Abstract
Purpose
Intimate partner violence (IPV) during pregnancy is prevalent in Mexico and is associated with deleterious effects on physical and mental health. This study explored barriers to, and facilitators of, wellbeing and access to resources for IPV-exposed, pregnant women living in Nuevo León, Mexico.
Method
Participants were N = 43 individuals (n = 17 women receiving IPV or prenatal health services, n = 20 mental health professionals, and n = 6 medical professionals) who participated in nine focus groups in Nuevo León. Qualitative focus group data were analyzed using thematic analysis.
Results
Several barriers to women’s access to community resources and wellbeing were identified, including intrapersonal barriers, structural barriers, widespread violence exposure, and family expectations and power structures. Similarly, multiple facilitators of women’s wellbeing and access to resources emerged from the data, including women’s intrapersonal empowerment, support from women’s immediate social circles, and supports in the broader community.
Conclusions
Results suggest that women in Nuevo León who experience IPV during pregnancy face significant barriers to accessing supports that could foster wellbeing. Women also possess inherent strengths and actively seek to supports that contribute to their resilience in the face of IPV. Intervention strategies should focus on ways to overcome common barriers experienced by IPV-exposed women, while incorporating strategies to bolster personal empowerment and connection with existing community resources.
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References
Ambriz-Mora, M. I., Zonana-Nacach, A., & Anzaldo-Campos, M. C. (2014). Intimate partner violence and family dysfunction among Mexican women seen a primary care unit. SEMERGEN, 41(5), 241–246. https://doi.org/10.1016/j.semerg.2014.07.004
Banco Estatal de Datos e Información sobre casos de Violencia contra las Mujeres. (2021). Informe estadístico del BAESVIM sobre casos de violencia contra las mujeres 2020. Retrieved from: https://www.nl.gob.mx/publicaciones/informe-estadistico-del-baesvim-sobre-casos-de-violencia-contra-las-mujeres-2020. Accessed 12 March 2022.
Bhardwaj, N., & Miller, J. (2021). Comparative cross-national analyses of domestic violence: Insights from South Asia. Feminist Criminology, 16(3), 351–365. https://doi-org.ezproxy.memphis.edu/10.1177/1557085120987635. Accessed 12 March 2022.
Bianchi, A. L., McFarlane, J., Cesario, S., Symes, L., & Maddoux, J. (2016). Continued intimate partner violence during pregnancy and after birth and its effect on child functioning. Journal of Obstetric, Gynecologic & Neonatal Nursing, 45(4), 601–609. https://doi.org/10.1016/j.jogn.2016.02.013
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Breiding, M. J., Smith, S. G., Basile, K. C., Walters, M. L., Chen, J., & Merrick, M. T. (2015). Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization – National Intimate Partner and Sexual Violence Survey, United States, 2011. American Journal of Public Health, 105(4), e11–e12.
Bronfenbrenner, U. (1977). Lewinian space and ecological substance. Journal of Social Issues, 33(4), 199–212. https://doi.org/10.1111/j.1540-4560.1977.tb02533.x
Canedo, A. P., & Morse, S. M. (2021). An estimation of the effect of women’s employment on the prevalence of intimate partner violence in Mexico. Journal of interpersonal violence, 36(19–20), NP10594–NP10618. https://doi.org/10.1177/0886260519876016
Carney, J. R., Behrens, B., & Miller-Graff, L. E. (2021). A qualitative exploration of families’ experiences and resilience factors during the COVID-19 pandemic. Journal of Health Psychology. https://doi.org/10.1177/2F13591053211061411
Castro, R., & Frías, S. M. (2020). Violencia obstétrica en México: Hallazgos de una encuesta nacional de violencia contra mujeres. In P. Quattrocchi & N. Magnone (Eds.), Violencia obstétrica en América Latina (pp. 57–75). EDUNLa Cooperativa.
