Domestic Violence and Its Impact on Abortion in Iran: Evidence From a Nationally Representative Survey

J Interpers Violence. 2023 Aug;38(15-16):9492-9513. doi: 10.1177/08862605231168824. Epub 2023 Apr 27.

Abstract

The objective of this article is to assess the effect of domestic violence on abortion and investigate the mediating role of unwanted pregnancy. A secondary analysis was conducted on the National Family Survey data. This survey was a cross-sectional study conducted across Iran in 2018. The association between domestic violence and abortion was analyzed using the Partial Least Square-Structural Equation Model (PLS-SEM) with WarpPLS version 8.0. From among 1,544 married women (mean age 42.8 years) who participated in this survey, 27% (418 women) reported experiencing at-least one-lifetime of abortion. Overall, two in three women (67.3%) experienced at least one form of domestic violence. Almost half of the women with experience of abortion (49.3%) reported at least one unwanted pregnancy in their life course. The bivariate analysis showed a significant positive relationship between domestic violence and abortion, and there was a positive direct effect of domestic violence on unwanted pregnancy. Moreover, age had a negative direct and indirect effect on unwanted pregnancy and abortion. Although, the direct effect of domestic violence on abortion was not significant in the Structure Equation Model, a positive indirect effect of domestic violence on abortion through unwanted pregnancy was confirmed. The effect of unwanted pregnancy on abortion was particularly strong (β = .395, p < .01). These results have some implications for prevention of abortion through interventions against unwanted and unplanned pregnancy and domestic violence. This study makes a unique theoretical contribution to the literature through assessing the mediating role of unwanted pregnancy between domestic violence and abortion by using the SEM model.

Keywords: anything related to domestic violence; cultural contexts; domestic violence; domestic violence and cultural contexts.

MeSH terms

  • Abortion, Induced*
  • Abortion, Spontaneous*
  • Adult
  • Cross-Sectional Studies
  • Domestic Violence*
  • Female
  • Humans
  • Iran / epidemiology
  • Pregnancy