Impact Of Intimate Partner Violence Research Articles

Intimate partner violence moderates the association between mother–infant adrenocortical activity across an emotional challenge.

This study examined the relationship between mother and infant adrenocortical levels and reactivity to an emotion eliciting task. The impact of intimate partner violence (IPV) on these relationships was assessed as a moderator. The sample (n = 702 mother-infant dyads) was racially diverse and from predominantly low-income, rural communities. During a home visit, the dyad's saliva was sampled before, 20 min, and 40 min after standardized tasks designed to elicit the infant's emotional arousal and later assayed for cortisol. Mothers completed self-report measures of their partner's violence, and parenting behaviors were assessed via structured interview and mother-child interactions. In response to the task, infants had positive, and mothers had negative, cortisol slopes. Contrary to expectations, there were no IPV-related differences in mean pretask cortisol levels or reactivity in the mothers or infants. Mother-infant dyads from households characterized by either (1) violence or (2) restrictive and punitive parenting behaviors exhibited correlated cortisol reactivity measured in response to the infant challenge task. The findings suggest that social contextual features of the early caregiving environment may influence individual differences in the coordination between maternal and infant adrenocortical reactivity.

Correlates of Violent Response Among Peruvian Women Abused by an Intimate Partner

The authors sought to identify correlates of violent response among women exposed to intimate partner violence (IPV) in Lima, Peru. A structured questionnaire was used to collect information on exposure to IPV and women's physical violent reaction towards their abuser. Women who were sexually abused by their partners, as compared with women who experienced emotional abuse only, were more than twice as likely to respond in a violent manner to the abuse (OR = 2.32, 95% CI = 1.14-4.74). Similarly, women who reported being physically abused, were 4 times as likely than those who experienced emotional abuse only to retaliate in a physically violent manner (OR = 4.04, 95% CI = 2.68-6.11). Women's educational status, history of witnessing parental violence as a child, and type of IPV are significantly associated with women's violent response. Community support networks and culturally appropriate intervention programs designed to prevent and mitigate the impact of IPV are needed.

State Gender Inequality, Socioeconomic Status and Intimate Partner Violence (IPV) in India: A Multilevel Analysis

While a growing body of literature has investigated the health impact of intimate partner violence (IPV), less has been written on the social determinants of IPV. The authors use multilevel modeling methods to analyze data from a sample of 83,627 women in India to examine the socioeconomic and demographic patterning of the state‐ and neighborhood‐level variation in, and the state‐ and/or neighborhood‐level characteristics related to, IPV. This study finds social gradients in IPV in which women who are uneducated, from marginalized castes, and living in poor households have higher likelihood of reporting IPV than those living in advantaged circumstances. The results also show differences in IPV between neighborhoods and between states that are partially explained by state levels of gender inequality. The results suggest that changing cultural norms to promote the status of women and increasing the educational and economic opportunities for all people could decrease the prevalence of IPV.

Coping as a Mediator and Moderator Between Intimate Partner Violence and Symptoms of Anxiety and Depression

This study examines the role of coping as both a moderator and a mediator of the association between intimate partner violence and women's mental health. A sample of 298 women who had suffered physical aggression completed measures of physical and psychological abuse, coping responses, and symptoms of anxiety and depression. Tests of moderation consistently indicated that coping responses did not moderate the impact of intimate partner violence on symptoms of anxiety and depression, whereas tests of mediation demonstrated that disengagement coping mediated the impact of psychological abuse on distress. Thus, findings support the hypothesis that coping responses are influenced by violence itself and underline the dysfunctional nature of disengagement coping among victims.

Patterns in Relationship Violence Among African American Women: Future Research and Implications for Intervention

ABSTRACT The impact of intimate partner violence (IPV) on those most at risk, HIV-positive women of color, has received little attention. This study examined IPV in HIV-positive and HIV-negative African American women. Victim characteristics and factors contributing to IPV and psychological sequelae were identified. Structured interviews were administered and analyzed at baseline, at 6 months, and at 12 months. HIV-positive women were less educated, were less employed, had lower incomes, had more depressive symptoms at all time points, and were more likely to report IPV at baseline and 6 months compared to HIV-negative women. Among HIV-positive depressed women, those reporting IPV were more depressed than those without IPV. Suggestions for studies with couples examining relationship dynamics, including risks for IPV and HIV transmission, and for interventions are discussed.

