Associations between Intimate Partner Violence and Termination of Pregnancy: A Systematic Review and Meta-Analysis
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{"title"=>"Associations between Intimate Partner Violence and Termination of Pregnancy: A Systematic Review and Meta-Analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Megan", "last_name"=>"Hall", "scopus_author_id"=>"56031988300"}, {"first_name"=>"Lucy C.", "last_name"=>"Chappell", "scopus_author_id"=>"56240206400"}, {"first_name"=>"Bethany L.", "last_name"=>"Parnell", "scopus_author_id"=>"56031359600"}, {"first_name"=>"Paul T.", "last_name"=>"Seed", "scopus_author_id"=>"7006398104"}, {"first_name"=>"Susan", "last_name"=>"Bewley", "scopus_author_id"=>"7006809728"}], "year"=>2014, "source"=>"PLoS Medicine", "identifiers"=>{"sgr"=>"84893721820", "doi"=>"10.1371/journal.pmed.1001581", "pui"=>"372349011", "issn"=>"15491277", "pmid"=>"24409101", "isbn"=>"1549-1676", "scopus"=>"2-s2.0-84893721820"}, "id"=>"ac6a9f00-5c8a-3719-9d47-c19ca1cf70fd", "abstract"=>"BACKGROUND Intimate partner violence (IPV) and termination of pregnancy (TOP) are global health concerns, but their interaction is undetermined. The aim of this study was to determine whether there is an association between IPV and TOP. METHODS AND FINDINGS A systematic review based on a search of Medline, Embase, PsycINFO, and Ovid Maternity and Infant Care from each database's inception to 21 September 2013 for peer-reviewed articles of any design and language found 74 studies regarding women who had undergone TOP and had experienced at least one domain (physical, sexual, or emotional) of IPV. Prevalence of IPV and association between IPV and TOP were meta-analysed. Sample sizes ranged from eight to 33,385 participants. Worldwide, rates of IPV in the preceding year in women undergoing TOP ranged from 2.5% to 30%. Lifetime prevalence by meta-analysis was shown to be 24.9% (95% CI 19.9% to 30.6%); heterogeneity was high (I (2)>90%), and variation was not explained by study design, quality, or size, or country gross national income per capita. IPV, including history of rape, sexual assault, contraceptive sabotage, and coerced decision-making, was associated with TOP, and with repeat TOPs. By meta-analysis, partner not knowing about the TOP was shown to be significantly associated with IPV (pooled odds ratio 2.97, 95% CI 2.39 to 3.69). Women in violent relationships were more likely to have concealed the TOP from their partner than those who were not. Demographic factors including age, ethnicity, education, marital status, income, employment, and drug and alcohol use showed no strong or consistent mediating effect. Few long-term outcomes were studied. Women welcomed the opportunity to disclose IPV and be offered help. Limitations include study heterogeneity, potential underreporting of both IPV and TOP in primary data sources, and inherent difficulties in validation. CONCLUSIONS IPV is associated with TOP. Novel public health approaches are required to prevent IPV. TOP services provide an opportune health-based setting to design and test interventions.", "link"=>"http://www.mendeley.com/research/associations-between-intimate-partner-violence-termination-pregnancy-systematic-review-metaanalysis-2", "reader_count"=>87, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Librarian"=>1, "Researcher"=>7, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>7, "Student > Master"=>22, "Other"=>6, "Student > Bachelor"=>9, "Lecturer"=>5, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>3, "Librarian"=>1, "Researcher"=>7, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>7, "Student > Master"=>22, "Other"=>6, "Student > Bachelor"=>9, "Lecturer"=>5, "Lecturer > Senior Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Nursing and Health Professions"=>13, "Biochemistry, Genetics and Molecular Biology"=>1, "Mathematics"=>1, "Medicine and Dentistry"=>34, "Agricultural and Biological Sciences"=>2, "Neuroscience"=>1, "Psychology"=>11, "Social Sciences"=>17, "Computer Science"=>2, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>34}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>17}, "Psychology"=>{"Psychology"=>11}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>13}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"United States"=>1, "Spain"=>1}, "group_count"=>6}

