Intimate Partner Violence Research Articles

Experience with Mandatory Reporting of Intimate Partner Violence: An Explorative Qualitative Study of Service Providers and Help-Seeking IPV Victims and IPV Perpetrators

Abstract Purpose This study explored service providers’ and help-seeking intimate partner violence (IPV) victims’ and IPV perpetrators’ experiences with mandatory reporting of intimate partner violence (MR-IPV) in Norway. We examined the following research questions: How do service providers experience work within the context of MR-IPV? How do help-seeking IPV victims and IPV perpetrators experience MR-IPV? Methods This qualitative study used reflexive thematic analysis to identify, analyze and report themes and patterns uncovered in semi-structured interviews with 42 service providers and 6 help-seeking IPV victims and IPV perpetrators, following Braun and Clark’s Qualitative Research in Psychology six phases of reflexive thematic analysis. Results The service providers in this study aimed to establish collaboration with help-seeking IPV victims and IPV perpetrators to avert IPV rather than immediately reporting IPV to the police, thus working within the discretionary space allowed in the Norwegian legislation. Stories concerning breaches of trust related to MR-IPV were prominent in the interviews with both groups of help-seekers. The IPV perpetrators expressed having experienced a breach of trust when the IPV was reported to the police, while most of the IPV victims expressed a breach of trust due to a lack of MR-IPV. Conclusions IPV victims expressed ambivalence linked to a desire for interventions and a fear of not receiving adequate help. These findings highlight the challenges of certain requirements placed on service providers when working within the MR-IPV context; distinguishing between situations in which collaboration is appropriate and situations in which immediate reporting to the police is required.

Intimate partner violence among LGB and heterosexual adults: Prevalence and associated minority stress factors

Intimate partner violence among LGB and heterosexual adults: Prevalence and associated minority stress factors

Intimate partner violence in the context of infertility: voices from women seeking assisted reproductive technology treatment and clinicians’ perspectives

Intimate partner violence in the context of infertility: voices from women seeking assisted reproductive technology treatment and clinicians’ perspectives

Intimate Partner Violence during the Index Pregnancy and its correlates among a panel of pregnant women in Ethiopia, evidence from performance, and monitoring for action (PMA) 2021 cohort two baseline survey.

