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1.
Psychol Assess ; 36(5): 339-350, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38512165

RESUMO

Racial disparities in criminal justice outcomes are widely observed. In Canada, such disparities are particularly evident between Indigenous and non-Indigenous persons. The role of formal risk assessment in contributing to such disparities remains a topic of interest to many, but critical analysis has almost exclusively focused on actuarial or statistical risk measures. Recent research suggests that ratings from other common tools, based on the structured professional judgment model, can also demonstrate racial disparities. This study examined risk assessments produced using a widely used structured professional judgment tool, the Spousal Assault Risk Assessment Guide-Version 3, among a sample of 190 individuals with histories of intimate partner violence. We examined the relationships among race, risk factors, summary risk ratings, and recidivism while also investigating whether participants' racial identity influenced the likelihood of incurring formal sanctions for reported violence. Spousal Assault Risk Assessment Guide-Version 3 risk factor totals and summary risk ratings were associated with new violent charges. Indigenous individuals were assessed as demonstrating more risk factors and were more likely to be rated as high risk, even after controlling for summed risk factor totals and prior convictions. They were also more likely to recidivate and to have a history of at least one reported act of violence that did not result in formal sanctions. The results suggest that structured professional judgment guidelines can produce disparate results across racial groups. The disparities observed may reflect genuine differences in the likelihood of recidivism, driven by psychologically meaningful risk factors which have origins in deep-rooted systemic and contextual factors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Reincidência , Humanos , Feminino , Masculino , Reincidência/estatística & dados numéricos , Adulto , Medição de Risco , Pessoa de Meia-Idade , Violência por Parceiro Íntimo/psicologia , Violência por Parceiro Íntimo/estatística & dados numéricos , Canadá , Adulto Jovem , Fatores de Risco , Maus-Tratos Conjugais/psicologia , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/estatística & dados numéricos , Julgamento
2.
Med Leg J ; 88(4): 179-181, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33031008

RESUMO

There is less reporting and research on uxoricide, owing to wide heterogeneity and multiple sub-types of perpetrators. We present a rare complex case following birth of a girl. A jobless husband obscured the murder of his wife combining sundry sharp, blunt and asphyxiating forces which were discovered at autopsy. Female child birth is proposed as an independent risk factor previously unreported.


Assuntos
Homicídio/etnologia , Maus-Tratos Conjugais/etnologia , Feminino , Humanos , Islamismo , Masculino , Fatores de Risco
3.
Arch Womens Ment Health ; 23(6): 749-756, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33068161

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic created a situation of general distress. Although the focus has been initially more on the physical health during the pandemic, mental health concerns linked to the lockdown have quickly risen. This study aims to assess the effect of the COVID-19-related lockdown on Tunisian women's mental health and gender-based violence. An online survey was conducted, using the Depression Anxiety and Stress Scales (DASS-21) and the Facebook Bergen Addiction Scale (FBAS). We chose a female-exclusive social group on Facebook and used the snowball sampling method. A total of 751 participants originating from all the Tunisian regions completed the questionnaire. More than half of the participants (57.3%) reported extremely severe distress symptoms, as per the DASS-21. Those who had a history of mental illness and who were allegedly abused during lockdown were found to have more severe symptoms of depression, anxiety, and stress. Around 40% of women reported problematic social media use. Violence against women also reportedly increased significantly during the lockdown (from 4.4 to 14.8%; p < 0.001). Psychological abuse was the most frequent type of violence (96%). Women who had experienced abuse before the lockdown were at an increased risk of violence during lockdown (p < 0.001; OR = 19.34 [8.71-43.00]). To our knowledge, this is the first study that evaluates the acute impact of COVID-19 on mental health and violence against women in Tunisia, Africa, and the Arab world. It may be a sound basis for developing a more effective psychological intervention aimed at women in these regions.


Assuntos
Ansiedade/psicologia , COVID-19/psicologia , Depressão/psicologia , Violência Doméstica/estatística & dados numéricos , Violência de Gênero/estatística & dados numéricos , Violência por Parceiro Íntimo/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Pandemias/prevenção & controle , Quarentena/psicologia , Adulto , Idoso , Ansiedade/etnologia , COVID-19/epidemiologia , Depressão/etnologia , Violência Doméstica/etnologia , Violência Doméstica/psicologia , Feminino , Violência de Gênero/etnologia , Violência de Gênero/psicologia , Inquéritos Epidemiológicos , Humanos , Violência por Parceiro Íntimo/etnologia , Violência por Parceiro Íntimo/psicologia , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Angústia Psicológica , SARS-CoV-2 , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/psicologia , Maus-Tratos Conjugais/estatística & dados numéricos , Estresse Psicológico/psicologia , Inquéritos e Questionários , Tunísia/epidemiologia
4.
Health Care Women Int ; 41(6): 649-672, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32223722

RESUMO

The authors describe the experiences of abuse drawn from in-depth interviews conducted with 20 South Asian women in the United States and a sample of 21 abused women in Mumbai, India. We describe five major themes that identify the nature of domestic violence experienced in these two contexts, barriers to help-seeking and exiting abuse, and the process of ending the abusive relationship. The research sheds light on the similarities and differences in the two contexts. We outlined the similarities in the following themes (a) type of abuse, (b) treatment of children (c) abandonment. We found differences in the following themes (d) joint meeting, (e) back and forth between natal and marital home.


