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1.
Violence Vict ; 39(3): 263-276, 2024 Aug 06.
Article in English | MEDLINE | ID: mdl-39107067

ABSTRACT

The COVID-19 pandemic has had significant impacts on the economic well-being of women, particularly those experiencing intimate partner violence (IPV). While some scholars have included common economic risk factors in their studies on COVID-related IPV experiences, fewer have looked specifically at the nature of the financial issues experienced. As such, the purpose of this study was to better understand the types of financial issues that survivors experienced because of the COVID-19 pandemic and their association with different forms of IPV. In July 2022, a sample of 571 women-identifying IPV survivors living in the United States participated in an online survey via Qualtrics panel service. The mean age of participants was 42, and 69% identified as White, non-Hispanic. On average, participants experienced approximately three COVID-related financial issues. After controlling for sociodemographic characteristics, economic abuse and economic abuse-related financial debt were both significantly associated with COVID-related financial issues. Study findings have important implications for economically supporting IPV survivors through research, policy, and practice.


Subject(s)
COVID-19 , Intimate Partner Violence , Survivors , Humans , Female , Adult , Intimate Partner Violence/economics , United States , Middle Aged , Surveys and Questionnaires , SARS-CoV-2 , Young Adult
2.
Glob Health Res Policy ; 9(1): 21, 2024 06 20.
Article in English | MEDLINE | ID: mdl-38898516

ABSTRACT

BACKGROUND: Little is known regarding economic impacts of intimate partner violence (IPV) in humanitarian settings, especially the labor market burden. Examining costs of IPV beyond the health burden may provide new information to help with resource allocation for addressing IPV, including within conflict zones. This paper measures the incidence and prevalence of different types of IPV, the potential relationship between IPV and labor market activity, and estimating the cost of these IPV-associated labor market differentials. METHODS: The association between labor market outcomes, IPV experience, and conflict exposure among women ages 15-49 in Nigeria were studied using the 2018 Nigeria Demographic and Health Survey and 2013-17 Uppsala Conflict Data Program data. Descriptive analysis was used to identify patterns of IPV and labor outcomes by region. Based on this, multivariable logistic regression models were used to estimate the association between labor market participation and lifetime IPV exposure. These models were combined with earnings data from the United Nations Human Development Report 2021/2022 and a top-down costing approach to quantify the impacts in terms of lost productivity to the Nigerian economy. RESULTS: Substantial differences in IPV exposure and labor market outcomes were found between conflict and non-conflict-affected areas. Women with past year or lifetime exposure to physical, emotional, or "any" IPV were more likely to withdraw from the labor market in the past year, although no differences were found for sexual IPV or conflict-affected regions. We estimate an average reduction of 4.14% in the likelihood of working, resulting in nearly $3.0 billion USD of lost productivity, about 1% of Nigeria's total economic output. CONCLUSIONS: Increased odds of labor market withdraw were associated with several measures of IPV. Withdrawal from the formal labor market sector has a substantial associated economic cost for all of Nigerian society. If stronger prevention measures reduce the incidence of IPV against women in Nigeria, a substantial portion of lost economic costs likely could be reclaimed. These costs underscore the economic case, alongside the moral imperative, for stronger protections against IPV for girls and women in Nigeria.


Subject(s)
Intimate Partner Violence , Humans , Nigeria/epidemiology , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/economics , Female , Adult , Adolescent , Young Adult , Middle Aged , Employment/statistics & numerical data , Prevalence , Incidence
3.
Soc Sci Med ; 350: 116948, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38728977

