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Journal of Family Violence

Erschienen in:

26.11.2018 | Original Article

Help Seeking Behavior among Women Who Report Intimate Partner Violence in Afghanistan: an Analysis of the 2015 Afghanistan Demographic and Health Survey

verfasst von: Nicholas Metheny, Rob Stephenson

Erschienen in: Journal of Family Violence | Ausgabe 2/2019

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Abstract

Ongoing internal conflict, high gender inequality, and a patriarchal society contribute to a high prevalence of intimate partner violence towards women (IPV) in Afghanistan. Seeking help from formal and informal sources can provide social support to IPV survivors, buffering negative health consequences. The purpose of this study is to examine the individual, interpersonal, and community-level factors associated with help-seeking for physical, sexual, and emotional IPV in Afghanistan using a nationally-representative sample of women aged 15–49. Data for this analysis comes from the 2015 Afghanistan Demographic and Health Survey. The outcome variable is a binary measure of informal or formal help-seeking behavior among women who reported physical, sexual, or emotional IPV in the last 12 months. Drawing on existing theory of help-seeking for IPV, key covariates included summative indices of health care use, decision-making power, and barriers to accessing health care measured at both the individual and community levels using multilevel modeling. Nearly half (46%) of women in the dataset reported experiencing some type of IPV in the past 12 months. Among the 20% of women who reported seeking help for IPV, informal sources of support were used almost universally. Engagement with the health care system, barriers to accessing health care, and decision-making power were all significantly associated with seeking help for IPV. IPV is widespread in Afghanistan and help-seeking is uncommon. A better understanding of what shapes help-seeking in this context may allow more women to disclose violence, increasing social support and reducing the negative health effects of IPV.

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Ackerson, L. K., Kawachi, I., Barbeau, E. M., & Subramanian, S. (2008). Effects of individual and proximate educational context on intimate partner violence: A population-based study of women in India. American Journal of Public Health, 98(3), 507–514.CrossRefPubMedPubMedCentral

Adegoke, T. G., & Oladeji, D. (2008). Community norms and cultural attitudes and beliefs factors influencing violence against women of reproductive age in Nigeria. European Journal of Scientific Research, 20(2), 265–273.

Annan, J., & Brier, M. (2010). The risk of return: Intimate partner violence in northern uganda's armed conflict. Social Science & Medicine, 70(1), 152–159.CrossRef

Ansara, D. L., & Hindin, M. J. (2010). Formal and informal help-seeking associated with women's and men's experiences of intimate partner violence in Canada. Social Science & Medicine, 70(7), 1011–1018.CrossRef

Beyer, K., Wallis, A. B., & Hamberger, L. K. (2015). Neighborhood environment and intimate partner violence: A systematic review. Trauma, Violence, and Abuse, 16(1), 16–47. https://doi.org/10.1177/1524838013515758.CrossRefPubMed

Boyle, M. H., Georgiades, K., Cullen, J., & Racine, Y. (2009). Community influences on intimate partner violence in India: Women's education, attitudes towards mistreatment and standards of living. Social Science and Medicine, 69(5), 691–697. https://doi.org/10.1016/j.socscimed.2009.06.039.CrossRefPubMed

Brodsky, A. E. (2004). With all our strength: The revolutionary association of the women of Afghanistan Psychology Press.

Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard.

Campbell, J. (2002). Health consequences of intimate partner violence. Lancet, 359(9314), 1331–1336.CrossRefPubMed

Campbell, J., Jones, A. S., Dienemann, J., Kub, J., Schollenberger, J., O'Campo, P., … Wynne, C. (2002). Intimate partner violence and physical health consequences. Archives of Internal Medicine, 162(10), 1157–1163.CrossRefPubMed

Campbell, J., Garcia-Moreno, C., & Sharps, P. (2004). Abuse during pregnancy in industrialized and developing countries. Violence Against Women, 10(7), 770–789.CrossRef

Campbell, J. C., Baty, M. L., Ghandour, R. M., Stockman, J. K., Francisco, L., & Wagman, J. (2008). The intersection of intimate partner violence against women and HIV/AIDS: A review. International Journal of Injury Control and Safety Promotion, 15(4), 221–231.CrossRefPubMedPubMedCentral

Clark, C. J., Everson-Rose, S. A., Suglia, S. F., Btoush, R., Alonso, A., & Haj-Yahia, M. M. (2010). Association between exposure to political violence and intimate-partner violence in the occupied palestinian territory: A cross-sectional study. The Lancet, 375(9711), 310–316.CrossRef

Coker, A. L., Smith, P. H., Bethea, L., King, M. R., & McKeown, R. E. (2000). Physical health consequences of physical and psychological intimate partner violence. Archives of Family Medicine, 9(5), 451–457.CrossRefPubMed

Coker, A. L., Smith, P. H., Thompson, M. P., McKeown, R. E., Bethea, L., & Davis, K. E. (2002). Social support protects against the negative effects of partner violence on mental health. Journal of Women's Health, 11(5), 465–476.

