scholarly journals Husband’s Alcohol Use, Intimate Partner Violence, and Family Maltreatment of Low-Income Postpartum Women in Mumbai, India

2016 ◽  
Vol 33 (14) ◽  
pp. 2241-2267 ◽  
Author(s):  
Jennifer A. Wagman ◽  
Balaiah Donta ◽  
Julie Ritter ◽  
D. D. Naik ◽  
Saritha Nair ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Low Income ◽  
Partner Violence ◽  
Access To Health Care ◽  
Scale Up ◽  
Intimate Partner ◽  
Design Strategies ◽  
Cross Sectional ◽  
Increased Risk

Husbands’ alcohol use has been associated with family-level stress and intimate partner violence (IPV) against women in India. Joint family systems are common in India and IPV often co-occurs with non-violent family maltreatment of wives (e.g., nutritional deprivation, deprivation of sleep, blocking access to health care). Alcohol use increases for some parents following the birth of a child. This study examined 1,038 postpartum women’s reports of their husbands’ alcohol use and their own experiences of IPV (by husband) and non-violent maltreatment from husbands and/or in-laws. We analyzed cross-sectional, quantitative data collected in 2008, from women (ages 15-35) seeking immunizations for their infants <6 months at three large urban health centers in Mumbai, India. Crude and adjusted logistic regression models estimated associations between the independent variable (husbands’ past month use of alcohol) and two dependent variables (postpartum IPV and maltreatment). Overall, 15% of husbands used alcohol, ranging from daily drinkers (10%) to those who drank one to two times per week (54%). Prevalence of postpartum IPV and family maltreatment was 18% and 42%, respectively. Prevalence of IPV among women married to alcohol users was 27%. Most abused women’s husbands always (27%) or sometimes (37%) drank during violent episodes. Risk for IPV increased with a man’s increasing frequency of consumption. Women who lived with a husband who drank alcohol, relative to non-drinkers, were more likely to report postpartum IPV, aOR = 2.0, 95% confidence interval (CI) = [1.3, 3.1]. Husbands’ drinking was marginally associated with increased risk for family maltreatment, aOR = 1.4, 95% CI = [1.0, 2.1]. Our findings suggest that men’s alcohol use is an important risk factor for postpartum IPV and maltreatment. Targeted services for Indian women contending with these issues are implicated. Postpartum care offers an ideal opportunity to screen for IPV, household maltreatment, and other health risks, such as husband’s use of alcohol. There is need to scale up proven successful interventions for reducing men’s alcohol use and design strategies that provide at-risk women protection from alcohol-related IPV.

scholarly journals Understanding Men’s Elevated Alcohol Use, Gender Equity Ideologies, and Intimate Partner Violence Among Married Couples in Rural India

2018 ◽  
Vol 12 (4) ◽  
pp. 1084-1093 ◽  
Author(s):  
Anindita Dasgupta ◽  
Jay Silverman ◽  
Niranjan Saggurti ◽  
Mohan Ghule ◽  
Balaiah Donta ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Gender Equity ◽  
Partner Violence ◽  
Quantitative Research ◽  
Married Couples ◽  
Intimate Partner ◽  
Cross Sectional ◽  
Increased Risk ◽  
History Of

Qualitative evidence suggests that husbands’ inequitable gender equity (GE) ideologies may influence associations between husbands’ alcohol use and intimate partner violence (IPV) against wives. However, little quantitative research exists on the subject. To address this gap in the literature, associations of husbands’ elevated alcohol use and GE ideologies with wives’ reports of IPV victimization among a sample of married couples in Maharashtra, India, were examined. Cross-sectional analyses were conducted using data from the baseline sample of the Counseling Husbands to Achieve Reproductive Health and Marital Equity (CHARM) study. Participants included couples aged 18 to 30 years ( N = 1081). Regression models assessed the relationship between husbands’ elevated alcohol use and GE ideologies (using the Gender-Equitable Men [GEM] Scale) and wives’ history of physical and/or sexual IPV victimization ever in marriage. Husbands and wives were 18 to 30 years of age, and married on average of 3.9 years ( SD ± 2.7). Few husbands (4.6%) reported elevated alcohol use. Husbands had mean GEM scores of 47.3 ( SD ± 5.4, range: 35–67 out of possible range of 24–72; least equitable to most equitable). Approximately one fifth (22.3%) of wives reported a history of physical and/or sexual IPV. Wives were less likely to report IPV if husbands reported greater GE ideologies (adjusted odds ratio [AOR]: 0.97, 95% CI [0.95, 0.99]), and husband’s elevated alcohol use was associated with increased risk of IPV in the final adjusted model (AOR: 1.89, 95% CI [1.01, 3.40]). Findings from this study indicate the need for male participation in violence intervention and prevention services and, specifically, the need to integrate counseling on alcohol use and GE into such programming.

