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International Journal of Environmental... Dec 2018The aim of this study was to assess the association between lifetime spousal violence victimization, spousal violence perpetration, and physical health outcomes and...
The aim of this study was to assess the association between lifetime spousal violence victimization, spousal violence perpetration, and physical health outcomes and behaviours among women in India. In the 2015⁻2016 National Family Health Survey, a sample of ever-married women (15⁻49 years) ( = 66,013) were interviewed about spousal violence. Results indicate that 29.9% of women reported lifetime spousal physical violence victimization and 7.1% lifetime spousal sexual violence victimization (31.1% physical and/or sexual violence victimization), and 3.5% lifetime spousal physical violence perpetration. Lifetime spousal violence victimization and lifetime spousal violence perpetration were significantly positively correlated with asthma, genital discharge, genital sores or ulcers, sexually transmitted infections (STIs), tobacco use, alcohol use, and termination of pregnancy, and negatively associated with daily consumption of dark vegetables. In addition, lifetime spousal violence victimization was positively associated with being underweight, high random blood glucose levels, and anaemia, and negatively correlated with being overweight or obese. Lifetime spousal violence perpetration was marginally significantly associated with hypertension. The study found in a national sample of women in India a decrease of lifetime physical and/or sexual spousal violence victimization and an increase of lifetime spousal physical violence perpetration from 2005/5 to 2015/6. The results support other studies that found that, among women, lifetime spousal physical and/or sexual spousal violence victimization and lifetime spousal physical violence perpetration increase the odds of chronic conditions, physical illnesses, and health risk behaviours.
Topics: Adolescent; Adult; Anemia; Asthma; Chronic Disease; Crime Victims; Cross-Sectional Studies; Female; Health Risk Behaviors; Health Surveys; Humans; Hyperglycemia; Hypertension; India; Middle Aged; Risk Factors; Sexually Transmitted Diseases; Spouse Abuse; Thinness; Young Adult
PubMed: 30518101
DOI: 10.3390/ijerph15122737 -
Bioscience Trends Jun 2010To describe the current situation of intimate partner violence (IPV) in Sri Lanka, and to propose possible interventions to prevent IPV, we performed a literature survey... (Review)
Review
To describe the current situation of intimate partner violence (IPV) in Sri Lanka, and to propose possible interventions to prevent IPV, we performed a literature survey for articles and reports on IPV in Sri Lanka. Our results suggested that prevalence of IPV is high (40%) in Sri Lanka. Most of the IPV studies were conducted in health care institutions and missed IPV victims who had not attended a health care institution. A common belief in Sri Lanka, even among medical students and police officers is that IPV is a personal matter that outsiders should not intervene. The laws against IPV identify the physical and psychological IPV, but not the sexual IPV. To improve this situation of IPV in Sri Lanka, we recommend IPV education programs for medical students and police officers, community awareness programs on IPV, and amending the laws to identify sexual IPV. We also recommend well designed community based research on IPV.
Topics: Databases, Factual; Female; Humans; Pregnancy; Public Opinion; Sexual Partners; Spouse Abuse; Sri Lanka; Students, Medical; Violence
PubMed: 20592458
DOI: No ID Found -
Family Process Sep 2016Alcohol Behavioral Couple Therapy (ABCT) has emerged over the last 30 years as a highly efficacious treatment for those with alcohol use disorders. This review... (Review)
Review
Alcohol Behavioral Couple Therapy (ABCT) has emerged over the last 30 years as a highly efficacious treatment for those with alcohol use disorders. This review highlights the historical and conceptual underpinnings of ABCT, as well as the specific treatment elements and structure. Proposed active ingredients, moderators, and mediators of treatment outcome are discussed. Efficacy is evaluated for reductions in identified patient drinking, improved relationship functioning, and reductions in intimate partner violence. Adaptations of ABCT for substances other than alcohol are described. Other adaptations, including brief interventions, interventions addressing PTSD and TBI along with alcohol use, and interventions deliverable via technology platforms are described. Additional cost-benefit and cost-effectiveness findings supporting the economic value of ABCT are noted. Future directions for research in this area include possible adaptations for female identified patients, nontraditional couples, LGBT partners and dyads involving nonintimate partner relationships. The development of more flexible models and enhanced dissemination strategies may improve clinical uptake and utility as well as increasing the feasibility of this treatment for integrated healthcare settings.
