scholarly journals Intimate partner violence in pregnancy: a cross-sectional study from post-conflict northern Uganda

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e027541
Author(s):  
Susan Clarke ◽  
Robyn Richmond ◽  
Eleanor Black ◽  
Helen Fry ◽  
James Henry Obol ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Northern Uganda ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Health Clinics ◽  
Post Conflict ◽  
Rural Health Clinics ◽  
In Pregnancy

ObjectivesTo determine the prevalence of intimate partner violence (IPV) in pregnancy and to understand associations and determinants.DesignCross-sectional survey.SettingTwo rural health clinics in post-conflict northern Uganda.ParticipantsWomen attending two rural health clinics for a new service providing cervical cancer screening, who had experienced pregnancy.Primary and secondary outcome measuresData were collected by a questionnaire using validated questions from the demographic health survey women’s questionnaire and the domestic violence module. Data were entered into tablets using Questionnaire Development System software. Bivariate and multivariate logistic regression was performed, using experience of IPV in pregnancy as the dependent variable. SPSS V.25 was used for all analysis.ResultsOf 409 participant women, 26.7% (95% CI 18.6% to 35.9%) reported having been slapped, hit or beaten by a partner while pregnant. For 32.3% (95% CI 20.2% to 37.9%) of the women the violence became worse during pregnancy. Women who had ever experienced IPV in pregnancy were more likely to have experienced violence in the previous 12 months (OR 4.45, 95% CI 2.80 to 7.09). In multivariate logistic regression, the strongest independent associations with IPV in pregnancy were partner’s daily drinking of alcohol (OR 2.02, 95% CI 1.19 to 3.43) and controlling behaviours (OR 1.17, 95% CI 1.03 to 1.33).ConclusionsThe women in this study had more exposure to IPV in pregnancy than previously reported for this region. Women’s previous experience of intimate partner violence, partner’s daily use of alcohol and his controlling behaviours were strong associations with IPV in pregnancy. This study highlights the uneven distribution of risk and the importance of research among the most vulnerable population in rural and disadvantaged settings. More research is needed in local rural and urban settings to illuminate this result and inform intervention and policy.

scholarly journals Intimate partner violence among pregnant teenagers in Lira district, northern Uganda: a cross-sectional study

2020 ◽  
Vol 14 (4) ◽  
pp. 1-11
Author(s):  
Anna Grace Auma ◽  
Elizabeth Ayebare ◽  
Connie Olwit ◽  
Grace Ndeezi ◽  
Victoria Nankabirwa ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Antenatal Care ◽  
Partner Violence ◽  
Odds Ratio ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Northern Uganda ◽  
Cross Sectional ◽  
Factors Associated ◽  
Violence During Pregnancy

Background/aims Intimate partner violence during pregnancy is associated with adverse health outcomes for mothers and their unborn babies. Whereas the literature on intimate partner violence in the general population is extensive, little is known about this type of violence among pregnant teenagers, especially in resource-limited settings. This study aimed to determine the prevalence and factors associated with intimate partner violence among pregnant teenagers attending antenatal care clinics in Lira District, northern Uganda. Methods This was a cross-sectional study of 310 pregnant teenagers attending antenatal care clinics at the Lira Regional Referral Hospital and Ogur Health Center IV. Eligible teenagers were recruited consecutively until the required sample size was accrued. Data were collected using a structured questionnaire. Intimate partner violence was determined using the Revised Conflict Tactile Scale 2. Logistic regression analysis was performed to identify factors associated with violence during pregnancy, while considering potential confounding factors. Results The overall prevalence of intimate partner violence among pregnant teenagers was 40.6%. The prevalence of psychological violence was 37.1%, sexual assault was 29%, and physical violence was 24.8%. Partner alcohol intake (odds ratio=5.00, P=0.000); polygamy (odds ratio=2.80, P=0.001) and the inability of the teenage mother to make major decisions in the home (odds ratio=2.42, P=0.006) were independently associated with intimate partner violence during pregnancy. Conclusions Approximately 4 in 10 pregnant teenagers in Lira district, northern Uganda experienced intimate partner violence. This is higher than has been reported in the general population of pregnant women in Uganda. Intimate partner violence screening and counselling should be part of the routine antenatal care package.

scholarly journals Worldwide Prevalence of Intimate Partner Violence in Pregnancy. A Systematic Review and Meta-Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Rosario M. Román-Gálvez ◽  
Sandra Martín-Peláez ◽  
Borja M. Fernández-Félix ◽  
Javier Zamora ◽  
Khalid S. Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Meta Analysis ◽  
Quality Criteria ◽  
Intimate Partner ◽  
Measurement Tool ◽  
Size Estimation ◽  
Cross Sectional ◽  
In Pregnancy