Decker, M. R., Peitzmeier, S., Olumide, A., Acharya, R., Ojengbede, O., Covarrubias, L., … Brahmbhatt, H. (2014). Prevalence and health impact of intimate partner violence and non-partner sexual violence among female adolescents aged 15–19 years in vulnerable urban environments: A multi-country study. Journal of Adolescent Health, 55(6, Supplement), S58-S67. https://doi.org/10.1016/j.jadohealth.2014.08.022 CrossRefPubMed

Diez-Roux, A. V. (2000). Multilevel analysis in public health research https://doi.org/10.1146/annurev.publhealth.21.1.171.

Duncan, D. T., Goedel, W. C., Stults, C. B., Brady, W. J., Brooks, F. A., Blakely, J. S., & Hagen, D. (2016). A study of intimate partner violence, substance abuse, and sexual risk behaviors among gay, bisexual, and other men who have sex with men in a sample of geosocial-networking smartphone application users. American Journal of Men's Health,

Dunkle, K. L., Jewkes, R., Brown, H. C., Gray, G. E., McIntryre, J. A., & Harlow, S. D. (2004). Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. Lancet, 363(9419), 1415–1421. https://doi.org/10.1016/S0140-6736(04)16098-4.CrossRefPubMed

Dynes, M., Stephenson, R., Rubardt, M., & Bartel, D. (2012). The influence of perceptions of community norms on current contraceptive use among men and women in Ethiopia and Kenya. Health & Place, 18(4), 766–773.CrossRef

Elfstrom, K. M., & Stephenson, R. (2012). The role of place in shaping contraceptive use among women in africa. PLoS One, 7(7), e40670. https://doi.org/10.1371/journal.pone.0040670.CrossRefPubMedPubMedCentral

Garcia-Moreno, C., Jansen, H. A., Ellsberg, M., Heise, L., & Watts, C. H. (2006). Prevalence of intimate partner violence: Findings from the WHO multi-country study on women's health and domestic violence. Lancet, 368(9543), 1260–1269. https://doi.org/10.1016/S0140-6736(06)69523-8.CrossRefPubMed

Global Database on Violence Against Women. (2016). Afghanistan. Retrieved from http://evaw-global-database.unwomen.org/en/countries/asia/afghanistan#2. Accessed 17 May 2018

Gondolf, E. W., & Fisher, E. R. (1988). Battered women as survivors: An alternative to treating learned helplessness. Lexington Books/DC Heath and Com.

Government of Afghanistan, Global Health Workforce Alliance, & World Health Organization. (2011). Afghanistan national health workforce plan 2011-2016. Retrieved from http://www.who.int/workforcealliance/countries/Afghanistan_HRHplan_2012_draft_wlogos.pdf. Accessed 17 May 2018

Haque, S. E., Rahman, M., Mostofa, M. G., & Zahan, M. S. (2012). Reproductive health care utilization among young mothers in Bangladesh: Does autonomy matter? Women's Health Issues, 22(2), e171–e180. https://doi.org/10.1016/j.whi.2011.08.004.CrossRefPubMed

Hatcher, A. M., Romito, P., Odero, M., Bukusi, E. A., Onono, M., & Turan, J. M. (2013). Social context and drivers of intimate partner violence in rural Kenya: Implications for the health of pregnant women. Culture, Health & Sexuality, 15(4), 404–419. https://doi.org/10.1080/13691058.2012.760205.CrossRef

Heise, L. L. (1998). Violence against women: An integrated, ecological framework. Violence Against Women, 4(3), 262–290.CrossRefPubMed

Hynes, M., Sakani, O., Spiegel, P., & Cornier, N. (2012). A study of refugee maternal mortality in 10 countries, 2008-2010. International Perspectives on Sexual and Reproductive Health, 38(4), 205–213.CrossRefPubMed

ICF International. (2017). Demographic and health surveys interviewer's manual. (). Rockville, MD: ICF. Retrieved from https://www.dhsprogram.com/pubs/pdf/DHSM1/DHS7-Interviewer's-Manual-EN-12Jun2017-DHSM1.pdf. Accessed 17 May 2018

Ingram, E. M. (2007). A comparison of help seeking between latino and non-latino victims of intimate partner violence. Violence Against Women, 13(2), 159–171.CrossRefPubMed

Internal Displacement Monitoring Centre. (2017). Afghanistan. Retrieved from http://www.internal-displacement.org/countries/afghanistan. Accessed 17 May 2018

