Composite Abuse Scale Research Articles

Relation Between Intimate Partner Violence During Pregnancy and Postpartum Mother Psychological Wellbeing

Background: Intimate partner violence (IPV) may be physical violence, psychological or sexual abuse by a current or former intimate partner. It is an avoidable global public health problem. IPV in pregnancy, despite being a common problem but remains a neglected condition (1). The severity of violence from a partner during pregnancy was reported to be greater than violence before pregnancy due to possibly change in a couple’s relationship and lifestyle accompanying pregnancy (2).Numerous studies revealed that experiencing IPV during pregnancy negatively affects both mothers and infants during the post- partum period(3).Objectives: to assess prevalence of postpartum depression and anxiety and assess possible relation between partner violence during pregnancy and postpartum psychological health. Design: prospective cohort study Method: This study was carried out on 176 pregnant women attending antenatal care to explore the possible relation between intimate partner violence and postpartum depression and anxiety. The assessment was done during the second trimester by screening the sociodemographic factors, screening of intimate partner violence was done using the Arabic version of the Composite Abuse Scale. Postpartum assessment by screening of maternal depression was done by the Arabic version of the Edinburgh post-partum depression scale, and screening of anxiety using the Arabic version of Perinatal Anxiety Screening Scale. Results: the prevalence of intimate partner violence during pregnancy was 19.3%. Near half of participants suffered from postpartum depressive illness and around one quarter suffered from possible depression. More than half of participants suffered from mild to moderate postpartum anxiety. Partner violence had also significant relation with depression during pregnancy and post-partum with p-value <0.001 for both. Conclusions: intimate partner violence may be a risk factor for postpartum depression and anxiety.so, we should screen for it and learn how to deal with this problem.

Intimate partner violence among pregnant women attending a low-resource primary care facility in Ghana.

Intimate partner violence in pregnancy is a significant public health issue that has several detrimental effects. Pregnant women subjected to intimate partner violence (IPV) have a higher risk for adverse pregnancy outcomes. The aim of the study was to determine the prevalence, patterns and factors associated with intimate partner violence among pregnant women attending a primary care antenatal clinic. A quantitative cross-sectional study design was employed to study intimate partner violence among 269 pregnant women in Accra, Ghana between July and October 2021. Participants were selected by systematic sampling technique. The self-reported Composite Abuse Scale was used to assess and classify intimate partner violence. Socio-demographic, clinical (obstetric) and behavioural characteristics were obtained with a structured questionnaire. Associations were determined between independent and dependent variables using the chi-squared test, and logistic regression with adjusted odds ratio (AOR). The statistical significance level was set at a p-value ≤ 0.05. The prevalence of IPV was 11.2%. The prevalence of emotional/psychological abuse, harassment/controlling behaviour, physical abuse, sexual abuse and severe combined abuse were 12.3%, 13.0%, 8.2%, 3.3% and 8.9% respectively. Pregnant women who were employed had reduced odds of experiencing IPV [AOR = 0.16 (95%CI: 0.05-0.47), p = 0.001], however, the past experience of violence [AOR = 4.9 (95%CI: 1.06-22.96), p = 0.042], alcohol use by women [AOR = 7.8 (95%CI: 1.63-37.42), p = 0.01], and partners' alcohol consumption [AOR = 10.0 (95%CI: 3.22-31.26), p<0.001] were associated with increased odds of IPV. There is a high prevalence of IPV among pregnant women in this study from a resource-limited setting. The factors found to be associated with IPV in pregnancy were the employment status of women, alcohol consumption by women or their partners and a previous history of violence. Healthcare providers in primary care need to recognize IPV as a medical condition that can occur in pregnancy and be ready to assist and manage the victims when it is detected.

A Successful Sexual Assault Resistance Program Also Reduced Intimate Partner Violence.