Background: Intimate partner violence (IPV) affects outcomes of mothers and their offspring. This systematic review collated the worldwide literature on the prevalence rates of different types of IPV in pregnancy.Methods: Two reviewers independently identified cross sectional and cohort studies of IPV prevalence in pregnancy in online databases (PubMed, WOS and Scopus), selected and extracted data [participants' country, study quality, measurement tool (validation and purpose) and rates of IPV in pregnancy]. We considered a high quality study if it had a prospective design, an adequate sampling method, a sample size estimation, a response rate > 90%, a contemporary ascertainment of IPV in the index pregnancy, and a well-developed detailed IPV tool. We performed random effects meta-analysis and explored reasons for heterogeneity of rates.Results: One hundred fifty-five studies were included, of which 44 (28%) met two-thirds of the quality criteria. Worldwide prevalence of physical (126 studies, 220,462 participants), psychological (113 studies, 189,630 participants) and sexual (98 studies, 155,324 participants) IPV in pregnancy was 9.2% (95% CI 7.7–11.1%, I2 95.9%), 18.7% (15.1–22.9%, I2 98.2%), 5.5% (4.0–7.5%, I2 93.4%), respectively. Where several types of IPV were reported combined, the prevalence of any kind of IPV (118 studies, 124,838 participants) was 25.0% (20.3, 30.5%, I2 98.6%). IPV rates varied within and between continents, being the highest in Africa and the lowest in Europe (p < 0.001). Rates also varied according to measurement purpose, being higher for diagnosis than for screening, in physical (p = 0.022) and sexual (p = 0.014) IPV.Conclusions: IPV prevalence in pregnancy varies across countries, with one-quarter of mothers exposed on average globally. Routine systematic antenatal detection should be applied worldwide.Systematic Review Registration: identifier: CRD42020176131.

High prevalence of intimate partner violence among pregnant teenagers in Lira district, northern Uganda: a cross sectional study.

2019 ◽  
Author(s):  
Anna Grace Auma ◽  
Elizabeth Ayebare ◽  
Connie Olwit ◽  
Grace Ndeezi ◽  
Victoria Nankabirwa ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
General Population ◽  
Antenatal Care ◽  
Partner Violence ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Northern Uganda ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Intimate partner violence (IPV) during pregnancy is associated with adverse health outcomes for the mother and her unborn baby. Whereas the literature on IPV in the general population is extensive, little is known about IPV among pregnant teenagers especially in resource limited settings. This study determined the prevalence and factors associated with IPV among pregnant teenagers attending antenatal care clinics (ANC) in Lira District, Northern Uganda. Methods: This was a cross-sectional study of 310 pregnant teenagers attending ANC at Lira regional referral hospital and Ogur health center IV. Eligible teenagers were recruited consecutively until the required sample size was accrued. Data was collected using a structured questionnaire. IPV was determined using the Revised Conflict Tactile Scale (CTS2) screening tool. Logistic regression analysis was performed to identify factors associated with IPV during pregnancy while considering potential confounding factors. Results: The overall prevalence of IPV among pregnant teenagers was 40.6% [95% CI: 35.13-46.34]. The prevalence of psychological violence was 37.1%, [95% CI: 31.70-42.74]; sexual assault 29%, [95% CI: 24.04-34.43] and physical violence was 24.8%, [95% CI: 20.13-30.04]. Partner alcohol intake (OR=5.00, 95%CI: 2.87-8.71, P =0.000); polygamy (OR=2.80, 95%CI: 1.49-5.23, p=0.001); and inability to make major decision in the home by the teenage mother (OR=2.42, 95%CI: 1.29-4.54: P=0.006); were independently associated with IPV during pregnancy. Conclusion: About 4 in 10 of pregnant teenagers in Lira district, Northern Uganda experience IPV. This is higher than what has been reported in the general population of pregnant women in Uganda. Teenagers were more likely to experience IPV if they were in a polygamous relationship, were unable to make major decisions in the home and had an alcoholic partner. IPV screening and counselling should be part of the routine antenatal care package. Key words; Intimate partner violence, teenage pregnancy, factors associated.

