Examining Associations Between Multiple Types of IPV and Adverse Mental Health Among IPV Survivors

Jiwatram-Negrón, Tina; Cheng, Shih‐Ying; Wachter, Karin; Mazzio, Andrea Kappas; Ward, Malorie; Reed, Lauren A.; Messing, Jill T.

doi:10.1007/s10896-022-00472-9

Cited by 4 publications

(1 citation statement)

References 71 publications

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“…The most common type of violence is intimate partner violence (IPV), which is reported by 30% of women who have been in a relationship [4]. The mental and physical health implications and human rights abuse on IPV survivors is alarming [1,5].…”

Section: Introductionmentioning

confidence: 99%

Association between the survey-based women’s empowerment index (SWPER) and intimate partner violence in sub-Saharan Africa

Donkoh,

Aboagye,

Okyere

et al. 2024

Reprod Health

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Background Intimate partner violence (IPV) is high among women of reproductive age in sub-Saharan Africa (SSA). However, empowering women enables them to confront and mitigate IPV. In this study, we examined the association between the survey-based women's empowerment index (SWPER) and IPV in SSA. Methods We used data from the Demographic and Health Surveys of 19 countries conducted from 2015 to 2021. Our study was restricted to a weighted sample of 82,203 women of reproductive age who were married or cohabiting. We used spatial maps to show the proportions of women who experienced past-year IPV. A five-modelled multilevel binary logistic regression analysis was adopted to examine the association between SWPER and IPV. The results were presented using the adjusted odds ratio (AOR) with their respective 95% confidence interval (CI). Statistical significance was set at p < 0.05. Results With physical and emotional violence, the country with the highest prevalence was Sierra Leone, with a prevalence of 39.00% and 38.97% respectively. Rwanda (10.34%), Zambia (11.09%), Malawi (15.00%), Uganda (16.88%), and Burundi (20.32%) were the hotspot countries for sexual violence. Angola (34.54%), Uganda (41.55%), Liberia (47.94%), and Sierra Leone (59.98%) were the hotspot countries for IPV. A high SWPER score in attitudes to violence significantly decreased the odds of IPV [AOR = 0.70; 95% CI = 0.66, 0.75]. Also, women with medium score in decision-making were less likely to experience IPV compared to those with lower scores [AOR = 0.89; 95% CI = 0.83, 0.95]. However, higher odds of experiencing IPV was found among women with medium score in autonomy compared to those with low scores [AOR = 1.07; 95% CI = 1.01, 1.14]. Conclusions Our study has shown that the three dimensions of SWPER significantly predict IPV among women. Consequently, it is crucial that sub-Saharan African countries implement various initiatives, such as IPV advocacy programs and economic livelihood empowerment initiatives. These initiatives should not only aim to improve women's attitudes to domestic violence but also to enhance their social independence, autonomy, and decision-making capacity.

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Section: Introductionmentioning

confidence: 99%

Association between the survey-based women’s empowerment index (SWPER) and intimate partner violence in sub-Saharan Africa

Donkoh,

Aboagye,

Okyere

et al. 2024

Reprod Health

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A Syndemic Approach to Gender-Based Violence and Its Applications to Social Work Research and Practice

Jiwatram-Negrón,

Michalopoulos

2023

Social Work

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Trajectories to Suicide Following Intimate Partner Violence Victimization: Using Structural Equation Modelling to Examine Suicide and PTSD in Female Emergency Department Users

Rasmussen,

Spangaro,

Steel

et al. 2023

J Fam Viol

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Purpose Intimate partner violence (IPV) is known to increase the risk of suicidal thoughts and behaviors. Despite the urgent need to increase women’s safety and wellbeing, trajectories to suicide are not well understood and few studies have tested potentially important mediators, such as post-traumatic stress disorder (PTSD), that could help to improve risk stratification and clinical responses. Methods This study used baseline data from a prospective cohort study (2019–2020) to examine differential effects of psychological, physical, sexual, and multiple IPV on suicidal ideation and suicide attempt and test whether pathways are mediated by PTSD. Simple random sampling – online/in-person in Australian emergency departments (EDs) – was used to survey consenting women with a recent suicide-related ED presentation. Structural equation modelling was used to test the pathways between recent and lifetime IPV, PTSD, and suicidal ideation and attempt. Results Of the 1,715 women (M = 30.24, SD = 11.91 years) who participated, 1,012 (59%) reported lifetime IPV exposure, with 608 (35%) reporting recent victimization (< 18 months). Presence of PTSD wholly mediated the effects of psychological, physical, and sexual IPV on ideation (p < .05). Multiple IPV was unique in its direct effects on ideation and attempt and these pathways were most consistent for recent IPV, compared with lifetime exposure (p < .05). Conclusions Pathway analysis identified two high-risk patient-populations: Women with recent multiple IPV and those with a diagnosis of PTSD following lifetime IPV exposure. Findings can be used to improve risk prediction and clinical intervention for patients living with mortality risk from partner- and self-directed violence.

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Examining Associations Between Multiple Types of IPV and Adverse Mental Health Among IPV Survivors

Cited by 4 publications

References 71 publications

Association between the survey-based women’s empowerment index (SWPER) and intimate partner violence in sub-Saharan Africa

Association between the survey-based women’s empowerment index (SWPER) and intimate partner violence in sub-Saharan Africa

A Syndemic Approach to Gender-Based Violence and Its Applications to Social Work Research and Practice

Trajectories to Suicide Following Intimate Partner Violence Victimization: Using Structural Equation Modelling to Examine Suicide and PTSD in Female Emergency Department Users

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