Impact of Intimate Partner Violence on Children's Well-Child Care and Medical Home

Intimate partner violence has been linked to poor child health. A continuous relationship with a primary care pediatric provider can help to detect intimate partner violence and connect families with needed services. The objectives of this study were to determine the relationship between intimate partner violence and (1) maternal report of a regular site for well-child care, (2) maternal report of a primary pediatric provider, (3) well-child visits in the first year of life, (4) up-to-date immunizations at 2 years of age, (5) maternal report of medical neglect, and (6) maternal report of the pediatric provider-caregiver relationship. This retrospective cohort study evaluated data from 209 at-risk families participating in the evaluation of the Healthy Families Alaska program. Research staff interviewed mothers near the time of an index child's birth and again at the child's second birthday. Medical charts were abstracted for information on well-child visits and immunizations. Mothers who disclosed intimate partner violence at the initial interview (n = 62) were significantly less likely to report a regular site for well-child care or a primary pediatric provider. In multivariable models, children of mothers who disclosed intimate partner violence tended to be less likely to have the recommended 5 well-child visits within the first year of life and were significantly less likely to be fully immunized at 2 years of age. Differences in medical neglect were not statistically significant. Of mothers who reported a specific primary pediatric provider, those with intimate partner violence histories trusted this provider less and tended to rate less favorably pediatric provider-caregiver communication and the overall quality of the pediatric provider-caregiver relationship. Future research should explore effective ways to link intimate partner violence-exposed children with a medical home and a primary pediatric provider and to improve relationships between pediatric providers and caregivers who face violence at home.

The impact of intimate partner violence on women's reproductive health and pregnancy outcome

SummaryThe aim of this study was to evaluate and elucidate the impact of intimate partner violence (IPV) on women's reproductive health and pregnancy outcomes taking into account data from various countries. The search of the literature was made in MEDLINE database service for the years 2002–2008. Original articles, reviews, surveys, clinical trials and investigations pertinent to the theme were considered for this review. The lifetime physical or sexual IPV or both varied from 15% to 71% in many countries. Adolescent violence, negative emotionality and quality of the relationship with the intimate partner were associated with genesis of IPV, besides demographic, social and structural difference in attitudes. IPV affected woman's physical and mental health, reduced sexual autonomy, increased risk for unintended pregnancy and multiple abortions. Risk for sexual assault decreased by 59% or 70% for women contacting the police or applying for a protection order, respectively. Quality of life of IPV victims was found significantly impaired. Women battered by IPV reported high levels of anxiety and depression that often led to alcohol and drug abuse. Violence on pregnant women significantly increased risk for low birth weight infants, pre-term delivery and neonatal death and also affected breast-feeding postpartum. Women preferred an active role to be played by healthcare providers in response to IPV disclosure. Gynaecologists reported interventions for the patient disclosing IPV and provided treatment for their physical and emotional complaints. Educating and empowering women and upgrading their socioeconomic status may abate the incidence of IPV. Women should also seek protection against IPV.

Impact of Intimate Partner Violence on Unmet Need for Mental Health Care: Results From the NSDUH

Impact of Intimate Partner Violence on Unmet Need for Mental Health Care: Results From the NSDUH

Impact of Intimate Partner Violence on Unmet Need for Mental Health Care: Results From the NSDUH

This study examined risk factors and ethnic differences in the relationship between intimate partner violence and unmet need for mental health treatment (perceived need for but did not receive treatment) in the general population. The 2002 National Survey on Drug Use and Health was used; the analysis presented here included black, Hispanic, and non-Hispanic white women ages 18 to 49 who were cohabiting (N=7,924). Logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Victims of partner violence were twice as likely as nonvictims (AOR=2.11, CI=1.41-3.16) overall to report unmet need, after analyses controlled for socioeconomic factors and substance abuse. In ethnic-specific models, only Hispanic and non-Hispanic white women who experienced partner violence were more likely than their nonabused counterparts to report unmet need for treatment (AOR 4.11, CI=1.34-12.60, and AOR=2.12, CI=1.34-3.35, respectively). This study suggests that women who experienced partner violence, especially Hispanic women, are at increased risk of not receiving needed mental health care. These findings highlight the need for culturally sensitive and specific outreach about the effects of partner violence on women's mental health and how to access these services.

Measuring the impact of intimate partner violence on the health of women in Victoria, Australia

Using burden of disease methodology, estimate the health risks of intimate partner violence (IPV) among women in Victoria, Australia. We calculated population attributable fractions (from survey data on the prevalence of IPV and the relative risks of associated health problems in Australia) and determined health outcomes by applying them to disability-adjusted life year estimates for the relevant disease and injury categories for Victoria, Australia for 2001. For women of all ages IPV accounted for 2.9% (95% uncertainty interval 2.4-3.4%) of the total disease and injury burden. Among women 18-44 years of age, IPV was associated with 7.9% (95% uncertainty interval 6.4-9.5%) of the overall disease burden and was a larger risk to health than risk factors traditionally included in burden of disease studies, such as raised blood pressure, tobacco use and increased body weight. Poor mental health contributed 73% and substance abuse 22% to the disease burden attributed to IPV. Our findings suggest that IPV constitutes a significant risk to women's health. Mental health policy-makers and health workers treating common mental health problems need to be aware that IPV is an important risk factor. Future research should concentrate on evaluating effective interventions to prevent women being exposed to violence, and identifying the most appropriate mental health care for victims to reduce short- and long-term disability.

