scholarly journals Intimate partner violence: A key correlate of women’s physical and mental health in informal settlements in Nairobi, Kenya

2020 ◽  
Author(s):  
Samantha Winter ◽  
Lena Moraa Obara ◽  
Sarah McMahon

Globally, one billion people live in informal settlements, and that number is expected to triple by 2050. Studies suggests that health in informal settlements is a serious and growing concern, yet there is a paucity of research focused on health outcomes and the correlates of health in these settlements. Studies cite individual, environmental and social correlates to health in informal settlements, but they often lack empirical evidence. In particular, research suggests that high rates of violence against women (VAW) in informal settlements may be associated with detrimental effects on women’s health, but few studies have investigated this link. The purpose of this study was to fill this gap by empirically exploring associations between women’s experiences of intimate partner violence (IPV) and their physical and mental health. Data for this study were collected in August 2018 in Mathare Valley Informal Settlement in Nairobi, Kenya. A total of 550 randomly-selected women participated in surveys; however, analyses for this study were run on a subpopulation of the women (n=361). Multivariate logistic regressions were used to investigate the link between psychological, sexual, and emotional IPV and women’s mental and physical health. Results suggest that while some socioeconomic, demographic, and environmental variables were significantly associated with women’s mental and physical health outcomes, all types of IPV emerged key correlates in this context. In particular, women’s experiences of IPV were associated with lower odds of normal-high physical health component scores (based on SF-36); higher odds of gynecological and reproductive health issues, psychological distress (based on K-10), depression, suicidality, and substance use. Findings from this study suggest that policies and interventions focused on prevention and response to VAW in informal settlements may make critical contributions to improving health for women in these rapidly growing settlements.

2021 ◽  
Author(s):  
Cindy Veldhuis

Little research has investigated coercive tactics in intimate partner violence, and even less has examined coercive tactics among LGBTQIA+ relationships despite their higher rates of intimate partner violence. Abusers may consciously exploit these tactics to ensure dependence and enable continued abuse. To demonstrate this, I use research on abusers’ controlling and coercive tactics and delineate the predictable effects on victims such as lowering their awareness of the violence, decreasing the likelihood of disclosure, and locating blame for the abuse in the victim. In doing so, I also marshal the limited research on coercive tactics in LGBTQIA+ relationships to broaden understanding of coercive tactics in relationships outside of solely heterosexual couples. Abusive relationships in which coercive tactics are used to establish and maintain control may lead to worse mental and physical health outcomes for the victim and may be more violent than bi-directional violence and other forms of intimate partner violence. These dynamics may have unique and pernicious effects on LGBTQIA+ couples. Understanding the patterns of coercive behaviors may help abused partners decrease self-blame and understand the broader context in which they and their abuser are situated which is vital to better understand the dynamics of violence and to end violence.


2021 ◽  
pp. 1-9
Author(s):  
Tanja Pate ◽  
Barbara Simonič

Numerous findings in scientific literature consistently show the association of intimate partner violence (IPV) and domestic abuse with the risk for and incidence of a series of different physical health conditions and problems. Studies have shown the association of IPV and overall health and wellbeing especially in women. The purpose of the paper is therefore to present an overview of the research in the field of IPV and women’s mental and physical health. Both quantitative and qualitative research studies published from 2012 to 2018 were included in the review. The results show that IPV is associated with several mental health problems in women, such as depression, anxiety and post-traumatic stress disorder, as well as with women’s worse physical health, chronic pain, substance abuse, gynaecological, cardiovascular and gastrointestinal problems and behavioural syndromes associated with physiological disturbances and physical factors. The article reviews current studies and confirms that the experience of IPV in women has long-term consequences for their physical and mental health.


