Intersection Of Intimate Partner Violence Research Articles

Untold Stories of Displaced Rohingya Pregnant Women Exposed to Intimate Partner Violence in Camp Settings

Intimate partner violence (IPV) strongly impacts the physical, sexual, social, and reproductive health of women, causing an array of psychological and behavioural problems. During pregnancy, the detrimental effects of violence extend to both the mother and the child. Rates of IPV are frequently higher among those in conflict‐affected and displaced communities, most of whom live in low and middle‐income countries. IPV against Rohingya women is common due to relocation, family breakups, patriarchal norms, and deep‐seated gender roles. Despite the high prevalence of IPV in Rohingya refugees in Bangladesh, the matter is often under‐examined. This qualitative study aims to explore and understand pregnant IPV victims’ unique experiences and hardships among the displaced population in a camp setting. A sample of six pregnant homemakers with no formal education was recruited from a healthcare service provider in Leda Camp 24, a remote camp in Cox’s Bazar, Bangladesh. Semi‐structured, in‐depth, face‐to‐face interviews were conducted. Participants reported diverse manifestations of IPV victimisation. Physical abuse, emotional abuse, economic abuse, sexual abuse, pregnancy‐related consequences, and impact on mental health were commonly experienced by participants of this study. The current research investigates the recurrent abuse experienced by this demography, providing detailed narrative information beyond quantitative descriptions of IPV experiences. This article contributes to the existing knowledge on the intersection of IPV, pregnancy, and mental health among displaced populations. Governmental and non‐governmental stakeholders must contextualise these findings in policies and practices by integrating IPV and violence screening, prevention, and treatment protocols into refugee camps and healthcare service providers.

The Intersection of Intimate Partner Violence, Strangulation, and Brain Injury Screening: A Pilot Project.

Survivors of intimate partner violence are at a high risk for having a brain injury because of high rates of strangulation and head and face injuries sustained from physical abuse. In addition to acute physical injuries, survivors experience various health complications. Many survivors do not seek medical attention for their injuries, and when they do, their brain injury often goes unrecognized and untreated. Research indicates that screening for brain injury can be an effective intervention to increase the identification of brain injuries and medical referrals for diagnosis and treatment. Unfortunately, brain injury screening is not a standard of care. Shelter-seeking clients were routinely screened for brain injury using a modified HELPS screening tool. A positive screen prompted a medical referral. A modified HELPS screening tool was utilized with permission for the project. Before implementation, 36 individuals entered shelter, 0 were screened for brain injury, and the medical referral rate was 19.4% (n = 7). After implementation, 40 clients entered shelter, 36 were screened for brain injury, 77.8% (n = 28) screened positive, and the medical referral rate was 80.6% (n = 29). Brain injury screening may be an effective evidence-based intervention for shelter-seeking survivors of intimate partner violence to increase medical referrals.

Intersection of Intimate Partner Violence, Partner Interference, and Family Supportive Supervision on Victims' Work Withdrawal.

This study investigates the link between intimate partner violence (IPV) and work withdrawal (including absence frequency, partial absenteeism, and turnover intentions) in the context of partners' interference with victims at work and family supportive supervision of victims at work. Using the work-home resources model, we propose that (1) partner interference with victims at work will worsen the relationship between IPV and work withdrawal, and (2) family supportive supervision of victims at work will alleviate this relationship. Our analysis of a sample of 249 female employees found a three-way interaction between IPV, partner interference, and family supportive supervision on victims' absence frequency: IPV victims whose partners interfered with their work had lower absence frequency when they received high (compared to low) levels of family supportive supervision at work. Importantly, family supportive supervision was only related to lower absence frequency when both IPV and partner interference were present. This suggests that organizations have a unique opportunity to reduce the negative effects of IPV and partner interference not only for the victim but also for other employees who are indirectly affected. Our findings have significant implications for organizations, which have ethical, legal, and practical responsibilities to create a safe working environment for all employees.