Castro, R., & Ruíz, A. (2004). Prevalencia y severidad de la violencia contra mujeres embarazadas, México. Revista de Saúde Pública, 38(1), 62–70. https://doi.org/10.1590/S0034-89102004000100009
Coker, A. L., Smith, P. H., Whitaker, D. J., Le, B., Crawford, T. N., & Flerx, V. C. (2012). Effect of an in-clinic IPV advocate intervention to increase help seeking, reduce violence, and improve well-being. Violence against Women, 18(1), 118–131. https://doi.org/10.1177/1077801212437908
De Coster, S., & Heimer, K. (2021). Unifying theory and research on intimate partner violence: A feminist perspective. Feminist Criminology, 16(3), 286–303. https://doi-org.ezproxy.memphis.edu/10.1177/1557085120987615. Accessed 12 March 2022.
de la Rosa, I. A., Barnett-Queen, T., Messick, M., & Gurrola, M. (2016). Spirituality and resilience among Mexican American IPV survivors. Journal of Interpersonal Violence, 31(20), 3332–3351. https://doi.org/10.1177/0886260515584351
Frías, S. M. (2013). Strategies and help-seeking behavior among Mexican women experiencing partner violence. Violence against Women, 19(1), 24–49. https://doi.org/10.1177/1077801212475334
Frías, S. M., & Agoff, M. C. (2015). Between support and vulnerability: Examining family support among women victims of intimate partner violence in Mexico. Journal of Family Violence, 30(3), 277–291. https://doi.org/10.1007/s10896-015-9677-y
Gaxiola Romero, J., González Lugo, S., Contreras Hernández, Z., & Gaxiola Villa, E. (2012). Predictores del rendimiento académico en adolescentes con disposiciones resilientes y no resilientes. Revista de Psicología (PUCP), 30(1), 47–74. https://doi.org/10.18800/psico.201201.003
Hampton-Anderson, J. N., Watson-Singleton, N. N., Mekawi, Y., Dunn, S. E., & Kaslow, N. J. (2022). Intimate partner violence, existential well-being, and africultural coping in African American women. Journal of Aggression, Maltreatment & Trauma, 1-17. https://doi.org/10.1080/10926771.2022.2038751
Huta, V., & Waterman, A. S. (2014). Eudaimonia and its distinction from hedonia: Developing a classification and terminology for understanding conceptual and operational definitions. Journal of Happiness Studies, 15(6), 1425–1456. https://doi.org/10.1007/s10902-013-9485-0
Instituto Nacional de Estadistica y Geografia (INEGI). (2017). Encuesta Nacional sobre la Dinamica de las Relaciones Familiares – Prinicipales Resulados. Retrieved from https://www.inegi.org.mx/contenidos/programas/endireh/2016/doc/endireh2016_presentacion_ejecutiva.pdf. Accessed 12 March 2022.
Kowalski, J. (2021). Between gender and kinship: Mediating rights and relations in North Indian NGOs. American Anthropologist, 123(2), 330–342. https://doi.org/10.1111/aman.13557
Martinez-Torteya, C., Bogat, G., Levendosky, A., & Von Eye, A. (2016). The influence of prenatal intimate partner violence exposure on hypothalamic–pituitary–adrenal axis reactivity and childhood internalizing and externalizing symptoms. Development and Psychopathology, 28(1), 55–72. https://doi.org/10.1017/S0954579415000280
Martinez-Torteya, C., Donovan, A., Gilchrist, M. A., Marshall, H., & Huth-Bocks, A. C. (2021). Neighborhood disadvantage moderates the effect of perinatal intimate partner violence (IPV) exposure on disorganized attachment behaviors among 12-month-old infants. Psychology of Violence, 11(1), 101–111. https://doi.org/10.1037/vio0000285
Masten, A. S. (2015). Ordinary magic: Resilience in development. Guilford Publications.
Medina Núñez, I., & Medina Villegas, A. (2019). Violencias contra las mujeres en las relaciones de pareja en México. Intersticios Sociales, 18, 269–302.
México Gobierno de la República. (2016). Information about Prospera social inclusion program. Retrieved from https://www.gob.mx/prospera/documentos/que-es-prospera. Accessed 12 March 2022.
