Intimate Partner Violence Against Women with Disabilities: Implications for Disability Service System Case Management Practice

Slayter, Elspeth

doi:10.1080/10926770802675668

Cited by 28 publications

(21 citation statements)

References 23 publications

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“…Podoconiosis typically affects impoverished rural populations, which are also the populations most likely to experience intimate partner violence [30]. The social impact described here was consistent with studies that demonstrated IPV to be more common among certain demographic groups, including marginalized and disempowered women, women with lower incomes, women with disabilities [31, 32], and women who live in semi-urban or rural areas [6]. The abundant body of literature on HIV highlights that disease-associated stigma and discrimination are at the root of the IPV problem among women living with HIV [8, 10].…”

Section: Discussionsupporting

confidence: 83%

'I should not feed such a weak woman'. Intimate partner violence among women living with podoconiosis: A qualitative study in northern Ethiopia

Tsegay¹,

Deribe²,

Deyessa³

et al. 2018

PLoS ONE

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BackgroundIntimate Partner Violence (IPV) is a serious, preventable public health problem that affects millions of people worldwide. Research indicates that adults suffering from long term, disabling conditions are more likely to be victims of IPV due to the intersection of disease-associated stigma and discrimination. IPV in turn is known to worsen the overall health and wellbeing of those affected by it. Little research however explores the relationship between neglected tropical diseases such as podoconiosis and IPV. This study explores the relationship between IPV and podoconiosis in northern Ethiopia with the aim of identifying new avenues for limiting disability and promoting the wellbeing of people affected by this neglected tropical disease.MethodsThe study was conducted in East and West Gojjam zones, located in the Amhara Regional State of Ethiopia. Research participants were first screened using the domestic violence screening tool Hurt-Insult-Threaten-Scream (HITS). Data were collected by native speakers of the local language (Amharic) in the form of semi-structured interviews during January and February 2016. Thematic and content data analysis was carried out, using the Open Code 3.4 qualitative data analysis software for coding.ResultsA total of 15 women living with podoconiosis and experiencing IPV were interviewed (aged 31 to 75). Women experienced different forms of IPV, including beatings (with or without an object), insults, name calling, undermining, denial of equal rights over common assets, movement monitoring, cheating, abandonment, forced divorce, obstruction of health care access, inhibition of decision-making and sexual coercion. Podoconiosis increases the frequency and severity of IPV and in occasions shapes a change from physical to psychological and financial violence. In turn, frequent episodes of IPV worsen disease outcomes and contribute to disease persistence in the region, in that these impede women’s ability to manage the disease and help perpetuate the conditions of poverty that influence disease onset.ConclusionsWomen living with podoconiosis are victims of various, overlapping forms of IPV that negatively impact their health and wellbeing. Poverty, scarce IPV prevention services in the area together with a social acceptance of IPV and these women’s decreased ability to work due to the debilitating effects of podoconiosis and childcare responsibilities frequently prompt these women to tolerate IPV and remain in abusive relationships. Tackling disease-associated taboo and stigma, developing accessible IPV interventions, working towards greater gender equality at the household and societal levels and developing sustainable strategies for improving the socio-economic assets of women affected by podoconiosis are all necessary to both prevent IPV and to improve disease outcome.

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Section: Discussionsupporting

confidence: 83%

'I should not feed such a weak woman'. Intimate partner violence among women living with podoconiosis: A qualitative study in northern Ethiopia

Tsegay¹,

Deribe²,

Deyessa³

et al. 2018

PLoS ONE

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“…We calculated prevalence rates by extracting raw proportions with 95% CIs calculated with the Wilson method. 39 We calculated pooled proportions with a random effects model (DerSimonian and Laird method 40 ) and stabilised the variances of the raw proportions before pooling of data. 41 We calculated pooled odds ratios (ORs) with 95% CIs for the risk of violence in people with disabilities compared with non-disabled controls with a random effects model.…”