Assuntos
Povo Asiático/psicologia , Vítimas de Crime/psicologia , Violência Doméstica/psicologia , Maus-Tratos Conjugais/psicologia , Adulto , Idoso , Ásia Ocidental/etnologia , Povo Asiático/etnologia , Vítimas de Crime/estatística & dados numéricos , Violência Doméstica/etnologia , Feminino , Comportamento de Busca de Ajuda , Humanos , Ilhas do Oceano Índico/etnologia , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Maus-Tratos Conjugais/etnologia , Estados Unidos/epidemiologia
5.
J Glob Health ; 10(1): 010406, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32257154

RESUMO

BACKGROUND: There is considerable interest in community organising and activism as a strategy to shift patriarchal gender norms, attitudes and beliefs and thus reduce intimate partner violence (IPV). Yet there is limited insight into how activism actually translates into reduced violence, including how aspects of programme implementation or cultural context may affect impact. This study evaluates the community activism/mobilisation portion of Indashyikirwa, a multi-component, IPV prevention programme implemented in rural Rwanda. The activism part of Indashyikirwa was based on SASA!, a promising program model from Uganda with demonstrated effectiveness. METHODS: We implemented two separate cross-sectional surveys as part of a larger community randomised controlled trial to assess the impact of the community portion of Indashyikirwa on preventing physical and/or sexual IPV and other secondary outcomes at a community level. The survey consisted of a random household-based sample of 1400 women and 1400 men at both waves. Surveys were conducted before community-level activities commenced and were repeated 24 months later with a new cross-sectional sample. Longitudinal, qualitative data were collected as part of an embedded process evaluation. RESULTS: There was no evidence of an intervention effect at a community level on any of the trial's primary or secondary outcomes, most notably women's experience of physical and/or sexual IPV from a current male partner in the past 12 months (adjusted odds ratio (aOR) = 1.25; 95% confidence interval (CI) = 0.92-1.70, P = 0.16), or men's perpetration of male-to-female physical and/or sexual IPV (aOR = 1.02; 95% CI = 0.72-1.45, P = 0.89). Process evaluation data suggest that delays due to challenges in adapting and implementing SASA!-style activites in rural Rwanda may account for the trial's failure to measure an effect. Additionally, the intervention strategy of informal activism was not well suited to the Rwandan context and required considerable modification. CONCLUSIONS: Failure to reduce violence when implementing an adaptation of SASA! in rural Rwanda highlights the importance of allowing sufficient time for adapting evidence-based programming (EBP) to ensure cultural appropriateness and fidelity. This evaluation held little chance of demonstrating impact since the project timeline forced endline evaluation only months after certain elements of the programme became operational. Donors must anticipate longer time horizons (5 to 7 years) when contemplating evaluations of novel or newly-adapted programmess for reducing IPV at a population level. These findings also reinforce the value of including embedded process evaluations when investing in rigorous trials of complex phenomena such as community activism. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03477877.


Assuntos
Participação da Comunidade , Violência por Parceiro Íntimo/prevenção & controle , População Rural , Parceiros Sexuais , Adolescente , Adulto , Serviços de Saúde Comunitária , Estudos Transversais , Características da Família , Feminino , Humanos , Violência por Parceiro Íntimo/etnologia , Violência por Parceiro Íntimo/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Ruanda , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/prevenção & controle , Maus-Tratos Conjugais/estatística & dados numéricos
6.
J Glob Health ; 10(1): 010707, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32257164

