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1.
BMC Pediatr ; 24(1): 419, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38956491

ABSTRACT

BACKGROUND: Children who witness parental intimate partner violence (IPV) are more likely to develop mental health issues compared to those who do not witness such violence. OBJECTIVE: The main objective of this study is to assess the association between parental intimate partner violence and child mental health outcomes. METHODOLOGY: This cross-sectional study involved 548 participants divided into two groups: parents (N = 304) and offspring (N = 244). The participants were recruited from Mageragere Sector in the City of Kigali (urban), as well as Mbazi and Ruhashya sectors in Huye District (rural). To assess the difference about mental difficulties reported by the offspring, a Mann-Whitney U test was employed to compare the responses of parents and their children on mental health outcomes. Additionally, multiple linear regression analysis was conducted to explore the association between parental intimate partner violence (IPV) and the mental health outcomes of their offspring. RESULTS: The results highlighted significant levels of mental and emotional challenges in children, as reported by both parents and the children themselves. Depression and youth conduct problems were more prevalent among the children compared to their parents, whereas anxiety and irritability were more commonly reported by parents than by their children. Intimate partner violence showed to be a predictor of irritability and anxiety symptoms in offspring. In terms of irritability, depression, and youth conduct problems they were identified as predictors of anxiety symptoms. Particularly, anxiety and irritability were revealed to predict youth conduct problems. CONCLUSION: The study indicates that parental intimate partner violence (IPV) has an impact on the mental well-being of their offspring. Furthermore, it was observed that there is not only a correlation between IPV and poor mental health outcomes, but also a connection between different mental conditions, implying that children exposed to IPV are more prone to experiencing a range of mental issues. As a result, intervention programs should place emphasis on addressing the mental disorders of both parents and children.


Subject(s)
Intimate Partner Violence , Humans , Female , Cross-Sectional Studies , Male , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Child , Rwanda/epidemiology , Adult , Adolescent , Mental Health , Mental Disorders/epidemiology , Mental Disorders/etiology , Depression/epidemiology , Depression/etiology , Anxiety/epidemiology , Anxiety/etiology , Parents/psychology
2.
BMC Public Health ; 24(1): 1863, 2024 Jul 11.
Article in English | MEDLINE | ID: mdl-38992636

ABSTRACT

BACKGROUND: There is a consensus among scholars, policymakers, and implementers that addressing the complex nature of intimate partner violence (IPV) requires a collaborative response. However, there is limited literature on how various professionals work collaboratively to address the needs of women with disabilities who experience IPV. This study combines the perspectives of women with disabilities and those of professionals to understand collaboration in providing IPV services to women with disabilities. METHODS: Twenty-nine in-depth interviews were conducted with 18 IPV service providers and 11 women with disabilities. The data were analyzed using reflective thematic analysis. RESULTS: The findings are presented under three themes: the first shows a consensus among different IPV service providers and disabled women on the importance of collaboration when supporting victims of IPV with disabilities; the second depicts the common ways in which collaboration occurs when supporting women with disabilities; and the third illuminates the critical elements that boost effective collaboration. CONCLUSION: Supporting IPV victims with disabilities requires active collaboration at both an internal and external level. Strengthening collaboration among different actors requires trust, specified roles, and the allocation of adequate resources.


Subject(s)
Disabled Persons , Intimate Partner Violence , Humans , Female , Disabled Persons/psychology , Intimate Partner Violence/psychology , Adult , Qualitative Research , Cooperative Behavior , Middle Aged , Interviews as Topic
3.
BMC Public Health ; 24(1): 1870, 2024 Jul 13.
Article in English | MEDLINE | ID: mdl-39003451