‘Every slap demeans me’: at the intersection of disability, masculinity and intimate partner violence in the Global South

The experiences of heterosexual men with paraplegia who are the victims of intimate partner violence remains an under-researched area. This article responds to the call for more research and offers an analysis of the narratives of five working-class coloured men in Cape Town, South Africa, who acquired spinal cord injuries and then fell victim to intimate partner violence. Narrative interviews were conducted with men and their wives. Drawing on Tarzia’s notion of the ‘invisible impacts of intimate partner violence’, narrative analysis explored the meanings and complexities involved in (re)claiming a sense of identity and sexual intimacy among these men, after their experiences of intimate partner violence. In many cases, the abuse was levelled against them as acts of revenge for having previously been violent non-disabled men. Wives’ narratives show nuances that complement the narratives of their partners as they too reflect on what it means to hold a space of safety, emotional stability, intimacy, love, and care for a paralysed husband, after the prior experience of intimate partner violence. Findings provide insight into ways of surviving intimate partner violence and (re)building healthy sexual relationships. At the intersection of intimate partner violence, disability and masculinity, the process of self-healing and (re)building satisfying intimate relations coexists with breaking the silence surrounding intimate partner violence.

The Shadow Pandemic: COVID-19 Impact on the Intersection of Intimate Partner Violence and Brain Injury

<h3>Research Objectives</h3> Intimate partner violence (IPV) affects up to 1 in 3 women over their lifetime and has intensified during the COVID-19 pandemic. Although most injuries are to the head, face and neck, the intersection of IPV and brain injury (BI) remains largely unrecognized. Our main objective was to explore the impact of the COVID-19 pandemic on survivors and service providers. <h3>Design</h3> This project used a qualitative, participatory approach using semi-structured individual or group interviews. Interviews were conducted via videoconferencing, audio recorded, and transcribed. Transcripts were thematically analyzed by the research team to identify themes. <h3>Setting</h3> The study took place in the general community and included participants from across Canada. <h3>Participants</h3> Purposeful sampling through the team's national Knowledge-to-Practice (K2P) Network and snowball sampling were used to recruit 24 participants across 4 categories: survivors, executive directors/managers of organizations serving survivors, direct service providers, and employer/union representatives. <h3>Interventions</h3> N/A. <h3>Main Outcome Measures</h3> N/A. <h3>Results</h3> COVID-19 has increased rates and severity of IPV and barriers to services, both in terms of provision and uptake. Three main themes emerged: (1) implications for women survivors of IPV/BI; (2) implications for service delivery and service providers supporting women survivors of IPV/BI; and (3) key priorities. Increased risk, complex challenges to mental health, and the impact on employment were discussed. Adaptability and flexibility of service delivery were identified as significant issues and increased outreach and adaptation of technology-based services were noted as key priorities. <h3>Conclusions</h3> The COVID-19 pandemic has intensified IPV/BI, increased challenges for women survivors and service providers, and accentuated the continued lack of IPV/BI awareness. Recommendations for service delivery and uptake are discussed. <h3>Author(s) Disclosures</h3> Nothing to disclose.

Maternal exposure to intimate partner violence and uptake of maternal healthcare services in Ethiopia: Evidence from a national survey.

BackgroundWomen exposed to Intimate Partner Violence (IPV) often do not utilize maternal health care optimally both because of stigma and other social problems. The current study aims to explore an association between maternal healthcare seeking and violence exposure among Ethiopian women and to assess if educational attainment and wealth status moderate this association.MethodsThe analyses included 2836 (weighted) currently married women with one live birth. We focus on the five years preceding the 2016 Ethiopian Demographic and Health Survey (EDHS) who participate, in the domestic violence sub-study. Exposure was determined by maternal reports of physical, emotional, sexual IPV or any form of IPV. The utilization of antenatal care (ANC) and place of delivery were used as proxy outcome variables for uptake of skilled maternal healthcare utilization. Women’s education attainment and wealth status were selected as potential moderators, as they can enable women with psychological and financial resources to counteract impact of IPV. Multilevel logistic regression analyses were used to explore the association between spousal IPV and maternal health outcomes. Moderation effects by education and wealth status were tested, and the data stratified. Using statistical software Stata MP 16.1, the restricted maximum likelihood method, we obtained the model estimates.ResultsAbout 27.5% of the women who reported exposure to any form of IPV had a health facility delivery. While 23.4% and 22.4% visited four or more antenatal care services among mothers exposed to emotional IPV and sexual IPV, respectively. After adjusting for potential confounding factors, only the association between maternal exposure to emotional IPV and adequate use of ANC was statistically significant (OR = 0.73, (95% CI:0.56–0.95)). But we found no significant association between IPV and utilization of health facility delivery. Some moderation effects of education and wealth in the association between IPV and maternal healthcare service utilization outcome were found.ConclusionExposure to emotional IPV was associated with poor uptake of maternal health care service utilization for married Ethiopian women. While developing interventions to improve women’s maternal healthcare service use, it is crucial to consider the effects of socio-economic variables that moderate the association especially with the intersection of IPV.