ABSTRACT

INTRODUCTION: Cash transfers can reduce adolescent girls and young women's (AGYW) risk of intimate partner violence (IPV). In our own cash transfer intervention (HPTN 068), AGYW who received a cash transfer were less likely to experience IPV than non-recipients, in part because the cash reduced their engagement in sexual partnerships. This mixed-methods study builds on earlier findings to examine whether the protective effects were sustained after the cash ended and when the cash transfer was the most impactful. METHODS: HPTN 068 was an experimental HIV prevention intervention trial. AGYW who participated completed 3 annual surveys during the intervention and an additional survey 2.5 years post-intervention. We used log-binomial regression models to assess the durability of the cash transfer on outcomes and included an interaction term in models to examine when effects were largest. We analyzed qualitative interviews conducted after the cash ended to contextualize findings. RESULTS: Post-intervention, the relative risk of physical IPV was lower among AGYW who received it compared to those who did not, but not statistically significant (RR: 0.83, 95% CI: 0.62, 1.10). AGYW who received the cash transfer also had a lower relative risk of ever having had sex and of having any sexual partner in the last 12 months (RR: 0.94, 95% CI: 0.88, 1.01; RR: 0.94; 95% CI: 0.88, 0.99, respectively). The protective effect of the cash transfer on physical IPV was highest in Years 1 and 2 (RR: 0.64; 95% CI: 0.55-0.75 and RR: 0.65; 95% CI: 0.55-0.77, respectively). Qualitative data corroborated the quantitative findings. CONCLUSION: The cash transfer reduced AGYW's risk of IPV, though effects were attenuated after the cash ended. Provision of cash during adolescence - a period when AGYW are highly susceptible to IPV and HIV - may empower them in their current relationship and yield long term health benefits.


Subject(s)
Intimate Partner Violence , Rural Population , Humans , Female , Adolescent , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/economics , Intimate Partner Violence/prevention & control , South Africa , Rural Population/statistics & numerical data , Young Adult , HIV Infections/prevention & control , Qualitative Research , Sexual Behavior
4.
Violence Against Women ; 29(11): 2060-2079, 2023 09.
Article in English | MEDLINE | ID: mdl-36168282

ABSTRACT

Limited data are available on experiences of intimate partner violence (IPV) and sexual violence (SV) and health outcomes among American Indian and Alaska Native (AIAN) populations. This study explores the relationship between IPV and SV, food insecurity, housing insecurity, healthcare access, and self-reported physical and mental health status in a nationally representative sample of AIAN adults (N = 3,634). IPV and SV were associated with poorer physical and mental health at the bivariate level, but not in multivariate analyses. Economic inequalities are a salient predictor of health and may be compounded by demographic and geographic contexts.


Subject(s)
American Indian or Alaska Native , Intimate Partner Violence , Sex Offenses , Social Determinants of Health , Adult , Female , Humans , Male , American Indian or Alaska Native/psychology , American Indian or Alaska Native/statistics & numerical data , Intimate Partner Violence/economics , Intimate Partner Violence/ethnology , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Outcome Assessment, Health Care/economics , Outcome Assessment, Health Care/statistics & numerical data , Sex Offenses/economics , Sex Offenses/ethnology , Sex Offenses/psychology , Sex Offenses/statistics & numerical data , Economic Stability , Health Services Accessibility , Food Insecurity , Housing Instability , Self Report , Health Status , United States/epidemiology , Social Determinants of Health/economics , Social Determinants of Health/ethnology , Social Determinants of Health/statistics & numerical data
5.
PLoS One ; 16(1): e0245507, 2021.
Article in English | MEDLINE | ID: mdl-33449965

ABSTRACT

OBJECTIVE: To determine whether emotional and physical intimate partner violence (IPV) and financial adversity increase risk of incident homelessness in pregnancy and the post-partum period. STUDY DESIGN: Data were drawn from the Avon Longitudinal Study of Parents and Children, which starting in 1990 mailed questionnaires to 14,735 mothers in the UK, over 7 years from pregnancy onwards. Marginal structural models and multiple imputation were used to address time-varying confounding of the primary variables, testing for interaction between concurrent emotional/physical IPV and financial adversity, and adjusted for baseline age, ethnicity, education, partner's alcohol use, parity, depression, and social class. RESULTS: Emotional IPV (HR 1.44 (1.13,1.84)), physical IPV (HR 2.05 (1.21,3.49)), and financial adversity (HR 1.59 (1.44,1.77)) each predicted a multiplicative increase in the discrete-time hazard of incident homelessness. We identified joint effects for concurrent emotional IPV and financial adversity (HR 2.09 (1.35,3.22)) and concurrent physical IPV and financial adversity (HR 2.79 (1.21,6.44)). We further identified a temporary decline in self-reported physical IPV among mothers during pregnancy and up to 8 months post-partum. CONCLUSIONS: Emotional and physical IPV and financial adversity independently and jointly increase the risk of incident homelessness. The effects of emotional and physical IPV are comparable to or greater than the risk of financial adversity. Homelessness prevention policies should consider IPV victims as high-risk, regardless of financial status. Furthermore, self-reported physical IPV declines temporarily during pregnancy and up to 8 months post-partum. Screening for IPV in this period may miss high-risk individuals.


