Incidence and risk factors for intimate partner violence during the postpartum period

OBJECTIVE To estimate the incidence and identify risk factors for intimate partner violence during postpartum. METHODS This prospective cohort study was conducted with women, aged between 18-49 years, enrolled in the Brazilian Family Health Strategy in Recife, Northeastern Brazil, between 2005 and 2006. Of the 1.057 women interviewed during pregnancy and postpartum, 539 women, who did not report violence before or during pregnancy, were evaluated. A theoretical-conceptual framework was built with three levels of factors hierarchically ordered: women’s and partners’ sociodemografic and behavioral characteristics, and relationship dynamics. Incidence and risk factors of intimate partner violence were estimated by Poisson Regression. RESULTS The incidence of violence during postpartum was 9.3% (95%CI 7.0;12.0). Isolated psychological violence was the most common (4.3%; 95%CI 2.8;6.4). The overlapping of psychological with physical violence occurred at 3.3% (95%CI 2.0;5.3) and with physical and/or sexual in almost 2.0% (95%CI 0.8;3.0) of cases. The risk of partner violence during postpartum was increased for women with a low level of education (RR = 2.6; 95%CI 1.3;5.4), without own income (RR = 1.7; 95%CI 1.0;2.9) and those who perpetrated physical violence against their partner without being assaulted first (RR = 2.0; 95%CI 1.2;3.4), had a very controlling partner (RR = 2.5; 95%CI 1.1;5.8), and had frequent fights with their partner (RR = 1.7; 95%CI 1.0;2.9). CONCLUSIONS The high incidence of intimate partner violence during postpartum and its association with aspects of the relationship’s quality between the couple, demonstrated the need for public policies that promote conflict mediation and enable forms of empowerment for women to address the cycle of violence.

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Intimate Partner Violence and Depression in Women in China

Journal of Interpersonal Violence ◽

10.1177/0886260519888538 ◽

2019 ◽

pp. 088626051988853 ◽

Cited By ~ 1

Author(s):

Weiman Yuan ◽

Therese Hesketh

Keyword(s):

Risk Factors ◽

Intimate Partner Violence ◽

Sexual Violence ◽

Partner Violence ◽

Physical Violence ◽

Occupational Status ◽

Depression Scale ◽

Intimate Partner ◽

Psychological Violence ◽

Cross Sectional

Intimate partner violence (IPV) is recognized as a major public health and social problem globally, with consequences for the individual, family, and society. But there is relatively little research on IPV in China. The aim of this study was to estimate the prevalence of different types of violence among women and to determine the risk factors and the association with depression. A cross-sectional study among women who had ever been in a relationship was conducted in six provinces across the three regions of China from July to September 2018 using a self-completion questionnaire developed for the study. The provincial capital and one rural county were purposively selected in each province. Questionnaires were distributed in hospitals and public places. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to measure depression. Data for 2,987 women were analyzed. The prevalence of psychological, physical, and sexual violence was 77.7%, 40.2%, and 11%, respectively: 52% had experienced two or three types of violence in their life. After adjustment, risk factors for all-type IPV were low occupational status, having one child or more, living in western provinces, having an income lower than partner’s, and economic pressure. The prevalence of depression was 65.8% in women who experienced psychological violence, 69.5% for physical violence, and 75.8% for sexual violence. For psychological, physical, and sexual violence, the odds ratio for depression were 2.57 (95% confidence interval [CI] = [2.15, 3.07]), 2.07 [1.76, 2.43], and 2.26 [1.73, 2.95], respectively, after controlling for age, occupation, education attainment, and residence. There is a clear need to raise awareness about IPV and to develop approaches for prevention and management. The new Domestic Violence Law represents a step in the right direction.

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Exploring the experience of intimate partner violence in the LGBT community

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.799 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Papadakaki ◽

F Zioti ◽

Z N Karadimitriou ◽

M Papadopoulou

Keyword(s):

Intimate Partner Violence ◽

Sexual Violence ◽

Partner Violence ◽

Physical Violence ◽

Intimate Partner ◽

Childhood Victimization ◽

Psychological Violence ◽

Violence Victimization ◽

Lgbt Community ◽

Forms Of Violence

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.