ABSTRACT

Despite domestic violence and related homicides perpetrated by partners and/or in-laws being a significant public health problem in India, there are no reliable and valid instruments to identify and intervene with women in domestic violence relationships. Continued domestic violence can escalate to severe, near-lethal, or lethal violence or homicide. The Danger Assessment (DA) is a risk assessment instrument designed to assess the likelihood of severe, near-lethal, or lethal violence in abusive relationships. However, the DA is not designed to determine the risk of future severe, near-lethal, or lethal violence by in-laws. In-law abuse plays a significant role in domestic violence-related homicides in India and other countries with similar cultural norms. This study addressed this gap by developing the Danger Assessment for in-laws (DA-L) to assess risk from in-laws, alongside the Danger Assessment for Women in India (DA-WI) to assess risk from partners. The study also examined the psychometric properties of the DA-L and DA-WI. Longitudinal data from 150 women in India were used to measure the reliability and validity of the two versions of the DA. The original DA items and additional risk items were examined using relative risk ratios for their relationship with severe violence at three-month follow-ups. Predictive validity was tested with the receiver operating characteristic curve. The study resulted in reliable and valid measures (11 items DA-L and 26-items DA-WI) of risk. The versions of the DA can be useful for practitioners in India and those working with Indian women in the US and other countries. The DAs can be used for identifying women in domestic violence relationships who are at risk for future severe domestic violence and guide the provision of tailored safety plans.


Subject(s)
Domestic Violence , Homicide , Humans , Female , India/epidemiology , Risk Assessment , Adult , Homicide/statistics & numerical data , Homicide/psychology , Domestic Violence/statistics & numerical data , Domestic Violence/psychology , Young Adult , Psychometrics , Middle Aged , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/psychology , Adolescent , Reproducibility of Results , Male , Spouse Abuse/statistics & numerical data , Spouse Abuse/psychology , Surveys and Questionnaires
4.
Arch Psychiatr Nurs ; 51: 158-167, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39034073

ABSTRACT

Intimate partner violence has become an increasingly serious social problem in Türkiye in recent years. It causes social, physical, and psychosocial health problems that impact mortality and morbidity in women. This study aimed to determine the inner worlds of female IPV victims who sought safety from their abusers in women's shelters. The sample consisted of ten women staying in a women's shelter affiliated with the Violence Prevention and Monitoring Center in Ankara. The study used a qualitative research design (phenomenology) and the drawing technique. An art therapist and a psychotherapist interpreted the symbols in pictures drawn by participants. Moreover, in-depth interviews were conducted with participants to disclose their repressed feelings and thoughts. Both in-depth interviews and drawings helped us elaborate on participants' inner worlds. The results showed that all types of violence left deep emotional scars. Some participants stated that legal sanctions should also apply to psychological violence. Participants were highly motivated to change their lives around but had financial concerns. Some participants were concerned that legal procedures, such as housing and economic support, were short-termed. The results indicate that all parties, such as governments, civil society organizations, media, and the private sector, should adopt a holistic approach to combating all types of violence.


Subject(s)
Intimate Partner Violence , Paintings , Qualitative Research , Humans , Female , Intimate Partner Violence/psychology , Adult , Paintings/psychology , Middle Aged , Disclosure , Interviews as Topic
5.
Arch Psychiatr Nurs ; 51: 274-281, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39034089

ABSTRACT

BACKGROUND: Intimate Partner Violence (IPV) is a significant public health concern that disproportionately impacts Indigenous American women more than any other ethnic/racial group in the United States. PURPOSE: This study aims to inform the work of nurses and allied health professionals by providing insight into the lived realities of Indigenous women in urban areas and how IPV manifests in the lives of Indigenous women. METHODS: Postcolonial and Indigenous feminist frameworks informed this qualitative study. Using thematic analysis, we analyzed data from semi-structured individual interviews with 34 Indigenous women in large urban areas in the upper Midwest. FINDINGS: This manuscript discusses one broad theme: experiences of IPV during pregnancy and the devastating impacts on women and their children in the form of intergenerational trauma. Under this broad theme, we identified two sub-themes: impacts of IPV on individual pregnancy experiences and linkages to adverse pregnancy-related outcomes related to physical IPV during the childbearing years. CONCLUSION: This Indigenous-led study informs the development of effective Indigenous-specific interventions to minimize barriers to accessing prenatal care and help-seeking when experiencing IPV to reduce the devastating consequences for Indigenous women and their families.