Jesmin, S. S. (2015). Married women's justification of intimate partner violence in Bangladesh: Examining community norm and individual-level risk factors. Violence and Victims, 30(6), 984–1003. https://doi.org/10.1891/0886-6708.VV-D-14-00066.CrossRefPubMed

Jewkes, R. (2002). Intimate partner violence: Causes and prevention. The Lancet, 359(9315), 1423–1429. https://doi.org/10.1016/S0140-6736(02)08357-5.CrossRef

Jewkes, R., Dunkle, K., Nduna, M., & Shai, N. (2010). Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: A cohort study. The Lancet, 376(9734), 41–48. https://doi.org/10.1016/S0140-6736(10)60548-X.CrossRef

Kiely, M., El-Mohandes, A. A. E., El-Khorazaty, M. N., & Gantz, M. G. (2010). An integrated intervention to reduce intimate partner violence in pregnancy: A randomized controlled trial. Obstetrics and Gynecology, 115(2 PART 1), 273–283.CrossRefPubMedPubMedCentral

Krug, E. (2002). World report on violence and health. Geneva: World Health Organization.CrossRef

Lelaurain, S., Graziani, P., & Lo Monaco, G. (2017). Intimate partner violence and help-seeking: A systematic review and social psychological tracks for future research. European Psychologist, 22(4), 263–281.CrossRef

Liang, B., Goodman, L., Tummala-Narra, P., & Weintraub, S. (2005). A theoretical framework for understanding help-seeking processes among survivors of intimate partner violence. American Journal of Community Psychology, 36(1–2), 71–84.CrossRefPubMed

Little, L., & Kantor, G. K. (2002). Using ecological theory to understand intimate partner violence and child maltreatment. Journal of Community Health Nursing, 19(3), 133–145. https://doi.org/10.1207/153276502760242332.CrossRefPubMed

Metheny, N., & Stephenson, R. (2017a). How the community shapes unmet need for modern contraception: An analysis of 44 demographic and health surveys. Studies in Family Planning, 48(3), 235–251.CrossRefPubMed

Metheny, N., & Stephenson, R. (2017b). Intimate partner violence and uptake of antenatal care: A scoping review of low-and middle-income country studies. International Perspectives on Sexual and Reproductive Health,

Najafizada, S. A. M., Bourgeault, I. L., & Labonte, R. (2017). Social determinants of maternal health in afghanistan: A review. Central Asian Journal of Global Health, 6(1), 240. https://doi.org/10.5195/cajgh.2017.240.CrossRefPubMedPubMedCentral

Naved, R. T., Azim, S., Bhuiya, A., & Persson, L. Å. (2006). Physical violence by husbands: Magnitude, disclosure and help-seeking behavior of women in Bangladesh. Social Science & Medicine, 62(12), 2917–2929.CrossRef

Palermo, T., Bleck, J., & Peterman, A. (2014). Tip of the iceberg: Reporting and gender-based violence in developing countries. American Journal of Epidemiology, 179(5), 602–612.CrossRefPubMed

Plichta, S. B. (2004). Intimate partner violence and physical health consequences: Policy and practice implications. Journal of Interpersonal Violence, 19(11), 1296–1323. https://doi.org/10.1177/0886260504269685.CrossRefPubMed

Rutstein, S., & Rojas, G. (2006). Guide to DHS statistics. ().ORC Macro. Retrieved from https://dhsprogram.com/pubs/pdf/DHSG1/Guide_to_DHS_Statistics_29Oct2012_DHSG1.pdf. Accessed 17 May 2018

Shannon, L., Logan, T., Cole, J., & Medley, K. (2006). Help-seeking and coping strategies for intimate partner violence in rural and urban women. Violence and Victims, 21(2), 167–181.CrossRefPubMed

Silverman, J. G., Raj, A., Mucci, L. A., & Hathaway, J. E. (2001). Dating violence against adolescent girls and associated substance use, unhealthy weight control, sexual risk behavior, pregnancy, and suicidality. Jama, 286(5), 572–579.CrossRefPubMed

Steele, F., Diamond, I., & Amin, S. (1996). Immunization uptake in rural Bangladesh: A multilevel analysis. Journal of the Royal Statistical Society. Series A: Statistics in Society, 159(2), 289–299.CrossRef

Steele, F., Clarke, P., Leckie, G., Allan, J., & Johnston, D. (2016). Multilevel structural equation models for longitudinal data where predictors are measured more frequently than outcomes: An application to the effects of stress on the cognitive function of nurses. Journal of the Royal Statistical Society. Series A: Statistics in Society, 180, 263–283. https://doi.org/10.1111/rssa.12191.CrossRef