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Mental Health and Social Function Among Women Subjected to Intimate Partner Violence: A Cross-Sectional Study

ACTA MEDICA IRANICA ◽

10.18502/acta.v57i9.2638 ◽

2020 ◽

Author(s):

Leila Amini ◽

Maryam Heidary ◽

Hamidreza Daneshparvar ◽

Homa Sadeghi Avval Shahr ◽

Abbas Mehran ◽

...

Keyword(s):

Mental Health ◽

Intimate Partner Violence ◽

Partner Violence ◽

Physical Violence ◽

Social Function ◽

Intimate Partner ◽

Depression Symptoms ◽

Psychological Violence ◽

Cross Sectional ◽

Verbal Violence

Intimate partner violence is a serious public health problem in all societies that affects all aspects of the victim’s health, especially mental health. The present study aimed to determine the relationship between intimate partner violence and mental health among Iranian women who referred to the Forensic Medicine Center in Tehran. This cross-sectional study was done on 196 married women who referred to the south center of Forensic Medicine in Tehran. Data were collected in 2013 by using three questionnaires: a demographic questionnaire, CTS-2, and GHQ-28. Data analyzed by using SPSS-14 software. The age of participants was 29.9±6.3 years (range 18-57 years). Most women were housekeepers (73%) with moderate economic status (48.5%). Physical violence had the highest mean score (37.29±16.80); and after that, highest mean scores are related to Psychological violence 29.37±7.01, verbal violence 14.83±8.15, Physical violence leading to injury 14.47±6.85, and sexual violence 8.38±7.36, respectively. Verbal violence didn’t show any relation with all subscales of mental health. The somatic and anxiety symptoms were significantly correlated to total, and all violence subscales score (P<0.001). Also, social function was correlated to total violence score (P=0.032), Sexual (P=0.002), and psychological violence (P=0.025). Depression symptoms were correlated to total violence score (P<0.001), physical leading to damage violence (P<0.001), Sexual violence (P<0.001), Psychological violence (P=0.002), and physical violence (P<0.001). Our results showed IPV is related to the mental health of battered women, but verbal violence didn’t show any statistical relationship with somatic, anxiety, and depression symptoms and social function.

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Profile of intimate partner violence in Family Health Units

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0007 ◽

2017 ◽

Vol 70 (6) ◽

pp. 1259-1267 ◽

Cited By ~ 3

Author(s):

Ricardo de Mattos Russo Rafael ◽

Anna Tereza Miranda Soares de Moura ◽

Jeane Marques Cunha Tavares ◽

Renata Evelin Moreno Ferreira ◽

Glauce Gomes da Silva Camilo ◽

...

Keyword(s):

Intimate Partner Violence ◽

Partner Violence ◽

Family Health ◽

Intimate Partner ◽

Economic Class ◽

Health Strategy ◽

Family Health Strategy ◽

Conflict Tactics Scales ◽

Conflict Tactics ◽

Revised Conflict Tactics Scales

ABSTRACT Objective: To estimate the profile of intimate partner violence involving women in a scenario of Family Health Strategy in the municipality of Nova Iguaçu (Rio de Janeiro). Method: A transversal study was conducted in four units with a sample of 640 women between the ages of 25 to 64. The phenomena of violence was determined using the tool Revised Conflict Tactics Scales, validated for Brazil. Statistical analysis took into consideration an estimation of prevalence in the calculation of the p values. Results: The situations of violence and the sociodemographic profiles demonstrated a statistically significant relationship with the variables of educational level and housing conditions. Age, ethnicity and economic class demonstrated an association with certain types of violence, varying in type and severity. Conclusion: The study investigated the profile of these situations of violence and enabled reflection regarding the approaches adopted by the Family Health Strategy teams.