Despite several parallels between intimate partner violence (IPV) and sexual assault (SA), programs designed to reduce either of these forms of violence against women rarely evaluate the impact on both IPV and SA. Accordingly, we investigated whether one such program (the Enhanced Assess, Acknowledge, Act (EAAA) Sexual Assault Resistance program), designed to help university-aged women resist SA, could also reduce subsequent IPV. Women university students who were enrolled in the Sexual Assault Resistance Education (SARE) randomized controlled trial examining the impact of the EAAA program on SA, were recruited immediately after completing the last survey in the SARE trial. From this trial, 153 women completed the IPV substudy, which included an additional survey. Occurrence of IPV was assessed using the Composite Abuse Scale. Of the 93 new relationships reported by 66 women in the control group, the 1-year risk of IPV was 26.8%. In contrast, of the 113 new relationships reported by 87 women in the EAAA program group, the 1-year risk of IPV was 12.2%. Effectively, the EAAA program significantly reduced the 1-year risk of IPV by 54.4% (p = .037, 95% CI [2.9%, 79.8%]). Our findings suggest that the EAAA program is effective in reducing the risk of IPV and highlights the generalizability of programming that targets the foundational underpinning of multiple forms of gender-based violence.

Domestic, family and sexual violence polyvictimisation and health experiences of Australian nurses, midwives and carers: a cross-sectional study

BackgroundDomestic, family and sexual violence is a prevalent health and social issue. Nurses may be exposed to higher rates of this violence in their personal lives compared to the community, but little is known about their polyvictimisation experiences or health and well-being impacts.MethodsAn online descriptive, cross-sectional survey of women nurses, midwives and carer members of the Australian Nursing and Midwifery Federation (ANMF) (Victorian Branch) (response rate: 15.2% of nurses sent an invitation email/28.4% opened the email). Violence survey measures included: intimate partner violence (Composite Abuse Scale); child abuse and sexual violence (Australian Bureau of Statistics Personal Safety Survey items). Health measures included: Short Form-12; Fast Alcohol Screening Test; Patient Health Questionnaire-4; Short Screening for DSM-IV Posttraumatic Stress Disorder; well-being measures included: Connor-Davidson Resilience Scale, social support, and financial stress. Proportions were used to describe the prevalence of violence by sociodemographic characteristics and health and well-being issues; logistic regression predicted the odds of experiencing overlapping types of violence and of experiencing health and well-being outcomes.Results5,982 participants (from a parent study of 10,674 nurses, midwives and carers) had experienced at least one type of lifetime violence; half (50.1%) had experienced two or three types (polyvictimisation). Survivors of child abuse were three times more likely to experience both intimate partner violence and non-partner adult sexual assault. Any violence was associated with poorer health and well-being, and the proportion of affected participants increased as the types of violence they had experienced increased. Violence in the last 12-months was associated with the poorest health and well-being.ConclusionsFindings suggest a cumulative, temporal and injurious life course effect of domestic, family and sexual violence. The polyvictimisation experiences and health and well-being associations reported by survivor nurses, midwives and carers underscores the need for more accessible and effective workplace interventions to prevent and mitigate psychosocial ill health, especially in the recent aftermath of violence.

Intimate Partner Violence Risk Factors: A Vulnerability-Adaptation Stress Model Approach.

Intimate partner violence (IPV) disproportionally affects women. Using the vulnerability-adaptation stress model, we examined adverse childhood experiences (ACEs), self-esteem, and hope as vulnerability indicators and relationship status and length, positive and negative affect, and socioeconomic status (SES) as stressors to ascertain the risk for IPV. Women (N = 491, M = 37.15, standard deviation = 12.51) completed an online survey comprised of the Positive and Negative Affect Scale, Rosenberg's Self-esteem Scale, Snyder's Hope Scale, ACE questionnaire, Composite Abuse Scale Revised-Short Form, and demographic questions. Factor analysis identified four ACE factors of sexual abuse, physical or psychological abuse, witnessing domestic violence, and household dysfunction. A five-step hierarchical multiple regression identified that greater exposure to physical or psychological child abuse was associated with an increased risk of IPV (Step 2), B = 0.73 [0.16, 1.34]. Lower self-esteem, B = -0.30 [-0.47, -0.14] predicted IPV (Step 3). Age B = 0.07 [0.01, 0.13], negative affect, B = 0.39 [0.19, 0.59], and relationship length, B = -1.24 [-2.16, 0.41] were associated with a higher risk of IPV (Step 4). In Step 5, previous variables attenuated to non-significance while age, B = 0.07 [0.01, 0.13], negative affect, B = 0.39 [0.19, 0.59], and relationship length B = -1.25 [-2.16, 0.41] remained significant. While the key findings of this study were inconsistent with some commonly reported findings (e.g., ACEs, self-esteem, hope, relationship status, SES, age), these inconsistencies are important to highlight given the factorial approach to examining ACEs, the comprehensive analyses conducted, and our examination of these variables' direct relationship to IPV. The study was limited by its cross-sectional nature, higher prevalence of IPV victims, and not examining IPV sub-types. Similar studies need to be conducted for other relationship types and victimized individuals (e.g., same-sex relationships and male victims) to provide a complete picture of risk factors for IPV.

