Abstract
ObjectivesTo describe associations between men’s poor mental health (depressive and post-traumatic stress symptomatology) and their perpetration of intimate partner violence (IPV) and non-partner sexual violence (NPSV), and women’s mental health and their experiences of IPV and NPSV in five settings in the Global South.DesignA pooled analysis of data from baseline interviews with men and women participating in five violence against women and girls prevention intervention evaluations.SettingThree sub-Saharan African countries (South Africa, Ghana and Rwanda), and one Middle Eastern country, the occupied Palestinian territories.Participants7021 men and 4525 women 18+ years old from a mix of self-selecting and randomly selected household surveys.Main outcome measuresAll studies measured depression symptomatology using the Centre for Epidemiological Studies-Depression, and the Harvard Trauma Scale for post-traumatic stress disorder (PTSD) symptoms among men and women. IPV and NPSV were measured using items from modified WHO women’s health and domestic violence and a UN multicountry study to assess perpetration among men, and experience among women.FindingsOverall men’s poor mental health was associated with increased odds of perpetrating physical IPV and NPSV. Specifically, men who had more depressive symptoms had increased odds of reporting IPV (adjusted OR (aOR)=2.13; 95%CI 1.58 to 2.87) and NPSV (aOR=1.62; 95% CI 0.97 to 2.71) perpetration compared with those with fewer symptoms. Men reporting PTSD had higher odds of reporting IPV (aOR=1.87; 95% CI 1.44 to 2.43) and NPSV (aOR=2.13; 95% CI 1.49 to 3.05) perpetration compared with those without PTSD. Women who had experienced IPV (aOR=2.53; 95% CI 2.18 to 2.94) and NPSV (aOR=2.65; 95% CI 2.02 to 3.46) had increased odds of experiencing depressive symptoms compared with those who had not.ConclusionsInterventions aimed at preventing IPV and NPSV perpetration and experience must account for the mental health of men as a risk factor, and women’s experience.
Funder
Department for International Development
Reference42 articles.
1. World Health Organization . Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. 2021.
2. 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
3. Gibbs A , Dunkle K , Ramsoomar L , et al . New learnings on drivers of men’s physical and/or sexual violence against their female partners, and women’s experiences of this, and the implications for prevention interventions. Glob Health Action 2020;13:1739845. doi:10.1080/16549716.2020.1739845
4. Abramsky T , Watts CH , Garcia-Moreno C , et al . What factors are associated with recent intimate partner violence? findings from the who multi-country study on women’s health and domestic violence. BMC Public Health 2011;11:109. doi:10.1186/1471-2458-11-109
5. Ellsberg M , Ovince J , Murphy M , et al . No safe place: prevalence and correlates of violence against conflict-affected women and girls in south sudan. PLoS One 2020;15:e0237965. doi:10.1371/journal.pone.0237965
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献