scholarly journals Intimate partner violence and pregnancy spacing: results from a meta-analysis of individual participant time-to-event data from 29 low-and-middle-income countries

2018 ◽  
Vol 3 (1) ◽  
pp. e000304 ◽  
Author(s):  
Lauren Maxwell ◽  
Arijit Nandi ◽  
Andrea Benedetti ◽  
Karen Devries ◽  
Jennifer Wagman ◽  
...  

IntroductionInadequately spaced pregnancies, defined as pregnancies fewer than 18 months apart, are linked to maternal, infant, and child morbidity and mortality, and adverse social, educational and economic outcomes in later life for women and children. Quantifying the relation between intimate partner violence (IPV) and women’s ability to space and time their pregnancies is an important part of understanding the burden of disease related to IPV.MethodsWe applied Cox proportional hazards models to monthly data from the Demographic and Health Surveys’ Reproductive Health Calendar to compare interpregnancy intervals for women who experienced physical, sexual and/or emotional IPV in 29 countries. We conducted a one-stage meta-analysis to identify the periods when women who experienced IPV were at the highest risk of unintended and incident pregnancy, and a two-stage meta-analysis to explore cross-country variations in the magnitude of the relation between women’s experience of IPV and pregnancy spacing.ResultsFor the one-stage analysis, considering 52 959 incident pregnancies from 90 446 women, which represented 232 394 person-years at risk, women’s experience of IPV was associated with a 51% increase in the risk of pregnancy (95% CI 1.38 to 1.66), although this association decreased over time. When limiting our inference to unintended pregnancies that resulted in live births, women’s experience of IPV was associated with a 30% increase in the risk of unintended pregnancy (95% CI 1.25 to 1.34; n=13 541 pregnancies, 92 848 women, 310 319 person-years at risk). In the two-stage meta-analyses, women’s experience of IPV was associated with a 13% increase in the probability of incident pregnancy (95% CI 1.07 to 1.20) and a 28% increase in the likelihood of unintended pregnancy (95% CI 1.19 to 1.38).ConclusionsAcross countries, women’s experience of IPV is associated with a reduction in time between pregnancies and an increase in the risk of unintended pregnancy; the magnitude of this effect varied by country and over time.

Partner Abuse ◽  
2010 ◽  
Vol 1 (2) ◽  
pp. 131-151 ◽  
Author(s):  
Joann Wu Shortt ◽  
Deborah M. Capaldi ◽  
Hyoun K. Kim ◽  
Heidemarie K. Laurent

In the current study, the moderating effects of observed negative and positive affects on the association between intimate partner violence (IPV, physical aggression) and relationship satisfaction were examined over a 5-year period. Multiwave data were obtained from a sample of young adult men at risk for delinquency and their women partners (n = 121 couples; ages 21–26 years). The trajectory of each partner’s relationship satisfaction and the effects of dyadic IPV and affect were tested using HLM analyses and a two-level (within-couple and between-couple) dyadic growth model. Average levels of dyadic positive affect were associated with relationship satisfaction for both men and women. For men, increases in couples’ positive affect over time were linked to increases in relationship satisfaction, and increases in couples’ externalizing negative affect were linked to decreases in satisfaction. For women, higher levels of couples’ IPV predicted lower levels of satisfaction. Couples’ internalizing negative affect amplified the effects of IPV on satisfaction over time. Increases in IPV were associated with declines in satisfaction for couples with high levels of internalizing negative affect. Conversely, average levels of externalizing negative affect did not amplify the association between IPV and relationship satisfaction. In fact, the adverse influence of IPV on relationship satisfaction was greater for couples who displayed low levels of externalizing negative affect. Because of the inverse association between externalizing negative affect and relationship satisfaction, these findings were interpreted to suggest that the salience of IPV was greater in couples whose relationship satisfaction was not already impaired by high levels of negative affect.