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  • {"files"=>["https://ndownloader.figshare.com/files/1340245"], "description"=>"<p>Key to associations: red, associations meta-analysed; amber, associations not meta-analysed but shown in literature; green, no significant association described in the literature; grey, not studied.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "associations", "termination"], "article_id"=>895428, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.g008"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Matrix_of_associations_between_domestic_violence_and_termination_of_pregnancy_/895428", "title"=>"Matrix of associations between domestic violence and termination of pregnancy.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340246"], "description"=>"<p>Characteristics of included cross-sectional studies from Australasia.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "cross-sectional", "studies"], "article_id"=>895429, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t008"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_cross_sectional_studies_from_Australasia_/895429", "title"=>"Characteristics of included cross-sectional studies from Australasia.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340247"], "description"=>"<p>Percentages in brackets are calculated percentages not reported in the original studies.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "qualitative"], "article_id"=>895430, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t009"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_qualitative_studies_/895430", "title"=>"Characteristics of included qualitative studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340248"], "description"=>"<p>Search strategy.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence"], "article_id"=>895431, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Search_strategy_/895431", "title"=>"Search strategy.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340249"], "description"=>"<p>Characteristics of included cohort studies.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "cohort"], "article_id"=>895432, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_cohort_studies_/895432", "title"=>"Characteristics of included cohort studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340250"], "description"=>"<p>Characteristics of included case-control studies.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "case-control"], "article_id"=>895433, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_case_control_studies_/895433", "title"=>"Characteristics of included case-control studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340251"], "description"=>"<p>Percentages in brackets are calculated percentages not reported in the original studies.</p><p>ARR, adjusted risk ratio; CADRI, Conflict in Adolescent Dating Relationships Inventory; GA, gestational age.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "cross-sectional", "studies"], "article_id"=>895434, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_cross_sectional_studies_from_the_Americas_/895434", "title"=>"Characteristics of included cross-sectional studies from the Americas.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340252"], "description"=>"<p>Percentages in brackets are calculated percentages not reported in the original studies.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "cross-sectional", "studies"], "article_id"=>895435, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_cross_sectional_studies_from_Europe_/895435", "title"=>"Characteristics of included cross-sectional studies from Europe.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340253"], "description"=>"<p>OR<sub>adj</sub>, adjusted odds ratio.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "cross-sectional", "studies"], "article_id"=>895436, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t006"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_cross_sectional_studies_from_Africa_/895436", "title"=>"Characteristics of included cross-sectional studies from Africa.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340254"], "description"=>"<p>Percentages in brackets are calculated percentages not reported in the original studies.</p><p>OR<sub>adj</sub>, adjusted OR.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "included", "cross-sectional", "studies"], "article_id"=>895437, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.t007"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_included_cross_sectional_studies_from_Asia_/895437", "title"=>"Characteristics of included cross-sectional studies from Asia.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-01-07 03:14:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/1340255", "https://ndownloader.figshare.com/files/1340256", "https://ndownloader.figshare.com/files/1340257", "https://ndownloader.figshare.com/files/1340258", "https://ndownloader.figshare.com/files/1340259", "https://ndownloader.figshare.com/files/1340260", "https://ndownloader.figshare.com/files/1340261"], "description"=>"<div><p>Background</p><p>Intimate partner violence (IPV) and termination of pregnancy (TOP) are global health concerns, but their interaction is undetermined. The aim of this study was to determine whether there is an association between IPV and TOP.</p><p>Methods and Findings</p><p>A systematic review based on a search of Medline, Embase, PsycINFO, and Ovid Maternity and Infant Care from each database's inception to 21 September 2013 for peer-reviewed articles of any design and language found 74 studies regarding women who had undergone TOP and had experienced at least one domain (physical, sexual, or emotional) of IPV. Prevalence of IPV and association between IPV and TOP were meta-analysed. Sample sizes ranged from eight to 33,385 participants. Worldwide, rates of IPV in the preceding year in women undergoing TOP ranged from 2.5% to 30%. Lifetime prevalence by meta-analysis was shown to be 24.9% (95% CI 19.9% to 30.6%); heterogeneity was high (<i>I</i><sup>2</sup>>90%), and variation was not explained by study design, quality, or size, or country gross national income per capita. IPV, including history of rape, sexual assault, contraceptive sabotage, and coerced decision-making, was associated with TOP, and with repeat TOPs. By meta-analysis, partner not knowing about the TOP was shown to be significantly associated with IPV (pooled odds ratio 2.97, 95% CI 2.39 to 3.69). Women in violent relationships were more likely to have concealed the TOP from their partner than those who were not. Demographic factors including age, ethnicity, education, marital status, income, employment, and drug and alcohol use showed no strong or consistent mediating effect. Few long-term outcomes were studied. Women welcomed the opportunity to disclose IPV and be offered help. Limitations include study heterogeneity, potential underreporting of both IPV and TOP in primary data sources, and inherent difficulties in validation.</p><p>Conclusions</p><p>IPV is associated with TOP. Novel public health approaches are required to prevent IPV. TOP services provide an opportune health-based setting to design and test interventions.</p><p><i>Please see later in the article for the Editors' Summary</i></p></div>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Obstetrics and gynecology", "Termination of pregnancy", "Sociology", "Crime and criminology", "Domestic violence", "termination", "systematic"], "article_id"=>895438, "categories"=>["Medicine", "Sociology"], "users"=>["Megan Hall", "Lucy C. Chappell", "Bethany L. Parnell", "Paul T. Seed", "Susan Bewley"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001581.s001", "https://dx.doi.org/10.1371/journal.pmed.1001581.s002", "https://dx.doi.org/10.1371/journal.pmed.1001581.s003", "https://dx.doi.org/10.1371/journal.pmed.1001581.s004", "https://dx.doi.org/10.1371/journal.pmed.1001581.s005", "https://dx.doi.org/10.1371/journal.pmed.1001581.s006", "https://dx.doi.org/10.1371/journal.pmed.1001581.s007"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Associations_between_Intimate_Partner_Violence_and_Termination_of_Pregnancy_A_Systematic_Review_and_Meta_Analysis_/895438", "title"=>"Associations between Intimate Partner Violence and Termination of Pregnancy: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-01-07 03:14:55"}

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Relative Metric

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