Abuse from in-laws and associations with attempts to control reproductive decisions among rural women in Cote d'Ivoire: a cross-sectional study

Please cite this paper as: Gupta J, Falb K, Kpebo D, Annan J. Abuse from in-laws and associations with attempts to control reproductive decisions among rural women in Cote d'Ivoire: a cross-sectional study. BJOG 2012;119:10581066. Objective To document the lifetime prevalence of abuse from in-laws (both nonphysical maltreatment and physical violence), the forms of in-law abuse and reproductive control, and the relationship between experiences of in-law abuse and reproductive control among partnered women in rural Cote d'Ivoire. Design Cross-sectional study using baseline data (October 2010) from a randomised controlled trial examining socio-economic interventions on reduction of violence against Ivorian women. Setting Rural Cote d'Ivoire. Population A total of 981 Ivorian women aged 18 years and older who reported having a male partner and a current source of stable income. Methods Bivariate and multivariable logistic regression. Main outcome measures Lifetime, in-law-perpetrated reproductive control. Results More than one in four (27.0%) women reported experiencing lifetime in-law abuse. In adjusted logistic regression analysis, in-law abuse was significantly associated with in-law-perpetrated reproductive control (adjusted odds ratio 6.9; 95% confidence interval 3.912.2; P < 0.0001). Religion and having fewer pregnancies were also associated with reporting in-law-perpetrated reproductive control. Conclusions Increased efforts are needed to involve in-laws in programmes that seek to reduce gender-based violence against women and improve womens reproductive health.