Citation

Gee RE, Mitra N, Wan F, Chavkin DE, Long JA. Am. J. Obstet. Gynecol. 2009; 201(2): 148.e1-1487.

Affiliation

Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania School of Medicine, Philadelphia, PA; Leonard Davis Institute of Health Economics, University of Pennsylvania School of Medicine, Philadelphia, PA.

Copyright

(Copyright © 2009, Elsevier Publishing)

DOI

10.1016/j.ajog.2009.04.048

PMID

19564020

Abstract

OBJECTIVE: The purpose of this study was to examine the association between intimate partner violence (IPV), abortion, parity, and contraception use. STUDY DESIGN: We recruited 1463 women for this written questionnaire study of IPV. Patient demographics, contraceptive history, and reproductive history were obtained in the waiting room from patients presenting for gynecologic care. RESULTS: Seventy percent of those eligible participated. Twenty-one percent reported a history of IPV. Partner unwillingness to use birth control, partner desirous of conception, partner creating difficulty for subject's use of birth control, and subjects expressing inability to afford contraception were all positively associated with report of IPV. Each additional pregnancy was associated with 10% greater odds of IPV (95% confidence interval, 1.03-1.17). CONCLUSION: Contraception is more difficult to navigate for women experiencing IPV. Providers should consider prescribing contraceptive methods for IPV victims that are not partner dependent.

Language: en