Physical, emotional and sexual violence faced by spouses in India: evidence on determinants and help-seeking behaviour from a nationally representative survey

2020 ◽  
pp. jech-2019-213266
Author(s):  
Yuvaraj Krishnamoorthy ◽  
Karthika Ganesh ◽  
Karthiga Vijayakumar
Keyword(s):  
Sexual Violence ◽  
Health Survey ◽  
Help Seeking ◽  
Physical Violence ◽  
Married Women ◽  
P Value ◽  
Spousal Violence ◽  
Help Seeking Behaviour ◽  
Nationally Representative ◽  
Women In India

ObjectiveThe current study was done to determine the prevalence, determinants, disclosure status and help-seeking behaviour of spousal violence using a nationally representative sample of ever-married women in India.MethodsWe have analysed the most recent National Family Health Survey-4 data (2015–2016) gathered from the Demographic Health Survey programme. Stratification and clustering in the sample design were accounted using svyset command. Point estimates were reported as proportions with 95% CI.ResultsA total of 66 013 ever-married women aged 15–49 years were included. Lifetime prevalence of spousal violence in India was 31% (95% CI 30.4% to 31.7%). Physical violence was the most common form accounting for 27.4% of victims followed by emotional (12.7%) and sexual violence (6.7%). Higher women’s age, Muslim religion, low education, employed women, lower socioeconomic status, presence of substance use among women and husbands, lower education and unemployed husbands, history of family violence and women in Central and Eastern states had a significant association with one or more forms of spousal violence with significant p value. Prevalence of help-seeking behaviour among women who faced spousal violence in India was 13.5% (95% CI 12.8% to 14.2%). Widowed/separated/divorced women, employed and highly educated women, and women in Northern states had significantly higher prevalence of help-seeking behaviour with respect to all the forms of spousal violence (p<0.001).ConclusionOne in three women in India faces spousal violence. Only 1 in 10 women seeks help following violence. Efforts should be made to ensure people working in formal institutions screen for spousal violence and know how to respond to women facing it.

Empowerment and IPV in Married Women of Reproductive Age: Evidence from Pakistan Demographic Health Survey 2017–2018

2021 ◽  
pp. 088626052098038
Author(s):  
Mohammad Vaqas Ali ◽  
Jawad Tariq
Keyword(s):  
Sexual Violence ◽  
Health Survey ◽  
Partner Violence ◽  
Physical Violence ◽  
Secondary Analysis ◽  
Married Women ◽  
Reproductive Age ◽  
Women Empowerment ◽  
Women Of Reproductive Age ◽  
Forms Of Violence

The study was an attempt to identify demographic, household, and women empowerment factors that predicted emotional, physical, and sexual violence in ever-married women of reproductive age (15–49 years, n = 3,965) in Pakistan by performing secondary analysis on Pakistan Demographic and Health Survey, 2017–2018. The analysis was done using SPSS (v.22) and binary and multivariate logistic regression techniques were performed for analyses. The analysis found that 30.2% of women experienced emotional, 24.1% reported less severe physical, 6.5% experienced severe physical, and 4.3% experienced sexual violence, respectively. The multivariate analysis found that husband’s age, education, wealth, and alcohol consumption were significant predictors of intimate partner violence (IPV). Additionally, womens’ age, education, and number of children also significantly predicted IPV. With respect to empowerment variables, ownership of house was a significant predictor of less severe physical violence, ownership of property significantly predicted emotional violence, and autonomy in household purchase decisions was significantly related to severe physical violence. The control on husband’s income as a measure of empowerment significantly predicted all four types of IPV. Belief in patriarchy also turned out to be an important factor in determining emotional and less severe physical violence. The study concludes that women empowerment in household context can prevent less serious forms of violence but to hinder serious forms of violence, interventions at family and community level will be required.

Sexually Transmitted Infections and Spousal Violence: The Experience of Married Women in India

2017 ◽  
Vol 24 (1) ◽  
pp. 24-46 ◽  
Author(s):  
Shewli Shabnam
Keyword(s):  
Sexually Transmitted Infections ◽  
Physical Violence ◽  
Family Health ◽  
Married Women ◽  
Marital Violence ◽  
Spousal Violence ◽  
Sexually Transmitted ◽  
National Family ◽  
The Relationship ◽  
Women In India