Intertwined epidemics: progress, gaps, and opportunities to address intimate partner violence and HIV among key populations of women.

The intersection of intimate partner violence and HIV is a public health problem, particularly among key populations of women, including female sex workers, women who use drugs, and transgender women, and adolescent girls and young women (aged 15-24 years). Intimate partner violence results in greater risk of HIV acquisition and creates barriers to HIV prevention, testing, treatment, and care for key populations of women. Socioecological models can be used to explain the unique multilevel mechanisms linking intimate partner violence and HIV. Few interventions, modelling studies, and economic evaluations that concurrently address both intimate partner violence and HIV exist, with no interventions tailored for transgender populations. Most combination interventions target individual-level risk factors, and rarely consider community or structural factors, or evaluate cost-efficacy. Addressing intimate partner violence is crucial to ending the HIV epidemic; this Review highlights the gaps and opportunities for future research to address the intertwined epidemics of intimate partner violence and HIV among key populations of women.

Addressing the Shadow Pandemic: COVID-19 Related Impacts, Barriers, Needs, and Priorities to Health Care and Support for Women Survivors of Intimate Partner Violence and Brain Injury

Intimate partner violence (IPV) affects 1 in 3 women and has intensified during the COVID-19 pandemic. Although most injuries are to the head, face, and neck, leaving survivors vulnerable to sustaining traumatic brain injury (TBI), the intersection of IPV and TBI remains largely unrecognized. This article reports on COVID-19–related effects, barriers, needs, and priorities to health care and support services for women survivors of IPV-TBI. Using a participatory research model, we engaged 30 stakeholders in virtual meetings drawn from an IPV-TBI Knowledge to Practice Network in two virtual meetings. Stakeholders included women survivors, service providers, researchers, and decision makers across the IPV, TBI, and healthcare sectors. Data were gathered through small group breakout sessions facilitated by the research team using semistructured discussion guides. Sessions were recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Stakeholders were given the opportunity to contribute to the analysis and knowledge transfer through member checking activities. Ethics approval was obtained through the University of Toronto. Stakeholders shared that COVID-19 has increased rates and severity of IPV and barriers to services and help-seeking. These effects have been exacerbated by infrastructure difficulties in rural and remote areas, including limited access to services. They noted the need to carefully consider implications of virtual care such as safety, privacy, and usability. Requests from survivors for peer support have increased significantly, indicating a need for more formalized and better-supported peer roles. Stakeholders further noted that an overwhelming lack of awareness of the intersection of IPV-TBI continues. Increasing education and awareness among health care and IPV service providers, survivors, and the public remains a priority. The COVID-19 pandemic has intensified IPV-TBI, increased challenges for women survivors, and accentuated the continued lack of IPV-TBI awareness. Key recommendations for health care and rehabilitation to address this priority are discussed.

The Intersection of Intimate Partner Violence and Traumatic Brain Injury: Findings From an Emergency Summit Addressing System-Level Changes to Better Support Women Survivors.

