BACKGROUND Most neonatal, infant, and child deaths occur in low- and middle-income countries (LMICs), where incidence of intimate partner violence (IPV) is highest in the world. Despite these facts, research regarding whether the two are associated is limited. The main objective was to examine associations between IPV amongst East African women and risk of death among their neonates, infants, and children, as well as related variables. METHODS Analysis was conducted on data drawn from the Demographic and Health Surveys (DHS) conducted by ICF Macro/MEASURE DHS in five East African countries: Burundi, Kenya, Rwanda, Tanzania, and Uganda. The analytical sample included 11,512 women of reproductive age (15-49 years). The outcome variables, described by proportions and frequencies, were the presence or absence of neonatal, infant, and under-five mortality. Our variable of interest, intimate partner violence, was a composite variable of physical, sexual, and emotional abuse; chi-square tests were used to analyze its relationship with categorical variables. Adjusted odds ratios (aOR) were also used in linking sexual autonomy to independent variables. RESULTS Children born to women who experienced IPV were significantly more likely to die as newborns (aOR = 1.3, 95% confidence interval [CI]: 1.4-2.2) and infants (aOR = 1.9, 95% CI: 1.6-2.2), and they were more likely to die by the age of five (aOR = 1.5, 95% CI: 1.01-1.55). Socioeconomic indicators including area of residence, wealth index, age of mother/husband, religion, level of education, employment status, and mass media usage were also significantly associated with IPV. After regression modelling, mothers who were currently using contraceptives were determined less likely to have their children die as newborns (aOR = 0.5, 95% CI: 0.3-0-7), as infants (aOR = 0.5, 95% CI: 0.3-06), and by age five (aOR = 0.4, 95% CI: 02-0.6). CONCLUSION Understanding IPV as a risk indicator for neonatal, infant, and child deaths can help in determining appropriate interventions. IPV against women should be considered an urgent priority within programs and policies aimed at maximizing survival of infants and children in East Africa and the wellbeing and safety of their mothers.

中文翻译：

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东非遭受亲密伴侣暴力的妇女中的新生儿，婴儿和儿童死亡率：多国分析。

背景技术大多数新生儿，婴儿和儿童死亡发生在低收入和中等收入国家（LMIC），那里的亲密伴侣暴力（IPV）发生率是世界上最高的。尽管有这些事实，但是关于两者是否相关的研究仍然有限。主要目标是检验东非妇女中IPV与新生儿，婴儿和儿童的死亡风险以及相关变量之间的关联。方法分析是根据ICF Macro / MEASURE DHS在五个东非国家（布隆迪，肯尼亚，卢旺达，坦桑尼亚和乌干达）进行的人口与健康调查（DHS）得出的数据进行的。分析样本包括11,512名育龄妇女（15-49岁）。用比例和频率描述的结局变量是新生儿，婴儿，和五岁以下的死亡率。我们的兴趣变量是亲密伴侣暴力，是身体，性和情感虐待的综合变量；卡方检验用于分析其与分类变量的关系。调整后的优势比（aOR）也用于将性自主权与自变量联系起来。结果患有IPV的女性所生的孩子死于新生儿（aOR = 1.3，95％置信区间[CI]：1.4-2.2）和婴儿（aOR = 1.9，95％CI：1.6-2.2）的可能性更高，并且他们更有可能在5岁时死亡（aOR = 1.5，95％CI：1.01-1.55）。社会经济指标，包括居住面积，财富指数，母亲/丈夫的年龄，宗教信仰，受教育程度，就业状况和大众媒体使用情况，也与IPV显着相关。经过回归建模后，确定当前正在使用避孕药的母亲的孩子死于新生儿（aOR = 0.5，95％CI：0.3-0-7），婴儿（aOR = 0.5，95％CI：0.3-06）的可能性较小，并且到五岁时（aOR = 0.4，95％CI：02-0.6）。结论将IPV理解为新生儿，婴儿和儿童死亡的风险指标可以帮助确定适当的干预措施。在旨在使东非婴儿和儿童的生存以及母亲的福祉和安全最大化的计划和政策中，针对妇女的IPV应被视为当务之急。儿童死亡可以帮助确定适当的干预措施。在旨在使东非婴儿和儿童的生存以及母亲的福祉和安全最大化的计划和政策中，针对妇女的IPV应被视为当务之急。儿童死亡可以帮助确定适当的干预措施。在旨在使东非婴儿和儿童的生存以及母亲的福祉和安全最大化的计划和政策中，针对妇女的IPV应被视为当务之急。