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Intimate Partner Violence Against Pregnant Women: Study About The Repercussions On The Obstetric And Neonatal Results

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000200002 ◽

2014 ◽

Vol 48 (2) ◽

pp. 206-212 ◽

Cited By ~ 10

Author(s):

Driéli Pacheco Rodrigues ◽

Flávia Azevedo Gomes-Sponholz ◽

Juliana Stefanelo ◽

Ana Márcia Spanó Nakano ◽

Juliana Cristina dos Santos Monteiro

Keyword(s):

Intimate Partner Violence ◽

Pregnant Women ◽

Partner Violence ◽

Physical Violence ◽

Structured Interview ◽

Maternity Hospital ◽

Intimate Partner ◽

Psychological Violence ◽

Hospital Data ◽

Study Participants

This observational, descriptive and analytic study aimed to identify the prevalence of IPV cases among pregnant women and classify them according to the type and frequency; identify the obstetric and neonatal results and their associations with the intimate partner violence (IPV) occurrence in the current pregnancy. It was developed with 232 pregnant women who had prenatal care at a public maternity hospital. Data were collected via structured interview and in the patients’ charts and analyzed through the statistic software SAS® 9.0. Among the participants, 15.5% suffered IPV during pregnancy, among that 14.7% suffered psychological violence, 5.2% physical violence and 0.4% sexual violence. Women who did not desire the pregnancy had more chances of suffering IPV (p<0.00; OR=4.32 and 95% CI [1.77 – 10.54]). With regards to the obstetric and neonatal repercussions, there was no statistical association between the variables investigated. Thus, for the study participants there were no negative obstetric and neonatal repercussions related to IPV during pregnancy.

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Previous experience of family violence and intimate partner violence in pregnancy

Revista de Saúde Pública ◽

10.11606/s1518-8787.2017051006700 ◽

2017 ◽

Vol 51 ◽

Cited By ~ 1

Author(s):

Ana Bernarda Ludermir ◽

Thália Velho Barreto de Araújo ◽

Sandra Alves Valongueiro ◽

Maria Luísa Corrêa Muniz ◽

Elisabete Pereira Silva

Keyword(s):

Risk Factors ◽

Intimate Partner Violence ◽

Sexual Violence ◽

Partner Violence ◽

Family Of Origin ◽

Physical Violence ◽

Intimate Partner ◽

The Family ◽

Violence During Pregnancy ◽

In Pregnancy

OBJECTIVE To estimate differential associations between the exposure to violence in the family of origin and victimization and perpetration of intimate partner violence in pregnancy. METHODS A nested case-control study was carried out within a cohort study with 1,120 pregnant women aged 18–49 years old, who were registered in the Family Health Strategy of the city of Recife, State of Pernambuco, Brazil, between 2005 and 2006. The cases were the 233 women who reported intimate partner violence in pregnancy and the controls were the 499 women who did not report it. Partner violence in pregnancy and previous experiences of violence committed by parents or other family members were assessed with a standardized questionnaire. Multivariate logistic regression analyses were modeled to identify differential associations between the exposure to violence in the family of origin and victimization and perpetration of intimate partner violence in pregnancy. RESULTS Having seen the mother suffer intimate partner violence was associated with physical violence in childhood (OR = 2.62; 95%CI 1.89–3.63) and in adolescence (OR = 1.47; 95%CI 1.01–2.13), sexual violence in childhood (OR = 3.28; 95%CI 1.68–6.38) and intimate partner violence during pregnancy (OR = 1.47; 95% CI 1.01 – 2.12). The intimate partner violence during pregnancy was frequent in women who reported more episodes of physical violence in childhood (OR = 2.08; 95%CI 1.43–3.02) and adolescence (OR = 1.63; 95%CI 1.07–2.47), who suffered sexual violence in childhood (OR = 3.92; 95%CI 1.86–8.27), and who perpetrated violence against the partner (OR = 8.67; 95%CI 4.57–16.45). CONCLUSIONS Experiences of violence committed by parents or other family members emerge as strong risk factors for intimate partner violence in pregnancy. Identifying and understanding protective and risk factors for the emergence of intimate partner violence in pregnancy and its maintenance may help policymakers and health service managers to develop intervention strategies.