Subject(s)
Intimate Partner Violence , Qualitative Research , Urban Population , Humans , Female , Intimate Partner Violence/psychology , Intimate Partner Violence/ethnology , Pregnancy , Adult , Urban Population/statistics & numerical data , Wisconsin , Intergenerational Relations/ethnology , Interviews as Topic
6.
Arch Psychiatr Nurs ; 51: 89-94, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39034100

ABSTRACT

This study aims to determine the relationship between young women's attitudes towards dating violence and internalized misogyny. This study used descriptive and relational design. The target population of the study was all young women aged between 18 and 24 years who lived in Turkey. A total of 288 individuals were accessed in the study. Data were collected through the "Personal Information Form" developed by the researchers, "Attitudes towards Dating Violence Scales", and the "Internalized Misogyny Scale". Participating young women's Attitudes Towards Male Psychological Dating Violence Scale mean score and the Internalized Misogyny Scale mean score demonstrated a positive and medium level relationship (p<0.01. r:0.412), and a positive and weak correlation was detected with Devaluing of Women (p<0.01. r:0.374), Distrust of Women (p<0.01. r:0.341), and gender bias in favor of men (p<0.01. r:0.321) sub-scale mean scores. This study found that although the level was weak, there was a correlation between internalized misogyny and dating violence, and the increase in internalized misogyny increased the acceptance of dating violence in young women.


Subject(s)
Intimate Partner Violence , Humans , Female , Turkey , Intimate Partner Violence/psychology , Young Adult , Adolescent , Surveys and Questionnaires , Attitude , Sexism/psychology , Interpersonal Relations , Adult , Male
7.
Afr Health Sci ; 24(1): 112-118, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38962338

ABSTRACT

Background: Intimate Partner Violence (IPV) is a serious health issue among couples which is recorded more among married partners. Dishearteningly, IPV among couples who are teachers is underreported due to shame, thereby increasing the prevalence of IPV in the area of the study. Objectives: The study examined physical and psychological health consequences of IPV on married primary school teachers. Methods: The design was a cross-sectional descriptive survey conducted on married primary school teachers in Delta South Senatorial zone of Delta State, Nigeria from 22nd February - 29th November, 2021. Three hundred and thirteen 313 (207 women and 106 men who have experienced various forms of IPV) who were identified as victims of IPV were used as participants in the study. Structured questionnaire was used to elicit information on physical and psychological health consequences of IPV on married teachers. Conclusion: The researchers concluded that there are severe and serious physical and psychological health consequences associated with IPV among married primary school teachers in Delta South Senatorial zone of Delta State, Nigeria. Urgent interventions such as public enlightenment, campaigns, workshops, seminars, community health talk-shows should be organized by government stakeholders, non-governmental organizations, community leaders on the prevention of IPV and its dare consequences for marital stability.


Subject(s)
Intimate Partner Violence , Marriage , School Teachers , Humans , Nigeria/epidemiology , Male , Female , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Cross-Sectional Studies , Adult , School Teachers/psychology , School Teachers/statistics & numerical data , Marriage/psychology , Middle Aged , Surveys and Questionnaires , Prevalence , Mental Health , Schools
8.
Front Public Health ; 12: 1402378, 2024.
Article in English | MEDLINE | ID: mdl-39022404

ABSTRACT

Introduction: This study aimed to explore the influence of Intimate Partner Violence (IPV) on depression, the mediating role of social support, and the moderating role of the Big Five personality traits in the relationship between social support and depression. Methods: Participants were recruited from Mainland China, using a stratified random sampling and quota sampling method. From June to August 2022, a diverse group of 21,916 participants (ranging from 12 to 100 years old) completed the Intimate Partner Violence Scale, Patient Health Questionnaire, Perceived Social Support Scale, and Big Five Inventory-Short Version. Results: IPV was significantly positively correlated with depression and significantly negatively correlated with perceived social support. Perceived social support plays a mediating role in the link between IPV and depression. Discussion: Healthcare workers should assess social support and provide adequate care or recommendations for increasing social support when patients with IPV report depressive symptoms. Patients can be coached by professionals to improve their resiliency by developing or nurturing more optimistic personality traits.