Stephenson, R., & Elfstrom, K. M. (2012). Community influences on antenatal and delivery care in Bangladesh, Egypt, and Rwanda. Public Health Reports, 127(1), 96–106.CrossRefPubMedPubMedCentral

Stephenson, R., Elfstrom, K. M., & Winter, A. (2013). Community influences on married men’s uptake of HIV testing in eight african countries. AIDS and Behavior, 17(7), 2352–2366.CrossRefPubMedPubMedCentral

Stults, C. B., Javdani, S., Greenbaum, C. A., Kapadia, F., & Halkitis, P. N. (2015). Intimate partner violence and substance use risk among young men who have sex with men: The P18 cohort study. Drug and Alcohol Dependence, 154, 54–62.CrossRefPubMedPubMedCentral

United National Development Programme. (2015). Gender inequality index. Retrieved from http://hdr.undp.org/en/content/gender-inequality-index-gii. Accessed 17 May 2018

United Nations Economic, Social, and Cultural Organization (UNESCO). (2015). Education for all 2015 national review report: Afghanistan. Retrieved from http://unesdoc.unesco.org/images/0023/002327/232702e.pdf. Accessed 17 May 2018

United States Agency for International Development. (2018). Afghanistan. Retrieved from https://www.usaid.gov/afghanistan/health. Accessed 17 May 2018

Viswanathan, K., Hansen, P. M., Rahman, M. H., Steinhardt, L., Edward, A., Arwal, S. H., … Burnham, G. (2012). Can community health workers increase coverage of reproductive health services? Journal of Epidemiology and Community Health, 66(10), 894–900. https://doi.org/10.1136/jech-2011-200275.CrossRefPubMed

Waltermaurer, E. (2012). Public justification of intimate partner violence: A review of the literature. Trauma, Violence & Abuse, 13(3), 167–175. https://doi.org/10.1177/1524838012447699.CrossRef

Ward, J. (2002). If not now, when? addressing gender based violence in refugee, internally displaced, and post-conflict settings: A global review. If Not Now, when? Addressing GenderBased Violence in Refugee, Internally Displaced, and Post-Conflict Settings: A Global Review. Retrieved June 21, 2008,

Warshaw, C., Brashler, B., & Gil, J. (2009). Mental health consequences of intimate partner violence. In C. Mitchell & D. Anglin (Eds.), Intimate partner violence: A health- based perspective. New York: Oxford University Press.

World Bank, & Afghanistan Ministry of the Economy. (2017). SDGs' progress report: Afghanistan. Retrieved from https://sustainabledevelopment.un.org/content/documents/16277Afghanistan.pdf. Accessed 17 May 2018

World Health Organization. (2006). Provision of effective antenatal care. Retrieved from http://www.who.int/reproductivehealth/publications/maternal_perinatal_health/effective_antenatal_care.pdf. Accessed 17 May 2018

World Health Organization. (2013). Global and regional estimates of violence against women: Prevalence and health effects of intimate partner and non-partner sexual violence. Geneva: World Health Organization. Retrieved from http://apps.who.int/iris/bitstream/10665/85239/1/9789241564625_eng.pdf. Accessed 17 May 2018

World Health Organization. (2016a). Afghanistan women's health day 2016. Retrieved from http://www.emro.who.int/afg/afghanistan-news/moph-un-iwd.html. Accessed 17 May 2018

World Health Organization. (2016b). Maternal mortality in afghanistan: 1990–2015. (). Retrieved from http://www.who.int/gho/maternal_health/countries/afg.pdf. Accessed 17 May 2018

World Health Organization/ London School of Hygiene and Tropical Medicine. (2010). Preventing intimate partner and sexual violence against women: Taking action and generating evidence. Geneva: World Health Organization.

Yoshikawa, K., Agrawal, N. R., Poudel, K. C., & Jimba, M. (2012). A lifetime experience of violence and adverse reproductive outcomes: Findings from population surveys in India. Bioscience Trends, 6(3), 115–121. https://doi.org/10.5582/bst.2012.v6.3.115.PubMedCrossRef

Titel: Help Seeking Behavior among Women Who Report Intimate Partner Violence in Afghanistan: an Analysis of the 2015 Afghanistan Demographic and Health Survey
verfasst von: Nicholas Metheny
Rob Stephenson
Publikationsdatum: 26.11.2018
Verlag: Springer US
Erschienen in: Journal of Family Violence / Ausgabe 2/2019
Print ISSN: 0885-7482
Elektronische ISSN: 1573-2851
DOI: https://doi.org/10.1007/s10896-018-0024-y

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Help Seeking Behavior among Women Who Report Intimate Partner Violence in Afghanistan: an Analysis of the 2015 Afghanistan Demographic and Health Survey

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