title: Intimate partner violence and repeat induced abortion in Italy: A cross sectional study.
abstract: OBJECTIVE
  To investigate the impact of intimate partner violence (IPV) on the risk of repeat induced abortion (RIA), we compared IPV history among women with and without previous induced abortion (IA).
  
  
  METHODS
  All consecutive women aged 18 years or more requiring IA in 12 Italian abortion clinics were eligible for inclusion in the study. They were asked to fill in an anonymous, self-developed questionnaire assessing sociodemographic data and their history of different types of violence and related risk factors.
  
  
  RESULTS
  The analysis included 1030 women, 624 (60.6%) of whom reported a previous IA. Past or current IPV was reported by 19.3%: 7.0% reported sexual violence, 11.3% physical abuse and 12.1% psychological abuse. Past or current IPV was reported by 22.3% of women with RIA and 14.8% of those undergoing their first IA (adjusted odds ratio 1.57, 95% confidence interval 1.07-2.30; p = 0.02). When we considered sexual, psychological and physical abuse separately, we found that any kind of abuse was more frequent in women with RIA than in women with no previous IA.
  
  
  CONCLUSIONS
  This study underlines the impact of IPV on the risk of RIA and suggests the need for screening for IPV among women requiring abortion, in order to identify women at risk of RIA and to improve their general and reproductive health.
authors.affiliation: a * Divisione di Ostetricia e Ginecologia USL 6 , Livorno , Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Citernesi
authors.affiliation: b Divisione di Ostetricia e Ginecologia, Ospedale S. Giovanni di Dio , Firenze , Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Dubini
authors.affiliation: c Dipartimento di Scienze Cliniche e di Comunità, Università di Milano , Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano , Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Uglietti
authors.affiliation: c Dipartimento di Scienze Cliniche e di Comunità, Università di Milano , Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano , Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Ricci
authors.affiliation: c Dipartimento di Scienze Cliniche e di Comunità, Università di Milano , Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano , Italy.
authors.forename: Sonia
authors.initials: S
authors.lastname: Cipriani
authors.affiliation: a * Divisione di Ostetricia e Ginecologia USL 6 , Livorno , Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Parazzini
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000328:Adult; D018585:Battered Women / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence / Q000706:statistics & numerical data*; D007558:Italy / Q000453:epidemiology; D016017:Odds Ratio; D011247:Pregnancy; D012307:Risk Factors; D012747:Sexual Partners; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Epidemiology; Induced abortion; Intimate partner violence; Risk factor; Sexual abuse