2021 ◽  
pp. 088626052110014
Author(s):  
Doris F. Pu ◽  
Christina M. Rodriguez ◽  
Marina D. Dimperio

Although intimate partner violence (IPV) is often conceptualized as occurring unilaterally, reciprocal or bidirectional violence is actually the most prevalent form of IPV. The current study assessed physical IPV experiences in couples and evaluated risk and protective factors that may be differentially associated with reciprocal and nonreciprocal IPV concurrently and over time. As part of a multi-wave longitudinal study, women and men reported on the frequency of their IPV perpetration and victimization three times across the transition to parenthood. Participants also reported on risk factors related to personal adjustment, psychosocial resources, attitudes toward gender role egalitarianism, and sociodemographic characteristics at each wave. Participants were classified into one of four IPV groups (reciprocal violence, male perpetrators only, female perpetrators only, and no violence) based on their self-report and based on a combined report, which incorporated both partners’ reports of IPV for a maximum estimate of violence. Women and men were analyzed separately, as both can be perpetrators and/or victims of IPV. Cross-sectional analyses using self-reported IPV data indicated that IPV groups were most consistently distinguished by their levels of couple satisfaction, across gender; psychological distress also appeared to differentiate IPV groups, although somewhat less consistently. When combined reports of IPV were used, sociodemographic risk markers (i.e., age, income, and education) in addition to couple functioning were among the most robust factors differentiating IPV groups concurrently, across gender. In longitudinal analyses, sociodemographic vulnerabilities were again among the most consistent factors differentiating subsequent IPV groups over time. Several gender differences were also found, suggesting that different risk factors (e.g., women’s social support and men’s emotion regulation abilities) may need to be targeted in interventions to identify, prevent, and treat IPV among women and men.


2018 ◽  
Vol 21 (4) ◽  
pp. 844-854 ◽  
Author(s):  
Miriam J. Alvarez ◽  
Sandra Oviedo Ramirez ◽  
Gabriel Frietze ◽  
Craig Field ◽  
Michael A. Zárate

Objective: Intimate partner violence (IPV) is a serious public health concern that affects many Latinx couples. The present study conducted a systematic review and meta-analysis to quantitatively assess acculturation as a predictor of IPV among Latinxs and subgroup analyses to evaluate the effect size by gender and type of acculturation measure. Method: The meta-analysis implemented the preferred reporting items for systematic reviews and meta-analyses guidelines to retrieve studies assessing the relationship between acculturation and intimate partner victimization among foreign-born and U.S.-born Latinx adults. A fixed effects model (FEM) and a random effects model (REM) were employed. Additional subgroup analyses examined the strength of the relationship by gender and type of acculturation measure. Results: The meta-analysis included 27 independent effect sizes across 21 studies. An REM yielded a weighted average correlation of .11 (95% confidence interval [.02, .20]). The strength of the correlation differed by scale and ranged from −.003 to .47. For both men and women, higher acculturation was associated with increased IPV. Conclusions: Our results yielded three important findings: (1) the overall effect of acculturation on IPV is relatively small, (2) acculturation differentially influences male-to-female and female-to-male partner violence, and (3) the strength of the correlation between acculturation and IPV differs by scale. This body of work provides evidence for the effect of acculturation on IPV, with potential implications for interventions targeting Latinxs.


2018 ◽  
Vol 8 (5) ◽  
pp. 596-604 ◽  
Author(s):  
Melissa E. Dichter ◽  
Kristie A. Thomas ◽  
Paul Crits-Christoph ◽  
Shannon N. Ogden ◽  
Karin V. Rhodes

Author(s):  
Yaqing Gao ◽  
Yinping Wang ◽  
Xiaoyi Mi ◽  
Mo Zhou ◽  
Siyu Zou ◽  
...  

Intimate partner violence (IPV) against women is a major public health problem and is widespread in sub-Saharan Africa (SSA). However, little is known about its environmental determinants. This study aimed to investigate whether inadequate living conditions are associated with IPV victimization in women in SSA. We analyzed cross-sectional data for 102,714 women in 25 SSA countries obtained from the Demographic and Health Surveys Program. Logistic regression was used to estimate the country-specific effects of inadequate living conditions (housing with at least one of four characteristics of unimproved water, unimproved sanitation, insufficient space, and unfinished materials) on multiple forms of IPV. Random effects meta-analysis was used to combined the country-specific estimates. We found an association between inadequate living conditions and a higher likelihood of experiencing any (OR = 1.12, 95% CI 1.03 to 1.23, p = 0.012), sexual (OR = 1.18, 95% CI 1.05 to 1.34, p = 0.008), emotional (OR = 1.12, 95% CI 1.02 to 1.23, p = 0.023), and physical (OR = 1.15, 95% CI 1.03 to 1.28, p = 0.010) IPV. The associations were stronger for rural and less-educated women. These findings suggest that future research to establish a causal link between living conditions and IPV and to elucidate the underlying pathways is crucial to design IPV interventions in SSA.


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