RESUMO

BACKGROUND: Intimate partner violence (IPV) is a multi-national problem with many health consequences. Some research suggests that reducing rates of child marriage can improve gender norms and health outcomes related to IPV. Here, we examine whether changes in national child marriage laws can improve attitudes about domestic violence and reduce intimate partner violence at scale. METHODS: Data on attitudes towards violence and violence experienced were obtained from the Demographic and Health Surveys (DHS) and longitudinal data on child marriage policy from WORLD and MACHEquity databases (1995-2012). Treatment countries were included if they improved their national child marriage policies from harmful (under 18) to more protective and control countries were included if they had a constant child-marriage policy that allowed girls to marry under the age of 18. Our final data set included 5 treatment and 14 control countries for women's outcomes, 2 treatment and 9 control countries for men's outcomes and 2 treatment and 7 control countries for IPV outcomes (for which fewer countries collect data). We combined individual level responses to five questions on attitudes about domestic violence to create a scale from 0 (always unacceptable) to 5 (always acceptable). All analyses employed a difference-in-differences approach adjusting for individual and country level predictors. RESULTS: Data were available for 532 255 women, of which 96 414 also completed the domestic violence modules, and 104 704 men. National changes to a protective child marriage policy were associated with improved attitudes towards violence among women (-0.21 points, 95% confidence interval (CI) = -0.28, -0.14) and men (-0.98 points, 95% CI = -1.13, -0.83). Additionally, the risk of women experiencing physical and sexual abuse reduced by a greater proportion in treatment compared to control countries (odds ratio OR = 0.65, 95% CI = 0.50, 0.84; OR = 0.63, 95% CI = 0.45, 0.88, respectively). CONCLUSIONS: Our large multi-national study is the first of its kind to critically evaluate the role of national policy on attitudes towards and experiences of IPV among both men and women, and finds that these laws have protective outcomes. Our results are consistent with the hypothesis that gender egalitarian laws positively influence norms and health at the national level.


Assuntos
Violência por Parceiro Íntimo/estatística & dados numéricos , Casamento/estatística & dados numéricos , Parceiros Sexuais/psicologia , Maus-Tratos Conjugais/estatística & dados numéricos , Violência/estatística & dados numéricos , Adolescente , Adulto , Atitude , Criança , Comparação Transcultural , Estudos Transversais , Demografia , Feminino , Humanos , Violência por Parceiro Íntimo/etnologia , Masculino , Casamento/etnologia , Normas Sociais , Maus-Tratos Conjugais/etnologia , Adulto Jovem
7.
PLoS Med ; 17(3): e1003064, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32191701

RESUMO

BACKGROUND: Drought has many known deleterious impacts on human health, but little is known about the relationship between drought and intimate partner violence (IPV). We aimed to evaluate this relationship and to assess effect heterogeneity between population subgroups among women in 19 sub-Saharan African countries. METHODS AND FINDINGS: We used data from 19 Demographic and Health Surveys from 2011 to 2018 including 83,990 partnered women aged 15-49 years. Deviations in rainfall in the year before the survey date were measured relative to the 29 previous years using Climate Hazards Group InfraRed Precipitation with Station data, with recent drought classified as ordinal categorical variable (severe: ≤10th percentile; mild/moderate: >10th percentile to ≤30th percentile; none: >30th percentile). We considered 4 IPV-related outcomes: reporting a controlling partner (a risk factor for IPV) and experiencing emotional violence, physical violence, or sexual violence in the 12 months prior to survey. Logistic regression was used to estimate marginal risk differences (RDs). We evaluated the presence of effect heterogeneity by age group and employment status. Of the 83,990 women included in the analytic sample, 10.7% (9,019) experienced severe drought and 23.4% (19,639) experienced mild/moderate drought in the year prior to the survey, with substantial heterogeneity across countries. The mean age of respondents was 30.8 years (standard deviation 8.2). The majority of women lived in rural areas (66.3%) and were married (73.3%), while less than half (42.6%) were literate. Women living in severe drought had higher risk of reporting a controlling partner (marginal RD in percentage points = 3.0, 95% CI 1.3, 4.6; p < 0.001), experiencing physical violence (marginal RD = 0.8, 95% CI 0.1, 1.5; p = 0.019), and experiencing sexual violence (marginal RD = 1.2, 95% CI 0.4, 2.0; p = 0.001) compared with women not experiencing drought. Women living in mild/moderate drought had higher risk of reporting physical (marginal RD = 0.7, 95% CI 0.2, 1.1; p = 0.003) and sexual violence (marginal RD = 0.7, 95% CI 0.3, 1.2; p = 0.001) compared with those not living in drought. We did not find evidence for an association between drought and emotional violence. In analyses stratified by country, we found 3 settings where drought was protective for at least 1 measure of IPV: Namibia, Tanzania, and Uganda. We found evidence for effect heterogeneity (additive interaction) for the association between drought and younger age and between drought and employment status, with stronger associations between drought and IPV among adolescent girls and unemployed women. This study is limited by its lack of measured hypothesized mediating variables linking drought and IPV, prohibiting a formal mediation analysis. Additional limitations include the potential for bias due to residual confounding and potential non-differential misclassification of the outcome measures leading to an attenuation of observed associations. CONCLUSIONS: Our findings indicate that drought was associated with measures of IPV towards women, with larger positive associations among adolescent girls and unemployed women. There was heterogeneity in these associations across countries. Weather shocks may exacerbate vulnerabilities among women in sub-Saharan Africa. Future work should further evaluate potential mechanisms driving these relationships.