Subject(s)
Ill-Housed Persons/statistics & numerical data , Intimate Partner Violence/economics , Intimate Partner Violence/statistics & numerical data , Postpartum Period/psychology , Adult , Cohort Studies , Female , Humans , Pregnancy , Prevalence , Prospective Studies , Regression Analysis , Risk Factors , Surveys and Questionnaires
6.
PLoS Med ; 17(11): e1003388, 2020 11.
Article in English | MEDLINE | ID: mdl-33201927

ABSTRACT

BACKGROUND: In 2014, the government of Togo implemented a pilot unconditional cash transfer (UCT) program in rural villages that aimed at improving children's nutrition, health, and protection. It combined monthly UCTs (approximately US$8.40 /month) with a package of community activities (including behavior change communication [BCC] sessions, home visits, and integrated community case management of childhood illnesses and acute malnutrition [ICCM-Nut]) delivered to mother-child pairs during the first "1,000 days" of life. We primarily investigated program impact at population level on children's height-for-age z-scores (HAZs) and secondarily on stunting (HAZ < -2) and intermediary outcomes including household's food insecurity, mother-child pairs' diet and health, delivery in a health facility and low birth weight (LBW), women's knowledge, and physical intimate partner violence (IPV). METHODS AND FINDINGS: We implemented a parallel-cluster-randomized controlled trial, in which 162 villages were randomized into either an intervention arm (UCTs + package of community activities, n = 82) or a control arm (package of community activities only, n = 80). Two different representative samples of children aged 6-29 months and their mothers were surveyed in each arm, one before the intervention in 2014 (control: n = 1,301, intervention: n = 1,357), the other 2 years afterwards in 2016 (control: n = 996, intervention: n = 1,035). Difference-in-differences (DD) estimates of impact were calculated, adjusting for clustering. Children's average age was 17.4 (± 0.24 SE) months in the control arm and 17.6 (± 0.19 SE) months in the intervention arm at baseline. UCTs had a protective effect on HAZ (DD = +0.25 z-scores, 95% confidence interval [CI]: 0.01-0.50, p = 0.039), which deteriorated in the control arm while remaining stable in the intervention arm, but had no impact on stunting (DD = -6.2 percentage points [pp], relative odds ratio [ROR]: 0.74, 95% CI: 0.51-1.06, p = 0.097). UCTs positively impacted both mothers' and children's (18-23 months) consumption of animal source foods (ASFs) (respectively, DD = +4.5 pp, ROR: 2.24, 95% CI: 1.09-4.61, p = 0.029 and DD = +9.1 pp, ROR: 2.65, 95% CI: 1.01-6.98, p = 0.048) and household food insecurity (DD = -10.7 pp, ROR: 0.63, 95% CI: 0.43-0.91, p = 0.016). UCTs did not impact on reported child morbidity 2 week's prior to report (DD = -3.5 pp, ROR: 0.80, 95% CI: 0.56-1.14, p = 0.214) but reduced the financial barrier to seeking healthcare for sick children (DD = -26.4 pp, ROR: 0.23, 95% CI: 0.08-0.66, p = 0.006). Women who received cash had higher odds of delivering in a health facility (DD = +10.6 pp, ROR: 1.53, 95% CI: 1.10-2.13, p = 0.012) and lower odds of giving birth to babies with birth weights (BWs) <2,500 g (DD = -11.8, ROR: 0.29, 95% CI: 0.10-0.82, p = 0.020). Positive effects were also found on women's knowledge (DD = +14.8, ROR: 1.86, 95% CI: 1.32-2.62, p < 0.001) and physical IPV (DD = -7.9 pp, ROR: 0.60, 95% CI: 0.36-0.99, p = 0.048). Study limitations included the short evaluation period (24 months) and the low coverage of UCTs, which might have reduced the program's impact. CONCLUSIONS: UCTs targeting the first "1,000 days" had a protective effect on child's linear growth in rural areas of Togo. Their simultaneous positive effects on various immediate, underlying, and basic causes of malnutrition certainly contributed to this ultimate impact. The positive impacts observed on pregnancy- and birth-related outcomes call for further attention to the conception period in nutrition-sensitive programs. TRIAL REGISTRATION: ISRCTN Registry ISRCTN83330970.