Positive Correlation Between Women’s Status and Intimate Partner Violence Suggests Violence Backlash in Mwanza, Tanzania

2021 ◽  
pp. 088626052110500
Author(s):  
Joseph A. Kilgallen ◽  
Susan B. Schaffnit ◽  
Yusufu Kumogola ◽  
Anthony Galura ◽  
Mark Urassa ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Economic Status ◽  
Women's Empowerment ◽  
Intimate Partner ◽  
Low Fertility ◽  
Women’S Empowerment ◽  
Future Research ◽  
Cross Sectional ◽  
Increased Risk

Urbanization in low and middle-income nations is characterized by economic and demographic shifts largely understood to be beneficial to women’s empowerment. These changes include increased education and wage-labor opportunities, a disruption of traditional patrilocal residence systems, and reductions in spousal age gap and fertility. However, such changes may drive a “violence backlash,” with men increasing intimate partner violence (IPV) in efforts to challenge women’s shifting status. To date, tests of this idea primarily relate to women’s changing economic status, with less known about the demographic correlates of IPV in urbanizing settings. Addressing this, we conducted a cross-sectional study of IPV behavior and attitudes in an urbanizing community in Mwanza, northern Tanzania ( n = 317). Consistent with a violence backlash, IPV was reported more often among women educated at higher levels than their husband, and women earning similar, rather than lower, wages to their husband were more likely to report that he condones IPV. These findings were independent of women’s absolute education and income. Furthermore, less frequent paternal kin contact, and relatively small spousal age gaps, generally understood to boost women’s empowerment, were associated with an increased risk of experiencing IPV. Less frequent paternal kin contact was also associated with an increased likelihood that a husband condones IPV. Contrary to our predictions, relatively lower fertility, generally linked to higher women’s empowerment, did not predict IPV behavior and women with high, rather than low, fertility were more likely to report that their husband condones IPV. Overall, our results support the notion of a violence backlash corresponding to economic changes for women that accompany urbanization. In contrast, demographic changes associated with urbanization have more variable relationships. Drawing on these results, we suggest future research avenues for better understanding the vulnerability of women to IPV in urbanizing settings.

scholarly journals R.E.S.P.e.c.T and intimate partner violence: a cross-sectional study using DHS data in Kenya

2020 ◽  
Author(s):  
Caleb L Ward ◽  
Siobán D Harlow
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Intimate Partner ◽  
Summary Score ◽  
Wife Beating ◽  
World Health ◽  
Cross Sectional ◽  
Negatively Associated

Abstract Background Thirty percent of all women experience intimate partner violence (IPV) in their lifetime. The aim of this study was to examine the association between the World Health Organization’s (WHO) novel R.E.S.P.E.C.T framework for intervention and IPV prevalence among women in Kenya. Methods We used the 2014 Kenya Demographic and Health Survey (KDHS). Only women selected for the domestic violence module and who were married/living with their partner were eligible for this study (n=3,737). We created a summary score for each strategy denoted by R.E.S.P.T based on availability of questions addressing these strategies in the KDHS, and a total score that summed responses across all strategies. Each letter was assessed with Cronbach’s Alpha. Multiple logistic regression models were used to investigate the relationship between R.E.S.P.T scores and IPV.Results All strategies except for E lowered the odds of IPV. Decision-making (R) was negatively associated with experiencing IPV (OR = 0.62 [0.53-0.72]). Land and property ownership (E) were positively associated with experiencing IPV (OR = 1.25 [1.08-1.43]). Access to health care (S) was negatively associated with experiencing IPV (OR = 0.55 [0.48-0.63]). Higher levels of wealth (P) were negatively associated with experiencing IPV (OR = 0.47 [0.37-0.62]). Not justifying wife-beating in any scenario (T) was negatively associated with experiencing IPV (OR = 0.39 [0.29-0.53]). After adjusting for demographics, a 1-unit increase in total R.E.S.P.T score was negatively associated with experiencing IPV (AOR= 0.63 [0.57-0.70]) with a similar finding for IPV in the past 12 months (AOR = 0.59 [0.53-0.66]). Younger age, higher education, and Muslim religion were associated with decreased odds of experiencing IPV while living in a rural location and working were associated with increased odds of experiencing IPV.Conclusions Our study provides initial evidence that by implementing the multi-strategy R.E.S.P.E.C.T framework, countries can dramatically lower the odds of women experiencing IPV. The DHS can be used as a tool to monitor implementation and efficacy of this novel strategy.

