scholarly journals An ecological study on the association between early childhood caries and intimate partner violence in 20 low- and middle-income countries: 2007-2017

2021 ◽  
Vol 4 ◽  
pp. 39
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Mary O. Obiyan ◽  
Maha El Tantawi ◽  
Arthur Kemoli ◽  
Ola B. Al-Batayneh ◽  
...  

Background: Women are the worst affected by intimate partner violence (IPV), and this impacts negatively on the health of the children they care for. This study aimed to determine the relationship between IPV and the prevalence of early childhood caries (ECC) in 3-5-year-olds. Methods: This was an ecological study using IPV (physical, sexual, emotional) data extracted from the Demographic Health Survey of 20 low- and middle-income countries and ECC data for 3-5-year-olds of the same countries for the period 2007-2017. Linear regression analysis was used to assess the relationship between the percentage of 3-5-year-olds with ECC (outcome variable) and IPV indicators (physical, sexual, emotional). The model was adjusted for the country’s gross national income and the percentage of women with secondary or higher education. Partial eta squared (ηp2), regression coefficients, confidence intervals and p-values were calculated. Results: Data on ECC in 3-5-year-olds and IPV were available for six low-income-countries, 10 lower-middle-income-countries and four upper-middle-income-countries. The most prevalent form of IPV was physical violence (10.09%). The Democratic Republic of Congo had the highest prevalence of physical violence (45.8%), sexual violence (25.4%), and ECC (80.0%). The strongest association was between the prevalence of ECC and emotional violence (ηp2=0.01), followed by physical violence (ηp2=0.005), and sexual violence (ηp2=0.003). For every 1% higher prevalence of emotional violence, there was 0.28% higher prevalence of ECC, and for every 1% higher percentage of physical violence, there was 0.21% higher prevalence of ECC. On the contrary, for every 1% higher prevalence of sexual violence, there was 0.35% lower prevalence of ECC prevalence. Conclusions: The association between IPV and the prevalence of ECC in 3-5-year-olds is minor, with the strongest direct association effect being with emotional violence; and there was an inverse association between sexual violence and the prevalence of ECC. These findings need to be studied further.

2021 ◽  
Vol 4 ◽  
pp. 39
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Mary O. Obiyan ◽  
Maha El Tantawi ◽  
Arthur Kemoli ◽  
Ola B. Al-Batayneh ◽  
...  

Background: Women are the worst affected by intimate partner violence (IPV), and this impacts negatively on the health of the children they care for. This study aimed to determine the relationship between IPV and the prevalence of early childhood caries (ECC) in 3-5-year-olds. Methods: This was an ecological study using IPV (physical, sexual, emotional) data extracted from the Demographic Health Survey of 20 low- and middle-income countries and ECC data for 3-5-year-olds of the same countries for the period 2007-2017. Linear regression analysis was used to assess the relationship between the percentage of 3-5-year-olds with ECC (outcome variable) and IPV indicators (physical, sexual, emotional). The model was adjusted for the country’s gross national income and the percentage of women with secondary or higher education. Partial eta squared (ηp2), regression coefficients, confidence intervals and p-values were calculated. Results: Data on ECC in 3-5-year-olds and IPV were available for six low-income-countries, 10 lower-middle-income-countries and four upper-middle-income-countries. The most prevalent form of IPV was physical violence (10.09%). The Democratic Republic of Congo had the highest prevalence of physical violence (45.8%), sexual violence (25.4%), and ECC (80.0%). The strongest association was between the prevalence of ECC and emotional violence (ηp2=0.01), followed by physical violence (ηp2=0.005), and sexual violence (ηp2=0.003). For every 1% higher prevalence of emotional violence, there was 0.28% higher prevalence of ECC, and for every 1% higher percentage of physical violence, there was 0.21% higher prevalence of ECC. On the contrary, for every 1% higher prevalence of sexual violence, there was 0.35% lower prevalence of ECC prevalence. Conclusions: The association between IPV and the prevalence of ECC in 3-5-year-olds is minor, with the strongest direct association effect being with emotional violence; and there was an inverse association between sexual violence and the prevalence of ECC. These findings need to be studied further.


2020 ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Mary Obiyan ◽  
Maha El Tantawi ◽  
Arthur Kemoli ◽  
Ola B. Al-Batayneh ◽  
...  

Abstract Background: To determine the relationship between country level prevalence of interpersonal violence (IPV) and the prevalence of early childhood caries (ECC) in children aged 3-5-year-olds. Method: This was an ecological study using extracted IPV (physical, sexual and emotional) and ECC data for 3-5-year-olds in 20 low- and middle-income countries for the period 2007-2017. Linear regression analysis was used to assess the relationship between the percentage of 3-5-year-old children with ECC (outcome variable) and the four IPV indicators (physical, sexual, emotional and a combination of the three). The model was adjusted for the country’s Gross National Income GNI. Partial eta squared (as measure of effect size), regression coefficients, confidence intervals and p values were calculated. Results: The strongest association was between ECC prevalence and exposure to physical violence (partial eta squared= 0.01), followed by exposure to sexual violence (partial eta squared= 0.005), and exposure to all types of IPV combined (partial eta squared= 0.001). Exposure to emotional violence had the weakest association with ECC (partial eta squared < 0.0001). For 1% higher percentage of women reporting exposure to physical violence and percentage of women reporting all types of IPV combined, there was a 0.18% higher prevalence of ECC. For 1% higher prevalence of sexual violence, there was 0.22% higher ECC prevalence. For 1% higher prevalence of emotional violence, there was 0.04% higher ECC prevalence. Conclusions: Countries with high prevalence of IPV will likely also have high prevalence of ECC. This needs further studies.