Assuntos
População Negra , Secas , Abuso Físico/etnologia , Delitos Sexuais/etnologia , Maus-Tratos Conjugais/etnologia , Saúde da Mulher/etnologia , Adolescente , Adulto , África Subsaariana/epidemiologia , Fatores Etários , População Negra/psicologia , Emoções , Feminino , Nível de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Abuso Físico/psicologia , Medição de Risco , Fatores de Risco , Fatores Sexuais , Delitos Sexuais/psicologia , Maus-Tratos Conjugais/psicologia , Fatores de Tempo , Desemprego , Adulto Jovem
8.
Violence Against Women ; 26(15-16): 2004-2023, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-31896308

RESUMO

Generally, South Asian Muslim communities reject dating and view it as shameful. Despite this, many South Asian Muslims still engage in dating. These traditional norms, however, remain influential and a part of the cultural context in which dating abuse occurs. This exploratory study examines South Asian Muslims' perceptions of how cultural norms forbidding dating and constructing it as shameful may affect women's experiences of dating abuse. Findings indicate these cultural norms may prompt fear of parental and community reactions to dating as well as strong relationship attachment. These then have implications for disclosure, help seeking, and ending abusive relationships.


Assuntos
Violência por Parceiro Íntimo/etnologia , Violência por Parceiro Íntimo/psicologia , Islamismo/psicologia , Vergonha , Adulto , Ásia , Canadá , Revelação , Feminino , Comportamento de Busca de Ajuda , Humanos , Relações Interpessoais , Entrevistas como Assunto , Masculino , Pais/psicologia , Pesquisa Qualitativa , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/psicologia , Adulto Jovem
9.
Women Health ; 60(5): 502-516, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31587625

RESUMO

African American women are at higher risk for sexual assault than other racial/ethnic groups and have an overall high prevalence of lifetime sexual assault. Despite elevated risk and prevalence, African American survivors are often reluctant to use services in the aftermath of sexual assault. Yet, little research has focused exclusively on African American women's sexual assault experiences including their experiences of medical care seeking. A mail survey study was conducted in Chicago (2010-2011) to understand better African American women's sexual assault experiences in relationship to post-assault medical care seeking in a large community sample (N = 836). Multivariable regression analyses examined whether demographics, assault characteristics, trauma history, and post-assault psychosocial factors were related to medical care seeking. Results revealed unique correlates of immediate and long-term help-seeking from a variety of medical/health sources. Being of older age and lower income, perceived life threat, and delayed disclosure were related to less medical care seeking. Survivors who were assaulted by strangers, experienced interpersonal and contextual traumas, and who received tangible aid and mixed social reactions were related to medical care seeking. Implications for research and clinical practice with this population are provided.


Assuntos
Negro ou Afro-Americano/psicologia , Vítimas de Crime/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Delitos Sexuais/etnologia , Maus-Tratos Conjugais/etnologia , Sobreviventes/estatística & dados numéricos , Saúde da Mulher/etnologia , Adaptação Psicológica , Adolescente , Adulto , Negro ou Afro-Americano/estatística & dados numéricos , Fatores Etários , Idoso , Chicago/epidemiologia , Vítimas de Crime/estatística & dados numéricos , Feminino , Comportamentos Relacionados com a Saúde/etnologia , Humanos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Delitos Sexuais/psicologia , Delitos Sexuais/estatística & dados numéricos , Apoio Social , Fatores Socioeconômicos , Maus-Tratos Conjugais/psicologia , Maus-Tratos Conjugais/estatística & dados numéricos , Inquéritos e Questionários , Sobreviventes/psicologia , Adulto Jovem
10.
Violence Against Women ; 26(6-7): 697-711, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31053043

RESUMO

Intimate Partner Violence (IPV) affects 21-40% of South Asian (SA) women in the United States. No screening tool has been validated in this population. This study sought to determine the validity of the Index of Spouse Abuse (ISA) as an IPV screening tool and to determine the prevalence of IPV among a SA immigrant population. Thirty-one percent of women screened positive on one or both ISA scales. The ISA-P and ISA-NP items were highly reliable as was the correlation between the ISA-P and ISA-NP scores. The ISA is a valid and reliable IPV screening tool in the SA immigrant population.