scholarly journals Unplanned Pregnancy and Its Associated Factors

2018 ◽  
Vol 10 (8) ◽  
pp. 132
Author(s):  
Muslimah Yusof ◽  
Azah Abdul Samad ◽  
Maisarah Omar ◽  
Noor Ani Ahmad
Keyword(s):  
Intimate Partner Violence ◽  
Low Income ◽  
Partner Violence ◽  
Household Income ◽  
Unplanned Pregnancy ◽  
Unmet Need ◽  
Intimate Partner ◽  
Health Concern ◽  
Cross Sectional ◽  
History Of

INTRODUCTION: Unplanned pregnancy is a major public health concern globally. Numerous studies found various factors that can predict or determine unplanned pregnancy. However, there were no studies that reported this problem in Malaysia. The objective of this study is to determine the prevalence of unplanned pregnancy in Malaysia and the associated factors.METHODS: This nationwide cross-sectional study targeted to women at postpartum period at government primary health care clinics throughout Malaysia. Structured questionnaire with face-to-face interview was used for data collection. The factors studied included mothers’ age, husband’s age, ethnicity, religion, marital status, education, occupation, household income, polygamous marriage, family support, contraception used, and disagreement of husband on contraception, smoking and alcohol consumption. History of emotional, physical and sexual intimate partner violence (IPV) were also studied.RESULTS: A total of 5727 Malaysian postpartum mothers were involved in this survey. The prevalence of unplanned pregnancy was 42.9% (95% CI: 38.6, 47.4). The multivariate logistic regression revealed that older mothers aged 45-49 years old (aOR: 8.010; 95%CI: 1.909, 33.013) and Muslim mothers (aOR: 2.465; 95%CI: 1.432-4.241) were significantly associated with unplanned pregnancy. In terms of household income, mothers with less than RM1000 per month were 1.712 (95% CI: 1.080, 2.713) times more likely to have unplanned pregnancy. The other significant associated factor was history of emotional intimate partner violence; aOR [1.720 (95% CI: 1.011, 2.925)].CONCLUSIONS: Unplanned pregnancies were observed to be higher among older Muslim women from low income family. A possibility of unmet need for family planning should be considered and appropriate intervention strategies planned for these at-risk population. 

Improving estimation of the association between alcohol use and intimate partner violence in low-income and middle-income countries

2020 ◽  
pp. injuryprev-2019-043433
Author(s):  
M Claire Greene ◽  
Lori Heise ◽  
Rashelle J Musci ◽  
Andrea L Wirtz ◽  
Renee Johnson ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Alcohol Use ◽  
Low Income ◽  
Partner Violence ◽  
Fold Increase ◽  
Intimate Partner ◽  
Middle Income ◽  
Middle Income Countries ◽  
Country Level ◽  
Female Literacy

BackgroundAlcohol use is a consistent correlate of intimate partner violence (IPV) in low-income and middle-income countries (LMICs). However, the magnitude of this association differs across studies, which may be due to contextual and methodological factors. This study aims to estimate and explore sources of heterogeneity in the association between alcohol use and IPV in 28 LMICs (n=109 700 couples).MethodsIn nationally representative surveys, partnered women reported on IPV victimisation and male partner’s alcohol use. We estimated the relationship between alcohol use and IPV using logistic regression and full propensity score matching to account for confounding. Country-specific ORs were combined using a random-effects model. Country-level indicators of health and development were regressed on ORs to examine sources of variability in these estimates.ResultsPartner alcohol use was associated with a 2.55-fold increase in the odds of past-year IPV victimisation (95% CI 2.27 to 2.86) with substantial variability between regions (I2=70.0%). Countries with a low (<50%) prevalence of past-year alcohol use among men displayed larger associations between alcohol use and IPV. Exploratory analyses revealed that colonisation history, religion, female literacy levels and substance use treatment availability may explain some of the remaining heterogeneity observed in the strength of the association between alcohol use and IPV across countries.ConclusionPartner alcohol use is associated with increased odds of IPV victimisation in LMICs, but to varying degrees across countries. Prevalences of male alcohol use and cultural factors were related to heterogeneity in these estimates between countries.

scholarly journals Recent intimate partner violence among people with chronic mental illness: Findings from a national cross-sectional survey

2015 ◽  
Vol 207 (3) ◽  
pp. 207-212 ◽  
Author(s):  
Hind Khalifeh ◽  
Sian Oram ◽  
Kylee Trevillion ◽  
Sonia Johnson ◽  
Louise M. Howard
Keyword(s):  
Mental Illness ◽  
Intimate Partner Violence ◽  
Health Professionals ◽  
Partner Violence ◽  
Help Seeking ◽  
Intimate Partner ◽  
Chronic Mental Illness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