The Impact of Intimate Partner Violence on Decisions to Leave Dating Relationships

This study explored the impact of violence exposure on investment-model constructs within a sample of college women involved in heterosexual dating relationships. Results generally supported the "common sense" hypothesis, suggesting that violence negatively impacts satisfaction for and commitment to one's relationship and is positively associated with intentions to leave. Exposure to psychological abuse uniquely impacted intentions to leave relationships above and beyond other model factors, suggesting that this may be a particularly important factor in determining college women's decisions. In a series of analyses examining the investment model within each of two groups (e.g., those exposed or not exposed to physical violence), results showed that the model predicted victimized women's decisions to leave as well as it predicted nonvictimized women's decisions. Taken together, results of this study suggest that victimized women base their relationship termination decisions on the same information as nonvictimized women do.

Quality of life of victims of intimate partner violence

Objective To evaluate the impact of intimate partner violence on the quality of life in Obstetric/Gynecological (OBGYN) patients. Method A total of 1614 OBGYN patients were classified into four groups (Group 1: requesting termination of pregnancy, n = 300; Group 2: infertility patients, n = 500; Group 3: other general gynecological patients, n = 300; Group 4: obstetric patients, n = 514) were successfully interviewed in the absence of their male partners, using a structured questionnaire modified from the Abuse Assessment Screen Questionnaire. Those who reported ever having been abused, together with an equal number of non-abused women as controls, were asked to complete the World Health Organization Quality of Life Measure — Abbreviated version (Hong Kong) Questionnaire. Results The overall lifetime prevalence of intimate partner violence was 7.2%, with the lifetime prevalence being 12.7%, 1.8%, 4.7%, and 10.9% respectively in Groups 1–4. The mean quality of life domain scores among the abused victims were significantly lower in the physical health domain, social relationship domain, environment domain and psychological health domain. Conclusion The baseline quality of life of the victims of intimate partner violence is significantly impaired compared with the non-abused controls.

Assessing Physical, Sexual, and Psychological Violence Perpetrated by Intimate Male Partners Toward Women: A Spanish Cross-Sectional Study

There have been many studies on the impact of intimate partner violence (IPV) on women's health, there being agreement on its detrimental effect. Research has focused mainly on the impact of physical violence on health, with few studies assessing the effect of sexual and psychological violence. Furthermore, there are many differences in the way violence experienced by women is assessed. While some researchers use available instruments, others develop their own questionnaires. This article gives detailed information about physical, sexual, and psychological violence, lifetime history of women's victimization, and aspects of women's behavior and feelings obtained with the questionnaire used in a Spanish cross-sectional study. Our results corroborate that IPV is not homogeneous, it being necessary to ask women about each type of violence they have experienced. Furthermore, to accurately assess the impact of IPV on women's health, it is necessary to control for other variables that also have detrimental effects on health.

Changes in cortisol and dehydroepiandrosterone in women victims of physical and psychological intimate partner violence

Although intimate partner violence (IPV) has a great impact on women's health, few studies have assessed the consequences on physiologic responses. Women abused by their intimate male partners either physically (n = 70) or psychologically (n = 46) were compared with nonabused control women (n = 46). Information about sociodemographic characteristics, smoking, pharmacologic treatment, lifetime history of victimization (childhood and adulthood), and mental health status (depression, anxiety, and posttraumatic stress disorder, PTSD) was obtained through structured interviews. Saliva samples were collected at 8 am and 8 pm for 4 consecutive days to determine morning and evening basal levels of cortisol and dehydroepiandrosterone (DHEA). Women who were victims of IPV had more severe symptoms of depression, anxiety, and incidence of PTSD and higher levels of evening cortisol and morning and evening DHEA compared with control women. Intimate partner violence was the main factor predicting the alterations in hormonal levels after controlling for age, smoking, pharmacologic treatment, and lifetime history of victimization. Mental health status did not have a mediating effect on the impact of IPV on hormonal levels. This study shows that both physical and psychological IPV have a significant impact on the endocrine systems of women.

