Assessing the levels and association between emotional and physical intimate partner violence against women in Türkiye

To examine health outcomes in women with exposure to physical intimate partner violence (IPV), sexual IPV or sexual and physical IPV and the added health burden of sexual IPV. Randomly sampled insured women (2876) completed a telephone interview to assess lifetime exposure to physical IPV only, sexual IPV only, or physical and sexual IPV (Behavioral Risk Factor Surveillance System) and mental, social, and physical health (Short Form-36, Center for Epidemiologic Studies-Depression, Presence of Symptoms surveys). The first analysis compared the health of women with physical IPV, sexual IPV, or both physical and sexual IPV with the health of women with no IPV exposure. The second compared the health of women with sexual IPV only or physical and sexual IPV with the health of women with physical IPV only. Compared to never abused women, pronounced adverse health effects were observed for women with sexual IPV exposure (with or without physical IPV). SF-36 scores ranged from 4.28 to 6.22 points lower for women with sexual IPV, 4.95 to 5.81 points lower for women with physical and sexual IPV, and 2.41 to 2.87 points lower for women with physical IPV. Prevalence ratios (PR) for depressive and severe depressive symptoms were: sexual IPV (2.45 and 3.06), sexual and physical IPV (2.31 and 2.93), and physical IPV (1.64 and 1.90). Women with physical and sexual IPV had more symptoms, were more likely to report fair/poor health (PR 1.88), and had a lower SF-36 physical health score. In the second analysis, women with sexual IPV or physical and sexual IPV had lower SF-36 scores and increased depression (49%-61% and 41%-54% increase, respectively) compared with women with physical IPV only. Adverse health effects were observed in women exposed to sexual IPV. These findings suggest the need for increased efforts to screen for sexual IPV in health settings and increased primary prevention efforts that address sexual violence using an ecological approach.

A social empowerment intervention to prevent intimate partner violence against women in a microfinance scheme in Tanzania: findings from the MAISHA cluster randomised controlled trial

Intimate partner violence (IPV) affects millions of women across the world, and Pakistan is no exception. However, there is wide variance in reported frequencies worldwide and even within the same population. No standardized representative national and subnational estimates were available for IPV in Pakistan. We analyzed 3,666 ever-married women (15-49 years), from the most recent Pakistan Demographic and Health Survey (PDHS; 2012-2013), to determine the prevalence of emotional and physical violence among women in Pakistan and its major subpopulations. The Conflicts Tactics Scale (CTS) was used to ascertain violence. Furthermore, we examined the socioeconomic and demographic characteristics, which have the potential to increase the risk of emotional and physical violence. Weighted multivariate logistic regression was carried out to determine the association of IPV with the potential risk factors using Stata version 13.0. The prevalence of emotional and physical violence was, respectively, 36.4% (95% confidence interval [CI]: [33.8, 39.1]) and 18.4% (95% CI: [16.4, 20.6]) in Pakistan. The frequency of emotional and physical violence was highest in Khyber Pakhtunkhwa (KPK; 54.9% and 36.4%) followed by Balochistan (50.0% and 25.5%), Punjab (35.9% and 15.8%), and Sindh (24.7% and 13.3%) provinces. The prevalence of any form of violence (emotional or physical or both) was higher in rural than in urban areas (45.2% vs. 30.6%). Higher age of the husband and lower socioeconomic status were associated with emotional violence in KPK. Furthermore, alcohol intake by husbands and lower educational status of women or their husbands were associated with greater risk of emotional and physical violence across the provinces. IPV is high in Pakistan and large variations exist in the prevalence of violence across the provinces. The predictors of emotional and physical violence included occupation and education of the husband, alcohol intake, woman's occupation, and wealth index. Further studies are needed to explore the underlying factors of violence and reasons for variation across different regions in the country for contextual interventions.

The purpose of this study was to estimate the prevalence of physical and emotional intimate partner violence (IPV) perpetration and victimization among adult, cohabitating couples. The association between IPV and depressive symptoms, as well as the severity of depressive symptoms, was reported for both males and females. In a rural cohort study, 548 couples completed survey items concerning physical and emotional IPV, and mental health. Males and females who perpetrated physical IPV were 17.7 and 11.5 times more likely, respectively, to also be victims of physical IPV. Male and female perpetrators of emotional IPV were 18.7 and 5.2 times as likely, respectively, to also be victims of emotional IPV. Males and females with IPV histories were 3.0 and 2.4 times more likely, respectively, to have depressive symptoms (P < .001) than those without abuse histories. Females reported higher scores than males on the depressive symptoms index. This study suggests that many couples in rural areas use physical and emotional violence against each other in their relationships, and that both males and females who report a history of IPV are more likely to report depressive symptoms. These findings support IPV screening for physical and emotional violence among all patients and providing follow-up intervention programs in health care settings.