Global Norms and Local Action

2020 ◽  
Author(s):  
Peace A. Medie
Keyword(s):  
Intimate Partner Violence ◽  
Criminal Justice ◽  
United Nations ◽  
Partner Violence ◽  
Intimate Partner ◽  
Local Action ◽  
Women’S Rights ◽  
Post Conflict ◽  
Global Norms ◽  
The United Nations

When and why do states implement international women’s rights norms? Global Norms and Local Action is an examination of states’ responses to violence against women (VAW) in Africa and their implementation of the international women’s justice norm. Despite the presence of laws on various forms of VAW in most African countries, most victims face barriers to accessing justice through the criminal justice system. This problem is particularly acute in post-conflict countries. International organizations such as the United Nations and women’s rights advocates have, therefore, promoted the international women’s justice norm, which emphasizes the establishment of specialized mechanisms within the criminal justice sector to address VAW. With a focus on the response of the police to rape and intimate partner violence in post-conflict Côte d’Ivoire and Liberia, this book theorizes the United Nations’ and women’s movements’ influence on the implementation of the international women’s justice norm. It draws on over 300 interviews in both countries to demonstrate that high international and domestic pressures, combined with favorable political and institutional conditions, are key to the rapid establishment of specialized mechanisms within the police force and to how police officers respond to rape and intimate partner violence cases. It argues that despite significant weaknesses, specialized mechanisms have improved women’s access to justice. The book concludes with a discussion of why a holistic approach to addressing VAW is needed.

scholarly journals The Impact of NORTH STAR on Suicidality, Substance Problems, Intimate Partner Violence, and Child Abuse

2020 ◽  
Author(s):  
Amy M Smith Slep ◽  
Richard E Heyman ◽  
Michael F Lorber ◽  
David J Linkh
Keyword(s):  
Intimate Partner Violence ◽  
Child Abuse ◽  
Air Force ◽  
Partner Violence ◽  
Absolute Risk ◽  
Intimate Partner ◽  
Institutional Review Board ◽  
Cross Sectional ◽  
Institutional Review ◽  
The Impact

Abstract Introduction We evaluated the effectiveness of New Orientation for Reducing Threats to Health from Secretive-problems That Affect Readiness (NORTH STAR), a community assessment, planning, and action framework to reduce the prevalence of suicidality, substance problems, intimate partner violence, and child abuse. Materials and Methods One-third of U.S. Air Force bases worldwide were randomly assigned to NORTH STAR (n = 12) or an assessment-and-feedback-only condition (n = 12). Two Air Force-wide, cross-sectional, anonymous, web-based surveys were conducted of randomly selected samples assessing risk/protective factors and outcomes. This study was reviewed and approved by the institutional review board at the investigators’ university and by the institutional review board at Fort Detrick. Results NORTH STAR, relative to control, bases experienced a 33% absolute risk reduction in hazardous drinking rates and cumulative risk, although, given the small number of bases, these effects were not statistically significant. Conclusions Given its relatively low cost, use of empirically supported light-touch interventions, and emphasis on sustainability with existing resources, NORTH STAR may be a useful system for prevention of a range of adult behavioral health problems that are difficult to impact.

Factors Distinguishing Reciprocal Versus Nonreciprocal Intimate Partner Violence Across Time and Reporter

2021 ◽  
pp. 088626052110014
Author(s):  
Doris F. Pu ◽  
Christina M. Rodriguez ◽  
Marina D. Dimperio
Keyword(s):  
Risk Factors ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Transition To Parenthood ◽  
Intimate Partner ◽  
Self Report ◽  
Cross Sectional ◽  
Couple Functioning ◽  
Female Perpetrators ◽  
Over Time

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.

scholarly journals Migrant Women’s Help-Seeking Decisions and Use of Support Resources for Intimate Partner Violence in China

2021 ◽  
pp. 107780122110001
Author(s):  
Ran Hu ◽  
Jia Xue ◽  
Xiying Wang
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Help Seeking ◽  
Multinomial Logistic Regression ◽  
Poisson Model ◽  
Intimate Partner ◽  
Future Research ◽  
Related Factors ◽  
Cross Sectional ◽  
Sources Of Support

In China, women who domestically relocate from rural or less developed regions to major cities are at a higher risk for intimate partner violence (IPV) than their non-migrant counterparts. Few studies have focused on Chinese domestic migrant women’s help-seeking for IPV and their use of different sources of support. The present study aimed to identify factors that influence migrant women’s help-seeking decisions. In addition, we also examined factors that contribute to migrant women’s use of diverse sources of support for IPV. A sample of 280 migrant women victimized by IPV in the past year at the time of the survey was drawn from a larger cross-sectional study conducted in four major urban cities in China, including Beijing, Shanghai, Guangzhou, and Shenzhen. Using a multinomial logistic regression model and a zero-inflated Poisson model, we found that factors influencing migrant women’s help-seeking decisions and their use of diverse sources of support included socioeconomic factors, IPV type, relationship-related factors, knowledge of China’s first anti-Domestic Violence Law, and perception of the effectiveness of current policies. We discuss implications for future research and interventions.

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