Current intimate partner violence (IPV) in Ethiopia is considerably high. This study aimed at determining the prevalence of IPV among a panel of pregnant women during their index pregnancy and identify its correlates using Performance Monitoring for action (PMA) cohort 2 baseline data. Documenting the magnitude of IPV thus far during the index pregnancy and identifying factors affecting it contributes its share for the ministry and relevant developmental partners in tracking progress towards eliminating all forms of violence against women and girls by 2030. We conducted a further analysis of national level follow up secondary data sets from Performance Monitoring for action Ethiopian (E_PMA). This study used PMA cohort two baseline data which enrolled pregnant and recently postpartum women and collected real time data on various sexual, reproductive, maternal and new born nationwide priority indicators using customized Open Data Kit Mobile application. These data were collected using standard pretested questionnaire prepared in three local languages (Amharic, Afan Oromo and Tigrigna) by well experienced resident enumerators. This study was restricted to 1,796 pregnant women at the enrollment. Frequency was computed to describe the study participant's characteristics, and chi-square statistics was used to assess cell sample size adequacy. Multilevel binary logistics regression model building process was employed to identify correlates of IPV. Results were presented in the form percentages and odds ratio with 95% Confidence Intervals. Candidate variables were selected using p-value of 0.25. Statistical significance was declared at p-value of 0.05. One in six; 16.7% (14.81%, 18.76%) pregnant women have reported experiencing at least one form of physical and/or sexual IPV thus far in their index pregnancy. The prevalence of encountering at least one form of sexual violence was 12.53% (10.91%, 14.35%) while 7% (5.5%, 8.3%) of them experienced at least one form physical intimate partner violence thus far during their index pregnancy. Women perceived risk about contraceptive use ((AOR: 95% CI: 1.66 (1.10, 2.47)), higher birth order ((AOR: 95% CI: 1.88 (1.05, 3.34)), unhappy emotional fertility intention when learned their index pregnancy ((AOR: 95% CI: 1.7 (1.02, 2.84)) and a family size of 4to 5 ((AOR: 95% CI: 1.87 (1.11. 3.14)) were the fixed effects factors found to increase the odds of IPV significantly and positively. On the contrary, being in the third trimester of gestation at enrollment was another fixed effect variable which contributed for the 44% lower odds ((AOR: 95% CI: 0.56 (0.34, 0.92)) of experiencing IPV thus far in their index pregnancy. The overall burden of IPV reported was high; with nearly double the percentage of women experiencing sexual violence during the index pregnancy compared to physical IPV. More work needs to be done to achieve zero tolerance against any form of violence among women and girls in general and among pregnant women in particular. Efforts targeted in improving women perception on issue related with their contraceptive use, counseling women on how to prevent IPV during their antenatal care (ANC) visit along with advising the use of inter pregnancy contraception and empowering them to control on their fertility are hoped to mitigate such considerably higher odds of IPV among pregnant women. Further programs and intervention on awareness creation towards the misconception that women held about contraceptive use would contribute much. These activities and efforts need to target younger women. The implication of the findings calls key actors and the Federal Democratic Republic of Ethiopia Health Minster to design and implement programs on women emotional fertility readiness and empowering them to control over their fertility through diversified contraceptive provision which is critical in combating the reported substantial IPV experience during pregnancy. Creating institutional capacity in the health system through strengthening and expanding one stop centers to provide medical treatment, care, and psychosocial support for victims and survivors could play a pivotal role. In addition, installing rapid referral system and linkage to the legal system could play a vital role. Moreover, working on early marriage and counseling on childbirth; and spaced pregnancy for those young couples is imperative. Further implication of this study was installing contraceptive and violence related preconception care packages in the health system is very critical in the combat against IPV and any form of gender based violence.

Prevalence of infertility and its association with intimate partner violence in Tanzania: Findings from the 2022 Demographic and Health Survey.

We first estimated the prevalence of primary and secondary infertility in Tanzania and then examined its association with recent experiences of intimate partner violence (IPV). We used cross-sectional data from the Tanzania Demographic and Health Survey 2022 and included 6894 women aged 20-49 years to estimate the prevalence of primary and secondary infertility. In a subset of 2802 partnered women who were surveyed about physical, emotional, and sexual IPV, we also examined the association of any form of IPV in the 12 months prior to the survey with both primary and secondary infertility using multivariable logistic regression. The prevalence of primary infertility was 1.8% (95% confidence interval [CI]: 1.0, 3.1) and secondary infertility was 15.4% (95% CI: 2.1, 61.0). Primary infertility was higher in urban areas (1.9%) compared to rural areas (1.7%) (P < 0.001). Over one-third (37.9%) of the women who were surveyed concerning IPV reported experiencing at least one form of IPV in the 12 months prior to the survey. Almost one-fifth (18.3%) of women with secondary infertility had experienced at least one form of violence in the past 12 months prior to the survey, compared to 1.5% with primary infertility (P = 0.656). Women with secondary infertility were 1.58 times more likely to have experienced any form of IPV (aOR = 1.58, 95% CI: 1.08, 2.33). In Tanzania, the high prevalences of both infertility and IPV and the link between the two warrants the need for strengthening infertility care and treatment and support for women experiencing IPV.

Predictors of perceptions toward blaming the victim, excusing the perpetrator, and supporting the victim in intimate partner violence scenarios involving transgender women

Predictors of perceptions toward blaming the victim, excusing the perpetrator, and supporting the victim in intimate partner violence scenarios involving transgender women

Evaluating effects of community-based social healing model on Ubuntu, mental health and psychosocial functioning in post-genocide Rwanda: protocol for cluster randomized control trial.