Subject(s)
Depression , Intimate Partner Violence , Personality , Social Support , Humans , Female , Adult , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Male , Middle Aged , Depression/psychology , China , Adolescent , Surveys and Questionnaires , Aged , Young Adult , Aged, 80 and over , Child
9.
Vertex ; 35(164, abr.- jun.): 19-32, 2024 Jul 10.
Article in Spanish | MEDLINE | ID: mdl-39024489

ABSTRACT

En esta investigación se dimensiona comparativamente la violencia en parejas de estudiantes de nivel universitario de la Argentina y de Ecuador y se explora la asociación con los celos y otras covariables teóricamente relevantes mediante análisis multivariado. Con un diseño de corte transversal se encuestaron 714 estudiantes (528 de la Universidad Nacional de La Plata, Argentina, y 186 de Universidad de Cuenca, Ecuador). Los instrumentos utilizados fueron el Conflict in Adolescents Dating Relationships Inventory, la Multidimensional Jealousy Scale e items ad hoc sobre fidelidad, consumo de sustancias y estrés durante la relación de pareja. Si bien se halló un predominio de la violencia verbal/emocional, el 3,8 % de los participantes alcanzó alto valor en la medida de abuso total cometido y más de la mitad informó haber cometido, por lo menos, un acto violento físico durante la relación índice. En modelo de regresión logística se verificó que la condición de pertenecer al grupo de alta violencia se asoció positiva y significativamente con los factores celos comportamentales, celos cognitivos,estrés y consumo de sustancias, y negativa y significativamente con la edad al comienzo de la relación.


Subject(s)
Intimate Partner Violence , Students , Humans , Female , Male , Cross-Sectional Studies , Universities , Students/psychology , Young Adult , Ecuador , Adolescent , Argentina , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Aggression/psychology , Adult , Jealousy
10.
PLoS One ; 19(7): e0307274, 2024.
Article in English | MEDLINE | ID: mdl-39024226

ABSTRACT

This article presents two cross-sectional studies that group the most relevant (and potential) factors contemplated in the bystander literature on Intimate Partner Violence Against Women, (IPVAW). We analyzed their relationship with the intention to respond to hypothetical scenarios with specific helping behaviors based on the witnesses' gender, political ideology and on the bystander effect (study 1). We also studied them as predictors of helping behaviors (study 2). In total, 1,563 Spanish people participated in study 1 and 755 Spanish people in study 2. Participants had to study an IPVAW vignette (with a single bystander or multiple bystanders) and a control scenario (a robbery with a woman as victim or a man) and assess the perceived severity of the situation, the perceived responsibility of the victim and the aggressor(s), the personal perceived responsibility of the bystander and the intention to perform 8 helping behaviors. They also fulfilled a social desirability scale (study 1 and 2), the Inventory of Distorted Thoughts about Women and Violence and the Scale on Gender Ideology (study 2). Women tend to assess the IPVAW scenario in a way that favors displaying active helping behaviors to a greater extent than men. An individual's political opinion has also shown to affect the assessment and, to a lesser extent, the intention to help an IPVAW victim. The bystander effect only takes place when negative attitudes are present. When analyzing the interaction between the type of violence (gender versus non-gender-based violence) and the above-mentioned variables, the results tend to confirm previous studies. Regarding the predictors of the helping behaviors, perceived personal responsibility is key, together with victim blaming attitudes or the perceived severity of the situation. This study expands the knowledge on bystander behaviors in IPVAW contexts and offers elements to work on awareness campaigns.


Subject(s)
Helping Behavior , Intimate Partner Violence , Humans , Female , Intimate Partner Violence/psychology , Adult , Spain , Male , Middle Aged , Cross-Sectional Studies , Young Adult , Crime Victims/psychology , Adolescent , Surveys and Questionnaires
12.
BMJ Open ; 14(6): e082760, 2024 Jun 12.
Article in English | MEDLINE | ID: mdl-38866566

