Article

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

ABSTRACT

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.

Download full-text

Full-text

Available from: Mary Ellsberg, Nov 25, 2014
  • Source
    • "Taken together, our findings have important policy and programmatic implications for women's health in sub- Saharan Africa. The association between IPV and poor mental health outcomes is generally accepted in the field[20,72], but most of the evidence is based on data from high-income countries. The evidence base from sub-Saharan Africa has lagged. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Violence against women by intimate partners remains unacceptably common worldwide. The evidence base for the assumed psychological impacts of intimate partner violence (IPV) is derived primarily from studies conducted in high-income countries. A recently published systematic review identified 13 studies linking IPV to incident depression, none of which were conducted in sub-Saharan Africa. To address this gap in the literature, we analyzed longitudinal data collected during the course of a 3-y cluster-randomized trial with the aim of estimating the association between IPV and depression symptom severity.
    Full-text · Article · Jan 2016 · PLoS Medicine
  • Source
    • "The Tanzanian DHS found that 31.8 % of women in Dar es Salaam reported experiencing physical violence in their lifetimes and 23.8 % of women in Dar es Salaam reported experiencing physical violence often or sometimes within the last 12 months [12] . The consequences of IPV for women are substantial and include mental health effects like incident depression, PTSD and suicidal ideation13141516; decreased use of contraceptives [17] and other reproductive health consequences [18] ; elevated substance use [19]; increased risk for STIs including HIV [20, 21] and increased risk of chronic pain as well as non-fatal and fatal injuries [15, 17, 22]. IPV has also been associated with negative health outcomes for perpetrators including hazardous drinking, illicit drug use, mental health consequences, and elevated risk for STIs among men [8, 9,232425262728. "

    Full-text · Article · Jan 2016 · BMC Public Health
  • Source
    • "Men's intimate partner violence (IPV) against women, defined as " any behaviour within an intimate relationship that causes physical, sexual or psychological harm, including acts of physical aggression, sexual coercion, psychological abuse and controlling behaviours, " (World Health Organization [WHO], 2010, p. 11) is widespread and has devastating effects on the health and well-being of women and children (Ellsberg, Jansen, Heise, Watts, & Garcia-Moreno, 2008; Stöckl et al., 2013). The most recent global estimates of violence against women show that 35% of women worldwide have experienced physical and/or sexual IPV or nonpartner sexual violence (WHO, 2013b). "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aims to analyze how middle-level health systems' managers understand the integration of a health care response to intimate partner violence (IPV) within the Spanish health system. Data were obtained through 26 individual interviews with professionals in charge of coordinating the health care response to IPV within the 17 regional health systems in Spain. The transcripts were analyzed following grounded theory in accordance with the constructivist approach described by Charmaz. Three categories emerged, showing the efforts and challenges to integrate a health care response to IPV within the Spanish health system: "IPV is a complex issue that generates activism and/or resistance," "The mandate to integrate a health sector response to IPV: a priority not always prioritized," and "The Spanish health system: respectful with professionals' autonomy and firmly biomedical." The core category, "Developing diverse responses to IPV integration," crosscut the three categories and encompassed the range of different responses that emerge when a strong mandate to integrate a health care response to IPV is enacted. Such responses ranged from refraining to deal with the issue to offering a women-centered response. Attempting to integrate a response to nonbiomedical health problems as IPV into health systems that remain strongly biomedicalized is challenging and strongly dependent both on the motivation of professionals and on organizational factors. Implementing and sustaining changes in the structure and culture of the health care system are needed if a health care response to IPV that fulfills the World Health Organization guidelines is to be ensured.
    Full-text · Article · Dec 2015 · Journal of Interpersonal Violence
Show more