Does mental illness in adolescence/young adulthood predict intimate partner violence?

Experiences of intimate partner violence (IPV) are associated with a wide range of measures of poor mental health. While there is a body of evidence to suggest that IPV leads to poor mental health, there is some evidence to suggest the association between IPV and mental illness may be bi-directional. We take data from a long running cohort study to test the hypothesis that poor mental health experienced during the adolescent and young adult periods of the life course predict adult occurring IPV. At 14 years respondents were administered the Youth Self Report (YSR), and at 21 years they completed the Young Adult Self Report (YASR) as well as the Composite International Diagnostic Interview. At 30 years, respondents completed the Composite Abuse Scale (CAS), with five measures of IPV; Severe Combined Abuse, Physical Abuse, Emotional Abuse, Harassment and Coercive Control. After adjustment for possible confounding, measures of delinquency and substance use disorder at 21 years predicted all forms of IPV. For example, in the fully adjusted data, substance use disorders to 21 years predict Severe Combined Abuse (2.30:1.15, 4.61), Physical Abuse (1.67:1.11, 2.52), and Coercive Control (1.74:1.14, 2.65) at 30 years. The findings raise the possible benefits of early intervention programs to reduce adult occurring IPV.

"It's a Valuable Service but a Hard Place to Be:" Women's Views About Violence Against Women Shelters.

This mixed-methods secondary analysis examined VAW shelter use by 662 Canadian women abused by partners (50.5% Indigenous, 43.4% White, and 6.1% visible minority). Women who had never resided in shelters (n = 242) had less Severe Combined and Total IPV on the Composite Abuse Scale and fewer PTSD symptoms. More nonresidents worked full time and had higher incomes and no children. The 420 women residents mentioned strengths (70.4%) such as supportive staff and safety, and concerns (29.6%) about unsupportive staff and the shelter rules or facility. Some Indigenous women reported racist attitudes by shelter staff and child apprehensions. Practice implications are presented.

Childhood Maltreatment and Intimate Partner Violence: 30-Year Follow-Up of a Birth Cohort Study

ABSTRACT Evidence of the association between childhood maltreatment (CM) and intimate partner violence (IPV) in adulthood often relies on retrospective data. This study examined the association of both retrospectively and prospectively reported CM and IPV at 30-year follow-up in 2401 participants from the same birth cohort in Queensland, Australia. The cohort was linked to CM notifications to statutory agencies made by the age of 16. Data on IPV victimization and self-reported CM came from the revised Composite Abuse Scale and Child Trauma Questionnaire, respectively. Rates of self- and agency-reported maltreatment were 589 (24.5%) and 137 (5.7%), respectively. After adjustment, self-reported maltreatment of all forms showed significant associations with all types of IPV. In the case of agency-reported CM, this was limited to significant associations between substantiated neglect or sexual abuse and the most serious IPV events, as well as overall notifications and physical IPV. Associations with agency-reported CM were strongest for females.

Experiences of physical and emotional intimate partner violence during the COVID-19 pandemic: a comparison of prepandemic and pandemic data in a longitudinal study of Australian mothers

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...

"He Stole My Meds to Get High:" The Mental Health and Well-Being of Women Abused by Intimate Partners and Their Disability Status.

While population-based research confirms that women with disabilities abused by their intimate partners experience significant mental health issues, few studies compare this in intimate partner violence (IPV)-specific samples of women with or without disabilities and none analyze possible impacts based on disability type. This secondary mixed methods analysis examined 660 Canadian women (50.6% Indigenous, 43.1% White, and 6.1% visible minority) with respect to whether they reported having a disability that impacted their employability or daily living (291 or 44% yes; 369 or 56% said no). In the 291 women with disabilities, about one-third (30.7%) had a physical disability-only, one-quarter had a mental health disability-only, and 44.1% reported both physical and mental health disabilities. Women with mental health and both physical and mental health disabilities reported significantly more Severe Combined IPV on the Composite Abuse Scale, depression (CES-D-10; Center for Epidemiological Studies-Depression), psychological distress (Symptom Checklist Shortform-10; SCL-10; in the clinical range), PTSD symptoms (PTSD Checklist), and lower quality of life (Quality of Life Questionnaire or QoL-9) than women without disabilities. Education about disabilities is needed for IPV advocates and disability practitioners need education about IPV. Developing services specific to survivors of IPV with disabilities is recommended.