Intimate partner violence (IPV) can comprise physical, sexual, and emotional abuse, and is a widespread public health concern. Despite increasing recognition that women experience different types of IPV, the majority of research has focused on physical IPV. The present study aims to examine associations between different types of IPV (physical, emotional, physical, and emotional) and women's mental, physical, and sexual health by analyzing longitudinal data from a prospective pregnancy cohort of 1,507 first-time mothers in Melbourne, Australia. Questionnaires included validated measures of physical and mental health (Short Form Health Survey, Edinburgh Postnatal Depression Scale) and IPV (Composite Abuse Scale). Emotional IPV alone was the most commonly reported type of IPV (n = 128, 9.5%), followed by both physical and emotional IPV (n = 76, 5.7%), and then physical IPV alone (n = 30, 2.2%). Women reporting emotional IPV or physical and emotional IPV had increased odds of poor health compared with women reporting no IPV. Experience of physical and emotional IPV was most strongly associated with mental health issues, including depressive symptoms (adjusted odds ratio [OR] 4.6, 95% confidence interval [CI] = [2.9, 7.1]) and self-reported anxiety (adjusted OR 2.9, 95% CI = [1.9, 4.4]). Experience of emotional IPV alone was associated with poor mental health as well as physical factors, including poor general physical health (adjusted OR 1.9, 95% CI = [1.2, 3.1]), and pain during sex (adjusted OR 1.8, 95% CI = [1.2, 2.7]). Increased odds of poor body image were also observed for women reporting emotional IPV alone and physical and emotional IPV. These findings highlight the need for greater awareness of the diversity in women's experiences of IPV among health care providers. This includes understanding the prevalence of emotional IPV among new mothers, and the range of health problems that are more common for women experiencing IPV.

Violence against women remains a significant public health problem globally. The majority of longitudinal studies documenting the negative impact of intimate partner violence (IPV) on the mental health of women come from high-income countries. The aim of this study was to investigate the longitudinal association between emotional, physical, or sexual IPV and depression symptoms among South African women in a prospective cohort study. Participants were 981 South African women enrolled in the Drakenstein Child Health Study-a cohort study investigating the early life determinants of child health. Interview data from four time-points (antenatal care visit, 6 months, 12 months, and 18 months postpartum) were included. The primary independent variable was self-reported emotional, physical, and sexual IPV in the past 12 months. Depressive symptoms were assessed at each time-point with the Edinburgh Postnatal Depression Scale (EPDS); a cutoff score of ⩾13 was used to define significant depression symptoms. We used pooled-multivariable logistic regression models to determine associations between the three different forms of IPV and significant depression symptoms while adjusting for time-fixed and time-updated covariates. The mean age of the sample at antenatal care visit was 27 years (standard deviation = 6.0). In the adjusted model including all forms of IPV and adjusting for sociodemographic and clinical characteristics, substance use, and childhood trauma, emotional (adjusted odds ratio [aOR] =1.55, 95% confidence interval (CI): [1.02, 2.34]; p = .039)] and sexual (aOR = 2.02, 95% CI: [1.10, 3.72]; p < .001) IPV were significantly associated with significant depression symptoms. The relationship between physical IPV and significant depression symptoms was not statistically significant (aOR = 0.68, 95% CI: [0.44, 1.05]; p = .485). Our study confirms findings from high-income countries of the association between IPV and depressive symptoms among women in South Africa. Routine screening for IPV, including emotional IPV and intervention programs for IPV among women, is needed in South Africa.

This study aims to describe the daily co-occurrence of physical, sexual, and psychological intimate partner violence (IPV) among substance-using, community-based women currently experiencing IPV. A micro-longitudinal study design was used to collect data daily from 49 women for 90 days. On the majority of days (62%), no IPV occurred; 27% of days were characterized by psychological IPV alone, followed by the co-occurrence of psychological and physical IPV (6% of IPV days). Results of person-level analyses showed comparable sized correlations between the proportion of days with physical and sexual IPV and the proportion of days with physical and psychological IPV. However, results of day-level analyses revealed that the association between physical and psychological IPV was much stronger than the association between physical and sexual IPV; Physical IPV was 64 times more likely to occur on days when psychological IPV occurred. Results revealed new information about physical, sexual, and psychological IPV experiences and demonstrate the utility of a micro-longitudinal design among this high risk population. Implications for practice, future research, and the development of preventive interventions are noted, underscoring the importance of psychological IPV and the range of IPV experiences among women.