BackgroundPeople with mental illness are at increased risk of intimate partner violence (IPV) victimisation, but little is known about their risk for different forms of IPV, related health impact and help-seeking.AimsTo estimate the odds for past-year IPV, related impact and disclosure among people with and without pre-existing chronic mental illness (CMI).MethodWe analysed data from 23 222 adult participants in the 2010/2011 British Crime Survey using multivariate logistic regression.ResultsPast-year IPV was reported by 21% and 10% of women and men with CMI, respectively. The adjusted relative odds for emotional, physical and sexual IPV among women with versus without CMI were 2.8 (CI = 1.9–4.0), 2.6 (CI = 1.6–4.3) and 5.4 (CI = 2.4–11.9), respectively. People with CMI were more likely to attempt suicide as result of IPV (aOR = 5.4, CI = 2.3–12.9), less likely to seek help from informal networks (aOR = 0.5, CI = 0.3–0.8) and more likely to seek help exclusively from health professionals (aOR = 6.9, CI = 2.6–18.3)ConclusionsPeople with CMI are not only at increased risk of all forms of IPV, but they are more likely to suffer subsequent ill health and to disclose exclusively to health professionals. Therefore, health professionals play a key role in addressing IPV in this population.

Increased Gender-based Violence Among Women Internally Displaced in Mississippi 2 Years Post–Hurricane Katrina

2009 ◽  
Vol 3 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Michael Anastario ◽  
Nadine Shehab ◽  
Lynn Lawry
Keyword(s):  
Intimate Partner Violence ◽  
Hurricane Katrina ◽  
Partner Violence ◽  
Physical Violence ◽  
Intimate Partner ◽  
Gender Based Violence ◽  
Cross Sectional ◽  
Internally Displaced ◽  
Increased Risk ◽  
Gender Based

ABSTRACTObjectives: Although different types of gender-based violence (GBV) have been documented in disaster-affected populations, no studies have documented a quantitative increase in rates of GBV among populations living in protracted displacement after a disaster. We aimed to assess the change in rates of GBV after Hurricane Katrina among internally displaced people (IDPs) living in travel trailer parks in Mississippi.Methods: The study design included successive cross-sectional randomized surveys, conducted in 2006 and 2007, among IDPs in Mississippi using a structured questionnaire. We sampled 50 travel trailer parks in 9 counties in Mississippi in 2006, and 69 parks in 20 counties in 2007. A total of 420 female respondents comprised the final sample. We measured respondent demographics, forms of GBV including sexual and physical violence further subtyped by perpetrator, suicidal ideation, suicide attempt, and Patient Health Questionnaire-9–assessed depression.Results: Respondents had a mean age of 42.7 years. The crude rate of new cases of GBV among women increased from 4.6/100,000 per day to 16.3/100,000 per day in 2006, and remained elevated at 10.1/100,000 per day in 2007. The increase was primarily driven by the increase in intimate partner violence. GBV experience was significantly associated with increased risk for poor mental health outcomes.Conclusions: Overall, the rate of GBV, particularly intimate partner violence, increased within the year following Hurricane Katrina and did not return to baseline during the protracted phase of displacement. Disaster planning efforts should incorporate plans to decrease the incidence of GBV following a disaster, and to ensure adequate services to people with postdisaster GBV experience. (Disaster Med Public Health Preparedness. 2009;3:18–26)

scholarly journals Relative Risk of Intimate Partner Violence According to Access to Instrumental Social Support Among Pregnant Women in Eswatini Whose Partners Do and Do Not Drink Alcohol

2021 ◽  
pp. 088626052199392
Author(s):  
Rebecca Fielding-Miller ◽  
Kathryn Barker ◽  
Jennifer Wagman
Keyword(s):  
Social Support ◽  
Intimate Partner Violence ◽  
Relative Risk ◽  
Alcohol Use ◽  
Partner Violence ◽  
Intimate Partner ◽  
Protective Role ◽  
Community Context ◽  
Cross Sectional ◽  
Instrumental Social Support

Intimate partner violence (IPV) affects one in three women around the world and is the tenth leading cause of death for women in Africa aged 15 to 29 years. Partner alcohol use, access to social support, and poverty all affect women’s likelihood of experiencing violence. We sought to understand how partner alcohol use differentially affected the hypothesized association between a protective role of instrumental social support (in the form of food or financial loans) against IPV for a clinic-based sample of women in the Kingdom of Eswatini (formerly known as Swaziland). We use cross-sectional data from a parent study of women recruited from urban and rural antenatal clinics in Eswatini ( n = 393) to calculate the association between experiencing IPV and perception of one’s ability access to large cash loans, small cash loans, and food loans—both for the full sample and stratified by partner alcohol use. In fully adjusted models, the perception that one could access loans of food or money was associated with decreased relative risk of IPV for all women. These associations were modified by partner alcohol use. Access to instrumental support (loans of food or money) is associated with decreased risk of IPV, but this association varies according to the type of loan and whether or not a woman’s partner drinks alcohol. Economic empowerment interventions to reduce IPV must be carefully tailored to ensure they are appropriate for a woman’s specific individual, relationship, and community context.

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