Miller-Graff, L. E. (2022). The multidimensional taxonomy of individual resilience. Trauma, Violence & Abuse, 23(2), 660–675. https://doi.org/10.1177/2F1524838020967329
Miller-Graff, L. E., Nuttall, A. K., & Lefever, J. E. B. (2019). Interpersonal violence during pregnancy: Enduring effects in the post-partum period and implications for the intergenerational transmission of risk. International Journal of Behavioral Development, 43(3), 195–203. https://doi.org/10.1177/0165025418780358
Navarrete, L., Nieto, L., & Lara, M. A. (2021). Intimate partner violence and perinatal depression and anxiety: Social support as moderator among Mexican women. Sexual & Reproductive Healthcare, 27, 100569. https://doi.org/10.1016/j.srhc.2020.100569
Nieto, L., Cantú, M. A. L., Navarrete, L., Duenas, K., & Rodríguez, K. (2018). Psychometric properties of the resilience inventory for pregnant Mexican women. Summa Psicológica UST, 15(1), 35–42. https://doi.org/10.18774/448x.2018.15.362
Ozaki, R., & Otis, M. D. (2017). Gender equality, patriarchal cultural norms, and perpetration of intimate partner violence: Comparison of Male University students in Asian and European cultural contexts. Violence against Women, 23(9), 1076–1099. https://doi.org/10.1177/1077801216654575
Sardinha, Maheu-Giroux, M., Stöckl, H., Meyer, S. R., & García-Moreno, C. (2022). Global, regional, and national prevalence estimates of physical or sexual, or both, intimate partner violence against women in 2018. The Lancet (British Edition). https://doi.org/10.1016/S0140-6736(21)02664-7
Scrafford, K. E., Miller-Graff, L. E., Umunyana, A. G., Schwartz, L. E., & Howell, K. H. (2020). “I Did It to Save My Children”: Parenting Strengths and Fears of Women Exposed to Intimate Partner Violence. Journal of interpersonal violence, 0886260520969231. https://doi.org/10.1177/0886260520969231
Secretaría de Economía. (2022). Data Nuevo León. Retrieved from: http://datos.nl.gob.mx/. Accessed 12 March 2022.
Sigalla, G. N., Mushi, D., & Gammeltoft, T. (2018). “Staying for the children”: The role of natal relatives in supporting women experiencing intimate partner violence during pregnancy in northern Tanzania - A qualitative study. PLoS ONE, 13(6), e0198098–e0198098. https://doi.org/10.1371/journal.pone.0198098
Sousa, C. A., Siddiqi, M., & Bogue, B. (2021). What do we know after decades of research about parenting and IPV? A systematic scoping review integrating findings. Trauma, Violence, & Abuse, 15248380211016019. https://doi.org/10.1177/15248380211016019
Stylianou, A. M. (2018). Economic abuse experiences and depressive symptoms among victims of intimate partner violence. Journal of Family Violence, 33(6), 381–392. https://doi.org/10.1007/s10896-018-9973-4
Ungar, M., & Theron, L. (2020). Resilience and mental health: How multisystemic processes contribute to positive outcomes. The Lancet Psychiatry, 7(5), 441–448. https://doi.org/10.1016/S2215-0366(19)30434-1
Valdez-Santiago, R., Híjar, M., Martínez, R. R., Burgos, L. Á., & Monreal, M. D. L. L. A. (2013). Prevalence and severity of intimate partner violence in women living in eight indigenous regions of Mexico. Social Science & Medicine, 82, 51–57.
Villarreal, A. (2007). Women’s employment status, coercive control, and intimate partner violence in Mexico. Journal of Marriage and Family, 69, 418–434. https://doi.org/10.1111/j.1741-3737.2007.00374.x
Willie, T. C., Bastida, C., Olavarrieta, C. D., Scolese, A., Campos, P. A., Falb, K. L., & Gupta, J. (2020). Socioecological determinants of community resource utilisation among low-income women in Mexico City who experienced male-to-female intimate partner violence. Global Public Health, 15(11), 1627–1638. https://doi.org/10.1080/17441692.2020.1775868
Willis, M., & Marcantonio, T. L. (2021). Sociocultural correlates of sexual and physical intimate partner violence across 98 countries: A hierarchical assessment based on economic development. Psychology of Violence, 11(5), 465–475. https://doi.org/10.1037/vio0000369.supp
World Health Organization. (2011). Intimate partner violence during pregnancy: Information sheet (No. WHO/RHR/11.35). World Health Organization.
Funding
This research was supported by grants from Notre Dame International and Universidad de Monterrey. Data analysis was supported by a graduate student fellowship from the Eck Institute for Global Health at the University of Notre Dame. This research was approved by the Institutional Review Boards at the University of Notre Dame (#19–07-5462) and Universidad de Monterrey (#04–2020).
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Carney, J.R., Martinez-Torteya, C., Miller-Graff, L.E. et al. A Thematic Analysis of Barriers to and Facilitators of Wellbeing and Resource Access for IPV-Exposed, Pregnant Women in Mexico. J Fam Viol 38, 1377–1389 (2023). https://doi.org/10.1007/s10896-022-00450-1
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DOI: https://doi.org/10.1007/s10896-022-00450-1