A growing body of research has documented that spousal violence has several adverse effects on the reproductive health of women. Using the dataset of the third National Family Health Survey (NFHS-3) conducted in India in 2005–2006, the present study tries to find out the relationship between spousal violence and the prevalence of sexually transmitted infections (STIs) among women. How prevailing gender norms act as underlying factors of women’s risk of STI has been discussed in this paper. Overall, 9.6 per cent women in India reported an STI/STI symptom in the year preceding the survey. After covariate adjustment it was found that, compared to the women who did not experience violence in 12 months before the survey, the chances of having an STI/STI symptom was twice higher for those who experienced only physical violence and three times higher for those who experienced both physical and sexual violence during that period. The findings of this study suggest that prevention of marital violence should be incorporated in the programmes that aim to reduce STIs among women.

scholarly journals Geographic variation and determinants of help seeking behaviour among married women subjected to intimate partner violence: evidence from national population survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Muluken Dessalegn Muluneh ◽  
Yeshemebet Worku Alemu ◽  
Maereg Wagnew Meazaw
Keyword(s):  
Partner Violence ◽  
Employment Status ◽  
Help Seeking ◽  
Physical Violence ◽  
Intimate Partner ◽  
Married Women ◽  
Multiple Logistic Regression ◽  
Factors Associated ◽  
Help Seeking Behaviour ◽  
Controlling Behaviour

Abstract Background Help seeking behaviour amongst married women who experienced Intimate Partner Violence (IPV) has received limited attention in Africa. This study examines the geographic variation and investigates determinants of help seeking behaviour amongst married women in Ethiopia. Methods This study analysed data from the 2016 Ethiopian Demographic and Health Survey (EDHS). Data was extracted for married women age 15–49 years old who experienced IPV. Factors associated with help seeking behaviour were identified using multiple logistic regression adjusted for clustering and weighing. The weighted proportion of factors associated with help seeking behaviour was exported to ArcGIS to conduct autocorrelation analysis. Results The prevalence of help seeking behaviour among married women who experienced IPV was 19.8% (95% CI: 15.9–24.3%). Only 9.2% of them sought help from a formal source (such as police, lawyer or doctor). Multiple logistic regression analyses showed physical violence (Adjusted odds ratio (AOR)=2.76), educational attainment (AOR=2.1), a partner’s alcohol consumption (AOR=1.9), partner’s controlling behaviour (AOR= 2.4), partner’s employment status, (AOR= 1.9) and wealth index (AOR=2.8) were significantly associated factors with help seeking behaviour among married women who experienced IPV in Ethiopia (P< 0.05). Women in Benishangul-Gumuz, Gambella, Harari, Western and Eastern Amhara, and Afar had the lowest odds of help seeking behaviour (P< 0.001) after experiencing IPV. Conclusion The findings of this study suggest that poor help seeking behaviour for married women experiencing IPV is a significant public health problem in Ethiopia. Multiple interrelated factors were associated with poor help seeking behaviour. These factors include women’s level of educational attainment, women experiencing physical violence, partners exhibiting controlling behaviour, partner’s alcohol consumption, the employment status of the partner, and wealth status of the household were important predictors of help seeking behaviour. Policies and interventions need to be tailored to address these factors to improve women’s health outcomes and to prevent IPV.

scholarly journals Spousal violence against women and its consequences on pregnancy outcomes and reproductive health of women in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mahadev Bramhankar ◽  
R. S. Reshmi
Keyword(s):  
Reproductive Health ◽  
Sexual Violence ◽  
Women’S Health ◽  
Women's Health ◽  
Battered Women ◽  
Pregnancy Outcomes ◽  
Unwanted Pregnancy ◽  
Married Women ◽  
Spousal Violence ◽  
Women In India

Abstract Background Globally, one in three women experienced domestic violence. Alike the scenario observed in India, and a very few studies talk about violence and its consequences on women's health. Hence, the purpose of this study is to access the level of various types of spousal violence in India and to understand the association between physical, sexual and emotional violence against ever-married women by their husbands. The study further examines the consequences of spousal violence on women's health in terms of adverse pregnancy outcomes and reproductive health in India. Methods The study uses secondary data from National Family Health Survey-4 (NFHS-4, 2015–16). The analysis was based on a sample of ever-married women aged 15–49 years. Bivariate descriptive analysis and multiple regression analyses have been carried out to understand the association between spousal violence and its consequences on women's health. Results The study finds that the physical, sexual and emotional violence experienced by ever-married women in India are 29.8%, 13.8% and 7.0%, respectively. Further, the physical and sexual violence experienced by women have a significant association with an unwanted pregnancy, abortion, miscarriages and ever had termination of pregnancies. The regression analysis shows that violence by sexual partners among battered women increased the likelihood of unwanted pregnancy. Similarly, abortion and ever had a termination of pregnancies are also adversely affected by partner violence. Further, the risk of sexually transmitted infection increases 77% by sexual violence and 44% by emotional violence among battered women. Also, Sexual violence substantially increases the risk of prolonged labour during pregnancy. Conclusion This study revealed that one in three women experiencing violence by their husband and also it is evident that various forms of spousal violence adversely affect pregnancies outcomes and reproductive health among battered women compared to not battered.