ABSTRACT

OBJECTIVES: Although prior research suggests that household food insecurity (HFI) is associated with intimate partner violence against women (IPVAW), there is a paucity of research regarding its impact on attitudes accepting of IPVAW. We examined whether individuals experiencing HFI are more likely to accept physical IPVAW, whether the association varies by gender and whether it persists when models are adjusted for other confounders. DESIGN: Population-level cross-sectional analysis. SETTING: This study used the round 6 of the UNICEF-supported Multiple Indicator Cluster Survey (MICS) conducted in Nigeria. PARTICIPANTS: The sample included 23 200 women and 7087 men, aged 15-49 years, who were currently married or in union and responded to the attitudes towards domestic violence and HFI modules in the MICS. OUTCOME MEASURES AND STATISTICAL ANALYSIS: Attitudinal acceptance of physical IPVAW (specific forms and overall). We conducted weighted multivariable logistic regression to estimate the OR and their corresponding 95% CIs of the associations of food insecurity (FI) with attitudinal acceptance of physical IPVAW, adjusting for potential confounders. RESULTS: Multivariable results indicate that severe HFI was positively associated with attitudinal acceptance physical IPVAW in at least one of the scenarios presented (aOR=1.11; 95% CI: 1.01 to 1.22). Individuals experiencing severe HFI had higher odds of physical IPVAW acceptance when wife neglects the children (aOR=1.15; 95% CI: 1.02 to 1.31). The likelihood of physical IPVAW acceptance if wife burns the food was lower for women experiencing moderate HFI (aOR=0.86; 95% CI: 0.74 to 0.99). Stratified analyses indicated heterogeneity in the association between HFI and attitudinal acceptance of physical IPVAW by gender. CONCLUSION: Our findings indicate that, depending on the severity, FI status may be associated with attitudinal acceptance of physical IPVAW, with potential variations based on gender. The public health implications are discussed.


Subject(s)
Food Insecurity , Intimate Partner Violence , Humans , Female , Nigeria , Cross-Sectional Studies , Adult , Male , Middle Aged , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Adolescent , Young Adult , Logistic Models , Family Characteristics , Attitude
13.
Arch Sex Behav ; 53(7): 2689-2710, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38902488

ABSTRACT

While intimate partner violence is now recognized as a major societal and international issue, sexual violence between partners remains understudied despite its significant prevalence rates and the specific contexts in which it occurs. The aim of this study was to analyze the links between different dimensions of sexual consent and sexual coercion experienced within intimate relationships in order to identify targets for prevention campaigns. The study was carried out during a time of transition in the sociopolitical and legislative context in Belgium linked to the implementation of a reform to the sexual criminal law, which has made the expression of sexual consent central to the qualification of sexual offenses. A total of 431 young adults (88.40% female; Mage = 22.19 years; SDage = 1.79) were recruited from the general population through an online survey to analyze the links between attitudes and beliefs toward sexual consent, attachment style, mental health, and sexual victimization between partners. Results showed that a lack of perceived behavioral control over establishing sexual consent, as well as the avoidance of intimacy, predicted sexual victimization. The clinical implications of these findings are discussed and potential public policy responses for prevention and awareness are suggested. Future research should further investigate and conceptualize sexual consent as it relates to sexual coercion in a more representative sample from an intersectional perspective.


Subject(s)
Coercion , Intimate Partner Violence , Sexual Behavior , Sexual Partners , Humans , Female , Male , Intimate Partner Violence/psychology , Intimate Partner Violence/prevention & control , Young Adult , Adult , Sexual Partners/psychology , Sexual Behavior/psychology , Belgium , Sex Offenses/psychology , Attitude , Crime Victims/psychology , Surveys and Questionnaires , Adolescent
14.
BMC Pregnancy Childbirth ; 24(1): 444, 2024 Jun 26.
Article in English | MEDLINE | ID: mdl-38926666