The community-based social healing (CBSH) model, developed by Ubuntu Centre for Peace, aims to support individuals with traumatic experiences and mental health challenges in achieving better mental health. CBSH combines BREATH-BODY-MIND™ (BBM) practices with collective narrative and rituals, facilitated by Community Healing Assistants in therapeutic groups. A previous pilot study involving 1889 Rwandan CBSH participants showed significant mental health improvements, including reductions in depression, anxiety, and PTSD, along with enhanced work productivity, and decreased intimate partner violence. The trial investigates the CBSH model's impact on Ubuntu and mental health. Ubuntu, a concept that encompasses humanness, compassion, and interconnectedness, is deeply rooted in the African philosophy. This cluster randomized controlled trial will involve 54 villages randomly selected in the Kirehe district, with 1080 participants randomly allocated equally to the CBSH intervention or a wait-list control group. While the trial will be conducted at the village (cluster) level, both primary and secondary outcomes will be measured individually for participants within each cluster. The Primary outcome "Ubuntu" will be measured using a context-adapted Ubuntu measurement scale. Secondary outcomes include psychosocial indicators which will be assessed through standardized tools such as the Patient Health Questionnaire for depression (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), Warwick-Edinburgh Mental Wellbeing scale (WEMWS), Connor-Davidson Resilience scale (CD-RISK-10), Somatic Symptom Severity Scale (PHQ-15), Revised Conflict Tactics scale (CTS2S), and Adapted Social Capital Assessment Tool (SASCAT). This trial aims to evaluate the CBSH model's impacts on Ubuntu, mental health, and social functioning among trauma-affected Rwandans, including those impacted by the 1994 Genocide against the Tutsi, mass killings, sexual abuse, and domestic violence. The findings could be of value to the Ubuntu Centre for Peace, policymakers, healthcare practitioners, and other stakeholders, by highlighting the significance of promoting Ubuntu as a foundation for addressing mental health challenges and the consequences of psychosocial trauma. ISRCTN ISRCTN17659369. Registered on February 09, 2024.

Examining the Determinants of Prosecution Decisions of Intimate Partner Violence: An Exploratory Analysis of Chinese Data

Examining the Determinants of Prosecution Decisions of Intimate Partner Violence: An Exploratory Analysis of Chinese Data

Intimate partner violence against women among contraceptive users at a primary health care setting in Southern Ethiopia: a facility-based cross-sectional study.

One in three women experienced intimate partner violence (IPV) worldwide which has remained major public health challenge. Women's reproductive health service utilization has been seriously impacted by IPV. There is a paucity of evidence on the magnitude of IPV among contraceptive users in southern Ethiopia. Hence, the main aim of this study was to determine the level of IPV and its associated factors among married women who were contraceptive users in primary health care settings in Adilo Zuria district in southern Ethiopia. A facility-based cross-sectional study was conducted among systematically recruited 405 married women who were contraceptive users in a primary health care setting in Adilo Zuria district in southern Ethiopia. Data were collected through face-to-face interviews using an adapted tool from existing literature including the World Health Organization IPV survey. Collected data were entered into EpiData 4.6 and exported to SPSS version 26 for cleaning and analysis. Descriptive and logistic regression analyses were performed to determine the level of IPV and identify factors associated with IPV. An adjusted odds ratio (AOR) from multiple logistic regression at a 95% confidence interval (CI) was used to declare a significant association. The prevalence of current IPV among contraceptive users was 72.6% (95% CI; 68.1-76.8%). Current psychological, physical, and sexual violence were 39.3%, 38.5%, and 31.9%, respectively. In multivariable analysis, women's being rural resident (AOR: 3.19, 95%CI: 1.69-6.02), women's formal education (AOR: 0.37, 95%CI: 0.19-0.70), partners alcohol consumption (AOR: 3.32, 95%CI: 1.89-5.84), partners Khat chewing (AOR: 7.22, 95%CI: 4.12-12.65) and poor social support (AOR: 2.47, 95%CI: 1.43-4.27) were significantly associated with current IPV against women. Women's experience of IPV on contraceptive users was found to be unacceptably high in the study area. Women's being rural residents, having poor social support and partners who drank alcohol and Khat chewing were predictors of women's experience of IPV. Thus, interventions in improving women's educational status, strengthen the social support systems, and the behavior of partners who use stimulant substances are highly relevant to tackle IPV among contraceptive users in the primary healthcare setting.