2021 ◽  
pp. 152483802098554
Author(s):  
Anita Stubbs ◽  
Cassandra Szoeke

Aim: The long-term effects of intimate partner violence (IPV) on physical health outcomes and health-related behaviors are underresearched in comparison to the effects on mental health and pregnancy. This systematic review examines the recent research in this area from 2012 through 2019. Methods: SCOPUS, PubMed, EBSCOhost, and gray literature were searched using the key words “intimate partner violence” and “health.” To meet inclusion criteria, studies needed to be original research and focus on IPV during adulthood and its effects on the physical health or health-related behaviors of women. Fifty-two studies were qualitatively analyzed, with results grouped into broad categories of effects, including cardiovascular, endocrine, infectious diseases, and health screening. Results: IPV was shown to have negative effects on physical health outcomes for women, including worsening the symptoms of menopause and increasing the risk of developing diabetes, contracting sexually transmitted infections, engaging in risk-taking behaviors including the abuse of drugs and alcohol, and developing chronic diseases and pain. It also has significant effects on human immunodeficiency virus outcomes, worsening CD4+ cell depletion. Results varied regarding the effects of IPV on cardiovascular health outcomes. Conclusion: The result of this review demonstrates that women who have experienced violence and abuse are at significantly increased risk of poor health outcomes in a variety of areas and so require specialized and tailored primary care. This review highlights significant gaps in this field of research, particularly in relation to cardiovascular disease, endocrine dysfunction, and neurological symptoms and conditions. It demonstrates a need for additional long-term studies in this field to better inform the health care of women who have experienced IPV and to establish the physiological mediators of these outcomes.


2021 ◽  
pp. 088626052110435
Author(s):  
Katherine E. Marçal

The present study investigated pathways from childhood exposure to mothers’ intimate partner violence (IPV) to adolescent depression and anxiety. Further, the study examined whether housing insecurity mediated the link from IPV exposure to mental health outcomes. Data came from the Years 5, 9 and 15 interviews of the Fragile Families and Child Well-being Study; the analytic sample was limited to mothers with at least partial custody of children ( N = 2,425). Structural equation modeling with latent variables investigated research questions. Confirmatory factor analysis (CFA) identified observed indicators for latent constructs, and a path analysis tested direct and indirect pathways from IPV exposure to adolescent depression and anxiety. IPV exposure at age five was associated with increased housing insecurity at age nine, which was associated with increased adolescent depression and anxiety at age 15. Although IPV exposure was not directly associated with either mental health outcome, housing insecurity mediated the link from IPV exposure to adolescent depression. Findings point to the long-term consequences of exposure to intimate partner violence in childhood, highlighting pathways to mental disorder in adolescence. The present study emphasizes the need for policies that protect survivors of IPV from eviction and homelessness, empower them to leave abusers without fear of losing their housing, and promote healthy child development in the wake of family violence.


2021 ◽  
pp. 152483802110438
Author(s):  
Miranda E. Reyes ◽  
Lauren Simpson ◽  
Tami P. Sullivan ◽  
Ateka A. Contractor ◽  
Nicole H. Weiss

Hispanic women in the United States experience disproportionate mental health impacts of intimate partner violence (IPV). Following the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews guidelines, we synthesized the existing knowledge based on IPV and mental health outcomes among Hispanic women in the United States. In May 2020, we searched five electronic databases (i.e., MEDLINE, PILOTS, PSYCInfo, PSYCArticles, and EMBASE). From the initial 1,180 results, 13 articles met inclusion criteria for this review (written in English, empirical study, focus on the experiences of victimization from an intimate partner, focus on mental health outcomes occurring in the person experiencing IPV, included women who identify as Hispanic, and included participants residing in the United States), representing 4,060 women. Findings highlighted significant positive associations between IPV ( n = 13; 4,060 women) and general mental health outcomes ( n = 4; 759 women) as well as the specific outcomes of depression ( n = 12; 2,661 women), anxiety ( n = 1; 274 women), post-traumatic stress disorder ( n = 3; 515 women), and substance misuse ( n = 2; 1,673 women) among Hispanic women in the United States. Limitations included heterogeneity across Hispanic populations and methodological differences between studies. Key avenues for future research were identified, including the need to examine mental health outcomes understudied in relation to IPV among Hispanic women (e.g., personality, obsessive-compulsive, and eating disorders) and to identify cultural and demographic factors (e.g., nativity status, level of acculturation) that may influence relations between IPV and mental health outcomes among Hispanic women. Such research can inform prevention and intervention efforts aimed at improving mental health among Hispanic women in the Untied States experiencing IPV.


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