Subject(s)
Food Supply/economics , Intimate Partner Violence/prevention & control , Malnutrition/epidemiology , Nutritional Status/physiology , Adult , Child , Child, Preschool , Community Participation/statistics & numerical data , Developing Countries/economics , Diet/statistics & numerical data , Female , Food Supply/methods , Humans , Infant , Intimate Partner Violence/economics , Male , Mothers/psychology , Pregnancy , Rural Population/statistics & numerical data , Togo
7.
Violence Vict ; 35(4): 539-561, 2020 08 01.
Article in English | MEDLINE | ID: mdl-32788335

ABSTRACT

With domestic violence shelters faced with the persistent and arduous challenge of intimate partner violence, using an online survey, we explored the experiences of 98 shelter workers, including their perceptions of shelter services. Findings revealed that a majority of respondents (94%) indicated that through their work, they have had a positive influence on shelter residents. Moreover, 68% agreed that shelters are successful with providing services that will aid women in becoming self-sufficient, and 94% would like to see shelters have a greater impact on helping women find the pathway to economic independence. Thirty-six and 39% of participants, respectively, endorsed items about compassion fatigue and secondary trauma, and slightly more than half (51%) were frustrated by their work. Challenges in the provision of services included lack of funding, housing, and mental health and communal living issues. Incorporation of wellness efforts and self-care practices are encouraged in order for shelter workers to reduce susceptibility to compassion fatigue and secondary trauma.


Subject(s)
Attitude , Housing , Intimate Partner Violence , Social Work , Social Workers/psychology , Spouse Abuse , Adult , Aged , Battered Women , Compassion Fatigue , Domestic Violence , Female , Frustration , Humans , Intimate Partner Violence/economics , Intimate Partner Violence/prevention & control , Mental Health , Middle Aged , Perception , Spouse Abuse/economics , Spouse Abuse/prevention & control , Young Adult
8.
J Glob Health ; 10(1): 010415, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32373332

ABSTRACT

BACKGROUND: Emotional and economic intimate partner violence (IPV) are common. There remain outstanding questions: 1) whether the patterning of emotional and economic IPV varies across contexts, and whether the current indicators adequately capture this variation; 2) whether simply binary or more complex modelling strategies are appropriate; 3) whether health impacts of emotional and economic IPV are sustained in population-based studies, across multiple settings. METHODS: Ever partnered women (18-49 years) in cross-sectional, population-based data from three countries, China, Papua New Guinea (PNG) and Sri Lanka, from the United Nations Multi-country Study on Men and Violence in Asia and the Pacific. We assessed lifetime experience of emotional IPV (5 items) and economic IPV (4 items), item uniqueness (ie, the extent to which a person only reported that item), and descriptive associations and multivariable regression between combinations of emotional and economic IPV and physical and/or sexual IPV, for depressive symptoms and generalized health. RESULTS: In all countries, lifetime emotional and economic IPV were common. By item, only one emotional IPV item (he hurt others of importance) had <3% of women uniquely identified by it. There was no item with low uniqueness for economic IPV. By item, and the entire scale, two or more experiences of emotional IPV, or economic IPV, were consistently associated with worse depression and generalized health. Emotional IPV was independently associated with higher depressive scores, and emotional IPV was independently associated with worse generalised health scores, across multiple models. Women experiencing physical and/or sexual IPV combined with emotional or economic IPV, reported the highest depressive symptoms and worst generalised health scores. CONCLUSIONS: Emotional IPV and economic IPV are more, or as, common as physical IPV and sexual IPV in three countries in Asia-Pacific. The current set of emotional and economic items captures a range of unique instances of IPV and that forms of emotional and economic IPV are patterned across different contexts. In addition, the use of a simple binary coding of these scales provides a robust way of providing a measure of health impact. The simplicity of this approach enables replication and standardization of measurement of these key constructs across multiple settings, enabling comparison.