Need for closure is linked with traumatic bonding among victims of intimate partner violence: A mediation approach

Intimate partner violence (IPV) is an increasingly prevalent problem in most parts of the world, including Nigeria. Very little is known about why persons who experience IPV sometimes decide to remain in the abusive relationships. In this study, we investigate whether the need for closure (NFC) may play significant roles in the association of IPV and the decision to stay in abusive relationships (traumatic bonding). Specifically, we tested if NFC would mediate the relationship between IPV and traumatic bonding (TB) among victims of IPV in Nigeria. Participants were 345 women, purposively selected from female clients who visited the Sexual Assault Referral Centre (SART) in Awka, Anambra State ( n = 145) and the Lagos State Domestic and Sexual Violence Response Team, Lagos ( n = 200). Their age ranged from 18–61 years (M = 35.79; SD = 8.6 years). They responded to the Composite Abuse Scale, the Need for Closure Scale, and the Stockholm Syndrome Scale. Results of data analysis using the Hayes regression-based PROCESS macro showed that IPV was not significantly associated with traumatic bonding while NFC was positively associated with increased traumatic bonding. Estimates of indirect effects indicated that NFC mediated the relationship of IPV and TB serving as a pathway through which IPV was linked to dimensions of TB. This shows that NFC may engender tendencies that increase the likelihood of traumatic bonding. The implications of these findings were discussed across policy, research and psychotherapeutic practice.

Mothers' experiences of emotional abuse from an intimate partner and its associations with children's developmental outcomes at 5 years

BackgroundIntimate partner violence (IPV) is associated with an increased risk of poorer child development. Existing research has focused on physical abuse with less known about the associations with emotional IPV. ObjectiveTo describe the period prevalence of mother's experiences of emotional IPV during children's preschool years and associations with child mental, physical, social, and cognitive development. MethodsSecondary analysis of control group data (n = 194) from an Australian randomised trial (right@home), which recruited pregnant women experiencing social adversity from antenatal clinics in 2013–14. Women reported emotional abuse (Composite Abuse Scale) at child ages 3–5 years. Measures of child development at 5 years included: Strengths and Difficulties Questionnaire, Social Skills Improvement System, Pediatric Quality of Life Inventory, Clinical Evaluation of Language Fundamentals, School Entry Alphabetic and Phonological Awareness Readiness Test, NIH executive function subtests, sleep and health. The prevalence of emotional IPV from 3 to 5 years was estimated. Regression models compared developmental outcomes according to emotional IPV exposure, adjusted for child age, child gender, and maternal education. Missing data were accounted for using multiple imputation. ResultsFrom 3-5 years, emotional IPV was experienced by 57% of women. Emotional IPV exposure was consistently associated with poorer child developmental outcomes. Differences were most apparent for SDQ internalising (mean difference 1.2, 95% CI 0.2 to 2.1) and externalising difficulties (1.2, 95% CI −0.1 to 2.4). ConclusionsEmotional IPV was highly prevalent amongst families experiencing social adversity. Developing acceptable and effective identification processes and interventions that prioritise families experiencing co-occurring social adversities should be a public health priority.

Exploring the Nexus of Domestic Violence: Impact on Married Women's Physical Health, Psychological Distress, and Magnitude of Abuse

Domestic violence is a common problem in Pakistan but due to stigma in surrounding it is not openly discussed. Current study determined the magnitude of domestic violence, physical health and psychological distress among females. Cross-sectional study was conducted in Sialkot among married females. Magnitude of domestic violence was considered as the determinant of physical health and psychological distress. Sample was comprised of 100 females from working and non-working background, selected through purposive sampling technique by random assignment. The variables were measured using three assessment tools composite abuse scale, Kessler’s psychological distress scale and physical health questionnaire. Data was analyzed by the application of SPSS, correlation and regression was measured for the assessment of purposed assumptions. Among married females domestic violence is the determinant of physical health (r=.702**, p &lt; 0.01) and psychological distress (R= -.340*, p &lt; 0.01).increase in the magnitude of domestic violence leads to the deterioration of physical health and decreases psychological distress.