Traumatic brain injury (TBI) occurring during intimate partner violence (IPV) is a largely unrecognized but significant public health crisis. One in 3 women will experience IPV in their lifetime, up to 75% of whom will sustain a TBI as a result. This article reports on the systems-level findings from a national summit to address barriers, needs, and priorities related to healthcare and support services for women survivors of IPV-TBI. (1) To identify key needs, facilitators, and barriers to care for women survivors of IPV presenting with TBI; and (2) to cocreate ideas for resources and principles for identification, clinical care, and support for healthcare practitioners who treat women exposed to IPV and TBI. Using a community-based participatory research approach, we engaged 30 stakeholders-drawn from a national IPV-TBI Knowledge-to-Practice (K2P) Network including diverse women survivors, service providers, researchers, and decision makers-in 2 half-day virtual meetings. Data were gathered through small group breakout sessions using semistructured discussion guides. Sessions were recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Stakeholders contributed to the analysis and knowledge translation through member-checking activities. Ethics approval was obtained through the University of Toronto. Three main systems-level themes arose during these discussions: (1) the need for trauma-informed, anti-racist, and equitable health and social care systems; (2) the need for cross-pollination of knowledge between disciplines; and (3) the need for systems-level support for integrated and coordinated care. This article explores these needs and provides recommendations and suggestions for paths forward. The findings of this project enhance understanding of system-level needs among women survivors and provide a template for a national agenda for IPV-TBI research and practice.

The Shadow Pandemic: A Qualitative Exploration of the Impacts of COVID-19 on Service Providers and Women Survivors of Intimate Partner Violence and Brain Injury.

Intimate partner violence (IPV) affects up to 1 in 3 women over their lifetime and has intensified during the COVID-19 pandemic. Although most injuries are to the head, face, and neck, the intersection of IPV and brain injury (BI) remains largely unrecognized. This article reports on unexplored COVID-19-related impacts on service providers and women survivors of IPV/BI. To explore the impact of the COVID-19 pandemic on survivors and service providers. Purposeful sampling through the team's national Knowledge-to-Practice (K2P) network and snowball sampling were used to recruit 24 participants across 4 categories: survivors, executive directors/managers of organizations serving survivors, direct service providers, and employer/union representatives. This project used a qualitative, participatory approach using semistructured individual or group interviews. Interviews were conducted via videoconferencing, audio-recorded, and transcribed. Transcripts were thematically analyzed by the research team to identify themes. COVID-19 has increased rates and severity of IPV and barriers to services in terms of both provision and uptake. Three main themes emerged: (1) implications for women survivors of IPV/BI; (2) implications for service delivery and service providers supporting women survivors of IPV/BI; and (3) key priorities. Increased risk, complex challenges to mental health, and the impact on employment were discussed. Adaptability and flexibility of service delivery were identified as significant issues, and increased outreach and adaptation of technology-based services were noted as key priorities. The COVID-19 pandemic has intensified IPV/BI, increased challenges for women survivors and service providers, and accentuated the continued lack of IPV/BI awareness. Recommendations for service delivery and uptake are discussed.

Introduction to the Special Issue on the Intersection of Intimate Partner Violence and Child Maltreatment.

Introduction to the Special Issue on the Intersection of Intimate Partner Violence and Child Maltreatment.

The intersection of intimate partner violence and childhood sexual abuse in mother-child dyads

BackgroundChild sexual abuse (CSA) and intimate partner violence (IPV) have been associated with negative consequences for adult victims and their children including a risk of revictimization and intergenerational continuity. ObjectivesThe aim of this study was to document correlates of intergenerational cumulative trauma profiles in mother-child dyads. Participants and settingA sample of 997 sexually abused children (mean age = 7.61 years; 79.1% girls) and their mothers was recruited. MethodsLatent Class Analysis (LCA) was used to identify classes of cumulative trauma among dyads. Classes were compared on validated measures of psychological functioning for both members of the dyads. ResultsFour distinct classes emerged: CSA Only (43.3%), Intergenerational CSA with Psychological IPV (14.2%), Physical and Psychological IPV with Low Child Exposure (24.0%) and Intergenerational Polyvictimization (18.5%). Comparisons generally revealed lower distress in CSA Only dyads, and higher levels of psychological difficulties in the two most victimized groups. However, the dose-response pattern was not as clear as expected, as the two most victimized groups did not differ in terms of psychological functioning. ConclusionsThis study shows that higher levels of intergenerational cumulative trauma are associated with increased psychological symptoms in mothers and more dissociation in their sexually abused children. Interventions should be adapted to the specific needs of families to prevent lasting intergenerational difficulties in trauma exposed individuals.

