Abstract
Rapid urbanization is a key driver of the unique set of health risks facing urban populations. One of the most critical health hazards facing urban women is intimate partner violence (IPV). In post-conflict urban areas, women may face an even greater risk of IPV. Yet, few studies have examined the IPV experiences of urban-dwelling, conflict-affected women, including those who have been internally displaced. This study qualitatively examined the social and structural characteristics of the urban environment that contributed to the IPV experiences of women residing in post-conflict Abidjan, Côte d’Ivoire. Ten focus groups were conducted with men and women, both internally displaced (IDPs) and non-displaced. Lack of support networks, changing gender roles, and tensions between traditional gender norms and those of the “modern” city were reported as key contributors to IPV. Urban poverty and with it unemployment, food insecurity, and housing instability also played a role. Finally, IDPs faced heightened vulnerability to IPV as a result of displacement and discrimination. The relationship between economic strains and IPV are similar to other conflict-affected settings, but Abidjan’s urban environment presented other unique characteristics contributing to IPV. Understanding these factors is crucial to designing appropriate services for women and for implementing IPV reduction interventions in urban areas. Strengthening formal and informal mechanisms for help-seeking, utilizing multi-modal interventions that address economic stress and challenge inequitable gender norms, as well as tailoring programs specifically for IDPs, are some considerations for IPV program planning focused on conflict-affected women in urban areas.
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References
WHO. Why urban health matters. New York, NY: World Health Organization; 2010.
WHO. Hidden Cities: unmasking and Overcoming Health Inequities in Urban Settings. Geneva-Kobe: World Health Organization; 2010. http://www.who.int/kobe_centre/publications/hiddencities_media/who_un_habitat_hidden_cities_web.pdf?ua=1. Accessed 23 Jan 2016
Leon DA. Cities, urbanization and health. Int J Epidemiol. 2008; 37(1): 4–8.
Harpham T, Molyneux C. Urban health in developing countries: a review. Prog Dev Stud. 2001; 1(2): 113–137.
United Nations Department of Social and Economic Affairs, Population Division. World Urbanization Prospects: the 2014 Revision, Highlights. New York; 2014. Available at: http://esa.un.org/unpd/wup/Highlights/WUP2014-Highlights.pdf. Accessed 23 Jan 2016.
WHO. One Billion People More in Urban Areas Since 2000. World Health Organization. Available at: http://www.who.int/kobe_centre/measuring/WUP_2014/en/. Updated 2014. Accessed January 23, 2016.
Agarwal S. The state of urban health in India; comparing the poorest quartile to the rest of the urban population in selected states and cities. Environ Urban. 2011; 23(1): 13–28.
Montgomery MR, Hewett PC. Urban poverty and health in developing countries: household and neighborhood effects. Demography. 2005; 42(3): 397–425.
Almeida-Filho N, Lessa I, Magalhães L, et al. Social inequality and depressive disorders in Bahia, Brazil: interactions of gender, ethnicity, and social class. Soc Sci Med. 2004; 59(7): 1339–1353.
Garcia-Moreno C, Chalwa M. Making Cities Safe for Women and Girls: integrating a Gender Perspective into Urban Health and Planning. In: Meleis AI, Birch EL, Wachter SM, eds. Women’s Health and the World’s Cities. Philadelphia, PA: University of Pennsylvania Press; 2011: 53–67.
Watts C, Zimmerman C. Violence against women: global scope and magnitude. Lancet. 2002; 359(9313): 1232–1237.
Gupta J, Acevedo-Garcia D, Hemenway D, Decker MR, Raj A, Silverman JG. Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in Boston. Am J Public Health. 2009; 99(3): 462.
WHO. Executive Summary: a Research Agenda for Sexual Violence in Humanitarian, Conflict and Post-Conflict Settings. World Health Organization; 2012. Available at: http://www.svri.org/ExecutiveSummary.pdf. Accessed 23 Jan 2016.
Gupta J, Reed E, Kelly J, Stein DJ, Williams DR. Men’s exposure to human rights violations and relations with perpetration of intimate partner violence in South Africa. J Epidemiol Community Health. 2012; 66(6): e2–e2.
Clark CJ, Everson-Rose SA, Suglia SF, Btoush R, Alonso A, Haj-Yahia MM. Association between exposure to political violence and intimate-partner violence in the occupied Palestinian territory: a cross-sectional study. Lancet. 2010; 375(9711): 310–316.
Catani C, Schauer E, Neuner F. Beyond individual war trauma: domestic violence against children in Afghanistan and Sri Lanka. J Marital Fam Ther. 2008; 34(2): 165–176.
Vinck P, Pham PN. Association of exposure to intimate-partner physical violence and potentially traumatic war-related events with mental health in Liberia. Soc Sci Med. 2013; 77: 41–49.
Hossain M, Zimmerman C, Kiss L, et al. Men’s and women’s experiences of violence and traumatic events in rural Cote d’Ivoire before, during and after a period of armed conflict. BMJ Open. 2014; 4(2): e003644.
Horn R. Exploring the impact of displacement and encampment on domestic violence in Kakuma refugee camp. J Refug Stud. 2010; 23(3): 356–376.
Ondeko R, Purdin S. Understanding the causes of gender-based violence. Forced Migration Rev. 2004; 19: 30.
Falb K, Annan J, King E, Hopkins J, Kpebo D, Gupta J. Gender norms, poverty and armed conflict in Côte D’Ivoire: engaging men in women’s social and economic empowerment programming. Health Educ Res. 2014; 29(6): 1015–1027.
