Ellsberg M, Jansen HA, Heise L, Watts CH, García-Moreno C, WHO Multi-country Study, Women's Health and Domestic Violence against Women Study Team. Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study

PATH, Washington, DC, USA.
The Lancet (Impact Factor: 45.22). 05/2008; 371(9619):1165-72. DOI: 10.1016/S0140-6736(08)60522-X
Source: PubMed


This article summarises findings from ten countries from the WHO multi-country study on women's health and domestic violence against women.
Standardised population-based surveys were done between 2000 and 2003. Women aged 15-49 years were interviewed about their experiences of physically and sexually violent acts by a current or former intimate male partner, and about selected symptoms associated with physical and mental health. The women reporting physical violence by a partner were asked about injuries that resulted from this type of violence.
24,097 women completed interviews. Pooled analysis of all sites found significant associations between lifetime experiences of partner violence and self-reported poor health (odds ratio 1.6 [95% CI 1.5-1.8]), and with specific health problems in the previous 4 weeks: difficulty walking (1.6 [1.5-1.8]), difficulty with daily activities (1.6 [1.5-1.8]), pain (1.6 [1.5-1.7]), memory loss (1.8 [1.6-2.0]), dizziness (1.7 [1.6-1.8]), and vaginal discharge (1.8 [1.7-2.0]). For all settings combined, women who reported partner violence at least once in their life reported significantly more emotional distress, suicidal thoughts (2.9 [2.7-3.2]), and suicidal attempts (3.8 [3.3-4.5]), than non-abused women. These significant associations were maintained in almost all of the sites. Between 19% and 55% of women who had ever been physically abused by their partner were ever injured.
In addition to being a breach of human rights, intimate partner violence is associated with serious public-health consequences that should be addressed in national and global health policies and programmes.

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Available from: Mary Ellsberg, Nov 25, 2014
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    • "The consequences of violence during sex/intimacy can be severe, and in fact, intimate partner violence is one of the leading causes of death among women 15-44 years of age (Im-em W, 2003). This kind of violence is strongly associated with physical and mental health morbidity, including homicide, suicide, physical injuries and emotional distress as well as HIV seropositivity (Watts C, 2002; Chowdhary N, 2008; Ellsberg M, 2008; Maman S, 2002; Decker MR, 2009). However the present study shows its limitation in exploring those consequences. "
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    ABSTRACT: Objective: To empower and engage the Self Help Groups (SHGs) women against violence during sex/intimacy with the use of IEC strategy so that they can act as change agents for other women in the community. Methods: This was a 'Multi-centric Action Research Demonstration Study'. As an intervention, series of workshops were conducted with the help of pre-developed IEC material. Results: The intervention was found effective in the form of a significant change in level of perception among SHG women that violence during sex or intimacy is abnormal, improvement in awareness about women's right to decline to the partner from having sex while encountering violence from him and significant reduction in their experience of facing violence during intimacy or sex in last one year. Conclusion: This study provides experience of the feasibility; efficacy and impact of health education interventions and an insight into the development and implementation of effective interventions against violence during sex or intimacy in India.
    International Journal of Current Pharmaceutical Review and Research 10/2015; 7. · 2.11 Impact Factor
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    • "That makes violence against women a major global public health issue which is supported by international research e.g. [3] [4] [5]. "

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    • "Previous studies have found reproductive coercion to be associated with poor reproductive health outcomes and childlessness [2] [6]. Although the links between reproductive coercion and mental health have not been assessed, poor mental health resulting from IPV has been documented to be of great concern [9] [10]. For example, a nationally representative survey of more than 4000 South African adults found that women who experienced physical IPV were more than three times as likely to have been diagnosed with post-traumatic stress disorder (PTSD) during their lifetime compared with women without this exposure [11]. "
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    ABSTRACT: Objective : To assess the independent associations of partner-perpetrated reproductive coercion, intimate partner violence (IPV), in-law reproductive coercion, and in-law abuse with recent probable post-traumatic stress disorder (PTSD), and to test their relationship with PTSD symptoms when controlling for the other types of abuse among partnered women in rural Côte d’Ivoire. Methods : Cross-sectional analyses were conducted using logistic generalized estimating equations, which accounted for village-level clustering. Data were drawn from baseline data from a randomized controlled trial among 24 villages in rural Côte d’Ivoire (n = 953 partnered women). Three adjusted models were used to test associations of reproductive coercion and abuse with probable PTSD. Results : Partner-perpetrated reproductive coercion was experienced by 176 (18.5%) women. In model 3, which accounted for the co-occurrence of abuses, partner-perpetrated reproductive coercion (odds ratio [OR] 2.3; 95% confidence interval [CI], 1.4–3.9) and partner-perpetrated IPV (OR 1.7; 95% CI, 1.1–2.7) were the most significant predictors of past-week probable PTSD (P < 0.05). Conclusion : Reproductive coercion may be a significant contributor to poor mental health. The mental health impacts of reproductive coercion and IPV should be considered within psychosocial programming for rural Ivorian communities to address the full range of traumatic experiences that may have been experienced by women.
    International Journal of Gynecology & Obstetrics 10/2014; 127(1). DOI:10.1016/j.ijgo.2014.04.011 · 1.54 Impact Factor
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