Section: Discussionmentioning

confidence: 99%

Observational Studies

2007

Encyclopedia of Measurement and Statistics

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Background: About 15% of adults worldwide have a disability. These individuals are frequently reported to be at increased risk of violence, yet quantitative syntheses of studies of this issue are scarce. We aimed to quantify violence against adults with disabilities. Methods: In this systematic review and meta-analysis, we searched 12 electronic databases to identify primary research studies published between Jan 1, 1990, and Aug 17, 2010, reporting prevalence estimates of violence against adults (aged mainly ≥18 years) with disabilities, or their risk of violence compared with non-disabled adults. We included only studies reporting violence occurring within the 12 months before the study. We assessed studies with six core quality criteria, and pooled data for analysis. Findings: Of 10 663 references initially identified, 26 were eligible for inclusion, with data for 21 557 individuals with disabilities. 21 studies provided data suitable for meta-analysis of prevalence of violence, and ten for meta-analysis of risks of violence. Pooled prevalence of any (physical, sexual, or intimate partner) recent violence was 24•3% (95% CI 18•3-31•0) in people with mental illnesses, 6•1% (2.5-11.1) in those with intellectual impairments, and 3•2% (2•5-4•1) in those with non-specific impairments. We identified substantial heterogeneity in most prevalence estimates (I 2 >75%). We noted large uncertainty around pooled risk estimates. Pooled crude odds ratios for the risk of violence in disabled compared with non-disabled individuals were 1•50 (95% CI 1•09-2•05) for all studies combined, 1•31 (0•93-1.84) for people with non-specific impairments, 1•60 (1•05-2•45) for people with intellectual impairments, and 3•86 (0•91-16•43) for those with mental illnesses. Interpretation: Adults with disabilities are at a higher risk of violence than are non-disabled adults, and those with mental illnesses could be particularly vulnerable. However, available studies have methodological weaknesses and gaps exist in the types of disability and violence they address. Robust studies are absent for most regions of the world, particularly lowincome and middle-income countries.

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“…A recent study of a racially/ethnically diverse sample of disabled women compared IPV experiences of women with disabilities in comparison to women without disabilities. This study found that women with disabilities were more than one-and-ahalf times more likely to be the recipient of physical IPV and three times more likely to be the target of threats of physical IPV (Slayter, 2009). Others have estimated that more than half of women with disabilities have been the victim of IPV at some time in their lives (Milberger et al, 2002).…”

Section: Intimate Partner Violence Victims With Disabilitiesmentioning

confidence: 93%

“…Finally, agencies may also engage in outreach efforts to potential IPV victims (Glass, Rollins, & Bloom, 2009;Hines & Malley-Morrison, 2005). Agencies differ greatly in their ability to provide services to all individuals who are in need (Brabeck & Guzmán, 2009;Cramer & Plummer, 2009;Hines & Douglas, 2011;Slayter, 2009). The purpose of this article is to explore the comprehensiveness of the DV services that exist and identify gaps in service delivery to victims who vary by immigration status, English language proficiency, and disability status.…”

Section: Services Provided By Domestic Violence Agenciesmentioning

confidence: 96%

The Reported Availability of U.S. Domestic Violence Services to Victims Who Vary by Immigration Status, Primary Language, and Disability

Douglas

Hines

2011

Partner Abuse

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This article is the second of a two-part series that investigates the reported availability of domestic violence (DV) services for individuals in traditionally underserved populations. This specific article focuses on immigrants, individuals with limited English language skills, and individuals with disabilities. The sample consisted of 213 DV agency directors from across the nation who responded about the availability of services in their agencies in several different domains: housing, legal, counseling/mental health, education, transportation, and outreach services. The results indicate a fairly high level of services across the board, especially with regard to serving immigrants, individuals with limited English language skills, and individuals with disabilities. Services for individuals with hearing impairments and undocumented immigrants were less available. Recommendations for practice and future research are discussed.The national call to bring attention and recognition to battered women began in the 1970s. One of the most successful and enduring outcomes of this movement was the rise of social service agencies that focused on and provided aid to female victims of intimate partner violence (IPV). In the early days of this movement, these services primarily included shelters for women and their children who were fleeing abusive husbands/partners, and hotlines to assist with crisis situations (Shepard & Pence, 1999).

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Intimate Partner Violence Against Women with Disabilities: Implications for Disability Service System Case Management Practice

Cited by 28 publications

References 23 publications

'I should not feed such a weak woman'. Intimate partner violence among women living with podoconiosis: A qualitative study in northern Ethiopia

'I should not feed such a weak woman'. Intimate partner violence among women living with podoconiosis: A qualitative study in northern Ethiopia

Observational Studies

The Reported Availability of U.S. Domestic Violence Services to Victims Who Vary by Immigration Status, Primary Language, and Disability

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