Assuntos
Povo Asiático/estatística & dados numéricos , Emigrantes e Imigrantes/estatística & dados numéricos , Violência por Parceiro Íntimo/estatística & dados numéricos , Maus-Tratos Conjugais/diagnóstico , Adulto , Feminino , Humanos , Violência por Parceiro Íntimo/etnologia , Programas de Rastreamento/normas , Pessoa de Meia-Idade , Prevalência , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/estatística & dados numéricos , Inquéritos e Questionários/normas , Estados Unidos/epidemiologia
11.
Violence Against Women ; 26(9): 1033-1054, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31187698

RESUMO

This study examined, using structural equation modeling (SEM), gender differences and similarities in correlates of the perpetration of emotional aggression against intimate partners among one of the largest groups of Asian Indians in the United States, Gujaratis. Although most of the correlates of emotional aggression (e.g., patriarchal attitudes, spousal disagreement, and alcohol use) were similar for men and women, higher support for gendered domestic roles was significantly related to higher perpetration of emotional aggression for men but not for women. Multigroup latent SEM served as a unique analytical strategy to investigate gender (a)symmetry, a controversial but critical debate in the field.


Assuntos
Abuso Emocional/psicologia , Violência por Parceiro Íntimo/etnologia , Violência por Parceiro Íntimo/psicologia , Adulto , Agressão/psicologia , Consumo de Bebidas Alcoólicas/epidemiologia , Asiático/psicologia , Atitude , Abuso Emocional/etnologia , Abuso Emocional/estatística & dados numéricos , Características da Família , Feminino , Humanos , Índia , Violência por Parceiro Íntimo/estatística & dados numéricos , Análise de Classes Latentes , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/psicologia , Inquéritos e Questionários , Estados Unidos/epidemiologia
12.
Health Care Women Int ; 40(11): 1170-1196, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31347985

RESUMO

It takes an inordinate amount of resiliency for South Asian (SA) immigrant women survivors of intimate partner violence (IPV)/domestic violence (DV) to seek outside help. The purpose of authors of this study is to understand the process/pathways used by abused SA women to seek formal sources of help. A convenience sample of adult SA women (N = 9), who were survivors of IPV was recruited from a SA women's organization located in a large Southwestern metropolitan area in the United States. In-depth interviews were conducted and analyzed resulting in five themes. Despite seeking help, participants experienced barriers in accessing formal help and leaving an abusive relationship.


Assuntos
Povo Asiático/psicologia , Violência Doméstica/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Comportamento de Busca de Ajuda , Violência por Parceiro Íntimo/psicologia , Maus-Tratos Conjugais/psicologia , Sobreviventes/psicologia , Adulto , Sudeste Asiático , Povo Asiático/etnologia , Violência Doméstica/etnologia , Feminino , Humanos , Entrevistas como Assunto , Violência por Parceiro Íntimo/etnologia , Maus-Tratos Conjugais/etnologia , Estados Unidos , Adulto Jovem
13.
Health Care Women Int ; 40(11): 1212-1228, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31166150

RESUMO

Intimate partner violence occurs in all settings. In this paper the authors describe socio-cultural factors affecting intimate partner violence against pregnant women in suburban Hamadan.The PEN-3 model was utilized by semi-structured interviews with 18 pregnant women. According to women, cultural perceptions (patience in case of facing violence, faith in fate and normalization of violence), enablers (communication skills, economic status, and availability of legal support), and nurturers (family support and social expectation of obedience to men) were found to be important factors that influence violence.A better understanding of the cultural perceptions can help decision-makers in identifying the cultural appropriateness of interventions.


Assuntos
Violência por Parceiro Íntimo/psicologia , Casamento/psicologia , Gestantes/psicologia , Parceiros Sexuais/psicologia , Maus-Tratos Conjugais/psicologia , Adulto , Características Culturais , Feminino , Humanos , Relações Interpessoais , Entrevistas como Assunto , Violência por Parceiro Íntimo/etnologia , Irã (Geográfico) , Masculino , Casamento/etnologia , Gravidez , Gestantes/etnologia , Pesquisa Qualitativa , Fatores Socioeconômicos , Maus-Tratos Conjugais/etnologia
14.
Afr J Reprod Health ; 23(1): 16-26, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31034168

RESUMO

This cross-sectional descriptive study was conducted to determine the attitudes of women and men living in Kutahya, Turkey towards violence against women, and the factors that affect them. The data were collected using an Information Form for Women, an Information Form for Men, and the Attitude towards Violence Scale. The study was completed with 2959 participants; 1481 women and 1478 men. In the study, 41.3% of the women and 22.6% of the men reported being subject to violence. The mean score of the attitude towards violence scale was 41.57±11.83 for women and 49.38±11.52 for men (p <0.001). The mean scores on the attitude towards violence scale were found to be statistically significantly related to gender, education status, occupation, income status, co-educational status, co-occupation, marital age, family type, and subjection to violence (p <0.05). Socio-demographic and socio-cultural factors were found to influence the attitudes of women and men towards violence against women. The attitudes towards violence against women were found to be more positive in women. The rate of accepting violence as natural (acceptable) phenomena was found to be higher among men. That is, the attitudes of men towards violence against women are closer to the traditional approach, away from the modern approach.


