Intimate partner violence and mental disorders: Co-occurrence and gender differences in a large cross-sectional population based study in Spain

2018 ◽  
Vol 229 ◽  
pp. 69-78 ◽  
Author(s):  
Isabel Ruiz-Pérez ◽  
Miguel Rodríguez-Barranco ◽  
Jorge A. Cervilla ◽  
Ignacio Ricci-Cabello
BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021807 ◽  
Author(s):  
Akashi Andrew Rurangirwa ◽  
Ingrid Mogren ◽  
Joseph Ntaganira ◽  
Kaymarlin Govender ◽  
Gunilla Krantz

ObjectivesTo investigate the prevalence of non-psychotic mental health disorders (MHDs) and the association between exposure to all forms of intimate partner violence (IPV) during pregnancy and MHDs.DesignCross-sectional population-based study conducted in the Northern Province of Rwanda and Kigali city.Participants and settingsTotally, 921 women who gave birth ≤13 months before being interviewed were included. Simple random sampling was done to select villages, households and participants. Community health workers helped to identify eligible participants and clinical psychologists, nurses or midwives conducted face-to-face interviews. The collected data were analysed using descriptive statistics and bivariable and multivariable logistic regression modellingResultsThe prevalence rates of generalised anxiety disorder, suicide ideation and post-traumatic stress disorder (PTSD) were 19.7%, 10.8% and 8.0%, respectively. Exposure to the four forms of IPV during pregnancy was highly associated with the likelihood of meeting diagnostic criteria for each of the non-psychotic MHDs investigated. Physical, psychological and sexual violence, showed the strongest association with PTSD, with adjusted ORs (aORs) of 4.5, 6.2 and 6.3, respectively. Controlling behaviour had the strongest association with major depressive episode in earlier periods with an aOR of 9.2.ConclusionIPV and MHDs should be integrated into guidelines for perinatal care. Moreover, community-based services aimed at increasing awareness and early identification of violence and MHDs should be instituted in all villages and health centres in Rwanda. Finally, healthcare providers need to be educated and trained in a consistent manner to manage the most challenging cases quickly, discreetly and efficiently.


2015 ◽  
Vol 32 (21) ◽  
pp. 3226-3244 ◽  
Author(s):  
Syeda S. Jesmin

Informed by the social determinants of health (SDH) framework, this study examined whether women’s attitudinal acceptance of intimate partner violence (IPV) varies according to material circumstances, such as characteristics of their communities. Data were obtained from the sixth Bangladesh Demographic Health Surveys (BDHS) of 2011, a cross-sectional and secondary population-based study that covers the entire population residing in noninstitutional dwelling units in Bangladesh. The sample included 16,480 married women living in 600 communities who were 15 to 49 years old. Results showed that community characteristics were significantly associated with married women’s attitudes toward IPV. The associations, however, were considerably more complicated than previously thought. Community poverty and wife beating justification were inversely related, such that regardless of their socioeconomic status (SES), living in poorer communities increased women’s likelihood of condemning IPV ( p < .001). Also, unexpectedly, as illiteracy increased in the community, women’s likelihood of viewing IPV as justified decreased ( p < .01). Living in communities with strong patriarchal norms was associated with greater tolerance for IPV ( p < .001). Use of the SDH framework in this study provided empirical evidence of the importance of social determinants in determining risk for attitudinal acceptance of IPV among women, which can be targeted for future research and intervention.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261059
Author(s):  
Zarintaj Malihi ◽  
Janet L. Fanslow ◽  
Ladan Hashemi ◽  
Pauline Gulliver ◽  
Tracey McIntosh

Background There is limited information about what influences help-seeking following experience of intimate partner violence (IPV). This study investigated determinants of formal and informal help-seeking by those who had experienced lifetime physical, sexual or psychological IPV. Methods A cross-sectional population-based New Zealand study conducted from 2017 to 2019 recruited 2,887 participants (1,464 women and 1,423 men) aged 16 years and older. Face-to-face interviews were conducted. Of these, 1,373 participants experienced physical, sexual or psychological IPV. Two series of logistic regressions were conducted: 1) comparing those who sought help with those who did not, and 2) comparing those who had not sought help with those who sought informal help only, or with those who also sought formal help. Results Of the 1,373 participants who reported experience of physical, sexual or psychological IPV 835 participants (71.3% of women and 49.0% of men) sought some form of help. In both genders self-reported physical and mental health or work-related IPV impacts were significantly associated with help-seeking. Experiencing only one form of IPV was associated with lower odds of seeking formal help by women (Adjusted odds ratio = 0.38; 95%CI = 0.15, 0.92 for physical/sexual only and AOR = 0.37, 95%CI = 0.22, 0.64 for psychological only) compared to those experiencing concurrent types of IPV. Conclusion and implications Although there were gender differences in help-seeking, for both women and men the experience of greater impacts associated with IPV exposure increased the likelihood of help-seeking. Agencies providing services for people who are experiencing IPV need to be equipped to identify and respond to multiple forms of IPV, and prepared to address the suite of impacts experienced.


2020 ◽  
Author(s):  
Astrid M.A Eriksen ◽  
Marita Melhus ◽  
Bjarne Koster Jacobsen ◽  
Berit Schei ◽  
Ann-Ragnhild Broderstad

Abstract Background: Mental health problems is an important contributor to the global burden of disease. Exposure to intimate partner violence (IPV) and violence in childhood (CV) is associated with mental health problems. These issues are scarcely studied among the Sami. This study estimates the prevalence of IPV and its association to mental health problems among Sami and non-Sami, and whether the effect of IPV on mental health was altered by exposure to CV. To our knowledge, this is the first population-based study estimating IPV and its association to mental health problems among Sami and non-Sami in Norway. Methods: This study was based on the cross-sectional SAMINOR 2 Questionnaire Survey, a part of the Population-based Study on Health and Living Conditions in Regions with Sami and Norwegian Populations – the SAMINOR Study. Pearson’s chi-square tests and two-sample t-tests were used for testing differences between groups and multiple linear regression analysis was applied to explore the association between IPV/CV and mental health problems (continuous scores of psychological distress and symptoms of post-traumatic stress). Results: A total of 12.8% of women and 2.0% of men reported to have experienced any IPV (emotional, physical, and/or sexual). A significantly higher proportion of Sami women reported exposure to emotional (12.4% vs. 9.5%, p=.003), physical (11.6% vs. 6.9%, p<.001), and any IPV (17.2% vs. 11.8%, p<.001) compared to non-Sami women. There were no ethnic differences in sexual IPV among women (2.1% vs. 1.8%, p=.5). The study demonstrated that being exposed to emotional, physical, or sexual IPV is associated with mental health problems. The most severe mental health problems were observed among those who reported both IPV and CV. There were no ethnic differences in the association between the different types of IPV and mental health problems, and we observed overall similar results among men and women. Conclusions: The most severe mental health problems were observed for those who were exposed to both IPV and CV. It is therefore important for victims of IPV to address experiences of violence in childhood. The effect that IPV and CV have on mental health problems seems to be same, regardless of ethnicity and gender.


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