South Asian Victims of Intimate Partner Violence More Likely than Non-Victims to Report Sexual Health Concerns

Springer Science and Business Media LLC - Tập 7 - Trang 85-91 - 2005
Anita Raj1,2, Rosalyn Liu3, Jennifer McCleary-Sills4, Jay G. Silverman5
1Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston
2Boston University School of Public Health, Boston
3Department of Infectious Disease, Boston Medical Center, Boston
4Department of International Health, Boston University School of Public Health, Boston
5Department of Society, Human Development and Health and Division of Public Health Practice, Harvard University School of Public Health, Boston

Tóm tắt

To assess relationships between intimate partner violence (IPV) and sexual health among South Asian women in Boston. Surveys assessed demographics, IPV and sexual and reproductive health outcomes of women in relationships with men (N = 208). In-depth interviews explored these issues with women with a history of IPV (N = 23). Subjects were majority Indian, non-U.S. citizens, and highly educated. Quantitative data were assessed by logistic regression, qualitative data by a grounded theory approach. About 21.2% of the survey sample reported IPV in the current relationship. These women are 2.6 times as likely to report discolored vaginal discharge in the past year (95% CI = 1.27–6.50), 3.1 times as likely to report burning during urination in the past year (95% CI = 1.52–6.31) and 3.4 times as likely to report unwanted pregnancy in the current relationship (95% CI = 1.33–8.66). Interviewed women described how abuse reduces sexual autonomy, increasing risk for unwanted pregnancy and multiple abortions. Study findings demonstrate the need for increased gynecologic health outreach to abused South Asian women in the U.S.

Tài liệu tham khảo

Heise L, Ellsberg M, Gottmoeller M: Ending violence against women. Popul Rep 1999; 27(4) Amaro H, Raj A: On the margin: Power and women’s HIV risk reduction strategies. Sex Roles 2000; 42(7–8):723–749 Intimate Partner Violence During Pregnancy: A Guide for Clinicians, a Screen Show Lecture Presentation Prepared by the American College of Obstetricians and Gynecologists and Centers for Disease Control and Prevention Work Group on the Prevention of Violence During Pregnancy, http://www.cdc.gov/reproductivehealth/violence/slides/sld001.htm, last accessed 1/23/2003 Indian American Center for Political Awareness, US Census Results now Available for Indian American Community; IACPA analyzes these figures, http://www.iacfpa.org/press/census515.htm, last accessed 1/23/2003 Raj A, Silverman JG: Intimate partner violence against South Asian women in Greater Boston. JAMWA 2002; 57(2):111–116 Tjaden P, Thoenes N: Extent, nature and consequences of intimate partner violence: Findings from the National Violence Against Women Survey, Washington, DC: Department of Justice, National Institute of Justice, 2000 Martin SL, Tsui AO, Maitra K, Marinshaw R: Domestic violence in northern India. Am J Epidemiol 1999; 150(4):417–426 Saheli: South Asian Social Support Network, Client Intake Records, Unpublished Data Go VF, Sethulakshmi CJ, Bentley ME, Sivaram S, Srikrishnan AK, Solomon S, Celentano DD: When HIV-prevention messages and gender norms clash: The impact of domestic violence on women’s HIV risk in slums of Chennai, India. AIDS Behav 2003; 7(3):263–272 Melendez RM, Hoffman S, Exner T, Leu CS, Ehrhardt AA: Intimate partner violence and safer sex negotiation: Effects of a gender-specific intervention. Arch Sex Behav 2003; 32(6):499–511 Wingood GM, DiClemente RJ: Consequences of having a physically abusive partner on the condom use and sexual negotiation practices of young adult African-American women. Am J Public Health 1997; 87(6):1016–1018 Bauer HM, Gibson P, Hernandez M, Kent C, Klausner J, Bolan G: Intimate partner violence and high-risk sexual behaviors among female patients with sexually transmitted diseases. Sex Trans Dis 2002; 29(7):411–416 El-Bassel N, Fontdevila J, Gilbert L, Voisin D, Richman BL, Pitchell P: HIV risks of men in methadone maintenance programs who abuse their intimate partners: A forgotten issue. J Subst Abuse 2001; 12(1–2):29–43 Raj A, Silverman JG, Amaro H: Abused women report greater male partner risk and gender-based risk for HIV: Findings from a community-based study with Hispanic women. AIDS Care 2004; 16(4):519–529 Martin SL, Kilgallen B, Tsui AO, Maitra K, Singh KK, Kupper LL: Sexual behaviors and reproductive health outcomes: associations with wife abuse in India. JAMA 1999; 282(20):1967–1972 Hathaway J, Willis G, Zimmer B, Silverman JG: Impact of Partner Abuse on Women’s Reproductive Lives. JAMWA 2005; 60(1):42–45 Janssen PA, Holt VL, Sugg NK, Emanuel I, Critchlow CM, Henderson AD: Intimate partner violence and adverse pregnancy outcome: A population-based study. Am J Obstet Gynaecol 2003; 188(5):1341–1347 Massachusetts Department of Public Health, Massachusetts Behavioral Risk Factor Surveillance 2000, Center for Health Information, Statistics, Research and Evaluation Glaser B, Strauss A: The Discovery of Grounded Theory. Chicago: Aldine; 1967 Strauss A: Qualitative Analysis for Social Scientists. New York: Cambridge University Press; 1987 Strauss A, Corbin J: Basics of Qualitative Research. Newbury Park, CA: SAGE Publications, Inc.; 1990 Carey JW, Morhan M, Oxtoby MJ: Intecoder agreement in analysis of responses to open-ended interview questions: Examples from tuberculosis research. Cult Anthr Methods J 1996; 8(3):1–5 McNutt LA, van Ryn M, Clark C, Fraiser I: Partner violence and medical encounters: African-American women’s perspectives. Am J Prev Med 2000; 19(4):264–269 Rickert VI, Wiemann CM, Harrykissoon SD, Berenson AB, Kolb E: The relationship among demographics, reproductive characteristics, and intimate partner violence. Am J Obstet Gynecol 2002; 187(4):1002–1007 Mayer BW, Coulter M: Partner abuse of adult women: This is part one of a two-part article. Am J Nurs 2002; 102(5):24MM–24WW