PurposeTo compare the prevalence of emotional and physical intimate partner violence (IPV) across pregnancy and the first year postpartum in those with and without clinical depression and assess the association between maternal childhood trauma, current stressful life events and depression and IPV over the perinatal period.MethodsData were obtained from 505 pregnant women from the Mercy Pregnancy and Emotional Wellbeing Study (MPEWS), a cohort study with data collected across pregnancy until 12 months postpartum. Maternal antenatal depression was measured using the Structured Clinical Interview for DSM-IV (SCID-IV) with repeat measurement of perinatal depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS). Trauma was measured using the Childhood Trauma Questionnaire, and experiences of physical and emotional intimate partner violence using items in the Stressful Life Events Scale.ResultsWomen experiencing IPV across the perinatal period were significantly more likely to score over 13 on the EPDS (p < .001) at each timepoint in pregnancy and the postpartum and physical IPV was associated with clinical depression. Further, a history of childhood trauma and current additional stressful life events were significantly associated with reporting current IPV in the perinatal period.ConclusionsThis study confirmed the risk factors of childhood trauma and current stressful life events for reporting experiences of IPV in the perinatal period. Furthermore, women experiencing IPV reported higher depressive symptoms, providing evidence supporting the value of assessing those women who screen higher on the EPDS for IPV. Together these findings also support trauma informed care across pregnancy and the postpartum.

Little research has assessed the impact of emotional intimate partner violence (IPV) and economic IPV on women’s mental health. Using cross-sectional data from the Stepping Stones and Creating Futures intervention trial baseline, in eThekwini Municipality, South Africa we assess three questions. First, whether emotional IPV and economic IPV make independent contributions to mental health outcomes; second what matters, severity, variety, or absolute experience? and third, are some items more important in driving mental health impacts than others? We assess associations between past 12-month emotional IPV, past 12-month economic IPV, and past week depressive symptoms and past four-week suicidal ideation. We describe the prevalence of each mental health outcome by individual items, including never/ever and frequency, and combined emotional IPV, and economic IPV, reporting depression scores and percentage of suicidal ideation and 95% confidence intervals (CI). Second, we created four-level categorical variables for combinations of emotional, economic, sexual and physical IPV, and present its frequency, and the mean/% and 95% CI for depression symptomatology and suicidal ideation. 680 women (aged 18–30) were enrolled. High levels of past year emotional IPV, economic IPV were reported. 45.3% reported clinically relevant symptoms of depression, and 30.0% past four-week suicidal ideation. All measures of emotional IPV and economic IPV showed a consistent positive correlation with CESD scores, and suicidal ideation. For all four-level categorical constructs the highest depression scores, and prevalence of suicidal ideation, were for combinations of emotional IPV or economic IPV with physical and/or sexual IPV. For depression in 17/18 combinations this was significantly different compared to women reporting no IPV. For suicidal ideation this was significant in 6/18 combinations all related to economic IPV. Emotional IPV and economic IPV have independent associations with women’s mental health, beyond physical IPV and sexual IPV, and also have distinct patterns between each other.Trial registrationNCT03022370. Registered 13 January 2017, retrospectively registered.

Prevalence of and factors associated with male perpetration of intimate partner violence: findings from the UN Multi-country Cross-sectional Study on Men and Violence in Asia and the Pacific.

ObjectiveThere is a lack of longitudinal population-based research comparing women’s experiences of intimate partner violence (IPV) prior to and during the COVID-19 pandemic. Using data from the Mothers’ and Young...

Evidence shows that a significant proportion of ever-partnered women suffer some form of intimate partner violence (IPV) perpetuated by male partners. The prevalence of IPV in sub-Saharan African countries is considerably higher than global estimates. Although existing studies show the effect of women's and intimate male partner's characteristics on IPV, knowledge on how these factors increase or reduce women's risk to specific types of IPV is limited. Using the 2016 Ugandan Demographic and Health Survey (UDHS), we examine regional variations in women's and intimate male partner's characteristics and their effect on emotional, sexual, and physical violence perpetuated by men and experienced by women in Uganda. The result shows that women's educational status is a significant predictor of all forms of IPV, whereas other characteristics, such as employment and housing ownership, have differential effects on specific types of IPV. Less educated women were more likely to experience emotional, sexual, and physical violence. Alcohol abuse was a significant determinant of men perpetuating all types of IPV; other male characteristics had differential effects on specific types of IPV. Male partners who abuse alcohol "often" and "sometimes" were more likely to commit acts of emotional, sexual, and physical violence against their female intimate partners. The findings also show that ~5%, ~8%, and ~2% of the variance in emotional, sexual, and physical violence (respectively; in the final models) are attributable to regional differences. The findings suggest the need for interventions aimed at increasing women's access to higher education, working with men and boys to reduce the occurrence of alcohol abuse and address harmful constructions of masculinity, and promoting gender equality among men as well as women.