Assuntos
Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/psicologia , Violência/etnologia , Violência/psicologia , Adolescente , Adulto , Atitude , Estudos Transversais , Feminino , Humanos , Masculino , Casamento , Pessoa de Meia-Idade , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários , Turquia/epidemiologia , Adulto Jovem
15.
J Obstet Gynecol Neonatal Nurs ; 48(1): 50-58, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30391221

RESUMO

OBJECTIVE: To examine the prevalence, correlates, and influences of male partner reproductive coercion (RC) and intimate partner violence (IPV) on unintended pregnancy (UIP). DESIGN: Retrospective cohort study using population-based data. SETTING: Six participating states contributed data from the Pregnancy Risk Assessment Monitoring System (PRAMS). PARTICIPANTS: Data were obtained for 20,252 women who gave birth between 2012 and 2015 and completed the PRAMS survey within 9 months of giving birth. METHODS: Weighted descriptive statistics and multivariate logistic regression models were used to assess the influence of RC and IPV on odds of UIP. RESULTS: Approximately 2.7% (n = 600) of participants reported physical IPV, and 1.1% (n = 285) reported RC. Participants less than 30 years of age, with low socioeconomic status, who were single and of Black or Hispanic race/ethnicity were at significantly increased risk of IPV. With the exception of Hispanic race/ethnicity, these sociodemographic characteristics were also associated with an increased risk for RC. Participants who experienced IPV had a nearly eightfold increased risk of RC (adjusted odds ratio = 7.98, 95% confidence interval [CI] [4.68, 13.59]) than their nonabused counterparts. In univariate models, RC, IPV, or RC with IPV were significantly associated with increased odds of UIP (odds ratio [OR] = 2.18, 95% CI [1.38, 3.44]; OR = 2.36, 95% CI [1.75, 3.19]; OR = 3.55, 95% CI [1.56, 8.06], respectively); however, results were nonsignificant after adjusting for sociodemographic factors. CONCLUSION: In this population-based sample, we confirmed that there were links among IPV, RC, and UIP, all factors associated with poor maternal and infant outcomes. Screening for IPV and RC is an important step toward reducing rates of UIP.


Assuntos
Serviços de Planejamento Familiar , Violência por Parceiro Íntimo , Gravidez não Planejada/psicologia , Maus-Tratos Conjugais , Adulto , Serviços de Planejamento Familiar/métodos , Serviços de Planejamento Familiar/estatística & dados numéricos , Feminino , Humanos , Violência por Parceiro Íntimo/prevenção & controle , Violência por Parceiro Íntimo/psicologia , Violência por Parceiro Íntimo/estatística & dados numéricos , Masculino , Gravidez , Prevalência , Comportamento Reprodutivo/estatística & dados numéricos , Parceiros Sexuais/psicologia , Fatores Socioeconômicos , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/prevenção & controle , Maus-Tratos Conjugais/psicologia , Estados Unidos
16.
Encephale ; 45(6): 527-529, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-30301569

RESUMO

BACKGROUND: Sexual violence exists everywhere in the world. It depends mainly on the cultural and religious norms conveyed in the various societies. This is a neglected area of research. Available data are insufficient, especially in Arab-Muslim context. METHODS: In this paper, we comprehensively review the scientific literature in order to clarify the cultural, religious and legal aspects of the concept of sexual violence against women in Tunisia, and ask the question of the urgent need to put in place strategies to counter this problem. RESULTS: The National Office for Family and Population published in 2011 the results of the national survey on violence against women in Tunisia, including data on sexual violence and its impact on women's health and well-being. According to this survey, 14.2% of women reported having been sexually abused by an intimate partner during their lifetime and 9.0% reported having experienced it during the last 12 months. One out of every six Tunisian women has been the victim of a sexual violence in a conjugal setting. More men than women legitimized violence against women in contexts where family control, especially conjugal control, is exercised over them. In a study examining the impact of culture and religion on experiences and sexual practice of women in Tunisian society, the majority of respondents thought that sexuality in women was a religious duty and that they do not have the right to refuse their husbands or to rebel. Thus, women would be doubly sanctioned having neither the right to express their desire nor not to respond to their husband's desire. A survey of a representative sample of Tunisian women found that 56.9% of the participants reported being victims of domestic violence, particularly sexual violence (10.7%) consisting mainly of rape and sodomy, at least once in their lifetime. This survey showed that those victims expressed dissatisfaction with overall quality of life. Moreover, contrary to Western literature, sexual violence was the least reported form of violence by teenage girls in Tunisian schools. Indeed, cultural values of modesty, virginity and honor are socially much more demanded for girls, in Arab countries in general, reinforcing staggering silence and inaction around violence experienced by school-aged adolescents. In Tunisian society, the cultural "solution" to rape wants the woman to marry her rapist which safeguards her family's integrity by legitimizing the union. CONCLUSION: Sexual violence has detrimental effects on female victims' physical and mental health. Even if the information on this form of violence is not easy to obtain in our environment, and that rates of subjects reporting sexual violence in their lifetimes are not important, the problem of sexual violence must be considered as a public health problem requiring urgent interventions and a greater institutional will.