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The magnitude of intimate partner violence during pregnancy in Eldoret, Kenya: exigency for policy action

Health Policy and Planning ◽

10.1093/heapol/czaa103 ◽

2020 ◽

Vol 35 (Supplement_1) ◽

pp. i7-i18

Author(s):

Loice Luhumyo ◽

Emily Mwaliko ◽

Philliph Tonui ◽

Amos Getanda ◽

Katrina Hann

Keyword(s):

Risk Factors ◽

At Risk ◽

Intimate Partner Violence ◽

Sexual Violence ◽

Partner Violence ◽

Intimate Partner ◽

Previous Experience ◽

Systematic Sampling ◽

Psychological Violence ◽

Western Kenya

Abstract Intimate partner violence (IPV) is sexual, psychological and physical coercive acts used against persons by intimate partners. When IPV occurs during pregnancy (IPVp), it can result in adverse maternal and pregnancy outcomes. No policy nor practice direction exists to address the rates and risk factors of IPVp in Kenya. Determining the prevalence, types and determinants of IPVp in Western Kenya would aid in the identification of pregnant women affected by and/or at risk of IPVp, as well as informing the development of policy, practices and programmes to support preventive interventions. In this cross-sectional study of 369 women who had given birth at Moi Teaching and Referral Hospital, participants were recruited using systematic sampling and data collected via structured questionnaires adopted from the WHO Violence Against Women Instrument. Associations were made in relation to physical or sexual violence and psychological violence. Logistic regression was used to assess the association between determinants and occurrence of IPVp. The overall prevalence of IPVp was 34.1%. Prevalence of physical or sexual violence was 22.8%. Psychological violence emerged as the most common (27.4%) form of IPVp. A lower than tertiary level of education and previous experience of IPV were individually associated with physical/sexual IPVp, whereas psychological IPVp was associated with previous experience of IPV and was prevented by the intimate partner having formal employment. Preterm birth rates were found to be higher than the country’s rates. The prevalence rates of IPVp are high in Western Kenya. Strategies that address the promotion of respectful, nonviolent relationships and that interrupt the development of risk factors are required. Policies (clinical guidelines) targeting prevention of IPVp and screening and the identification of at-risk women and survivors of IPVp are needed urgently. Primary prevention through interrupting the occurrence of predisposing factors is key in addressing IPVp.

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Low use of Modern Family Planning Methods in women suffering from Physical and Psychological abuse by their partiners: Findings from Cross-Sectional Study

10.21203/rs.3.rs-150736/v1 ◽

2021 ◽

Author(s):

Mrimi Simion Baritwa ◽

Angelina Alphonce Joho

Keyword(s):

Intimate Partner Violence ◽

Family Planning ◽

Partner Violence ◽

Physical Violence ◽

Intimate Partner ◽

Married Women ◽

Psychological Violence ◽

Cross Sectional ◽

Modern Family ◽

Modern Family Planning

Abstract Background: Married women who experience intimate partner violence are less likely to negotiate with their partners on modern family planning use. This study aimed to assess the influence of intimate partner violence on modern family planning use among married women in Mara region.Methods: A community based analytical cross-sectional study which included 366 married women in Mara from May to July 2019. Seven multistage sampling techniques were employed to select the sample size. A structured questionnaire was used to collect data which were analyzed using SPSS version 20. Binary logistic regression model was applied to determine the predictors of modern family planning use. P-value less than 0.05 was considered significant.Results: The overall prevalence of intimate partner violence (IPV) was 73% with 54.1% physical violence, 36.3% psychological violence and 25.4%, sexual violence. The prevalence of modern family planning (FP) use was 62%, the most common method practiced by married women was injection (depo Provera) (49.1%). Factors associated with FP use were physical violence (AOR = 0.32, p = 0.0056), psychological violence (AOR = 0.22, p = 0.0022), religious (AOR = 4.6, p = 0.0085) and availability of preferred FP methods (AOR = 9.27, p<0.0001).Conclusion: This study shows a positive association between FP use and IPV. Effective intervention is required to increase modern family plan use and reducing intimate partner violence.

