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Is unintended birth associated with physical intimate partner violence? Evidence from India

  • Srinivas Goli (a1) (a2), Abhishek Gautam (a3), Md Juel Rana (a2), Harchand Ram (a2), Dibyasree Ganguly (a2), Tamal Reja (a3), Priya Nanda (a4), Nitin Datta (a3) and Ravi Verma (a3)...


A growing number of studies have tested the association between intimate partner violence (IPV) and the unintendedness of pregnancy or birth, and most have suggested that unintendedness of pregnancy is a cause of IPV. However, about nine in every ten women face violence after delivering their first baby. This study examined the effects of the intendedness of births on physical IPV using data from the National Family Health Survey (2015–16). The multivariate logistic regression model analysis found that, compared with women with no unwanted births (2.9%), physical IPV was higher among those women who had unwanted births (6.9%, p<0.001), followed by those who had mistimed births (4.4 %, p<0.001), even after adjusting for several women’s individual and socioeconomic characteristics. Thus, the reduction of women with mistimed and unwanted births could reduce physical IPV in India. The study highlights the unfinished agenda of family planning in the country and argues for the need to integrate family planning and Reproductive, Maternal and Child Health Care (RMNCH) services to yield multi-sectoral outcomes, including the elimination of IPV.


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Anand, E, Unisa, S and Singh, J (2017) Intimate partner violence and unintended pregnancy among adolescent and young adult married women in South Asia. Journal of Biosocial Science 49(2), 206221.
Babu, BV and Kar, SK (2010) Domestic violence in eastern India: factors associated with victimization and perpetration. Public Health 124(3), 136148.
Babu, BV and Kar, SK (2012) Abuse against women in pregnancy: a population-based study from Eastern India. WHO South-East Asia Journal of Public Health 1(2), 133.
Bacchus, L, Mezey, G and Bewley, S (2004) Domestic violence: prevalence in pregnant women and associations with physical and psychological health. European Journal of Obstetrics and Gynecology and Reproductive Biology 113, 611.
Bahk, J, Yun, SC, Kim, YM and Khang, YH (2015) Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC). BMC Pregnancy and Childbirth 15(1), 85.
Barber, JS, Kusunoki, Y, Gatny, H and Budnick, J (2010) The relationship between dating conflict and pregnancy: preliminary results. Paper presented at the Annual Meeting of the American Sociological Association, Hilton Atlanta and Atlanta Marriott Marquis, Atlanta. URL: on (accessed 3rd July 2018).
Barber, JS, Kusunoki, Y, Gatny, H and Melendez, R (2017) The relationship context of young pregnancies. Law & Inequality 35(2), 175197.
Bates, LM, Schuler, SR, Islam, F and Islam, MK (2004) Socioeconomic factors and processes associated with domestic violence in rural Bangladesh. International Family Planning Perspectives 1, 190199.
Becker, GS (1965) A theory of the allocation of time. The Economic Journal 1, 493517.
Bessa, MMM, Drezett, J, Rolim, M and Abreu, LC (2014) Violence against women during pregnancy sistematized revision. Reprodução & Climatério 29(2), 7179.
Bradley, SE, Croft, T and Rutstein, SO (2011) The Impact of Contraceptive Failure on Unintended Births and Induced Abortions: Estimates and Strategies for Reduction. ICF Macro, Calverton, MD.
Caldwell, JC (1976) Toward a restatement of demographic transition theory. Population and Development Review 1, 321366.
Cardoso, LF, Gupta, J, Shuman, S, Cole, H, Kpebo, D and Falb, KL (2016) What factors contribute to intimate partner violence against women in Urban, conflict-affected settings? Qualitative findings from Abidjan, Cote d’Ivoire. Journal of Urban Health 93(2), 364378.
Chin, R, Daiches, A and Hall, P (2011) A qualitative exploration of first-time fathers’ experiences of becoming a father. Community Practitioner 84(7), 1923.
Clark, S (2000) Son preference and sex composition of children: evidence from India. Demography 37(1), 95108.
Cook, J and Bewley, S (2008) Acknowledging a persistent truth: domestic violence in pregnancy. Journal of the Royal Society of Medicine 101(7), 358363.