Assuntos
Mulheres Maltratadas/estatística & dados numéricos , Delitos Sexuais/estatística & dados numéricos , Mulheres Maltratadas/psicologia , Violência Doméstica/etnologia , Violência Doméstica/estatística & dados numéricos , Feminino , Humanos , Incesto/etnologia , Incesto/psicologia , Incesto/estatística & dados numéricos , Casamento/etnologia , Casamento/estatística & dados numéricos , Estupro/psicologia , Estupro/estatística & dados numéricos , Delitos Sexuais/etnologia , Delitos Sexuais/psicologia , Sexismo/estatística & dados numéricos , Normas Sociais/etnologia , Fatores Socioeconômicos , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/psicologia , Maus-Tratos Conjugais/estatística & dados numéricos , Revelação da Verdade , Tunísia/epidemiologia , Saúde da Mulher/etnologia , Saúde da Mulher/normas , Saúde da Mulher/estatística & dados numéricos , Direitos da Mulher/normas
17.
Health Care Women Int ; 40(1): 66-82, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30422082

RESUMO

The authors in this study have explored and sought to gain an understanding of the contributing factors related to intimate partner violence among married Jordanian women. A qualitative research design using ten semi-structured interviews was used. Our analysis revealed two main themes: "when I get married" and "the role of family". Financial, cultural and sexual factors were found to be vital in shaping the overall path of IPV. Therefore, if IPV is to be addressed carefully, then a multi-approach strategy within the social, legal and political levels of society is urgently needed.


Assuntos
Violência por Parceiro Íntimo/psicologia , Casamento/psicologia , Maus-Tratos Conjugais/psicologia , Adulto , Feminino , Humanos , Entrevistas como Assunto , Violência por Parceiro Íntimo/etnologia , Islamismo , Jordânia , Casamento/etnologia , Pessoa de Meia-Idade , Pesquisa Qualitativa , Fatores de Risco , Maus-Tratos Conjugais/etnologia , Adulto Jovem
18.
Health Care Women Int ; 40(2): 213-237, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30570439

RESUMO

Refugee women are at high risk of experiencing high level of Intimate Partner Violence (IPV) and its negative impacts. We conducted a cross-sectional population-based household survey with refugees in a settlement in the city of Semnan, Iran, from 2016 to 2017. Afghan refugee women (n = 188) with ages between 15 and 49 years were recruited for the survey. Overall, about 79.8% of the participants reported to have experienced a form of IPV in the past 12 months. IPV exposure is associated with a negative reproductive health outcome. The high prevalence of IPV found among refugee women in the present research and its strong links with poor reproductive health outcomes, underline the urgent need for the development and testing of appropriate interventions in refugee settlements.


Assuntos
Violência por Parceiro Íntimo/etnologia , Violência por Parceiro Íntimo/estatística & dados numéricos , Vigilância da População , Saúde Reprodutiva , Maus-Tratos Conjugais/etnologia , Maus-Tratos Conjugais/estatística & dados numéricos , Adolescente , Adulto , Afeganistão/epidemiologia , Estudos Transversais , Características da Família , Feminino , Humanos , Relações Interpessoais , Violência por Parceiro Íntimo/psicologia , Irã (Geográfico)/etnologia , Masculino , Pessoa de Meia-Idade , Prevalência , Refugiados , Parceiros Sexuais , Fatores Socioeconômicos , Maus-Tratos Conjugais/psicologia
19.
Health Promot Chronic Dis Prev Can ; 38(7-8): 269-276, 2018.
Artigo em Inglês, Francês | MEDLINE | ID: mdl-30129714

