Research on the association between experiences of intimate partner violence (IPV) and contraceptive use discontinuation in low- and middle-income countries (LMICs) is limited. This study aims to fill this important gap using microdata collected from women aged 15–49 in the 2015–2016 National Family Health Survey (NFHS). Analyses used multivariable multinomial logistic regressions stratified by long-acting reversible contraceptive methods (LARC)/non-LARC and condom/pill to examine the association between experience of IPV and contraceptive use discontinuation while still in need (DWSIN). Experience of physical violence was associated with DWSIN among LARC/IUD users (RRR: 3.73, 95 percent CI [1.55–8.95]) Among condom users, DWSIN was higher among women who experienced emotional violence compared with women who did not experience any violence (RRR: 4.16, 95 percent CI [1.59–10.90]). Although we did not find an association between IPV and overall contraceptive use discontinuation, we did find compelling evidence of an association between IPV and IUD and condom use discontinuation in India. There is a need to understand women's experience of IPV as a part of a broader strategy to provide high-quality family planning services to all women while considering individual circumstances and reproductive aspirations to support the uninterrupted use of contraception in India.

中文翻译：

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印度亲密伴侣暴力与避孕药具停用之间的关联

在低收入和中等收入国家 (LMIC) 中，关于亲密伴侣暴力 (IPV) 经历与停止使用避孕药具之间关系的研究有限。本研究旨在利用从 2015-2016 年全国家庭健康调查 (NFHS) 中收集的 15-49 岁女性的微观数据来填补这一重要空白。分析使用了按长效可逆避孕方法 (LARC)/非 LARC 和避孕套/药丸分层的多变量多项逻辑回归，以检查 IPV 经历与仍有需要时停止使用避孕药 (DWSIN) 之间的关联。LARC/IUD 使用者的身体暴力经历与 DWSIN 相关（RRR：3.73，95% CI [1.55–8.95]）在安全套使用者中，与未经历任何暴力的女性相比，经历过情感暴力的女性的 DWSIN 更高（ RR: 4.16, 95% CI [1.59–10.90])。虽然我们没有发现 IPV 与整体避孕使用中断之间存在关联，但我们确实发现了 IPV 与 IUD 与印度避孕套使用中断之间存在关联的令人信服的证据。有必要了解妇女的 IPV 经历，作为向所有妇女提供高质量计划生育服务的更广泛战略的一部分，同时考虑个人情况和生殖愿望，以支持印度不间断地使用避孕措施。