Subject(s)
Depression/epidemiology , Diagnostic Self Evaluation , Emotions , Intimate Partner Violence , Adult , China/epidemiology , Cross-Sectional Studies , Female , Humans , Intimate Partner Violence/economics , Intimate Partner Violence/statistics & numerical data , Male , Middle Aged , Papua New Guinea/epidemiology , Prevalence , Risk Factors , Sri Lanka/epidemiology , Young Adult
9.
Violence Vict ; 35(2): 246-265, 2020 04 01.
Article in English | MEDLINE | ID: mdl-32273380

ABSTRACT

Although economic abuse is one of the major tactics of intimate partner violence, there has been a lack of empirical evidence on the factors associated with economic abuse and its mental well-being outcomes in Chinese population. This study aimed to identify risk factors for and mental well-being of economic abuse in Chinese population. This was a cross-sectional household survey with 504 Chinese adults in Hong Kong. It was found that unmarried individuals and individuals with tertiary education or above were at risk of economic abuse. Moreover, there were significant association between economic abuse experience and anxiety, depression, and psychosomatic symptoms. Resilience was the protective factor against anxiety, depression, and psychosomatic symptoms. The findings were discussed alongside with Chinese culture.


Subject(s)
Financing, Personal , Intimate Partner Violence , Mental Health , Asian People , Cross-Sectional Studies , Cultural Characteristics , Female , Hong Kong/epidemiology , Humans , Intimate Partner Violence/economics , Intimate Partner Violence/psychology , Male , Risk Factors
10.
Violence Vict ; 35(1): 3-19, 2020 02 01.
Article in English | MEDLINE | ID: mdl-32015066

ABSTRACT

Scholars have defined economic abuse (EA) as tactics used by abusive partners to undermine the self-sufficiency and economic self-efficacy of survivors of intimate partner violence (IPV). However, no measures of EA have been tested in non-IPV-service seeking samples. The current study assesses the psychometric properties of the Scale of Economic Abuse (SEA)-12 (Postmus, Plummer, & Stylianou, 2016) in a nonservice seeking sample of adult females attending community college. A quantitative web-based survey was administered to a simple random sample of female community college students (n = 435). Analyses included confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). CFA indicated a poor fit for the three-factor model of the SEA-12 in this sample. The results of the EFA found a single factor model retaining four items (the Scale of Economic Abuse-Short, or SEAS). Women are experiencing EA outside of IPV service-seeking populations, and that tactics of economic control seem to be central to EA in this sample.


Subject(s)
Financing, Personal , Intimate Partner Violence , Patient Acceptance of Health Care , Adult , Factor Analysis, Statistical , Female , Humans , Intimate Partner Violence/economics , Intimate Partner Violence/statistics & numerical data , Psychometrics , Self Efficacy , Spouse Abuse/statistics & numerical data , Students , Surveys and Questionnaires
12.
Violence Against Women ; 26(11): 1324-1342, 2020 09.
Article in English | MEDLINE | ID: mdl-31007144

ABSTRACT

This study examines the frequency, nature, and effects of coerced debt, defined as non-consensual, credit-related transactions that occur in intimate relationships where one partner uses coercive control to dominate the other. The sample includes 1,823 women who called the National Domestic Violence Hotline. Results suggest that coerced debt, from both coercive and fraudulent transactions, is a common problem and is significantly related to control over financial information, credit damage, and financial dependence on the abuser. This study supports the need for policy reform and victim services aimed at addressing coerced debt, thereby mitigating a potentially significant economic barrier to safety.


Subject(s)
Coercion , Financial Management/methods , Intimate Partner Violence/economics , Intimate Partner Violence/statistics & numerical data , Adolescent , Adult , Female , Help-Seeking Behavior , Humans , Logistic Models , Middle Aged , Surveys and Questionnaires , United States/epidemiology , Young Adult
13.
Violence Against Women ; 26(9): 955-971, 2020 07.
Article in English | MEDLINE | ID: mdl-31190625

ABSTRACT

Poverty and intimate partner violence create a cycle that is difficult for women to escape. To create programs to help women escape the cycle, a full understanding of economic solvency is needed. A Model of Economic Solvency has been created, and this Grounded Theory study serves to validate the model and give more details so that it can be effectively used in research and interventions. The revised model defines economic solvency as a woman's human capital, social capital, sustainable employment, independence, and assets. These factors are affected by opportunities and threats in her relationships, community, and society.