Topics: Alcohol-Related Disorders; Behavior Therapy; Couples Therapy; Family Characteristics; Female; Humans; Interpersonal Relations; Male; Spouse Abuse; Treatment Outcome
PubMed: 27369809
DOI: 10.1111/famp.12231 -
Substance Abuse Treatment, Prevention,... Aug 2006Given the increased use of marital- and family-based treatments as part of treatment for alcoholism and other drug disorders, providers are increasingly faced with the... (Review)
Review
Given the increased use of marital- and family-based treatments as part of treatment for alcoholism and other drug disorders, providers are increasingly faced with the challenge of addressing intimate partner violence among their patients and their intimate partners. Yet, effective options for clinicians who confront this issue are extremely limited. While the typical response of providers is to refer these cases to some form of batterers' treatment, three fundamental concerns make this strategy problematic: (1) most of the agencies that provide batterers' treatment only accept individuals who are legally mandated to complete their programs; (2) among programs that do accept nonmandated patients, most substance-abusing patients do not accept such referrals or drop out early in the treatment process; and (3) available evidence suggests these programs may not be effective in reducing intimate partner violence. Given these very significant concerns with the current referral approach, coupled with the high incidence of IPV among individuals entering substance abuse treatment, providers need to develop strategies for addressing IPV that can be incorporated and integrated into their base intervention packages.
Topics: Comorbidity; Couples Therapy; Female; Health Services Accessibility; Humans; Male; Marital Therapy; Models, Psychological; Referral and Consultation; Sexual Partners; Spouse Abuse; Substance Abuse Treatment Centers; Substance-Related Disorders; Terminology as Topic; Violence
PubMed: 16925813
DOI: 10.1186/1747-597X-1-24 -
Violence Against Women Dec 2015Globalization theories have proliferated over the past two decades. However, global developments have yet to be systematically incorporated into theories around violence... (Review)
Review
Globalization theories have proliferated over the past two decades. However, global developments have yet to be systematically incorporated into theories around violence against women. This article proposes to add a global level to the existing ecological model framework, popularized by Lori Heise in 1998, to explore the relationships between global processes and experiences of violence against women. Data from the Maldives and Cambodia are used to assess how globalized ideologies, economic development and integration, religious fundamentalisms, and global cultural exchange, as components of a larger globalization process, have affected men and women's experiences and perceptions of violence against women.
Topics: Cambodia; Crime Victims; Ecology; Female; Global Health; Health Status; Humans; Indian Ocean Islands; Models, Theoretical; Spouse Abuse
PubMed: 26215287
DOI: 10.1177/1077801215596244 -
The Journal of the Association of... 2014Partner abuse (PA) is a highly prevalent and devastating social phenomenon, extracting an economic toll of more than $8 billion annually in the United States due to lost... (Review)
Review
Partner abuse (PA) is a highly prevalent and devastating social phenomenon, extracting an economic toll of more than $8 billion annually in the United States due to lost productivity alone. Many of the risk factors for PA increase vulnerability to acquiring HIV as well, yet little research has explored these overlapping epidemics. In this systematic review, we examine the frequency of PA victimization from male partners among persons living with HIV-both men who have sex with men (MSM) and women. We located 31 manuscripts reporting data from 24 unique samples, indicating a high lifetime frequency (but large range) of estimates for women/MSM, respectively, for physical (26-62%/15-39%), sexual (22-44%/8-33%), and psychological abuse (55%/22-73%). Data indicate strong and consistent associations of PA with poor mental health, engagement in health risk behaviors, and nonadherence to HIV medication for both groups. We discuss implications for clinical practice as well as future research directions.
Topics: Adult; Female; HIV Infections; Homosexuality, Male; Humans; Male; Mental Health; Middle Aged; Prevalence; Quality of Life; Risk Factors; Risk-Taking; Sex Offenses; Sexual Behavior; Sexual Partners; Spouse Abuse; Surveys and Questionnaires; United States
PubMed: 24070646
DOI: 10.1016/j.jana.2013.04.003 -
Women's Health (London, England) Jan 2015Intimate partner abuse (IPA) is experienced by around one in three women at some stage during their lifetime, and has serious health consequences. This paper reviews how... (Review)
Review
Intimate partner abuse (IPA) is experienced by around one in three women at some stage during their lifetime, and has serious health consequences. This paper reviews how clinicians can best identify when a woman is experiencing IPA, and provide appropriate care and assistance. Research supports use of sensitive inquiry about IPA when conditions or situations that can be associated with IPA are present. Subsequent responses recommended include validation, affirmation and support, safety assessment and planning (both for the woman and any children), counseling and referral to IPA specialist services. Better training is needed for clinicians in these areas. Future research is needed to compare identification methods, and further assess psychological, advocacy and safety planning interventions, primary prevention and perpetrator interventions.
