Anandan, Asnina Nair
(2022)
Prevalence And Risk Factors Of Intimate Partner Violence (Ipv), Sexual Reproductive Health Issues And Treatment Barriers Among Females Who Use Drugs (Fwuds) In Malaysia.
PhD thesis, Universiti Sains Malaysia.
Abstract
Females who use drugs (FWUDs) are vulnerable to intimate partner violence
(IPV) and other issues stemming from violence and drug use. This study aims to
identify prevalence and risk factors associated with IPV, the extent of illicit substance
use during pregnancy and breastfeeding, reproductive health knowledge and practice,
and treatment barriers among FWUDs in Malaysia. Two hundred FWUDs who were
confined in a mandatory drug rehabilitation centre (CCRC) for their drug use offenses
were recruited through convenience sampling for this cross-sectional study. All the
study data were collected using a semi-structured questionnaire. The majority of
respondents were Malay (86%, n=171/200), with a mean age of 32.3 years (SD=8.61).
The lifetime IPV prevalence rate in this study was 53% (n=105/200), far exceeding
the reported rate for non-drug dependent married women in Malaysia. The prevalence
rates for physical, psychological and sexual violence in this study were 41%, 29% and
24%, respectively. Lifetime IPV incidence among FWUDs were associated with
unstable living environments, having a regular intimate male partner who uses drugs,
and have been a victim of underage rape. FWUDs victimised by IPV had higher odds
of engaging in risky sexual practices compared to non-victims. The majority (60%)
lacked knowledge on condom particularly for female use, and 67% disliked wearing a
condom, as it is alleged to affect their sexual performance. Conversely, IPV victimised
FWUDs had adequate knowledge on family planning than FWUDs who have never
experienced IPV.
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