Association Between Intimate Partner Violence (IPV) and Physical, Psychological, and Social Health Outcomes for Women in Bangladesh

Abstract

Background: Intimate partner violence (IPV) is a global issue impacting 1 in 3 women worldwide. IPV has been shown to have direct impact on the physical, psychological, and social aspects of life and overall well-being. Objective: The purpose of this study was to explore associations between report of IPV and physical, psychological, and social health outcomes with special emphasis on relationship of IPV to pelvic floor, pelvic pain, and urinary incontinence for Bangladeshi women. Study Design: A cross-sectional study was conducted using purposive sampling. Methods: Married women between 18 and 50 years were recruited in the study. IPV was measured using the Hurt-Insult-Threaten-Scream (HITS) screening tool and complex trauma was measured utilizing the Complex Trauma Inventory (CTI) Scale. Data were analyzed through SPSS version 21.0, and reported as descriptive statistics. Results: The total number of the respondents was n = 100. The mean age of respondents was 36.57 years (standard deviation ± 9.66). According to the HITS screening tool 27% respondents reported IPV. There was a significant, strong correlation between HITS scores for IPV and negative health outcomes of chronic disease and disability (r = 0.8; P ≤ .05). There was a direct association between HITS scores and (1) CTI scores for complex trauma, (2) pelvic floor dysfunction, and (3) duration of marriage. Conclusion: High prevalence of IPV was reported for this cohort of women living in Bangladesh. HITS scores for IPV were direct significant associations with severity and intensity of posttraumatic stress disorder on the CTI, and with low back pain, pelvic floor dysfunction, postpartum complications, and cardiac problems.