Topics: Counseling; Female; Humans; Referral and Consultation; Social Support; Spouse Abuse; Women's Health; Women's Health Services
PubMed: 25581055
DOI: 10.2217/whe.14.59 -
The Cochrane Database of Systematic... Dec 2015Intimate partner abuse is common worldwide, damaging the short- and long-term physical, mental, and emotional health of survivors and children. Advocacy may contribute... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Intimate partner abuse is common worldwide, damaging the short- and long-term physical, mental, and emotional health of survivors and children. Advocacy may contribute to reducing abuse, empowering women to improve their situation by providing informal counselling and support for safety planning and increasing access to different services. Advocacy may be a stand-alone service, accepting referrals from healthcare providers, or part of a multi-component (and possibly multi-agency) intervention provided by service staff or others.
OBJECTIVES
To assess the effects of advocacy interventions within or outside healthcare settings in women who have experienced intimate partner abuse.
SEARCH METHODS
In April 2015, we searched CENTRAL, Ovid MEDLINE, EMBASE, and 10 other databases. We also searched WHO ICTRP, mRCT, and UK Clinical Research Network (UKCRN), and examined relevant websites and reference lists with forward citation tracking of included studies. For the original review we handsearched six key journals. We also contacted first authors of eligible papers and experts in the field.
SELECTION CRITERIA
Randomised or quasi-randomised controlled trials comparing advocacy interventions for women with experience of intimate partner abuse versus no intervention or usual care (if advocacy was minimal and fewer than 20% of women received it).
DATA COLLECTION AND ANALYSIS
Two review authors independently assessed risk of bias and undertook data extraction. We contacted authors for missing information needed to calculate statistics for the review and looked for adverse events.
MAIN RESULTS
We included 13 trials involving 2141 participants aged 15 to 65 years, frequently having low socioeconomic status.The studies were quite heterogeneous in terms of methodology, study processes and design, including with regard to the duration of follow-up (postintervention to three years), although this was not associated with differences in effect. The studies also had considerable clinical heterogeneity in relation to staff delivering advocacy; setting (community, shelter, antenatal, healthcare); advocacy intensity (from 30 minutes to 80 hours); and abuse severity. Three trials evaluated advocacy within multi-component interventions. Eleven measured some form of abuse (eight scales), six assessed quality of life (three scales), and six measured depression (three scales). Countries and ethnic groups varied (one or more minority ethnic groups in the USA or UK, and local populations in Hong Kong and Peru). Setting was associated with intensity and duration of advocacy.Risk of bias was high in five studies, moderate in five, and low in three. The quality of evidence (considering multiple factors such as risk of bias, study size, missing data) was moderate to low for brief advocacy and very low for intensive advocacy. Incidence of abuse Physical abuseModerate quality pooled data from two healthcare studies (moderate risk of bias) and one community study (low risk of bias), all with 12-month follow-up data, showed no effect on physical abuse for brief (< 12 hours) advocacy interventions (standardised mean difference (SMD) 0.00, 95% confidence interval (CI) - 0.17 to 0.16; n = 558). One antenatal study (low risk of bias) showed an association between brief advocacy and reduced minor physical abuse at one year (mean difference (MD) change - 1.00, 95% CI - 1.82 to - 0.18; n = 110). An antenatal, multi-component study showed a greater likelihood of physical abuse ending (odds ratio (OR) 0.42, 95% CI 0.23 to 0.75) immediately after advocacy (number needed to treat (NNT) = 8); we cannot exclude impact from other components.Low to very low quality evidence from two intensive advocacy trials (12 hours plus duration) showed reduced severe physical abuse in women leaving a shelter at 24 months (OR 0.39, 95% CI 0.20 to 0.77; NNT = 8), but not at 12 or 36 months. Sexual abuseMeta-analysis of two studies (n = 239) showed no effect of advocacy on sexual abuse (SMD - 0.12, 95% CI - 0.37 to 0.14), agreeing with the change score (MD - 0.07, 95% CI - 0.30 to 0.16) from a third study and the OR (0.96, 95% CI 0.44 to 2.12) from a fourth antenatal, multi-component study. Emotional abuseOne study in antenatal care, rated at low risk of bias, showed reduced emotional abuse at ≤ 12-month follow-up (MD (change score) - 4.24, 95% CI - 6.42 to - 2.06; n = 110). Psychosocial health Quality of lifeMeta-analysis of two studies (high risk of bias) showed intensive advocacy slightly improved overall quality of life of women recruited from shelters (MD 0.23, 95% CI 0.00 to 0.46; n = 343) at 12-month follow-up, with greater improvement in perceived physical quality of life from a primary care study (high risk of bias; MD 4.90, 95% CI 0.98 to 8.82) immediately postintervention. Depression Meta-analysis of two studies in healthcare settings, one at high risk of bias and one at moderate risk, showed that fewer women developed depression (OR 0.31, 95% CI 0.15 to 0.65; n = 149; NNT = 4) with brief advocacy. One study at high risk of bias reported a slight reduction in depression in pregnant women immediately after the intervention (OR 0.51, 95% CI 0.20 to 1.29; n = 103; NNT = 8).There was no evidence that intensive advocacy reduced depression at ≤ 12-month follow-up (MD - 0.14, 95% CI - 0.33 to 0.05; 3 studies; n = 446) or at two years (SMD - 0.12, 95% CI - 0.36 to 0.12; 1 study; n = 265). Adverse effectsTwo women died, one who was murdered by her partner and one who committed suicide. No evidence links either death to study participation.