ABSTRACT

BACKGROUND: Although male participation in maternal health has gained increasing recognition and support over the years, little is known about male involvement during pregnancy in the Democratic Republic of the Congo. This paper identified male involvement patterns during pregnancy and evaluated their associations with pregnancy and birth preparedness knowledge, gender-equitable attitudes, self-efficacy, and co-parental relationship factors. Lastly, it explored the moderating effect of gender-equitable attitudes and intimate partner violence on the association between relationship satisfaction and male involvement. METHODS: Data from the 2018 Momentum baseline study were analyzed to determine the predictors of involvement. Factor analysis was used to create male involvement indices for antenatal carebirth preparedness and shared decision making. The sample consisted of 1,674 male partners of nulliparous pregnant women who were 6 months pregnant at baseline. RESULTS: Male involvement in individual pregnancy-related activities was low, ranging from 11% (finding a blood donor) to 49% (saving money during emergencies). Knowledge of the number of antenatal care visits, birth preparedness steps, and newborn danger signs were positively associated with involvement in antenatal care/birth preparedness activities while knowledge of antenatal care benefits was positively associated with involvement in shared decisions. Increasing relationship satisfaction and self-efficacy were associated with antenatal care/birth preparedness involvement and for shared decisions, a positive association with gender-equitable attitude and a negative association with self-efficacy were observed. Moderation effects were also detected. CONCLUSIONS: The findings suggest that male involvement is multifaceted and factors influencing involvement vary depending on the type of involvement. Addressing these factors can improve male participation in maternal health.


Subject(s)
Health Knowledge, Attitudes, Practice , Self Efficacy , Humans , Female , Male , Democratic Republic of the Congo , Pregnancy , Adult , Cross-Sectional Studies , Prenatal Care , Young Adult , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Decision Making , Interpersonal Relations
15.
PLoS One ; 19(6): e0306103, 2024.
Article in English | MEDLINE | ID: mdl-38935801

ABSTRACT

OBJECTIVES: This study examines the 12-month prevalence rates of intimate partner violence (IPV) victimization, including psychological, physical, and sexual forms, in women and men. It also aims to identify changes in IPV victimization during the COVID-19 pandemic and to explore factors associated with the occurrence of any IPV victimization during this period. METHODS: Data from the DREAMCORONA study in Germany collected from May 2020 to February 2021 included 737 participants, i.e., (expectant) mothers (64%) and fathers (36%). The Revised Conflict Tactics Scale (CTS2S) short form was used to assess the 12-month IPV victimization. Prevalence of IPV victimization as well as changes in IPV victimization during the pandemic were analyzed descriptively, with results stratified by sex. Multiple logistic regression was employed to identify risk factors for IPV. RESULTS: Psychological IPV was found to be the most prevalent form of violence, with the occurrence of any psychological IPV affecting 48.5% of women and 39.4% of men, while 2.6% of women and 3.3% of men reported the occurrence of any physical IPV victimization, and 2.8% of women and 1.5% of men reported the occurrence of any sexual IPV victimization. Of those who experienced the occurrence of any IPV in the last 12 months, 89.7% of women and 89.8% of men were victimized by one single act of violence. The majority of affected participants reported no change in psychological and physical IPV victimization during the pandemic. Nevertheless, for certain IPV behaviors on the psychological and physical IPV victimization subscales, both affected women and men also reported higher frequencies during the COVID-19 pandemic. Multiple logistic regression revealed that higher levels of relationship satisfaction were negatively associated with the occurrence of any IPV victimization for women and men, whereas greater levels of own anger-hostility symptoms were positively associated with the occurrence of any IPV victimization. CONCLUSIONS: Psychological IPV was present in almost every second (expectant) couple. The majority of affected women and men reported no change in their psychological and physical IPV victimization, suggesting that they continued to experience IPV during the pandemic. This underlines the importance of promoting healthier relationship dynamics, coping strategies, and emotional well-being to reduce the risk of IPV, even in times of crisis. Our study sheds light on the early stages of the pandemic and highlights the ongoing need for research into the temporal dynamics of IPV.