Cross-Cultural Validation of a Spanish-Language Version of the Composite Abuse Scale (Revised) – Short Form (CASR-SF)

Cross-Cultural Validation of a Spanish-Language Version of the Composite Abuse Scale (Revised) – Short Form (CASR-SF)

Does Timing Matter? Associations Between Intimate Partner Violence Across the Early Life Course and Internalizing and Externalizing Behavior in Children.

The association between exposure to intimate partner violence (IPV) and child behavior problems is well established. However, questions remain about whether the timing during the child's early life course matters. We used a structured life course approach to investigate associations between the timing of IPV and children's internalizing and externalizing behaviors. Participants were from the Australian Longitudinal Study on Women's Health (ALSWH), a national, randomly sampled community-based study that has surveyed women every 3 years since 1996. For this study, mothers born 1973 to 1978 (N = 2,163) provided data on their three youngest children under 13 years (N = 3,697, 48.5% female) as part of the Mothers and their Children's Health (MatCH) study in 2016/2017. Mothers indicated IPV in ALSWH using the Community Composite Abuse Scale in early (M = 0.99 years, SD = 0.88 years) and middle childhood (M = 3.98 years, SD = 0.92 years), and before birth (preconception). Mothers rated child internalizing and externalizing behavior in MatCH (child age: M = 8.15 years, SD = 2.37 years) using the Strengths and Difficulties Questionnaire. We tested critical period, sensitive period, and accumulation hypotheses by comparing the fit of nested linear regression models (separately for girls and boys). Mothers were predominantly Caucasian (>90%) and university educated (65.5%), and 41.7% reported financial stress. Most children were not exposed to IPV (68.1%). Of those who were, 55.2% were exposed at one time, 28.7% at two times, and 16.1% at all three. Accumulation was the best model for externalizing in boys and girls and for internalizing in girls. A critical period in middle childhood was identified for internalizing in boys. Overall, the duration of exposure was more important than the timing. This suggests early detection is essential in mitigating the impact of IPV on children, with particular attention needed for boys exposed to IPV in middle childhood.

"He Tells People That I Am Going to Kill My Children": Post-Separation Coercive Control in Men Who Perpetrate IPV.

Relatively little research has examined men's use of coercive controlling tactics against female partners after separation. This mixed-methods secondary analysis of 346 Canadian women documented coercive controlling tactics used by their ex-partners (86.4% identified at least one). The composite abuse scale emotional abuse subscale and women being older were associated with men using coercive control tactics post-separation. A secondary qualitative analysis of in-depth interviews with a sub-sample of 34 women provided additional examples. Abusive partners used numerous strategies to coercively control their ex-partners by stalking/harassing them, using financial abuse and discrediting the women to various authorities. Considerations for future research are presented.

Assessment of Problematic Pornography Use Among Lebanese Adults and the Role of Child and Partner Abuse

Objective: To assess the association between child and intimate partner abuse and problematic pornography use among Lebanese adults.Methods: This cross-sectional study conducted between October and November 2020 enrolled a total of 653 participants aged > 18 years from all Lebanese districts. The questionnaire was sent through various social media platforms such as WhatsApp, Facebook Messenger, and Instagram. The Cyber-Pornography Use Inventory assessed problematic pornography use, the Child Abuse Self-Report Scale assessed child abuse, and the Composite Abuse Scale evaluated partner abuse.Results: The study findings highlighted that more child neglect and partner sexual abuse were associated with less odds of pornography addictive patterns, whereas alcohol consumption, higher child physical abuse, and higher partner physical abuse were significantly (P < .001) associated with higher odds of having pornography addictive patterns. Moreover, more partner sexual abuse and child neglect were significantly (P < .001) associated with less odds of having guilt regarding online porn use, whereas alcohol consumption, more partner physical abuse, and more child psychological abuse were significantly (P < .001) associated with more odds of having guilt regarding online porn use. Furthermore, higher age, more partner sexual abuse, and more child neglect were significantly (P < .001) associated with less odds of having online sexual behaviors-social, whereas alcohol consumption, more partner physical abuse, and more child psychological abuse were significantly (P < .001) associated with higher odds of having online sexual behaviors-social.Conclusions: The study findings highlighted that pornography use is positively linked with child and partner abuse and alcohol consumption. Further investigation and research are recommended to properly assess problematic pornography use, develop appropriate treatment options, and evaluate mental health and sexual life effects.

