Exposure to intimate partner violence and malnutrition among young adult Bangladeshi women: cross-sectional study of a nationally representative sample

Ferdos, Jannatul; Rahman, Mosiur

doi:10.1590/0102-311x00113916

Cited by 16 publications

(21 citation statements)

References 25 publications

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“…The association found between physical violence and a decreased risk of overweight/obesity was consistent with the results of a cross-sectional population based study in Brazil which suggested that physical IPV was negatively associated with BMI [21]. On the other hand, some studies have found physical and non-physical IPV increased the risk of overweight/obesity of women [22][23][24]. These divergent global findings suggest a need for further research.…”

Section: Discussionsupporting

confidence: 84%

Intimate partner violence and nutritional status among nepalese women: an investigation of associations

Adhikari

Yogi

Acharya³

et al. 2020

BMC Women's Health

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Background: Malnutrition among women in Nepal persists as a major public health burden. Global literature suggests that domestic violence may have a negative impact on women's nutritional status. The contribution of intimate partner violence (IPV) to increased stress levels, poor self-care including the consumption of less food and, in turn, malnutrition has been documented. However, there is little empirical evidence on IPV and its relationship with women's nutritional status in Nepal and thus, this paper assesses these associations. Methods: We used data on non-pregnant married women (n = 3293) from the 2016 Nepal Demographic and Health Survey (NDHS). The primary exposure variable was whether the women had ever experienced physical, sexual, or emotional violence or controlling behaviours by a current or former partner, based on her responses to the NDHS domestic violence questions. The primary outcome variables were three indicators of malnutrition: underweight (BMI < 18.5), overweight (BMI > 25), and anemia (Hb < 11.0 g dL). We used logistic and multinomial regression models, adjusted for potential socio-demographic and economic confounders, as well as clustering, to examine associations between IPV exposure and malnutrition. Results: Approximately 44% of women had experienced at least one of the four types of IPV. Among them, around 16, 25%. and 44% were underweight, overweight, or anemic, respectively, compared to 13, 29, and 35% of women never exposed to IPV. We did not find any associations between underweight and any of the four types of IPV. Overweight was associated with physical violence (adjusted RRR = 0.67, P < 0.01, CI = 0.50-0.88) and severe physical violence (adjusted RRR = 0.53, P < 0.05, CI = 0.32-0.88) Controlling behaviors were associated with anemia (adjusted RRR = 1.31, P < 0.01, CI = 1.11-1.54). Conclusions: Among married Nepalese women, physical violence appears to be a risk factor for one's weight and controlling behaviors for one's anemia status. Additional, rigorous, mixed-methods research is needed to understand the reporting of IPV and what relationships do or do not exist between IPV experience and nutrition both in Nepal and in other settings.

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Section: Discussionsupporting

confidence: 84%

Intimate partner violence and nutritional status among nepalese women: an investigation of associations

Adhikari

Yogi

Acharya³

et al. 2020

BMC Women's Health

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“…Surprisingly, we did not nd any signi cant association between IPV and underweight, relative to normal weight. While this nding is consistent with some studies [74,85], others suggest that exposure to IPV increases the odds of being underweight [85,86]. These inconsistent ndings may be attributed to study population, demographic and socioeconomic contexts [18,26,85].…”

Section: Dicussionsupporting

confidence: 86%

“…While this nding is consistent with some studies [74,85], others suggest that exposure to IPV increases the odds of being underweight [85,86]. These inconsistent ndings may be attributed to study population, demographic and socioeconomic contexts [18,26,85]. Meanwhile, the positive association between IPV and underweight has been associated with dietary behaviours characterized by substance abuse, insu cient calorie intake, or reduced food intake [26].…”

Section: Dicussionsupporting

confidence: 83%

Investigating the associations between intimate partner violence and nutritional status of women in Zimbabwe

Mukamana

Machakanja

Zeeb

et al. 2020

Preprint

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Background: Intimate partner violence (IPV) against women and poor nutritional status are growing health problems in low and middle-income countries (LMICs). Moreover, violence against women has been shown to be associated with poor nutrition. This study investigated the relationship between IPV and nutritional status (i.e., underweight, overweight, and obesity) among women of reproductive age (15-49 years) in Zimbabwe. Methods: Pooled data from the 2005/2006, 2010/2011, and 2015 Zimbabwe Demographic Health Surveys (ZDHS) on 13,008 married/cohabiting women were analysed. Multinomial logistic regression models were used to examine the associations between the various forms of IPV and the nutritional status of women. We further estimated the prevalence of BMI ≥ 25.0 kg/m2 (overweight and obesity) by intimate partner violence type.Results: The mean BMI of women was 24.3 kg/m2, more than one-fifth (24%) were overweight and about 12% were obese. Forty-three percent (43%) of women reported to have ever experienced at least one form of intimate partner violence. More than one-third (35%) of women who reported to have ever experienced at least one form of intimate partner violence had a BMI ≥ 25.0 kg/m2 (p< 0.01). Relative to normal weight, women who had ever experienced at least one form of IPV (i.e., physical, emotional, or sexual) were more likely to be obese (aOR = 2.59; 95% CI = 1.05–6.39). Women’s exposure to any form of intimate partner violence was not significantly associated with the likelihood of being underweight or overweight relative to normal weight.Conclusions: The study findings showed that women of reproductive age in Zimbabwe are at high risk of both IPV and excess weight. Moreover, we found a positive relationship between IPV and obesity. Public health interventions that target the well-being, empowerment, and development of women are needed to address the complex issue of IPV and adverse health outcomes, including obesity.

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“…Consistent with previous studies in India [11,18], this study found an association between lifetime spousal violence victimization and being underweight. Possible explanations for the relationship between spousal violence victimization and nutritional deficiencies may include the withholding of food and a mediating effect of psychological distress that could trigger weight loss [33,34]. While previous studies in western countries and in Saudi Arabia [19,20,21,22] found that having experienced intimate partner violence among women increased the odds for obesity, this study found that lifetime spousal physical and/or sexual violence victimization among women decreased the odds of being overweight or obese.…”

Section: Discussionmentioning

confidence: 99%

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

Pengpid

Peltzer

2018

IJERPH

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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.

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Exposure to intimate partner violence and malnutrition among young adult Bangladeshi women: cross-sectional study of a nationally representative sample

Cited by 16 publications

References 25 publications

Intimate partner violence and nutritional status among nepalese women: an investigation of associations

Intimate partner violence and nutritional status among nepalese women: an investigation of associations

Investigating the associations between intimate partner violence and nutritional status of women in Zimbabwe

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

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