La violencia contra la mujer en la pareja como factor asociado a una mala salud física y psíquica

To study the impact of intimate partner violence (IPV) on women's physical and psychological health. Cross-sectional study. Primary care centers in 3 Andalusian provinces. A total of 425 women, aged 18 to 65 years, were recruited following the same randomisation process in 6 primary care centers. A self-administered structured questionnaire for this study was used to gather the information. As well as sociodemographic variables, the instrument included questions about IPV, physical health indicators (chronic disease and type, lifetime surgeries, days in bed), psychological health (psychological morbidity, use of tranquilizers, antidepressants, pain killers, alcohol and recreational drugs), self-perceived health and social support. Of 425 women, 31.5% ever experienced any type of partner violence. Women experiencing IPV were more likely to suffer a chronic disease. IPV was significantly associated with a number of adverse health outcomes, including spending more than 7 days in bed in the last three months (ORa=2.96; CI 95%, 1.00-8.76), psychological morbidity (ORa=2.68; CI 95%, 1.60-4.49) and worse self-perceived health (ORa=1.89; CI 95%, 1.04-3.43), after controlling for potential confounding variables. This study shows that ever experiencing IPV is associated with a worse psychological and self-perceived health. Physical injuries are not the only "evidence" of the presence of IPV. Primary health care professionals are in a privileged position to help women who are abused by their partners.

Women's Use of Violence Within Intimate Relationships

This article presents a review of research findings that investigate women's use of violence in intimate relationships, as well as the phenomena of increased arrests of women in domestic violence disputes. A brief outline of the extant national/regional data concerning the use of intimate partner violence (IPV) by men and women is presented. This is followed by a review of findings from data collected on smaller samples concerning differences between male and female IPV and genderized reactions, most notably to the differential physical, psychological, and emotional impact of IPV. Measurement methods that impact these national, regional, and local findings are discussed, followed by a review of what little is known about female arrests and “dual battering.” An integration of the literature shows that a mere “count” of IPV by gender de-contextualizes and obscures the negative effects of violence against women, women's motivations for using IPV, and the meaning of recent increased arrests of women who resort to IPV.

Men's and Women's Use of Intimate Partner Violence in Clinical Samples

Experiences and impact of intimate partner violence on men and women court ordered to attend abuse abatement counseling and women in a shelter were examined. Whereas court-ordered men and women appeared similar in expressed violent acts, violence frequency, and injurious outcome, court-ordered women initiated significantly fewer violent episodes than did men and were less likely to start the overall pattern of relationship violence. Court-ordered women were less likely than were shelter women to call police, try to escape, or acquiesce to their partners' violence. The two groups of women reported more fear, anger, and insult and less amusement when their partners were violent than did men. Court-ordered men were significantly more likely than were women to laugh at partner-initiated violence and exhibit dominating and controlling behaviors.

Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence.

Intimate partner violence (IPV) poses major health threats to women, including increased risk for several chronic health conditions. The impact of IPV on use of preventive health services is not well understood. Although several studies indicate that female victims of IPV have higher rates of alcohol abuse, this has not been replicated in population-based studies. The association of IPV with smoking has not been a major research focus. The purpose of this study was to examine the association between physical and psychological IPV in the past 12 months and preventive healthcare use, smoking, and alcohol use among women. Data on 1643 women aged 18-54 from the 1999 Rhode Island Behavioral Risk Factor Surveillance System were analyzed. Logistic regression, controlling for age, race, marital status, education, insurance status, and functional disability, was used to model the associations of IPV with (1) checkups, (2) clinical breast examinations (CBEs), (3) Pap smear screening, (4) cigarette smoking, and (5) high-risk alcohol use. Prevalence of physical IPV was 4.1%. The prevalence of psychological IPV, in the absence of physical IPV was 4.5%. Physical IPV was associated with receiving regular Pap smears odds ratio ([OR] = 2.39, 95% confidence interval [CI] 1.01-5.70), current smoking (OR = 2.07, 95% CI 1.03-4.18), and high-risk alcohol use (OR = 4.85, 95% CI 2.02-11.60). Psychological IPV was associated with high-risk alcohol use (OR = 3.22, 95% CI 1.46-7.09). Women experiencing IPV regularly access preventive healthcare, providing healthcare providers with opportunities to assess and counsel women for IPV in addition to smoking and high-risk alcohol use.

The Radiating Impact of Intimate Partner Violence

Many studies of violence against women focus on the impact of abuse on the victim's emotional and physical well-being. Here the authors expand the conceptualization of the impact of violence to include other aspects of the victim's life as well as the lives of those in her social world. Analyses of life narrative interviews with women 1 year after their stay in battered women's shelters indicates that violence affects not only women who are abused but also those who are not directly victimized yet who nonetheless suffer consequences of violence. The authors discuss the implications of this conceptualization of violence for both research and policy

Women battering in primary care practice.

The organization of health care system to emphasize managed care has placed the primary care provider in an ideal position to assess the impact of intimate partner violence (IPV) on the health of women. Primary care practice provides a setting in which women can develop an ongoing relationship with their health care provider in which they feel safe to discuss IPV and possible options to improve their lives. Women's health and safety could be dramatically improved if primary care providers were prepared to assess, intervene and appropriately refer women who are in violent relationships. The purpose of this article is to describe the prevalence of intimate partner violence in primary care populations and review the known physical, mental health and pregnancy consequences of abuse as well as discuss the implications of intimate partner violence on primary care practice.