Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh
Exposure to intimate partner violence (IPV) can have profound adverse consequences on maternal and child health. This study aimed to: (1) identify factors associated with IPV during pregnancy and postpartum in Bangladesh; and (2) assess the associations between IPV and maternal mental health and bre...
| Autores principales: | , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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Oxford University Press
2020
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| Acceso en línea: | https://hdl.handle.net/10568/142627 |
| _version_ | 1855531129337020416 |
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| author | Tran, Lan Mai Nguyen, Phuong Hong Naved, Ruchira Tabassum Menon, Purnima |
| author_browse | Menon, Purnima Naved, Ruchira Tabassum Nguyen, Phuong Hong Tran, Lan Mai |
| author_facet | Tran, Lan Mai Nguyen, Phuong Hong Naved, Ruchira Tabassum Menon, Purnima |
| author_sort | Tran, Lan Mai |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Exposure to intimate partner violence (IPV) can have profound adverse consequences on maternal and child health. This study aimed to: (1) identify factors associated with IPV during pregnancy and postpartum in Bangladesh; and (2) assess the associations between IPV and maternal mental health and breastfeeding practices. We used data from a cross-sectional survey of 2000 mothers with children <6 months in four districts in Bangladesh. We applied multivariable logistic regression models to examine factors associated with IPV and structural equation modelling to assess the inter-relationships between IPV, maternal common mental disorders (CMD, measured by Self-reporting Questionnaire ≥7) and breastfeeding practices. Overall, 49.7% of mothers experienced violence during the last 12 months and 28% of mothers had high levels of CMD. Only 54% of women reported early initiation of breastfeeding and 64% reported exclusive breastfeeding. Women were more likely to experience IPV if living in food-insecure households, being of low socio-economic status, having low autonomy or experiencing inequality in education compared with husbands (OR ranged from 1.6 to 2.8). Women exposed to IPV were 2–2.3 times more likely to suffer from high levels of CMD and 28–34% less likely to breastfeed their babies exclusively. The indirect path (the indirect effects of IPV on breastfeeding through CMD) through maternal CMD accounted for 14% of the relationship between IPV on breastfeeding practice. In conclusion, IPV is pervasive in Bangladesh and is linked to increased risks of CMD and poor breastfeeding practices. Integrating effective interventions to mitigate IPV, along with routine maternal and child health services and involving men in counselling services, could help both to reduce exposure to IPV among women and to contribute to better health outcomes for women and children. |
| format | Journal Article |
| id | CGSpace142627 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2020 |
| publishDateRange | 2020 |
| publishDateSort | 2020 |
| publisher | Oxford University Press |
| publisherStr | Oxford University Press |
| record_format | dspace |
| spelling | CGSpace1426272025-12-08T10:29:22Z Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh Tran, Lan Mai Nguyen, Phuong Hong Naved, Ruchira Tabassum Menon, Purnima maternal and child health mental health pregnancy health capacity development domestic violence breastfeeding perinatal period Exposure to intimate partner violence (IPV) can have profound adverse consequences on maternal and child health. This study aimed to: (1) identify factors associated with IPV during pregnancy and postpartum in Bangladesh; and (2) assess the associations between IPV and maternal mental health and breastfeeding practices. We used data from a cross-sectional survey of 2000 mothers with children <6 months in four districts in Bangladesh. We applied multivariable logistic regression models to examine factors associated with IPV and structural equation modelling to assess the inter-relationships between IPV, maternal common mental disorders (CMD, measured by Self-reporting Questionnaire ≥7) and breastfeeding practices. Overall, 49.7% of mothers experienced violence during the last 12 months and 28% of mothers had high levels of CMD. Only 54% of women reported early initiation of breastfeeding and 64% reported exclusive breastfeeding. Women were more likely to experience IPV if living in food-insecure households, being of low socio-economic status, having low autonomy or experiencing inequality in education compared with husbands (OR ranged from 1.6 to 2.8). Women exposed to IPV were 2–2.3 times more likely to suffer from high levels of CMD and 28–34% less likely to breastfeed their babies exclusively. The indirect path (the indirect effects of IPV on breastfeeding through CMD) through maternal CMD accounted for 14% of the relationship between IPV on breastfeeding practice. In conclusion, IPV is pervasive in Bangladesh and is linked to increased risks of CMD and poor breastfeeding practices. Integrating effective interventions to mitigate IPV, along with routine maternal and child health services and involving men in counselling services, could help both to reduce exposure to IPV among women and to contribute to better health outcomes for women and children. 2020-11-01 2024-05-22T12:10:46Z 2024-05-22T12:10:46Z Journal Article https://hdl.handle.net/10568/142627 en Open Access Oxford University Press London School of Hygiene and Tropical Medicine Tran, Lan Mai; Nguyen, Phuong Hong; Naved, Ruchira Tabassum; and Menon, Purnima. 2020. Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh. Health Policy and Planning 35(Supplement 1): i19-i29. https://doi.org/10.1093/heapol/czaa106 |
| spellingShingle | maternal and child health mental health pregnancy health capacity development domestic violence breastfeeding perinatal period Tran, Lan Mai Nguyen, Phuong Hong Naved, Ruchira Tabassum Menon, Purnima Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh |
| title | Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh |
| title_full | Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh |
| title_fullStr | Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh |
| title_full_unstemmed | Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh |
| title_short | Intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in Bangladesh |
| title_sort | intimate partner violence is associated with poorer maternal mental health and breastfeeding practices in bangladesh |
| topic | maternal and child health mental health pregnancy health capacity development domestic violence breastfeeding perinatal period |
| url | https://hdl.handle.net/10568/142627 |
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