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Association of Intimate Partner Violence and Other Risk Factors With HIV Infection Among Married Women in India: Evidence From National Family Health Survey 2015-16

10.21203/rs.3.rs-148406/v1 ◽

2021 ◽

Author(s):

Neha Shri ◽

Muhammad T.

Keyword(s):

Risk Factors ◽

Intimate Partner Violence ◽

Hiv Infection ◽

Partner Violence ◽

Family Health ◽

Intimate Partner ◽

Married Women ◽

Hiv Positive ◽

National Family ◽

Women In India

Abstract Background: Human immunodeficiency virus (HIV) infection remains the leading cause of morbidity and mortality throughout the world. It is fuelled by gender inequality and disparity, which has resulted in a fundamental violation of women’s human rights. This study tries to find the association of intimate partner violence and other risk factors with the occurrence of HIV infection among married women in India.Data and Methods: This study is based on nationally representative data from the Indian National Family Health Survey (2015–16). Bivariate analysis and Multivariate analysis has been performed to determine the prevalence of HIV and Intimate Partner Violence. Logistic regression analysis is performed to find out the association of lifetime intimate partner violence and other factors with HIV infection among currently married women.Results: Married women who had faced physical, sexual, and emotional violence from their husbands/partners were almost twice more likely to have tested HIV positive compared to married women who did not suffer from violence [OR: 1.90, CI: 1.91-1.97]. The likelihood of testing for HIV positive was significantly higher among the married women whose husbands drink alcohol [OR: 2.49, CI: 1.69-3.66]. Interestingly, the use of condoms did not show any significant association with positive HIV status. Again, having more than one partner had a significant positive association with testing positive for HIV among married women [OR: 2.40, CI: 1.30-4.42].Conclusion: The findings of the study have shown that factors such as violence, having an alcoholic husband, increased number of lifetime sexual partners, having no financial autonomy, being sexually inactive for weeks, belonging to vulnerable social groups, and urban place of residence are important risk factors of HIV infection among married women in India.

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Common mental disorders and intimate partner violence in pregnancy

Revista de Saúde Pública ◽

10.1590/s0034-8910.2014048004538 ◽

2014 ◽

Vol 48 (1) ◽

pp. 29-35 ◽

Cited By ~ 13

Author(s):

Ana Bernarda Ludermir ◽

Sandra Valongueiro ◽

Thália Velho Barreto de Araújo

Keyword(s):

Intimate Partner Violence ◽

Mental Disorders ◽

Sexual Violence ◽

Partner Violence ◽

Common Mental Disorders ◽

Intimate Partner ◽

Northeastern Brazil ◽

Psychological Violence ◽

Self Reporting Questionnaire ◽

In Pregnancy

OBJECTIVE : To investigate the association between common mental disorders and intimate partner violence during pregnancy. METHODS : A cross sectional study was carried out with 1,120 pregnant women aged 18-49 years old, who were registered in the Family Health Program in the city of Recife, Northeastern Brazil, between 2005 and 2006. Common mental disorders were assessed using the Self-Reporting Questionnaire (SRQ-20). Intimate partner violence was defined as psychologically, physically and sexually abusive acts committed against women by their partners. Crude and adjusted odds ratios were estimated for the association studied utilizing logistic regression analysis. RESULTS : The most common form of partner violence was psychological. The prevalence of common mental disorders was 71.0% among women who reported all form of violence in pregnancy and 33.8% among those who did not report intimate partner violence. Common mental disorders were associated with psychological violence (OR 2.49, 95%CI 1.8;3.5), even without physical or sexual violence. When psychological violence was combined with physical or sexual violence, the risk of common mental disorders was even higher (OR 3.45; 95%CI 2.3;5.2). CONCLUSIONS : Being assaulted by someone with whom you are emotionally involved can trigger feelings of helplessness, low self-esteem and depression. The pregnancy probably increased women`s vulnerability to common mental disorders

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