The intersection of intimate partner violence and substance use among women with opioid use disorder

Background Women with opioid use disorder (OUD) report high rates of intimate partner violence (IPV) and there is limited understanding of how IPV influences substance use behaviors among women with OUD. Methods: Semi-structured qualitative interviews were conducted with a sample of 40 women with OUD participating in an ongoing clinical trial evaluating postpartum contraceptive utilization patterns for this population. Interviews were audio-recorded, transcribed verbatim and lasted approximately 45 min. Interview questions focused on women’s perceptions and experiences with IPV and how these experiences impacted their substance use behaviors. Transcripts were coded independently in Atlas.ti and qualitatively analyzed using a general qualitative inquiry approach for emerging themes. Results: Participants were aged 24–29, and the majority were white, single, unemployed, had Medicaid insurance and a high school degree. Although personal IPV experiences were not necessary to be selected for this qualitative sub-study, all participants reported some lifetime experience with IPV. Four overarching themes emerged: (1) women attributed physical IPV to their partner’s substance use; (2) emotional abuse prevented women from fully engaging in their recovery; (3) financial abuse prevented women from gaining independence from abusive partners; and (4) women coped with IPV experiences through substance use. Conclusions: IPV had a significant influence on women’s substance use behaviors including their perceived risk of relapse and treatment discontinuation. These findings demonstrate the need to integrate assessment, evaluation and management of IPV into substance use treatment settings.

Intersection of Intimate Partner Violence and Pre-Exposure Prophylaxis: Exploring HIV Worry and PrEP Acceptability Among Women.

This article examines the prevalence of recent and lifetime intimate partner violence (IPV) and association with pre-exposure prophylaxis (PrEP) acceptability among women seeking care at an urban family planning clinic (N = 145). We found high prevalence of recent (40%) and lifetime IPV (71%). Almost a third of participants reported being worried about HIV risk, 70% were willing to take PrEP, and 71% of women who disclosed recent IPV were willing to take PrEP. Findings provide direction for research, practice, and policy attention needed around the context of IPV to focus development of a woman-centered PrEP intervention.

"It Went to the Very Heart of Who I Was as a Woman": The Invisible Impacts of Intimate Partner Sexual Violence.

Intimate partner sexual violence (IPSV) sits within the intersection of intimate partner violence and sexual violence. It is prevalent, yet poorly understood. Research consistently shows that IPSV is associated with many mental and physical health issues although the mental health aspects are often the most damaging. Despite this, there is poor understanding of the mechanisms through which IPSV causes trauma and poor mental health. To address this gap, I used interpretative phenomenological analysis of n = 38 in-depth interviews with women in Australia to explore their lived experiences of IPSV. The essence of IPSV was described as "Being attacked from the inside out" and comprised four themes. The first, "Shaken foundations," described devastating betrayal and loss of trust. The second, "A different kind of damage," suggested that sexual violence impacts women differently from physical or psychological violence in a relationship. The third theme, "It kills something inside you," addressed the dehumanizing aspects of IPSV. The final theme, "Lingering scar tissue," focused on the long-term impacts of IPSV on women's sexuality and relationships. The findings of this study highlight the "invisible impacts" of IPSV, which may be the pathways through which it causes trauma.

Call for Papers: Prospectus for Special Issue of Child Maltreatment: "The Intersection of Intimate Partner Violence and Child Maltreatment".

Call for Papers: Prospectus for Special Issue of Child Maltreatment: "The Intersection of Intimate Partner Violence and Child Maltreatment".

Intimate Partner Violence, Suicide, and Their Overlapping Risk in Women Veterans: A Review of the Literature.