A qualitative study of dentists' and dental students' preparedness to support patients with lived experience of intimate partner violence and abuse.

Introduction Intimate partner violence and abuse (IPVA) is a public health crisis with long-term implications for an individual's mental and physical health. IPVA can result in head and neck trauma, including oral injuries, placing dentists in a unique position to be able to identify at-risk patients. It is therefore important to understand any barriers dentists may experience when supporting IPVA patients.Aims The aim of this study was to explore whether dentists and dental students are prepared to support patients with lived experience of IPVA.Method This study adopted a qualitative cross-sectional research design using focus groups and interviews. Data were collected using the principles of grounded theory and analysed using thematic analysis.Results Data were collected from 14 dentists and 22 dental students showing that they did not feel confident or prepared in identifying and responding to patients they suspected were experiencing IPVA. Barriers included a lack of practical knowledge and fear of 'getting it wrong', resulting in professional paralysis.Conclusion Improving current safeguarding educational frameworks at both the undergraduate and postgraduate stage could be key to improving the confidence and practical knowledge of dental practitioners.

“No Story, No Response”: Narratives from Girls Subjected to Youth Intimate Partner Violence and Placed at Special Residential Homes in Sweden

ABSTRACT Several studies have suggested a high prevalence of violence in young people’s romantic relationships. A significant gap in knowledge persists, however, regarding how young people in special residential homes for youth (SRHY) in Sweden characterize and communicate about the violence they experience in their relationships, as well as how they describe societal responses to such violence within their networks, including from professionals. Sixteen in-depth interviews were conducted with girls from three different SRHYs using Hydén’s “teller-focused” approach. Responses varied based on the girls’ personal networks and professional connections. A common denominator, however, is that the girls had disclosed the violence, described as exceptionally severe, to any external person to only a limited extent. Many of them shared their experiences of victimization for the first time during the interview, prompting a reconsideration and clarification of the relational aspects of the interview procedure and resulting in the conceptualization of a new interview procedure: the relational interview approach. This approach has implications for the practicalities of engaging in a conversation with a young person who has experienced violence.

“Roses, Bruises, Wholeness” Development and Implementation of a Psychological Healing Program on Depression of Women Victims of Intimate Partner Violence

The study aimed to develop and implement an intervention program for the psychological healing of depression of women victims of intimate partner violence. To lay the groundwork and come up with the data needed to develop an intervention program, the study used the Sequential Explanatory Design. This mixed method suggests gathering and evaluating the quantitative data and qualitative data in two consecutive phases. The data-gathering tools used in the study included the Beck Depression Inventory (BDI-II) to measure the depression level of the participants; a Semi-structured interview and a focus group discussion were conducted to provide the data needed for the qualitative phase. A pretest of the BDI-II was administered to the participants. Results showed that the participants were found to have depression during the time of the administration of the test. The BDI’s results provided the formation of the experimental and the control groups while the individual interview and focus group discussion provided the themes used in the development of the intervention program. These themes were categorized based on Physical Violence, Psychological Violence, Sexual Violence, and Neglect according to the Diagnostic Manual for Mental Disorders 5 (DSM5-TR). The experimental group participated in the eight-session intervention program and the control group did not participate in the sessions. Subsequently, a posttest was administered to the experimental and the control groups. Results showed that the six experimental group participants decreased their depression level significantly, except for one participant who got a four-point increase in her posttest score. There was no significant difference in the pretest and post-test scores of the control group.

Evaluation of the measurement properties of intimate partner violence screening instruments for the general population: A COSMIN-based international systematic review.

