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Women's exposure to intimate partner violence and its association with child stunting : findings from a population-based study in rural Rwanda

Utumatwishima, Jean Nepo ; Mogren, Ingrid LU ; Elfving, Kristina LU ; Umubyeyi, Aline ; Mansourian, A LU orcid and Krantz, Gunilla (2024) In Global Health Action 17(1).
Abstract

BACKGROUND: Child stunting is a significant challenge for most districts in Rwanda and much of sub-Saharan Africa and persists despite multisectoral efforts. There is a notable lack of population-based studies examining the correlation between violence against women and child stunting in Rwanda.

OBJECTIVE: We aimed to investigate the association between Rwandan women's exposure to intimate partner violence (IPV) and child stunting in children under 3 years of age.

METHODS: In December 2021, a population-based cross-sectional study was conducted in the Northern Province of Rwanda, including 601 women and their children <3 years of age. The World Health Organization (WHO) Women's Health and Life Experiences Questionnaire... (More)

BACKGROUND: Child stunting is a significant challenge for most districts in Rwanda and much of sub-Saharan Africa and persists despite multisectoral efforts. There is a notable lack of population-based studies examining the correlation between violence against women and child stunting in Rwanda.

OBJECTIVE: We aimed to investigate the association between Rwandan women's exposure to intimate partner violence (IPV) and child stunting in children under 3 years of age.

METHODS: In December 2021, a population-based cross-sectional study was conducted in the Northern Province of Rwanda, including 601 women and their children <3 years of age. The World Health Organization (WHO) Women's Health and Life Experiences Questionnaire for IPV research was utilized. Child stunting was assessed using the WHO criteria for low height for age. Multivariable logistic regression was used to examine the association between IPV and child stunting before and during pregnancy.

RESULTS: Of 601 women, 47.4% ( n  = 285) experienced any form of IPV during pregnancy. The prevalence rates of the types of IPV associated with child stunting varied: 33% for psychological, 31.4% for sexual, and 25.7% for physical violence. Exposure to physical violence before pregnancy and sexual violence during pregnancy was associated with higher odds of child stunting; the adjusted odds ratios were 1.29 (95% CI, 1.01-2.03) and 1.25 (95% CI, 1.04-2.01), respectively.

CONCLUSION: Women's exposure to physical and psychological violence is associated with an increased risk of child stunting. Urgent targeted interventions and support systems are needed to address the complex relationship between women's exposure to IPV and adverse effects on child growth.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Child stunting, intimate, partner violence, women, Rwanda, child growth
in
Global Health Action
volume
17
issue
1
article number
2414527
publisher
Taylor & Francis
external identifiers
  • scopus:85206536688
  • pmid:39411828
ISSN
1654-9716
DOI
10.1080/16549716.2024.2414527
language
English
LU publication?
yes
id
49de54ac-fe9a-4ff1-9d2e-07d7d1bb5594
date added to LUP
2024-10-21 17:13:01
date last changed
2025-06-30 01:18:09
@article{49de54ac-fe9a-4ff1-9d2e-07d7d1bb5594,
  abstract     = {{<p>BACKGROUND: Child stunting is a significant challenge for most districts in Rwanda and much of sub-Saharan Africa and persists despite multisectoral efforts. There is a notable lack of population-based studies examining the correlation between violence against women and child stunting in Rwanda.</p><p>OBJECTIVE: We aimed to investigate the association between Rwandan women's exposure to intimate partner violence (IPV) and child stunting in children under 3 years of age.</p><p>METHODS: In December 2021, a population-based cross-sectional study was conducted in the Northern Province of Rwanda, including 601 women and their children &lt;3 years of age. The World Health Organization (WHO) Women's Health and Life Experiences Questionnaire for IPV research was utilized. Child stunting was assessed using the WHO criteria for low height for age. Multivariable logistic regression was used to examine the association between IPV and child stunting before and during pregnancy.</p><p>RESULTS: Of 601 women, 47.4% ( n  = 285) experienced any form of IPV during pregnancy. The prevalence rates of the types of IPV associated with child stunting varied: 33% for psychological, 31.4% for sexual, and 25.7% for physical violence. Exposure to physical violence before pregnancy and sexual violence during pregnancy was associated with higher odds of child stunting; the adjusted odds ratios were 1.29 (95% CI, 1.01-2.03) and 1.25 (95% CI, 1.04-2.01), respectively. </p><p>CONCLUSION: Women's exposure to physical and psychological violence is associated with an increased risk of child stunting. Urgent targeted interventions and support systems are needed to address the complex relationship between women's exposure to IPV and adverse effects on child growth.</p>}},
  author       = {{Utumatwishima, Jean Nepo and Mogren, Ingrid and Elfving, Kristina and Umubyeyi, Aline and Mansourian, A and Krantz, Gunilla}},
  issn         = {{1654-9716}},
  keywords     = {{Child stunting; intimate; partner violence; women; Rwanda; child growth}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{1}},
  publisher    = {{Taylor & Francis}},
  series       = {{Global Health Action}},
  title        = {{Women's exposure to intimate partner violence and its association with child stunting : findings from a population-based study in rural Rwanda}},
  url          = {{http://dx.doi.org/10.1080/16549716.2024.2414527}},
  doi          = {{10.1080/16549716.2024.2414527}},
  volume       = {{17}},
  year         = {{2024}},
}