Suicidal thoughts and behaviors (STB) and intimate partner violence (IPV) are both serious and prevalent problems in the Veteran population that often occur in tandem, particularly among women Veterans. Women Veterans, the fastest growing segment of the Veteran population, may have unique overlapping risks that are worth exploring. Although the intersection of IPV and STB is well documented in the civilian population, it has not been thoroughly explored in women Veterans. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, we conducted a systematic review of the STB and IPV literature specifically related to women Veterans. We only included articles that sampled women Veterans, rather than active duty/reservist/National Guard women; due to the small volume of STB research using samples of only women Veterans, we included studies that used mixed-gender samples. We extracted risk factors for STB and/or IPV involvement from 56 selected articles and placed them into tables for comparison to determine commonalities. Common risk factors fell into three categories: socio-demographic risk factors (young age, unemployment, and sexual minority status) were significant across both bodies of literature; mental health risk factors (general psychopathology, post-traumatic stress disorder (PTSD), depression, sleep disturbance, and substance use/abuse) also had significant overlap; and military service-related risk factors (military sexual trauma (MST) and deployment factors) were also relevant across both bodies of literature. Mental health risk factors, particularly PTSD, were the most common. Frequently, the risk factors for IPV and STB are shared and it is important to consider how research, screening and intervention efforts for these serious problems might be integrated. Our exploration of the literature may be used as a basis for future research with women Veterans on the intersection of STB and IPV. Further, Veterans Health Administration clinicians should be aware of these intersecting risk factors to enhance care and improve screening for both issues in women Veteran clients.

The intersection of intimate partner violence and poverty in Black communities

Abstract Intimate partner violence (IPV) is a major public health concern that has profound impacts on women across the globe. Though it cuts across race, socioeconomic status, age, geography and sexual orientation, those communities plagued by poverty experience disproportionate rates. Poverty creates unique circumstances of vulnerability for individuals, families, and communities and is disproportionately experienced by Black communities in both developed and developing countries. The impact of poverty on Black communities is significant and pervasive, with deep historical roots. Both IPV and poverty have profound effects on women's physical and psychosocial health and well-being. Black women who live at the intersection of experiencing poverty and IPV are in an especially disadvantaged position. This paper will explore the impact of poverty on Black women's experiences of violence in the United States and on the African continent and present a call to action for necessary structural, community and individual level intervention to address this pervasive concern.

Mental health therapists’ perceptions of their readiness to address the intersection of intimate partner violence and suicide

AbstractOur aim is characterize mental health therapists’ self‐efficacy pertaining to working with patients at risk for intimate partner violence (IPV) and suicide at a community mental health center (CMHC), where these issues intersect. Consistent with community‐based participatory research, a multidisciplinary team partnered with an urban CMHC in New York to conduct 3 focus groups comprising 23 therapists. We iteratively coded and mapped prevalent themes according to self‐efficacy theory. Therapists described multiple sources of self‐efficacy: successful achievement of tasks such as demonstrating a mastery of local resources and knowledge of therapeutic strategies for IPV‐involved clients; vicarious experiences including homicide–suicide portrayals in the media; verbally persuading patients regarding treatment engagement; and physiologic reactions, including distress and burnout. Therapists feel equipped to address patients’ needs, but they want more information on IPV and suicide. Perhaps most surprising was the frustration and isolation participants discussed regarding working with physicians and agencies outside their office walls. Interdisciplinary dialogue and case conferencing may enhance patient care and safety.

The intersection of intimate partner violence and HIV risk among women engaging in transactional sex in Ugandan fishing villages

ABSTRACTIntimate partner violence (IPV) may increase risk for HIV/AIDS among women engaging in transactional sex in Ugandan fishing communities. In this cross-sectional study, 115 women reporting engaging in transactional sex in Lake Victoria fishing communities completed a computerized interview. We tested associations between IPV and other HIV risk factors, with unprotected sex and HIV status, and tested moderators of the IPV-HIV risk relationship. Women reporting recent sexual IPV reported 3.36 times more unprotected sex acts (AdjExp[B] = 3.36, 95% CI = 1.29–8.69, p = 0.07). The effect of sexual IPV on sexual risk was significantly greater among alcohol and fish sellers compared to sex workers (interaction: Exp[B] = 12.29, 95% CI = 5.06–29.85, p < 0.001). Women reporting any sexual IPV were nearly four times more likely to report being HIV positive than women reporting no sexual IPV (AOR = 3.94, 95% CI = 1.22–12.66, p = 0.02). Integrated IPV and HIV interventions are needed in this context, especially among alcohol and fish sellers engaging in transactional sex.