Subject(s)
COVID-19 , Crime Victims , Intimate Partner Violence , Humans , COVID-19/epidemiology , COVID-19/psychology , Female , Male , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/psychology , Adult , Prevalence , Risk Factors , Crime Victims/psychology , Crime Victims/statistics & numerical data , Germany/epidemiology , Middle Aged , Young Adult , Pandemics , SARS-CoV-2 , Adolescent
16.
AIDS Behav ; 28(7): 2247-2257, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38869756

ABSTRACT

We examined the impact of past-year intimate partner violence (IPV) on HIV outcomes among women living with HIV (WLHIV) in Durban, South Africa. We assessed past-year IPV using the WHO Violence Against Women Questionnaire. We conducted logistic regression to assess associations between demographic variables and IPV at baseline, and between IPV at baseline and longitudinal HIV outcomes. Among 235 WLHIV, 17% reported past-year emotional, physical, or sexual IPV. At baseline, HIV-disclosure to partner was associated with 4.35-fold odds of past-year IPV (95% CI 1.17-16.10) after controlling for children, education, and harmful alcohol use. In the prospective analysis, IPV was associated with not achieving the co-primary outcome of retention in care and viral suppression in univariate (OR = 2.32, 95% CI 1.04-5.18), but not in the multivariate model. In the context of rapid treatment scale-up, the high burden of IPV among WLHIV needs to be prioritized, with an emphasis on disclosure support.


Subject(s)
HIV Infections , Intimate Partner Violence , Sexual Partners , Humans , Female , South Africa/epidemiology , HIV Infections/psychology , HIV Infections/epidemiology , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/psychology , Adult , Prospective Studies , Surveys and Questionnaires , Middle Aged , Logistic Models , Risk Factors , Socioeconomic Factors
17.
JAMA Netw Open ; 7(6): e2419137, 2024 Jun 03.
Article in English | MEDLINE | ID: mdl-38916887

ABSTRACT

Importance: Transgender and gender-diverse (TGD) communities experience disproportionate levels of violence, yet due to limitations in measuring TGD identity, few state-representative estimates are available. Objective: To assess gender identity differences in experiences of violence among adults. Design, Setting, and Participants: Cross-sectional data from the 2023 California Violence Experiences (CalVEX) survey, weighted to provide state-representative estimates, was used to assess associations between gender identity and past-year experiences of violence among adults 18 years and older. Data were analyzed from June to December 2023. Exposure: Gender identity (cisgender women, cisgender men, transgender women, transgender men, and nonbinary individuals). Main Outcomes and Measures: Experience of physical violence (including physical abuse and threat or use of a weapon), sexual violence (verbal sexual harassment, homophobic or transphobic slurs, cyber and physically aggressive sexual harassment, and forced sex), and intimate partner violence (IPV; emotional, physical, or sexual violence) using age-adjusted logistic regression. Results: In total 3560 individuals (weighted cumulative response rate, 5%) completed the 2023 CalVEX survey, with 1978 cisgender women, 1431 cisgender men, 35 transgender women, 52 transgender men, and 64 nonbinary respondents (mean [SD] age, 47.1 [17.5] years; 635 [17%] were Asian, 839 [37%] were Hispanic, and 1159 [37%] were White). Past-year physical violence was reported by 22 transgender men (43%), 9 transgender women (24%), and 9 nonbinary respondents (14%). Past-year sexual violence was reported by 23 transgender men (42%), 11 transgender women (14%), and 31 nonbinary respondents (56%). Compared with cisgender women, transgender women and transgender men had greater risk of past-year physical violence (any form) (transgender women adjusted incidence rate ratio [AIRR], 6.7; 95% CI, 2.5-18.2; transgender men AIRR, 9.7; 95% CI, 5.3-17.7), as well as past-year IPV (any form) (transgender women AIRR, 3.2; 95% CI, 1.3-8.0; transgender men AIRR, 6.7; 95% CI, 4.0-11.3). Relative to cisgender women, transgender men (AIRR, 3.0; 95% CI, 1.7-5.1) and nonbinary respondents (AIRR, 3.3; 95% CI, 2.1-5.2) had greater risk of past-year sexual violence (any form). Conclusions and Relevance: In this survey study of adults in California, results showed that TGD individuals, especially transgender men, are at higher risk of experiencing all forms of violence relative to cisgender women. Results highlight the need for gender-affirming violence prevention and intervention services as well as policies that protect TGD individuals from discriminatory violence.