Cripe, SM, Sanchez, SE, Perales, MT, Lam, N, Garcia, P and Williams, MA (2008) Association of intimate partner physical and sexual violence with unintended pregnancy among pregnant women in Peru. International Journal of Gynecology & Obstetrics 100(2), 104108.
Das, S, Bapat, U, More, NS, Alcock, G, Joshi, W, Pantvaidya, S and Osrin, D (2013) Intimate partner violence against women during and after pregnancy: a cross-sectional study in Mumbai slums. BMC Public Health 13(1), 817.
Deave, T and Johnson, D (2008) The transition to parenthood: what does it mean for fathers? Journal of Advanced Nursing 63(6), 626633.
Devries, KM, Mak, JY, Garcia-Moreno, C, Petzold, M, Child, JC, Falder, Get al. (2013) The global prevalence of intimate partner violence against women. Science 340(6140), 15271528.
Diamond‐Smith, N, Luke, N and McGarvey, S (2008) ‘Too many girls, too much dowry’: son preference and daughter aversion in rural Tamil Nadu, India. Culture, Health & Sexuality 10(7), 697708.
Dixit, P, Ram, F and Dwivedi, LK (2012) Determinants of unwanted pregnancies in India using matched case-control designs. BMC Pregnancy and Childbirth 12, 84.
Easterlin, RA (1975) An economic framework for fertility analysis. Studies in Family Planning 6(3), 5463.
García-Moreno, C, Jansen, HA, Ellsberg, M, Heise, L and Watts, CH (2006) Prevalence of intimate partner violence: findings from the WHO multi-country study on women’s health and domestic violence. The Lancet 368(9543), 12601269.
García-Moreno, C, Zimmerman, C, Morris-Gehring, A, Heise, L, Amin, A, Abrahams, Net al. (2015) Addressing violence against women: a call to action. The Lancet 385(9978), 16851695.
Goli, S (2016) Eliminating Child Marriage in India: Progress and Prospects. Action-Aid, New-Delhi, India.
Herd, P, Higgins, J, Sicinski, K and Merkurieva, I (2016) The implications of unintended pregnancies for mental health in later life. American Journal of Public Health 106(3), 421429.
Hines, DA (2007) Predictors of sexual coercion against women and men: a multilevel, multinational study of university students. Archives of Sexual Behavior 36(3), 403422.
ICRW (2006) Child Marriage and Domestic Violence. URL: (accessed 6th November 2018).
IIPS and ICF (2017) National Family Health Survey (NFHS IV) 2015–16. India. Mumbai: IIPS.
Jewkes, R, Levin, J and Penn-Kekana, L (2002) Risk factors for domestic violence: findings from a South African cross-sectional study. Social Science & Medicine 55(9), 16031617.
Jeyaseelan, L, Kumar, S, Neelakantan, N, Peedicayil, A, Pillai, R and Duvvury, N (2007) Physical spousal violence against women in India: some risk factors. Journal of Biosocial Science 39(5), 657670.
Jeyaseelan, L, Sadowski, LS, Kumar, S, Hassan, F, Ramiro, L and Vizcarra, B (2004) World studies of abuse in the family environment – risk factors for physical intimate partner violence. Injury Control and Safety Promotion 11(2), 117124.
Johnson-Mallard, V, Kostas-Polston, EA, Woods, NF, Simmonds, KE, Alexander, IM and Taylor, D (2017) Unintended pregnancy: a framework for prevention and options for midlife women in the US. Women’s Midlife Health 3(1), 8.
Kamal, SM (2013) Domestic violence, unwanted pregnancy and pregnancy termination among urban women of Bangladesh. Journal of Family & Reproductive Health 7(1), 11.
Khattak, AK (2014) Female infanticide and killing women for giving birth to a baby girl: a case study of Pakistan. Proceedings of the SOCIOINT14 International Conference on Social Sciences and Humanities. Istanbul, Turkey, 8–10th September 2014, pp. 321328.
Koenig, MA, Stephenson, R, Ahmed, S, Jejeebhoy, SJ and Campbell, J (2006) Individual and contextual determinants of domestic violence in North India. American Journal of Public Health 96(1), 132138.
Krishnan, S, Rocca, CH, Hubbard, AE, Subbiah, K, Edmeades, J and Padian, NS (2010) Do changes in spousal employment status lead to domestic violence? Insights from a prospective study in Bangalore, India. Social Science & Medicine 70(1), 136143.
Kung, WW (2000) The intertwined relationship between depression and marital distress: elements of marital therapy conducive to effective treatment outcome. Journal of Marital and Family Therapy 26(1), 5163.
Leibenstein, H (1974) An interpretation of the economic theory of fertility: promising path or blind alley? Journal of Economic Literature 12(2), 457479.