2021 ◽  
pp. 107780122098593
Author(s):  
Brittany Patafio ◽  
Peter Miller ◽  
Arlene Walker ◽  
Kerri Coomber ◽  
Ashlee Curtis ◽  
...  

This study explores two approaches to measuring coercive controlling behaviors (CCBs)—counting how many different CCB types and examining the frequency of each CCB experienced—to examine their utility in explaining the relationship between CCBs and physical intimate partner violence (IPV). Australian women aged 18–68 years ( n = 739; Mage = 31.58, SDage = 11.76) completed an online survey. Count and frequency CCB approaches yielded similar significant associations with increased physical IPV. Both approaches suggest that frightening behaviors in particular are significantly indicative of also experiencing physical IPV; however, when you count CCB types, public name-calling becomes important, whereas when you examine the frequency of each CCB type, jealousy/possessiveness becomes important. These findings suggest differential utility between measures of CCBs, which examine the frequency of specific CCB types and which count CCB types, and that both approaches are useful in understanding how coercion and control relate to physical violence within intimate relationships.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Papadakaki ◽  
F Zioti ◽  
Z N Karadimitriou ◽  
M Papadopoulou

Abstract Background The study aimed at measuring the prevalence and identifying the risk factors of intimate partner violence in individuals from the LGBT community. Methods A total of 180 individuals participated in the study, both male and female, aged 18-60 years, living in the broader area of Athens, Greece. Snowball sampling was applied to identify eligible individuals and social media were employed to recruit them. The questionnaire explored the violence victimization and perpetration in their relationships, the preferred reaction to various forms of violence and the role of childhood victimization in adulthood experiences of violence. Results 72.8% were homosexual, 26.7% bisexual, 81.7 % were women with a mean age of 25.2 years (6.0 standard deviation). A total of 67.2% were subjected to verbal abuse before the age of 16, 49.4% to physical violence, 6.7% to sexual violence and 46.7% were neglected. The prevalence of violence victimization was higher than the prevalence of violence perpetration (mean 9.81 and 5.92 respectively). Psychological violence was the most common among other forms of violence, both in victimization (psychological 7.34, physical 1.66, sexual 0.81) and perpetration (psychological 4.48, physical 1.26, sexual 0.18). In hypothetical scenarios of psychological violence, the majority of participants preferred separation and discussion about boundaries as strategies to deal with the situation (56.1 and 45.0 respectively), in scenarios of physical violence they primarily preferred separation and secondarily asking a professional advice (73.3 and 20.6, respectively) and in sexual violence they primarily preferred a discussion about boundaries and secondarily separation (69.4% and 31.7% respectively). Experiences of childhood victimization (p=.006), and female gender (p=.002), were found to be associated at a statistically significant level with violent victimization in adulthood. Conclusions Further research is necessary to identify groups at risk of victimization. Key messages Preventive efforts need to take into account individual sociodemographic and attitudinal characteristics that increase the risk of victimization. Experiences of victimization during childhood are highly associated with victimization in adulthood.


2021 ◽  
pp. 088626052110219
Author(s):  
Moses Okumu ◽  
Evalyne Orwenyo ◽  
Thabani Nyoni ◽  
Cecilia Mengo ◽  
Jordan J. Steiner ◽  
...  

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.


2021 ◽  
Author(s):  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit ◽  
Clinton S. Tang ◽  
J. Ringgo Montaus ◽  
Edward Joshua M. Nuguid ◽  
...  

Abstract Background: The Philippines is one of the few countries in the world where incidence of both HIV and intimate partner violence (IPV) continue to rise. There is conflicting evidence on the association between intimate partner violence (IPV) with HIV testing however, and such an analysis involving Filipino respondents has not been carried out before. Our paper thus aims to study the relationship between IPV and HIV testing. As a secondary objective, we aim to assess the effect of confiding their IPV experiences to other people on HIV testing. Methods: We used data from the 2017 Philippine National Demographic and Health Survey, only including participants on its domestic violence module. We used logistic regression methods for survey data to study the associations of interest. Results: Out of 17,968 respondents, around 16% of respondents reported experiencing any form of IPV, 13% reported experiencing emotional violence, 7% reported experiencing physical violence, and 3% reported experiencing sexual violence, with even a smaller percentage confiding their experience to other people. After adjusting for confounders, those who have experienced emotional violence have a higher odds of HIV testing as compared to those who have never experienced emotional violence. The odds of HIV testing are lower among those who have experienced any form of violence, physical violence, and sexual violence as compared to respondents who have not experienced any form of violence or these specific types of violence. More worryingly, the odds of HIV testing among victims of these types of IPV and have confided with other people are lower than those who have never been a victim of IPV or those who have not confided being a victim of IPV. None of the associations of interest have a statistically significant result. Conclusions: Our results suggest that there is a need to further improve access to HIV testing services among victims of IPV by making tests for HIV and other STIs part of the standard of care for IPV victims. By doing so, we can meet the ‘first 90’ of the 90-90-90 UNAIDS targets.


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