Subject(s)
Intimate Partner Violence , Sex Offenses , Transgender Persons , Humans , Male , Female , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/psychology , Adult , Transgender Persons/statistics & numerical data , Transgender Persons/psychology , Cross-Sectional Studies , Middle Aged , California/epidemiology , Sex Offenses/statistics & numerical data , Sex Offenses/psychology , Young Adult , Physical Abuse/statistics & numerical data , Physical Abuse/psychology , Adolescent , Surveys and Questionnaires , Gender Identity
18.
Drug Alcohol Depend ; 261: 111378, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-38936182

ABSTRACT

INTRODUCTION: Substance use is highly prevalent among women experiencing intimate partner violence (IPV) and has been associated with dysfunction of the hypothalamic-pituitary-adrenal (HPA) axis and resulting cortisol response. Posttraumatic stress disorder (PTSD) symptoms may play an important role in exacerbating the association between cortisol levels and substance use behaviors. PURPOSE: This study examined the role of PTSD symptoms in the relation between cortisol and past month substance use behaviors. The current study used hair cortisol as an index of past 30-day HPA-axis functioning and ecological momentary assessment (EMA) to characterize substance use behaviors more accurately over a 30-day period. METHOD: Participants were 90 community women who had experienced physical or sexual IPV in the past 30 days by their current male partner and used any amount of alcohol or drugs (M age = 40.71; 54.4 % white). Participants completed (a) a baseline interview, (b) EMA for 30-days, and (c) a follow up interview where they were asked to provide a hair sample for cortisol analyses. Data collection took place from 2018 to 2020. RESULTS: PTSD severity moderated the relations between cortisol and days of drinking and binge drinking. In the context of high PTSD symptomology, women with high cortisol levels spent, on average, an additional 7.4 days drinking and 8.1 days binge drinking in the past 30 days compared to women with low cortisol levels, in a model adjusted for age. CONCLUSIONS: Results highlight the prominent role of PTSD symptoms in the association between cortisol and alcohol use among women experiencing IPV.


Subject(s)
Hair , Hydrocortisone , Intimate Partner Violence , Stress Disorders, Post-Traumatic , Substance-Related Disorders , Humans , Female , Stress Disorders, Post-Traumatic/metabolism , Stress Disorders, Post-Traumatic/psychology , Hydrocortisone/metabolism , Hydrocortisone/analysis , Hair/chemistry , Hair/metabolism , Adult , Intimate Partner Violence/psychology , Substance-Related Disorders/metabolism , Substance-Related Disorders/psychology , Middle Aged , Severity of Illness Index , Ecological Momentary Assessment
19.
Soc Cogn Affect Neurosci ; 19(1)2024 Jul 04.
Article in English | MEDLINE | ID: mdl-38915189

ABSTRACT

Malfunctioning in executive functioning has been proposed as a risk factor for intimate partner violence (IPV). This is not only due to its effects on behavioral regulation but also because of its association with other variables such as sexism. Executive dysfunctions have been associated with frontal and prefrontal cortical thickness. Therefore, our first aim was to assess differences in cortical thickness in frontal and prefrontal regions, as well as levels of sexism, between two groups of IPV perpetrators (with and without executive dysfunctions) and a control group of non-violent men. Second, we analyzed whether the cortical thickness in the frontal and prefrontal regions would explain sexism scores. Our results indicate that IPV perpetrators classified as dysexecutive exhibited a lower cortical thickness in the right rostral anterior cingulate superior frontal bilaterally, caudal middle frontal bilaterally, right medial orbitofrontal, right paracentral, and precentral bilaterally when compared with controls. Furthermore, they exhibited higher levels of sexism than the rest of the groups. Most importantly, in the brain structures that distinguished between groups, lower thickness was associated with higher sexism scores. This research emphasizes the need to incorporate neuroimaging techniques to develop accurate IPV profiles or subtypes based on neuropsychological functioning.


Subject(s)
Executive Function , Intimate Partner Violence , Magnetic Resonance Imaging , Sexism , Humans , Male , Executive Function/physiology , Adult , Intimate Partner Violence/psychology , Magnetic Resonance Imaging/methods , Neuropsychological Tests , Young Adult , Cerebral Cortex/diagnostic imaging , Cerebral Cortex/pathology , Female , Middle Aged , Prefrontal Cortex/diagnostic imaging , Prefrontal Cortex/pathology
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