scholarly journals Lifetime Spousal Violence Victimization and Perpetration, Physical Illness, and Health Risk Behaviours among Women in India

2018 ◽  
Vol 15 (12) ◽  
pp. 2737 ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Health Risk ◽  
Sexual Violence ◽  
Physical Violence ◽  
Spousal Violence ◽  
Risk Behaviours ◽  
Daily Consumption ◽  
Violence Victimization ◽  
Violence Perpetration ◽  
Health Risk Behaviours ◽  
Women In India

The aim of this study was to assess the association between lifetime spousal violence victimization, spousal violence perpetration, and physical health outcomes and behaviours among women in India. In the 2015–2016 National Family Health Survey, a sample of ever-married women (15–49 years) (N = 66,013) were interviewed about spousal violence. Results indicate that 29.9% of women reported lifetime spousal physical violence victimization and 7.1% lifetime spousal sexual violence victimization (31.1% physical and/or sexual violence victimization), and 3.5% lifetime spousal physical violence perpetration. Lifetime spousal violence victimization and lifetime spousal violence perpetration were significantly positively correlated with asthma, genital discharge, genital sores or ulcers, sexually transmitted infections (STIs), tobacco use, alcohol use, and termination of pregnancy, and negatively associated with daily consumption of dark vegetables. In addition, lifetime spousal violence victimization was positively associated with being underweight, high random blood glucose levels, and anaemia, and negatively correlated with being overweight or obese. Lifetime spousal violence perpetration was marginally significantly associated with hypertension. The study found in a national sample of women in India a decrease of lifetime physical and/or sexual spousal violence victimization and an increase of lifetime spousal physical violence perpetration from 2005/5 to 2015/6. The results support other studies that found that, among women, lifetime spousal physical and/or sexual spousal violence victimization and lifetime spousal physical violence perpetration increase the odds of chronic conditions, physical illnesses, and health risk behaviours.

scholarly journals Household sanitation access and risk for non-marital sexual violence among a nationally representative sample of women in India, 2015-16

2021 ◽  
Vol 13 ◽  
pp. 100738
Author(s):  
Georgia Lyn Kayser ◽  
Praveen Chokhandre ◽  
Namratha Rao ◽  
Abhishek Singh ◽  
Lotus McDougal ◽  
...  
Keyword(s):  
Sexual Violence ◽  
Representative Sample ◽  
Nationally Representative ◽  
Women In India

Socioeconomic Factors and Patterns of Intimate Partner Violence among Ever-Married Women in Uganda: Pathways and Actions for Multicomponent Violence Prevention Strategies

2021 ◽  
pp. 088626052110219
Author(s):  
Moses Okumu ◽  
Evalyne Orwenyo ◽  
Thabani Nyoni ◽  
Cecilia Mengo ◽  
Jordan J. Steiner ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Socioeconomic Factors ◽  
Partner Violence ◽  
Physical Violence ◽  
Wealth Index ◽  
Intimate Partner ◽  
Married Women ◽  
Sub Saharan Africa ◽  
Reference Category

Intimate partner violence (IPV) is a severe public health problem in sub-Saharan Africa (SSA) with harmful effects on the physical, psychological, and socioeconomic wellbeing of survivors and their families. In SSA, IPV is associated with mental health disorders, high-risk behaviors, and HIV vulnerability, especially among women. In Uganda, poor socioeconomic status increases women’s vulnerability to IPV. Yet there is limited evidence on the association between socioeconomic factors and IPV severity in Uganda. Our study used population-based data to (a) establish different patterns describing the severity of IPV experiences, (b) explore associations between socioeconomic factors and severity of IPV experiences among Ugandan ever-married women, and (c) examine direct and indirect pathways from socioeconomic factors to severity of IPV experiences. Data were drawn from the 2016 Uganda Demographic and Health Survey’s sample of 7,536 ever-married women aged 15–49 years. A latent class analysis examined distinct patterns of IPV severity among this sample, yielding a four-class solution: low violence ( n = 5,059; 67.1%); high physical violence, low sexual violence ( n = 1,501; 19.9%); high sexual violence, moderate physical violence ( n = 535; 7.1%); and high sexual and severe physical violence ( n = 441; 5.9%). Using the low violence group as the reference category, we conducted a multinomial logistic regression that found significant associations between secondary education (a OR 2.35, 95% CI: [1.06, 5.24]), poorest on the wealth index (a OR 2.00, 95% CI: [1.13, 3.54]), and severe IPV experiences. Decision-making (a OR 0.81, 95% CI: [0.68, 0.96]) played a protective role against membership in the high sexual and physical violence class compared to the reference category. Using path analysis, we found that labor force participation partially mediated the path from wealth index and education to IPV severity. Findings indicate the need for interventions that aim to keep girls in school and target schools, communities, and media platforms to address gender norms, economic vulnerability, and comprehensive screening for multiple forms of violence.