To systematically appraise, compare, and summarize the measurement properties of intimate partner violence screening instruments for the general population and provide recommendations. We searched PubMed, Embase, Web of Science, ProQuest Dissertations & Theses Global and EBSCO Psychology Behavioral Sciences Collection from their establishment to March 2024 using systematic search strategies. The methodological quality of the instruments that met the inclusion criteria and their measurement properties were assessed using the COSMIN methodology, and the COSMIN recommendations were followed. We reported this study using PRISMA 2020 checklist. A total of 23 studies were eventually included, and 18 instruments were identified. The evaluation of the methodological quality indicates poor content validity but good structural validity; however, that of the criterion validity in most of the studies was inadequate. Measurement error and responsiveness were not assessed. Four screening instruments could be used in the interim. The remaining 14 instruments were not recommended for use. The overall methodological quality of most of the assessed instruments was insufficient. A rigorous intimate partner violence screening instrument with good measurement properties is urgently required to identify and screen for intimate partner violence in the general population. CRD42022365247.

From Neighborhood to Household: Connections Between Neighborhood Vacant and Abandoned Property and Family Violence.

Rates of family violence, including intimate partner violence (IPV) and child maltreatment, remain high in the USA and contribute to substantial health and economic costs. How neighborhood environment may influence family violence remains poorly understood. We examine the association between neighborhood vacant and abandoned properties and family violence, and the role collective efficacy may play in that relationship. Data were used from a longitudinal cohort of 218 maternal-child dyads in a southern US city known for elevated rates of violence. Women were matched on their propensity score, for living in a neighborhood with elevated vacant and cited properties. Analyses accounting for clustering in neighborhood and matched groups were conducted to examine the association between neighborhood vacant and abandoned property and family violence and the potential mediating relationship of collective efficacy. The likelihood of experiencing child maltreatment at 12months of age was more than twice as high for children living in neighborhoods with high vacant and cited property rates compared with women living in neighborhoods with fewer vacant and cited properties (OR = 2.11, 95% CI = 1.03, 4.31). Women living in neighborhoods characterized by high levels of vacant and cited properties were also more than twice as likely to report IPV (OR = 2.52, 95% CI = 1.21, 5.25). Associations remained mostly stable after controlling for key covariates. Collective efficacy did not act as a mediator in the relationship between vacant and cited properties and family violence. Reducing neighborhood vacant and cited properties may be an important target for interventions focused on reducing family violence.

Cultural and Practical Barriers to Seeking Help for Intimate Partner Violence Among Korean Immigrants: Exploring Gender and Age Differences

Immigrants in the United States, including Korean immigrants, are more vulnerable to intimate partner violence (IPV), yet they are less likely to seek help than non-immigrants. This qualitative study sought to understand barriers to seeking help for IPV among Korean immigrants and to explore age and gender differences in Korean immigrants’ understanding of these barriers. We conducted four focus groups with 38 adults grouped by age and gender. Thematic analysis was employed to understand Korean immigrants’ perceptions of IPV and barriers to help-seeking. As a result, four prominent themes emerged: (1) differential understanding of IPV, (2) Confucian cultural influences on IPV, (3) cultural barriers to help-seeking, and (4) practical barriers to help-seeking. Women participants showed an in-depth understanding of IPV, recognizing various forms beyond physical violence within the immigrant social context. Younger participants highlighted the intergenerational transmission of IPV. Cultural factors, rooted in Confucianism such as strict gender roles and women’s self-sacrifice, exacerbate IPV. Cultural barriers include shame culture, treating IPV as a private matter, and the emphasis on family unity. Practical barriers are linked to the challenges immigrants face. These insights illustrate the need for targeted IPV interventions tailored to distinct gender and age demographics within the community.

Information communication technologies and intimate partner violence among women in sub-Saharan African countries

Intimate partner violence is widespread in sub-Saharan Africa with women the usual victims. Efforts to address intimate partner violence (IPV) include interventions with information communication technologies (ICT) that are being used to raise awareness and promote the empowerment of women. Thus, there is a need to examine the relationship between ICT ownership and IPV among women in sub-Saharan Africa. We conducted a cross-sectional study of four countries in sub-Saharan Africa using the Demographic and Health Survey data. Ownership of ICT was the main predictor variable that was measured by ownership of a radio, television, mobile phones, and access to the Internet. The outcome variable was IPV, which was measured in two forms: physical and sexual violence. A multivariable analysis using binary logistic regression was used to examine the association between ownership of ICT devices and intimate partner violence (IPV) among women. In Zambia and Mali, women who own ICT devices were significantly less likely to experience sexual violence than those who did not own ICT devices. Predictors such as age, place of residence, education, wealth status, employment status, number of children and age at first marriage were significantly associated with experiences of IPV, even though the strength of this relationship varied across countries and types of IPV. Access to ICT should be promoted among women because ICT can raise awareness and offer women a platform for receiving social support and advice about coping with intimate partner violence.

