Disability severity and risk of new or recurrent intimate partner violence - Evidence from a cohort study in rural Pakistan.

Autor: Collins A; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, McGavran-Greenberg Hall, Chapel Hill, NC, 27516, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina, Rural Health Research and Policy Analysis Center, 725 M.L.K. Jr Blvd, Chapel Hill, NC, 27516, USA. Electronic address: acollins@unc.edu., Maselko J; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, McGavran-Greenberg Hall, Chapel Hill, NC, 27516, USA; Carolina Population Center, University of North Carolina, 123 West Franklin St., Suite 210, Chapel Hill, NC, 27516, USA., Hagaman A; Department of Social and Behavioral Sciences, Yale School of Public Health, Laboratory of Epidemiology and Public Health, 60 College St, New Haven, CT, 06510, USA; Center for Methods in Implementation and Prevention Science, Yale School of Public Health, Laboratory of Epidemiology and Public Health, 60 College St, New Haven, CT, 06510, USA., Bates L; Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, New York, NY, 10032, USA., Haight SC; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, McGavran-Greenberg Hall, Chapel Hill, NC, 27516, USA., Kachoria AG; Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Dr, Chapel Hill, NC, 27599, USA., Gupta S; Department of Anthropology, University of North Carolina, 207 E. Cameron Ave, Chapel Hill, NC, 27599, USA., Bhalotra S; Department of Economics, University of Warwick, Coventry, CV4 7AL, UK., Sikander S; Department of Primary Care & Mental Health, University of Liverpool, Waterhouse Building, Block B, Brownlow Street, Liverpool, L69 3GF, UK; Pakistan Institute of Living and Learning, Suite 201, 2nd Floor, Doctors Plaza, Khayaban-e-Iqbal, Block 9 Clifton, Karachi, Karachi City, Sindh, 75600, Pakistan., Bibi A; Human Development Research Foundation, 963W+WWV, Boocha, Rawalpindi, Punjab, Pakistan.
Jazyk: angličtina
Zdroj: Disability and health journal [Disabil Health J] 2024 Jul 20, pp. 101673. Date of Electronic Publication: 2024 Jul 20.
DOI: 10.1016/j.dhjo.2024.101673
Abstrakt: Background: People with disabilities are more likely to experience intimate partner violence (IPV) than those without. Most research examining the relationship between disability and IPV, however, is cross-sectional and approaches disability as a binary variable. This relationship is also important to consider in a South Asian context, where it may be affected by cultural norms surrounding IPV, and resources for people with disabilities.
Objective: To estimate the degree to which disability severity increases the risk of subsequent IPV among a cohort of mothers living in rural Pakistan.
Methods: Mothers from the Bachpan study (N = 869) with data for at least two consecutive waves between 1-, 2-, 3-, and 6-years postpartum were included in this study. Modified Poisson regression models were used to estimate the relationship between disability level in the preceding wave and psychological, physical, and sexual IPV in the following wave.
Results: For psychological IPV, the risk ratio (RR) for medium severity was 1.27 (95 % CI: 1.10, 1.46) and the RR for high severity was 1.23 (95 % CI: 1.02, 1.48), relative to low severity. Physical IPV had a medium severity RR of 1.44 (95 % CI: 1.00, 2.06) and high severity RR of 1.60 (95 % CI: 1.02, 2.53). For sexual IPV, the medium severity RR was 1.35 (95 % CI: 1.05, 1.75) and the high severity RR was 1.53 (95 % CI: 1.11, 2.10).
Conclusions: This study supports that, in a low-income, rural South Asian context, mothers with disabilities are particularly susceptible to future psychological, physical, and sexual IPV.
Competing Interests: Declaration of competing interest Authors have no conflicts of interest to disclose.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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