Background: Violence against women is a global concern and it is high in Africa particularly in Ethiopia. However, the attention given to this issue is less. This study aimed to assess sexual and psychological violence among pregnant women in Tigray, Ethiopia. Methods: Institutional based cross-sectional survey was done among 476 pregnants. Study participants were selected using a systematic random sampling technique. Pretested, structured, and interview was done using a standardized questioner. Logistic regression analyses (bivariable and multivariable) were done to identify associated factors. The odds ratio of 95% was used to show the strength and variables with p-value<0.05 were considered as statistically significant. Results: About 30.3% women were experienced sexual and psychological violence. Sexual violence (15.5%), and psychological violence (22.7%). Having alcohol drinker husband [(AOR=3.15, 95% CI: (1.92, 5.18)], undesired pregnancy by husband [(AOR=3.68, 95% CI: (1.54, 8.78)], having another wife [(AOR=4.87, 95% CI: (2.07, 11.5)], unplanned pregnancy [(AOR=3.46, 95% CI: (1.51, 7.95)], low decision making capacity of women [(AOR=2.99, 95% CI: (1.85, 4.82)] and having medium economic status [AOR=0.53, 95% CI: (0.31, 0.92)] were significantly associated factors. Conclusion: Near to one –third of pregnant women experienced sexual and psychological violence during a recent pregnancy. Strengthening women's, empowerment and encouraging inter-spousal communication to enhance relationships, and to make join reproductive decisions are crucial to reducing violence during pregnancy.
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