Subject(s)
Intimate Partner Violence/economics , Poverty , Adult , Employment , Female , Financial Statements , Grounded Theory , Health Knowledge, Attitudes, Practice , Humans , Interviews as Topic , Middle Aged , Models, Theoretical , Risk Factors , Social Networking
14.
J Interpers Violence ; 35(15-16): 3011-3033, 2020 08.
Article in English | MEDLINE | ID: mdl-29294740

ABSTRACT

Experiencing intimate partner violence (IPV) and financial hardship are often intertwined. The dynamics of an abusive relationship may include economic abuse tactics that compromise a survivor's ability to work, pursue education, have access to financial resources, and establish financial skills, knowledge, and security. An increasingly common goal among programs serving IPV survivors is increasing financial empowerment through financial literacy. However, providing financial education alone may not be enough to improve financial behaviors. Psychological factors also play a role when individuals make financial choices. Economic self-efficacy focuses on the individual's perceived ability to perform economic or financial tasks, and may be considered a primary influence on one's ability to improve financial decisions and behaviors. The current study tests the reliability and validity of a Scale of Economic Self-Efficacy with a sample of female survivors of IPV. This study uses a calibration and validation analysis model including full and split-sample exploratory and confirmatory factor analyses, assesses for internal consistency, and examines correlation coefficients between economic self-efficacy, economic self-sufficiency, financial strain, and difficulty living with income. Findings indicate that the 10-item, unidimensional Scale of Economic Self-Efficacy demonstrates strong reliability and validity among this sample of IPV survivors. An ability to understand economic self-efficacy could facilitate individualized service approaches and allow practitioners to better support IPV survivors on their journey toward financial empowerment. Given the increase in programs focused on assets, financial empowerment, and economic well-being, the Scale of Economic Self-Efficacy has potential as a very timely and relevant tool in the design, implementation, and evaluation of such programs, and specifically for programs created for IPV survivors.


Subject(s)
Income , Intimate Partner Violence , Self Efficacy , Empowerment , Female , Humans , Intimate Partner Violence/economics , Reproducibility of Results , Survivors
15.
J Interpers Violence ; 35(15-16): 3054-3078, 2020 08.
Article in English | MEDLINE | ID: mdl-29294743

ABSTRACT

This study advanced knowledge regarding the mechanisms through which intimate partner violence relates to psychological and financial distress with a sample of diverse low-income women. Data were collected from 147 female domestic violence survivors who were abused by a male partner within the past 6 months. Three hierarchical regression analyses revealed that psychological, physical, and economic abuse were predictive of posttraumatic stress, depression, and economic self-sufficiency among survivors. Guided by the Conservation of Resources Theory, the loss of financial, work, and interpersonal resources also predicted these three outcomes, above and beyond abuse experiences (i.e., economically controlling behaviors, economic sabotage, and interpersonal resource loss were unique predictors). In addition, bootstrap mediation analyses showed that interpersonal resource loss partially mediated the relationship between psychological abuse and mental health outcomes. Together, these findings can be used to inform future interventions to promote the financial and psychological well-being of survivors.


Subject(s)
Domestic Violence , Intimate Partner Violence , Poverty , Survivors/psychology , Domestic Violence/economics , Emotional Abuse , Female , Humans , Intimate Partner Violence/economics , Male , Mental Health , Regression Analysis
16.
PLoS One ; 14(10): e0223721, 2019.
Article in English | MEDLINE | ID: mdl-31618219

ABSTRACT

Financial inclusion is an area of growing global interest in women's empowerment policy and programming. While increased economic autonomy may be expected to reduce the prevalence of intimate partner violence, the mechanisms and contexts through which this relationship manifests are not well understood. This analysis aims to assess the relationship between women's financial inclusion and recent intimate partner violence using nationally-representative data from 112 countries worldwide. Levels of both financial inclusion and recent intimate partner violence varied substantially across countries (ranging from 2-100%, and 1-46%, respectively), and across regions. In multivariate global analyses, increased levels of women's financial inclusion were associated with lower levels of recent intimate partner violence after accounting for asset-based enablers of economic autonomy and gender norms; this relationship was lost upon the inclusion of measures of national context (i.e., development and fragility). These results underscore that the relationship between financial inclusion and recent intimate partner violence is complex, follows many pathways, and is affected by context. In low and middle income countries, asset-based enablers of economic autonomy, gender norms and national context explained much of the relationship between financial inclusion and recent intimate partner violence. In those low and middle income countries with high levels of controlling behavior by male spouses, financial inclusion was associated with higher levels of recent intimate partner violence. These findings further suggest that initiatives that aim to prevent intimate partner violence by way of increased economic autonomy may be ineffective in the absence of broader social change and support, and indeed, as seen in countries with higher levels of men's controlling behavior, backlash may increase the risk of violence. Efforts to improve women's financial inclusion need to recognize that its relationship with intimate partner violence is complex, and that it requires an enabling environment supportive of women's rights and autonomy.