Intimate partner violence (IPV) is a global public health problem. The objectives of this study were to analyze the prevalence and correlates of IPV perpetrated by men against women from the recent nationally representative Pakistan Demographic and Health Survey (PDHS) 2017-18, and to analyze levels and trends of IPV perpetrated by current/former husbands from PDHS conducted in 2012-13, in the four provinces and the capital city. Association of having ever experienced IPV, defined as either emotional, physical and/or sexual violence, by ever married women aged 15-49, with 12 explanatory socio-demographic, attitudinal, and experiences were analyzed using simple and multiple logistic regression models. The prevalence of having ever experienced IPV was 33.48% (95% CI: 30.76-36.32). In the final multivariable model, number of living children, having knowledge of parental physical IPV, husband's use of alcohol, and marital control were statistically significantly associated with IPV. Proportions and trend analysis of emotional and physical IPV between the PDHS 2017-18 and PDHS 2012-13, showed that in general, rural areas of provinces reported higher prevalence of emotional and physical IPV, compared with urban areas, and in general, emotional, and physical IPV prevalence declined from PDHS2012-13 to PDHS2017-18. The prevalence of having experienced physical and/or sexual intimate partner violence in Pakistan was lower than the prevalence for the WHO Eastern Mediterranean region. However, IPV burden at the provincial urban-rural residency status underscore the need for location specific strategies to effectively address IPV in Pakistan.

To examine the association between experiencing emotional or physical intimate partner violence (IPV) around the time of pregnancy and having a postpartum visit. We conducted a secondary analysis of data from 2016 to 2021 from PRAMS (Pregnancy Risk Assessment Monitoring System), a population-based surveillance system that collects self-reported information about experiences before, during, and after pregnancy among women with a recent live birth. We used multivariable logistic regression to estimate the prevalence of experiencing emotional or physical IPV around the time of pregnancy and associations with having a postpartum visit. In seven jurisdictions with information on emotional IPV (n=30,333), 3.3% (95% CI, 3.0-3.6) of women with a recent live birth reported experiencing any emotional violence 12 months before pregnancy, during pregnancy, or after pregnancy; for these women, the prevalence of having a postpartum visit was 91.4% (95% CI, 90.9-91.9). Any emotional IPV was associated with lower odds of having a postpartum visit (adjusted odds ratio [aOR] 0.74; 95% CI, 0.55-0.99). In 48 jurisdictions with information on physical IPV (n=224,957), 3.3% (95% CI, 3.2-3.5) of women with a recent live birth reported physical violence 12 months before pregnancy or during pregnancy; for these women, the prevalence of having a postpartum visit was 90.2% (95% CI, 90.0-90.4). Any physical IPV was associated with lower odds of having a postpartum visit (aOR 0.63; 95% CI, 0.57-0.69). Among women who had a postpartum visit, 34.2% (95% CI, 29.0-39.0) of those who experienced emotional IPV and 35.1% (95% CI, 33.2-37.1) of those who experienced physical IPV were not asked about IPV by a health care professional during the visit. Experiencing emotional or physical IPV around the time of pregnancy was associated with lower odds of having a postpartum visit. Conducting screenings at various encounters such as telehealth, pediatric visits, or home health visits and ensuring availability of standard protocols and trainings for IPV screening and referrals may increase support for and identification of women experiencing IPV.

This study examined whether interparental physical and psychological intimate partner violence (IPV) have additive effects on child threat appraisals and internalizing and externalizing symptoms, and whether relations between psychological IPV and child difficulties differ when physical IPV has occurred, as compared to when it has not occurred. Participants were 531 children (51% male) aged 7-10 years and their mothers. Children reported on IPV, and on their threat appraisals; children and mothers both reported on child internalizing and externalizing symptoms. Families participated in three assessments spaced 6 months apart. Results indicated that physical and psychological IPV had additive effects on child threat appraisals and child reports of disruptive behavior problems, but not on other measures of child internalizing or externalizing symptoms. Results of moderator analyses indicated that relations between psychological IPV and mothers' reports of child internalizing symptoms, and between psychological IPV and child reports of disruptive behavior problems were stronger when physical IPV had occurred. Notably, psychological IPV was also associated with child threat appraisals, anxiety symptoms, and disruptive behavior problems even in the absence of physical IPV. The findings suggest that in child and family research and service settings, when aspects of the interparental relationship are relevant, the risks posed by psychological IPV should be considered. (PsycInfo Database Record (c) 2022 APA, all rights reserved).