Prevalence and correlates of intimate partner sexual violence among pregnant women in Lamwo district – Northern Uganda

Abstract

Background and Aims: Intimate Partner Violence (IPV) is a silent pandemic, associated with 10% of all violent deaths and 290,000 years lost to morbidity. Intimate partner violence has been explicitly associated with not only health consequences of gynaecological and psychological nature among women but also deaths. The sexual form of intimate partner violence which increases in intensity during pregnancy is associated with higher risk of morbidity. The purpose of this study was to assess the prevalence and correlates of intimate partner sexual violence during pregnancy among pregnant women in Lamwo district, Northern Uganda. Methods: A cross-sectional study was done at 6 facilities in Lamwo district from January-February 2022. Stratified and simple random sampling were used to sample 260 pregnant women out of a pregnant women population size of 810 women who sought antenatal care on a monthly basis from health facilities. The structured interviews were used for data collection. Data was entered in Epi Info version 7.0 and analysed in SPSS version 25 using the log-binomial model. A multivariate analysis was done. Statistical significance was set at p<0.05. Results: The results showed a 24% prevalence of IPSV with 73% of pregnant women denying the use of measures to protect them from sexually transmitted infections. Pregnant women who were carrying their first, second, and third pregnancies were more likely to experience IPSV than women with more than 3 pregnancies (aPR 5.307 [CI = 1.965 -14.335], p = 0.001). In addition, women whose spouses had a habit of engaging in fights, had ever physically abused them, and had a preference for the gender of children demonstrated an increased prevalence of IPSV. Conclusion: Out of every 10 pregnant women in the sample, two of them were sexually violated. The lower the gravidity and parity, the more likely to experience IPSV. Gravidity correlated more with IPSV than any other IPSV factor. The findings from this study may inform health interventions aimed at reducing intimate partner sexual violence.