Horn R, Puffer ES, Roesch E, Lehmann H. Women’s perceptions of effects of war on intimate partner violence and gender roles in two post-conflict West African Countries: consequences and unexpected opportunities. Confl Heal. 2014; 8(1): 12.
Uthman OA, Lawoko S, Moradi T. Sex disparities in attitudes towards intimate partner violence against women in sub-Saharan Africa: a socio-ecological analysis. BMC Public Health. 2010; 10(1): 223.
HRW. ‘A Long Way from Reconciliation’—abusive military crackdown in response to security threats in Côte d’Ivoire. New York, NY: Human Rights Watch; 2012.
HRW. Crucial decision looms for Ivorian Government’s justice promises. New York, NY: Human Right Watch; 2013. http://www.svri.org/ExecutiveSummary.pdf. Accessed 23 Jan 2016.
HRW. Crucial Decision Looms for Ivorian Government’s Justice Promises. New York: Human Rights Watch; 2013. http://www.svri.org/ExecutiveSummary.pdf. Accessed 23 Jan 2016.
Guterres A, Spiegel P. The state of the world’s refugees: adapting health responses to urban environments. JAMA. 2012; 308(7): 673–674.
Crisp J, Morris T, Refstie H. Displacement in urban areas: new challenges, new partnerships. Disasters. 2012; 36(s1): S23–S42.
Quinlan M. Considerations for collecting freelists in the field: examples from ethnobotany. Field Methods. 2005; 17(3): 219–234.
Atlas.ti. Computer Software, vol. 7. Berlin: Scientific Software Development; 2014.
Charmaz K. Grounded theory methods in social justice research. Sage Handb Qual Res. 2011; 4: 359–380.
Annan J, Brier M. The risk of return: intimate partner violence in Northern Uganda’s armed conflict. Soc Sci Med. 2010; 70(1): 152–159.
Gelles RJ. The Violent Home: a Study of Physical Aggression Between Husbands and Wives. Beverly Hills, CA: Sage Publications; 1972.
Hornung CA. Social status, status inconsistency and psychological stress. Am Sociol Rev. 1977; 623-638.
Murshid NS, Akincigil A, Zippay A. Microfinance participation and domestic violence in Bangladesh results from a nationally representative survey. J Interpers Violence. 2015;1-18.
Raj A, Silverman J. Violence against immigrant women the roles of culture, context, and legal immigrant status on intimate partner violence. Violence Against Women. 2002; 8(3): 367–398.
Lown EA, Vega WA. Prevalence and predictors of physical partner abuse among Mexican American women. Am J Public Health. 2001; 91(3): 441.
Shuman S, Falb KL, Cardoso LF, Cole H, Kpebo D, Gupta J. Perceptions and experiences of intimate partner violence in Abidjan, Côte d’Ivoire. Under Review.
Bicchieri C. The Grammar of Society: the Nature and Dynamics of Social Norms, vol. 661. Cambridge, UK: Cambridge University Press; 2005.
Heise L, Garcia-Moreno C. Violence by intimate partners. In: Krug EG, Dahlberg LL, et al. eds. World report on violence and health. Geneva: World Health Organization; 2002.
Kelly J, Kabanga J, Cragin W, Alcayna-Stevens L, Haider S, Vanrooyen MJ. ‘If your husband doesn‘t humiliate you, other people won’t’: Gendered attitudes towards sexual violence in eastern Democratic Republic of Congo. Global Public Health. 2012; 7(3): 285–298.
Verelst A, De Schryver M, Broekaert E, Derluyn I. Mental health of victims of sexual violence in eastern Congo: associations with daily stressors, stigma, and labeling. BMC Womens Health. 2014; 14(1): 106.
Pavanello S, Elhawary S, Pantuliano S. Hidden and Exposed: urban Refugees in Nairobi, Kenya. Londond, UK: Overseas Development Institute; 2010. http://www.odi.org/sites/odi.org.uk/files/odi-assets/publications-opinion-files/5858.pdf. Accessed 23 Jan 2016.
Wilkinson RG, Marmot MG. Social Determinants of Health: the Solid Facts. Copenhagen, Denmark: World Health Organization; 2003. http://www.euro.who.int/__data/assets/pdf_file/0005/98438/e81384.pdf. Accessed 23 Jan 2016.
Gupta J, Kelly B, Kpebo D, Streich-Tilles T, Annan J. Village Savings and Loans Associations, Gender Dialogue Groups, and Gender-Based Violence Against Women in Cote d’Ivoire: baseline Findings from a Randomized Community Trial. New York: International Rescue Committee; 2011.
Gupta J, Falb KL, Lehmann H, et al. Gender norms and economic empowerment intervention to reduce intimate partner violence against women in rural Côte d’Ivoire: a randomized controlled pilot study. BMC Int Health Human Rights. 2013; 13(1): 46.
Fulu E, Kerr-Wilson A, Lang J. What works to prevent violence against women and girls. Evidence review of interventions to prevent violence against women and girls Pretoria: Medical Research Council. 2014. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/337615/evidence-review-interventions-F.pdf. Accessed 23 Jan 2016.
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Funding for this research was provided by the United States Institute for Peace, grant number USIP-059-12F (PI: J Gupta; Co-PI: K Falb).
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Funding for this research was provided by the United States Institute for Peace (PI: J Gupta; Co-PI: K Falb)
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Cardoso, L.F., Gupta, J., Shuman, S. et al. What Factors Contribute to Intimate Partner Violence Against Women in Urban, Conflict-Affected Settings? Qualitative Findings from Abidjan, Côte d’Ivoire. J Urban Health 93, 364–378 (2016). https://doi.org/10.1007/s11524-016-0029-x
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DOI: https://doi.org/10.1007/s11524-016-0029-x