Subject(s)
Intimate Partner Violence/economics , Intimate Partner Violence/statistics & numerical data , Cross-Sectional Studies , Factor Analysis, Statistical , Female , Humans , Male , Models, Theoretical , Prevalence , Risk Factors
17.
Cad Saude Publica ; 35(9): e00174818, 2019 09 09.
Article in English | MEDLINE | ID: mdl-31508698

ABSTRACT

Intimate partner violence (IPV) is a worldwide public health problem. Many proposals aiming to eliminate its occurrence include the empowerment of women through their socio-economic development. In this context, some studies suggested that microcredit programs (MP) and cash transfer programs (CTP) are initiatives that can also reduce the risk of IPV. Others pointed to an opposite effect. The objective of this study was to investigate the influence of women's economic empowerment in MP and CTP on the risk of physical, psychological and sexual violence through a systematic review. Papers/documents selection was conducted by two researchers according to the following criteria: published in English, Portuguese or Spanish; primary data; assessing the effect of MP or CTP on IPV; in heterosexual couples; on women beneficiaries of the intervention; using a comparator group eligible for an MP or CTP; and focusing on risk IPV as the outcomes. Our results showed that the impact of MP are mixed when it comes to physical and physical/sexual violence. Even so, the review suggests that the effect of MP on sexual violence is trivial or nonexistent. Regarding the impact of CTPs, the present study showed that the effects on physical, physical/sexual, psychological, and sexual violence were also heterogeneous. Women more empowered and with some autonomy could be at risk. Despite that, participation in the empowerment program should be encouraged for poor women and families. However, parallel interventions to lead with IPV should be addressed to the main actions to reduce the risk of increasing IPV prevalence in certain scenarios.


Subject(s)
Employment/psychology , Empowerment , Financial Support , Intimate Partner Violence/economics , Women/psychology , Female , Financial Management , Humans , Intimate Partner Violence/psychology , Intimate Partner Violence/statistics & numerical data , Latin America/epidemiology , Prevalence , Risk Factors , Rural Population/statistics & numerical data , Socioeconomic Factors , Surveys and Questionnaires , Urban Population/statistics & numerical data
18.
Cult Health Sex ; 21(11): 1225-1239, 2019 11.
Article in English | MEDLINE | ID: mdl-30632915

ABSTRACT

This paper explores young women's experiences and constructions of love-relationships and intimate partner violence in South Africa, and the role of agency in women's decisions to remain in or leave violent love-relationships. Understanding why young women stay in or leave violent love-relationships is key to developing nuanced understandings of agency and informing intimate partner violence prevention interventions. Data were collected from 15 young women in informal settlements in eThekwini Municipality, South Africa, via in-depth interviews, photovoice and participant observation, and were analysed inductively. While women's love-relationships were frequently violent, they often stayed in them for long periods, usually because the relationships met other important aspirations, including the desire for respect and dignity. Nonetheless, many women left when they no longer felt loved and respected, which they believed was shown by men's behaviours, specifically: indiscreet affairs; not spending time together; not spending money on her and any child(ren); and public (and humiliating) violence. Emotional and economic support from families also influenced women's decisions about leaving or staying. These data demonstrate that agency goes beyond definitive acts of leaving violent relationships; rather it is fluid, contested and contextual, with many factors influencing young women's goals and actions.