scholarly journals Predictors of Modern Contraceptive Use Among Married Women in Angola: A Population Based Study

2020 ◽  
Author(s):  
Betregiorgis Hailu Zegeye ◽  
Gashaw Woldeamanuel Garedew ◽  
Wassie Negash ◽  
Balkew Tegegn Asegidew
Keyword(s):  
Contraceptive Use ◽  
Population Based ◽  
Married Women ◽  
P Value ◽  
Modern Contraceptive ◽  
African Countries ◽  
Modern Contraceptive Use ◽  
Nationally Representative ◽  
The Government ◽  
Living Children

Abstract Background: Maternal mortality is unacceptability high in Sub-Saharan-African countries including Angola. Despite family planning is one of the vital intervention to reduce maternal death, the coverage of modern contraceptive use in Angola is extremely low and there is a paucity of evidence regarding current factors associated with contraceptive use in Angola. Therefore, this study aimed at investigating predictors of contraceptive use among married women in Angola using nationally representative data.Methods: The data were extracted from 2015/16 Angola Multiple Indicator and Health Survey for this study and approximately 8,033 married women aged 15 - 49 years were participated. Bivariate and multivariate logistic regression were performed using STATA version 14 software to identify the predictors, and p-value less than 0.05 was considered as statistically significant.Results: The coverage of modern contraceptive use among married women was 8.9%. Maternal age, women’s educational level, maternal occupation, place of residence, media exposure, number of living children, desire for more children and subnational region were main predictors for modern contraceptive use.Conclusion: Modern contraceptive use among married women in Angola was very low. Married women who were educated, wealthiest, exposed for media, who had living children, interested to have child after 2 years and those who were not interested to have at all were more likely to use contraceptive. Therefore, the government of Angola and other concerned bodies need to emphasize in empowering women through education and economy as well as dissemination of contraceptive related information through media especially for women’s living in rural settings.

Prevalence and Determinants of Physical Violence and Its Impact on Birth Outcomes During Pregnancy in India: Evidence From a Nationally Representative Survey

2020 ◽  
pp. 088626052093850
Author(s):  
Yuvaraj Krishnamoorthy ◽  
Karthika Ganesh
Keyword(s):  
Birth Outcomes ◽  
Health Survey ◽  
Physical Violence ◽  
Negative Impact ◽  
Family Health ◽  
Prevalence Ratio ◽  
Southern States ◽  
Urban Rural ◽  
Violence During Pregnancy ◽  
Nationally Representative

Physical violence during pregnancy can have negative impact on health status of mother and fetus. Hence, the current study was done to determine the prevalence and determinants of physical violence and its impact on birth outcomes during pregnancy in India. We have analyzed the most recent National Family Health Survey 4 data (NFHS-4) gathered from Demographic Health Survey (DHS) program. Stratification (urban/rural) and clustering (villages/census enumeration blocks [CEBs]) in the sample design was accounted using svyset command. In total, 62,165 ever pregnant women aged 15 to 49 years were included. Prevalence of physical violence during pregnancy in India was 3.3%. Husband/partner (2.7%) was the person most commonly responsible. Women who were widowed/separated/divorced (aPR = 1.88), belonging to the poorest quantile (aPR = 2.32), women who were employed (aPR = 1.42), women in the Southern states (aPR = 3.24), and women whose husband/partner has lesser educational qualification (adjusted prevalence ratio [aPR] = 2.02) had significantly higher prevalence of physical violence during pregnancy ( p < .001). Women who faced physical violence had significantly higher proportion of miscarriage (4.3%), abortion (3.3%), and stillbirth (1.1%) when compared with women who did not face any violence (4.1% had miscarriage, 1.8% had abortion, and 0.5% had stillbirth; p < .001). These findings show the importance of providing general supportive measures and strengthen the existing punitive legislations to prevent the violence during pregnancy.

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