Psychological Distress Among Lebanese Women During the COVID-19 Confinement: Any Mediating Effect of Violence?

Background: Violence among women is associated with poor psychological health and increased internalizing symptoms, such as depression, stress, and anxiety. The primary objective was to evaluate the association of marital conflict, pregnancy status, socioeconomic status, and stressful life events with violence, depression, anxiety, and stress. The secondary objective was to evaluate the mediating effect of violence on psychological distress. Methods: A cross-sectional study was conducted among 369 women between June 8 and August 1, 2020. The questionnaire was developed on Google Forms and distributed online, using the snowball technique. Results: higher marital conflicts (Beta=0.199), financial difficulties (Beta=2.046), an abuse by a family member (Beta=2.292) and a history of child abuse (Beta=2.209) were significantly associated with higher depression scores. Higher marital conflicts (Beta=0.367) and financial difficulties (Beta=4.001) were significantly associated with higher anxiety scores. Higher marital conflicts (Beta=0.074) and financial difficulties (Beta=1.422) were significantly associated with higher perceived stress scores. Composite abuse scale partially mediated the association between pregnancy status, financial difficulties, history of child abuse by a family member and anxiety and depression. No mediation effect of the CASR-SF was found between the independent variables and perceived stress. Conclusion: Our main findings suggest that violence mediated the association between pregnancy status, marital conflicts, financial difficulties, and depression and anxiety but did not mediate between these factors and stress. Further studies are needed to understand better the factors that mediate the relations between domestic violence and mental well-being among Lebanese women.

Vaccine Hesitancy Among Canadian Mothers: Differences in Attitudes Towards a Pediatric COVID-19 Vaccine Among Women Who Experience Intimate Partner Violence.

Vaccine hesitancy (VH) in maternal decision-making is important to understand to achieve community immunity targets and optimize pediatric COVID-19 vaccine adoption. COVID-19 is exacerbating the risk of intimate partner violence (IPV) for women in abusive relationships, a known risk factor for maternal VH. This project aimed to: (1) determine if IPV impacts maternal VH in Canada; and (2) understand maternal attitudes towards routine childhood vaccines and a pediatric COVID-19 vaccine in Canada. As part of a cross-sectional, quantitative study, 129 women completed an online survey. IPV was assessed using the Abuse Assessment Screen and the revised, short-form Composite Abuse Scale. The Parent Attitudes about Childhood Vaccines scale evaluated maternal attitudes towards routine vaccinations and a COVID-19 vaccine. Questions informed by the World Health Organization's Increasing Vaccination Model (IVM) evaluated perceived barriers and facilitators to COVID-19 vaccination. In total, 14.5% of mothers were hesitant towards routine childhood vaccines, while 97.0% were hesitant towards a COVID-19 vaccine. Experiencing IPV was significantly associated with maternal COVID-19 VH (W = 683, p < 0.05). Social processes were identified as instrumental barriers and facilitators to COVID-19 vaccination, meaning that social norms and information sharing among social networks are critical in maternal vaccination decision-making. This study providesnovel evidence of maternal IPV significantly impacting VH and the presence of strong maternal VH specific to a COVID-19 vaccine in the Canadian context. Further research is required to fully understand the factors that build confidence and mitigate hesitancy in mothers, especially mothers who have experienced IPV.

Timing of Physical and Emotional Intimate Partner Violence Exposure and Women's Health in an Australian Longitudinal Cohort Study.

Drawing on data from a prospective pregnancy cohort (N = 1,507), this study examines the relationship between exposure to physical and emotional intimate partner violence (IPV) across the first 10 years of motherhood and women's mental and physical health. A measure of IPV (Composite Abuse Scale) was included at 1, 4, and 10 years postpartum. Past year and prior experiences of IPV were associated with mental and physical health issues at 10 years, both for mothers who had experienced combined IPV and emotional IPV alone. Awareness of the health issues associated with different types of IPV can assist in tailoring responses for women who experience IPV.