AUTHORS' CONCLUSIONS
Results suggest some benefits from advocacy. However, most studies were underpowered. Clinical and methodological heterogeneity largely precluded pooling of trials. Therefore, there is uncertainty about the magnitude of benefit, the impact of abuse severity, and the setting.Based on the evidence reviewed, intensive advocacy may improve short-term quality of life and reduce physical abuse one to two years after the intervention for women recruited from domestic violence shelters or refuges. Brief advocacy may provide small short-term mental health benefits and reduce abuse, particularly in pregnant women and for less severe abuse.
Topics: Counseling; Depression; Female; Humans; Pregnancy; Quality of Life; Randomized Controlled Trials as Topic; Safety; Social Welfare; Social Work; Spouse Abuse; Time Factors
PubMed: 26632986
DOI: 10.1002/14651858.CD005043.pub3 -
Psychiatrike = Psychiatriki 2019Domestic abuse is prevalent in all strata of society and has been associated with various mental health problems. However, the severity of abuse in women with mental...
Domestic abuse is prevalent in all strata of society and has been associated with various mental health problems. However, the severity of abuse in women with mental illness has not been studied much. The amount of distress experienced often depends on the severity of domestic abuse. Ability to tolerate distress may buffer the effect of abuse-this determines the perceived level of abuse. Both the severity of abuse and distress tolerance may in turn determine adherence behaviour towards treatment in mentally ill women. There is a paucity of research examining these variables. Hence this study was undertaken to examine the severity of abuse and distress tolerance and their relationship with medication adherence in women with mental illness. This study took place on an outpatient basis in the department of psychiatry at a tertiary care centre in South India. One hundred women with a mental illness currently in remission for at least two months -living in the community with family members after an episode of mental illness- were consecutively recruited by purposive sampling method after obtaining an informed consent. Due to issues related to reliability, patients with a diagnosis of mental retardation or dementia or psychotic symptoms were not included. All participants were initially assessed using socio-demographic and clinical forms. The severity of abuse was assessed with Composite Abuse Scale (CAS) and the level of distress tolerance was evaluated with Distress Tolerance Scale (DTS). Medication adherence status was assessed with the commonly used Morisky Medication Adherence Scale (MMAS). There was a high level of abuse (mean 20.33, SD=20.55) and distress tolerance (mean 26.80, SD=12.07) in this sample as compared to those in general population. Scores in domestic abuse had a significant positive association with Tolerance (p=0.001) and Absorption (p=0.014) subscales of distress tolerance. Scores in domestic abuse had no statistically significant association with level of medication adherence. With the findings of this study, it can be concluded that women with mental illness face considerable level of domestic abuse and they have a higher capacity to tolerate distress. Severity of domestic abuse is inversely associated with their perceived ability to tolerate emotional distress; and positively associated with the level of attention being absorbed by negative emotions. The study was constrained by its cross-sectional design and small sample size, and further replication of data is needed with bigger sample size and control group.
Topics: Adolescent; Adult; Cross-Sectional Studies; Family Conflict; Female; Humans; India; Medication Adherence; Mental Disorders; Middle Aged; Prevalence; Socioeconomic Factors; Spouse Abuse; Stress, Psychological; Young Adult
PubMed: 31115352
DOI: 10.22365/jpsych.2019.301.32 -
Violence Against Women Oct 2008
Topics: Age Factors; Battered Women; Crime Victims; Female; Health Promotion; Humans; India; Interpersonal Relations; Israel; Social Perception; Socioeconomic Factors; Spouse Abuse; Survivors; United States; Women's Health
PubMed: 18938262
DOI: 10.1177/1077801208323855