce and both the level of education (r=-0.115, p = 0.021) and employment status (r=-0.512, p < 0.0001). Additionally, there are significant negative relationships between internet addiction and age (r=-0.285, p < 0.0001), duration of marriage (r=-0.237, p < 0.0001) and employment status (r=-0.694, p < 0.0001). Furthermore, it was revealed that there are significant negative relationship between domestic violence and age (r=-0.104, p = 0.037) and level of education (r=-0.156, p = 0.002).ConclusionAlmost half of the married women in this study experienced emotional divorce, internet addiction, and domestic violence. These factors have a direct relationship with emotional divorce. Future studies are needed to understand how internet addiction might be associated with separation, emotional divorce and family problems.