Effects of social support interventions on LGBTQ+ survivor-victims of Intimate Partner Violence: a systematic review

Intimate Partner Violence (IPV) is a significant global health concern associated with poor physical and mental health outcomes and overall mortality. IPV is highly prevalent in LGBTQ+ individuals, but interventions targeting LGBTQ+ survivor-victims of IPV remain scarce. Although interventions using a social support approach have a well-documented positive effect on cisgender heterosexual survivor-victims, relatively little is known about how these interventions impact LGBTQ+ survivor-victims. This systematic review synthesizes literature on effects of social support interventions on LGBTQ+ survivor-victims of IPV. Using a comprehensive search strategy, one quantitative and six qualitative studies were identified and included. Observed themes include connection, mentorship, representation, discrimination, safety, service access, and service utilization. Findings highlight that, while interventions can have numerous benefits, there are also notable adverse impacts, including safety risks and discrimination. Services that are specialized for LGBTQ+ survivor-victims or are community-focused were most beneficial. Overall, this review is evidence that much more research is needed to continue understanding the effects of social support interventions and to optimize the support provided for LGBTQ+ survivor-victims of IPV.

Multilevel correlates of the severity of intimate partner violence among women in Nigeria: Evidence from the 2018 Nigeria Demographic and Health Survey

Multilevel correlates of the severity of intimate partner violence among women in Nigeria: Evidence from the 2018 Nigeria Demographic and Health Survey

Survivor Health Connection Project: Understanding Experiences of Accessing Health Care Among Those Affected by Intimate Partner Violence During the COVID-19 Pandemic.

Intimate partner violence (IPV) has short- and long-term health effects, including physical injuries and traumatic brain injury, as well as sexual, reproductive, and mental health issues. However, accessing necessary health care is often challenging for IPV survivors and became even more difficult during the COVID-19 pandemic. We examined access to health care among those affected by IPV during the COVID-19 pandemic to better connect survivors to health and social support services. The Health Resources and Services Administration's Office of Women's Health partnered with its Bureau of Primary Health Care, the Administration for Children and Families' Office of Family Violence Prevention and Services, and the National Domestic Violence Hotline (Hotline) on the 2-year Survivor Health Connection Project. The Hotline administered 2 surveys to its contacts: a 2-question postinteraction survey from March 29, 2021, through September 30, 2022, and a longer focused survey in 2021 and 2022 that measured barriers and restrictions to accessing health care, telehealth safety, and interactions with health care providers. Of 9918 respondents to the postinteraction survey, 6173 (62.2%) reported current health needs related to their abusive experience. Nearly half of 242 respondents to the 2021 survey (n = 106, 43.8%) indicated that the frequency or intensity of abuse increased during the COVID-19 pandemic, and 157 of 338 respondents to the 2022 survey (46.4%) reported that their partner had controlled and/or restricted their access to health care. Participants described barriers to accessing health care, including finances, health insurance coverage, and transportation. Findings illuminate opportunities to further support the health and social needs of those experiencing IPV, including continued coordination of efforts across health care and social service delivery partners.

Why Bystanders Report Intimate Partner Violence Anonymously: A Qualitative Analysis of Real-Life Cases

Although bystanders can play an important role in combating intimate partner violence (IPV), they also experience unique barriers and challenges that may prevent them from involvement. While anonymous reporting could potentially address some of these barriers, this form of intervention has rarely been studied. Using a thematic analysis of case files ( N = 34 reports), this study investigates bystanders’ reasons to report suspicions of IPV anonymously to a domestic violence hotline. Results indicate that anonymity allowed bystanders to balance the desire to protect the victim(s) from harm with the fear of potential consequences for themselves and/or their relationship with the victim(s).