RESUMO

INTRODUCTION: There is little research done on mental health among pregnant Aboriginal women. Therefore, the purpose of the study was to examine the prevalence of postpartum depression (PPD) and its determinants, including pre-existing depression among non-Aboriginal and Aboriginal women in Canada. METHODS: The Maternity Experiences Survey (MES) is a national survey of Canadian women's experiences and practices before conception, up to the early months of parenthood. Predictors of PPD were calculated using the Mantel-Haenszel correction method relative to the risk estimates based on the odds ratio from adjusted regression analysis. The analysis was conducted among women who self-identified as Aboriginal (Inuit, Métis or First Nations living off-reserve) and those who identified as non-Aboriginal. RESULTS: The prevalence of pre-existing depression was higher among self-reported First Nations off-reserve and Métis women than non-Aboriginal women. Inuit women had the lowest prevalence of self-reported pre-existing depression, and Aboriginal women reported a higher prevalence of PPD than non-Aboriginal women. Pre-existing depression was not a predictor for PPD for Inuit or Métis women in this study but was a positive predictor among First Nations off-reserve and non-Aboriginal women. A disproportionally higher number of Aboriginal women reported experiencing abuse, as compared to non-Aboriginal women. CONCLUSION: Our study demonstrated that common predictors of PPD including anxiety, experiencing stressful life events during pregnancy, having low levels of social support, and a previous history of depression were consistent among non-Aboriginal women. However, with the exception of the number of stressful events among First Nations offreserve, these were not associated with PPD among Aboriginal women. This information can be used to further increase awareness of mental health indicators among Aboriginal women.


INTRODUCTION: On dispose de peu de recherches sur la santé mentale chez les femmes autochtones enceintes, ce qui nous a conduit à examiner dans cette étude la prévalence de la dépression post-partum (DPP) et ses déterminants, en tenant compte des antécédents de dépression chez les femmes non autochtones et autochtones du Canada. MÉTHODOLOGIE: L'Enquête sur l'expérience de la maternité (EEM) est une enquête nationale portant sur l'expérience et les pratiques des femmes canadiennes préalablement à la conception et jusqu'aux premiers mois de la maternité. On a calculé, à l'aide de la méthode de correction Mantel-Haenszel, les estimations du risque pour les facteurs de prédiction de la DPP en se basant sur les rapport de cotes de l'analyse de régression ajustée. L'analyse a été menée auprès de femmes s'étant auto-identifiées comme autochtones (Inuites, Métisses ou membres des Premières Nations vivant hors réserve) ou comme non autochtones. RÉSULTATS: La prévalence d'antécédents dépression était plus élevée chez les femmes s'étant auto-identifiée comme membre des Premières Nations vivant hors réserve ou métisses que chez les femmes non autochtones, les femmes inuites offraient la plus faible prévalence d'antécédents de dépression autodéclarée. Les femmes autochtones avaient une prévalence plus élevée de DPP que les femmes non autochtones. La présence d'antécédents de dépression n'était pas un facteur de prédiction de DPP chez les femmes inuites et métisses, mais s'est révélée en être un chez les femmes des Premières Nations vivant hors réserve et chez les femmes non autochtones. Un nombre disproportionnellement plus élevé de femmes autochtones que de femmes non autochtones ont déclaré avoir été victimes de violence. CONCLUSION: Notre étude a montré que les facteurs usuels de prédiction de DPP que sont l'anxiété, les événements stressants de la vie pendant la grossesse, un faible niveau de soutien social et des antécédents de dépression étaient bien présents chez les femmes non autochtones mais que, à l'exception du nombre d'événements stressants chez les femmes des Premières Nations vivant hors réserve, ces facteurs n'étaient pas associés à la DPP chez les femmes autochtones. Ces résultats incitent à développer la sensibilité des indicateurs de santé mentale pour les femmes autochtones.


Assuntos
Depressão Pós-Parto/etnologia , Depressão/etnologia , Indígenas Norte-Americanos/psicologia , Inuíte/psicologia , Adolescente , Adulto , Canadá/epidemiologia , Canadá/etnologia , Depressão/epidemiologia , Depressão Pós-Parto/epidemiologia , Feminino , Humanos , Saúde Mental , Pessoa de Meia-Idade , Gravidez , Prevalência , Escalas de Graduação Psiquiátrica , Fatores de Risco , Apoio Social , Maus-Tratos Conjugais/etnologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/etnologia , Inquéritos e Questionários , Adulto Jovem
20.
Violence Against Women ; 24(5): 603-626, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29516850

RESUMO

The study examined the attitudes of Palestinian adults toward social work interventions in cases of husband-to-wife assault (HWA). A survey, using self-administered questionnaires and interviews, was conducted among a random sample of 624 adults from the Palestinian Authority. Results indicate higher levels of support for interventions aimed at helping the couple solve their problems than for interventions aimed at protecting the safety of battered women. However, this trend becomes reversed in cases of repeated and severe HWA. Greater support for interventions aimed at protecting the safety of battered women was found among women versus men and younger versus older adults, as well as among individuals with lower levels of justifying wife abuse and more egalitarian expectations of marriage.


Assuntos
Árabes/psicologia , Atitude/etnologia , Serviço Social/normas , Maus-Tratos Conjugais/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-Idade , Maus-Tratos Conjugais/etnologia , Inquéritos e Questionários
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