Lilja, G, Edhborg, M and Nissen, E (2012) Depressive mood in women at childbirth predicts their mood and relationship with infant and partner during the first year postpartum. Scandinavian Journal of Caring Sciences 26(2), 245253.
Lindberg, L, Maddow-Zimet, I, Kost, K and Lincoln, A (2015) Pregnancy intentions and maternal and child health: an analysis of longitudinal data in Oklahoma. Maternal and Child Health Journal 19(5), 10871096.
Mavranezouli, I (2009) Health economics of contraception. Best Practice & Research Clinical Obstetrics & Gynaecology 23(2), 187198.
Moore, M (1999) Reproductive health and intimate partner violence. Family Planning Perspectives 31, 302312.
Mosher, WD, Jones, J and Abma, JC (2012) Intended and unintended births in the United States: 1982–2010. National Health Statistics Report 55, 128.
National Research Council (1995) The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families. National Academies Press, Washington, DC.
Naved, RT, Azim, SB, Abbas, B and Persson, (2006) Physical violence by husbands: magnitude, disclosure and help-seeking behavior of women in Bangladesh. Social Science & Medicine 62(12), 29172929.
Peedicayil, A, Sadowski, LS, Jeyaseelan, L, Shankar, V, Jain, D, Suresh, S and Bangdiwala, SI (2004) Spousal physical violence against women during pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology 111(7), 682687.
Rahman, M, Sasagawa, T, Fujii, R, Tomizawa, H and Makinoda, S (2012) Intimate partner violence and unintended pregnancy among Bangladeshi women. Journal of Interpersonal Violence 27(15), 29993015.
Retherford, RD and Choe, MK (2011) Statistical Models for Causal Analysis. John Wiley & Sons.
Salazar, M and San Sebastian, M (2014) Violence against women and unintended pregnancies in Nicaragua: a population-based multilevel study. BMC Women’s Health 14(1), 26.
Sedgh, G, Singh, S and Hussain, R (2014) Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in Family Planning 45(3), 301314.
Shorey, RC, Tirone, V and Stuart, GL (2014) Coordinated community response components for victims of intimate partner violence: a review of the literature. Aggression and Violent Behavior 19(4), 363371.
Singh, S, Shekhar, C, Acharya, R, Moore, AM, Stillman, M, Pradhan, MRet al. (2018) The incidence of abortion and unintended pregnancy in India, 2015. The Lancet Global Health 6(1), e111e120.
St John, W, Cameron, C and McVeigh, C (2005) Meeting the challenge of new fatherhood during the early weeks. Journal of Obstetric, Gynecologic and Neonatal Nursing 34(2), 180189.
Stephenson, R, Koenig, MA, Acharya, R and Roy, TK (2008) Domestic violence, contraceptive use, and unwanted pregnancy in rural India. Studies in Family Planning 39(3), 177186.
Taylor, N, Nair, RD and Braham, L (2013) Perpetrator and victim perceptions of perpetrator’s masculinity as a risk factor for violence: a meta-ethnography synthesis. Aggression and Violent Behaviour 18(6), 774783.
VanderEnde, KE, Yount, KM, Dynes, MM and Sibley, LM (2012) Community-level correlates of intimate partner violence against women globally: a systematic review. Social Science & Medicine 75(7), 11431155.
Walker, K, Bowen, E and Brown, S (2013) Desistance from intimate partner violence: a critical review. Aggression and Violent Behaviour 18(2), 271280.
Wendt, S (2009) Constructions of local culture and impacts on domestic violence in an Australian rural community. Journal of Rural Studies 25(2), 175184.
WHO (2002) The World Health Report 2002: Reducing Risks, Promoting Healthy Life. World Health Organization, Geneva.
WHO (2009) Violence Prevention the Evidence: Promoting Gender Equality to Prevent Violence Against Women. World Health Organization, Geneva.
WHO (2012) Understanding and Addressing Violence Against Women. World Health Organization, Geneva.
WHO (2013) Global and Regional Estimates of Violence Against Women: Prevalence and Health Effects of Intimate Partner Violence and Non-Partner Sexual Violence. World Health Organization, Geneva.


Is unintended birth associated with physical intimate partner violence? Evidence from India

  • Srinivas Goli (a1) (a2), Abhishek Gautam (a3), Md Juel Rana (a2), Harchand Ram (a2), Dibyasree Ganguly (a2), Tamal Reja (a3), Priya Nanda (a4), Nitin Datta (a3) and Ravi Verma (a3)...


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