Subject(s)
Intimate Partner Violence/psychology , Love , Social Norms , Women's Rights , Adult , Choice Behavior , Female , Humans , Intimate Partner Violence/economics , Poverty , Qualitative Research , South Africa
19.
Rev Salud Publica (Bogota) ; 21(1): 34-41, 2019 01 01.
Article in Spanish | MEDLINE | ID: mdl-33206924

ABSTRACT

OBJECTIVE: To establish the prevalence and characteristics of violence against women living with human immunodeficiency virus infection and to explore factors associated with violence in an HIV care program in the city of Bogotá in 2017. MATERIALS AND METHODS: Analytical cross-sectional study design that identified characteristics associated with violence against women living with HIV in the city of Bogotá. RESULTS: Of the 223 women surveyed, 33.6% (95%CI 27-40%) experienced intimate partner violence of any type, physical or non-physical, only physical violence 21.9% (95% CI 16-27%), and non-physical violence 31.8% (95% CI 26-38%). Non-physical partner violence was found to be related to being separated or in a consensual union (32.4 and 28.2%, respectively, p=0.000), to a nuclear family composition (42.3% p=0.041), or to 100% economic contribution of the woman in the household (33.8% p=0.001). On the other hand, physical violence is more frequent in separated women (46.9%, p=0.000), in couples with children (89.8%, p=0.042), in single-parent families (49%, p=0.000), in single women (42.9%, p=0.013), and in women who make 100% economic contribution at home (38.8%, p=38.8). CONCLUSIONS: The results related to intimate partner violence in these women suggest that screening should be done to detect violence as part of post-HIV counseling, and that violence should be addressed as a routine part of HIV treatment and care to improve the quality of life for women living with HIV.


OBJETIVO: Identificar la prevalencia y características de la violencia contra la mujer cuando convive con la infección por el virus de inmunodeficiencia humana y explorar los factores asociados a la presencia de la violencia, en un programa de atención integral en VIH de la ciudad de Bogotá en el año 2017. MÉTODOS: Diseño analítico transversal que identificó las características que componen la violencia contra la mujer con VIH. RESULTADOS: De las 223 mujeres encuestadas, el 33,6% [IC95% 27-40%] presentaron violencia de pareja de cualquier tipo, física o no física; solo violencia física 21,9% [IC95% 16-27%], y violencia no física 31,8%[IC 95% 26-38%]. Para la violencia de pareja no física se encontró dependencia con ser mujeres separadas o en unión libre (32,4 y 28,2%, p=0,000), con una composición familiar nuclear(42,3% p=0,041), o si la mujer tenía un aporte económico de 100% en el hogar (33,8% p=0,001). Mientras que la violencia física se informa como más frecuente en mujeres separadas (46,9% p=0,000), en parejas con hijos(89,8% p=0,042), familia monoparental(49% p=0,000), en mujeres que se encuentran sin pareja(42,9% p=0,013), y con aporte económico en el hogar del 100%(38,8% p=0.001). CONCLUSIONES: Los resultados en estas mujeres relacionados con violencia de pareja, sugieren que se debe hacer un tamizado en detección de violencia como parte del asesoramiento post prueba del VIH, y que se aborde la violencia como una parte rutinaria del tratamiento y la atención del VIH que conlleven, a mejorar la calidad de vida de las mujeres con VIH.


Subject(s)
HIV Infections/therapy , Intimate Partner Violence/statistics & numerical data , Adult , Aged , Colombia , Cross-Sectional Studies , Family Characteristics , Female , HIV Infections/psychology , Humans , Intimate Partner Violence/economics , Intimate Partner Violence/psychology , Middle Aged , Qualitative Research , Quality of Life
20.
J Interpers Violence ; 34(3): 475-495, 2019 02.
Article in English | MEDLINE | ID: mdl-27080306

ABSTRACT

A high percentage of men and women are purported to justify intimate partner violence (IPV) in countries that are steeped in patriarchy even in the presence of programs such as microfinance that aim to address gender equity. This article examines two assertions that emerge from the literature on microfinance and its potential for positive outcomes for women who participate in it: (a) Microfinance participation is associated with reduced justification of IPV, and (b) microfinance participants with control over their own resources are less likely to justify IPV when compared with microfinance participants who do not have control over their resources. Couples data from a nationally representative survey, the Bangladesh Demographic and Health Survey, were used in the present study. Propensity score matching and logistic regression analyses were conducted to reveal that (a) microfinance participation was not associated with justification of IPV and that (b) women who participated in microfinance were less likely to justify IPV when they had no control over their resources. Implications for practitioners and policymakers are discussed.


Subject(s)
Banking, Personal/methods , Intimate Partner Violence/economics , Intimate Partner Violence/psychology , Adolescent , Adult , Bangladesh , Banking, Personal/statistics & numerical data , Family Characteristics , Female , Humans , Intimate Partner Violence/statistics & numerical data , Middle Aged , Poverty , Young Adult
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