Descriptive epidemiology of intimate partner aggression in Ukraine
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Partner aggression is believed to be widespread in Eastern Europe although systematic evidence is sparse. Using data from the World Mental Health (WMH) survey in Ukraine, we present the first population-based findings on the descriptive epidemiology of partner aggression among married adults.
Married men (n = 558) and women (n = 558) were interviewed with the WMH-Composite International Diagnostic Interview (WMH-CIDI) module assessing aggression in the marriage. Risk factors included demographic characteristics, witnessing parental aggression, early onset and adult episodes of DSM-IV psychiatric and alcohol disorders, and marital problem severity.
More women than men reported aggression by their spouse in the past year (12.7 vs. 5.8%) or ever in the marriage (20.1 vs. 8.6%), while ~11 and 19% of both sexes behaved aggressively against their spouse in these time periods. Among men, the unique risk factors for behaving aggressively were being married once, witnessing parental violence, early onset alcohol abuse, and intermittent explosive disorders (IED); the risk factors for reporting that their wives were aggressive were early onset alcohol abuse, IED and marital problems. Among women, the risk factors for behaving aggressively were younger age, unemployment, living in a rural area, early onset alcohol abuse, mood/anxiety disorders, and marital problems; the risk factors for reporting that their husbands behaved aggressively were younger age, early onset alcohol abuse, and marital problems.
Partner aggression is a significant public health issue in Ukraine predicted by alcohol abuse and IED before and after age 20 for men and women.
Key wordsUkraine partner aggression alcohol abuse psychiatric morbidity marital problems
This study was funded by the National Institute of Mental Health (MH61905). The authors thank Volodymyr Paniotto, Valeriy Khmelko, and Victoria Zakhozha (Kiev International Institute of Sociology) for conducting the field work; Charles Webb for overseeing all aspects of the study; and the translators, interviewers and participants for their dedication and diligence. The survey was conducted as part of the World Health Organization World Mental Health (WMH) Survey Initiative directed by Ronald C. Kessler, Ph.D. (Harvard University) and T. Bedirhan ÜstÜn, M.D. (World Health Organization). We thank the WMH staff for assistance with instrumentation, fieldwork, and data analysis. These activities were supported by the NIMH grant R01MH070884, the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864, and R01 DA016558), the Fogarty International Center (FIRCA R01-TW006481), the Pan American Health Organization, Eli Lilly and Company, Ortho-McNeil Pharmaceutical, Inc., GlaxoSmithKline, and Bristol-Myers Squibb. A complete list of WMH publications can be found at http://www.hcp.med.harvard.edu/wmh/.
- 1.Agresti A (2002) Categorical data analysis. Wiley, HobokenGoogle Scholar
- 2.American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, Text Revision. American Psychiatric Asssociation, Washington DCGoogle Scholar
- 5.Bromet EJ, Gluzman SF, Paniotto V, Webb CPM, Tintle NL, Zakhozha V, Havenaar JM, Gutkovich Z, Kostyuchenko S, Schwartz JE (2005) Epidemiology of psychiatric and alcohol disorders in the Ukraine: findings from the Ukraine World Mental Health Survey. Soc Psychiatry Psychiatr Epidemiol 40:681–690PubMedCrossRefGoogle Scholar
- 6.CDC (US Centers for Disease Control and Prevention) and ORC Macro (2003) Reproductive, maternal, and child health in Eastern Europe and Eurasia: a comparative report. Atlanta (USA): US Department of Health and Human ServicesGoogle Scholar
- 7.Capaldi DM, Shortt JW, Kim HK (2005) A life span developmental systems perspective on aggression toward a partner. In: Pinsoff WM, Lebow JL (eds) Family psychology: the art of the science. Oxford University Press, New York, pp 141–167Google Scholar
- 14.Mirlees-Black C (1999) Domestic violence: findings from a new British crime survey self-completion questionnaire (Home Office Research Study 191). Home Office, New BrunswickGoogle Scholar
- 16.O’Leary KD (1993) Through a psychological lens: personality traits, personality disorders, and levels of violence. In: Gelles RJ, Loseke DR (eds) Current controversies on family violence. Sage, Newbury Park, pp 7–29Google Scholar
- 19.O’Leary KD, Slep AS, O’Leary SG (2007) Multivariate models of men’s and women’s partner aggression. J Consult Clin Psychol 75:752–764Google Scholar
- 22.Panina N, Golovakha E (2005) Tendencies in the development of Ukrainian society (2000–2004) sociological indicators (2nd edn). Institute of Sociology, KyivGoogle Scholar
- 24.SUDAAN (2003) [Computer program]. Version 8.0.2. Research Triangle Park, North CarolinaGoogle Scholar
- 25.Statistics Canada (2004) One year rates of spousal assault, 1993, 1999, and 2004. http://www.stat.can/englis/research/85-770-XIE/2006001/figures/figure2.htm retrieved February 8, 2008
- 26.Stets JE, Straus MA (1990) Gender differences in reporting marital violence and its medical and psychological consequences. In: Straus MA, Gelles RJ (eds) Physical violence in American families. Transaction Publishers, New Brunswick, pp 151–165Google Scholar
- 28.Straus MA, Gelles RJ (1990) Physical violence in American families: risk factors and adaptations to violence in 8,145 families. Transaction Publishers, New BrunswickGoogle Scholar
- 33.Wetzels P, Greve W, Mecklenberg E, Bilsky W, Pfeiffer C (1995) Kriminalitat im Leben alter Menschen: Eine Vergleichende Untersuchung von Opfererfahrungen, Personlichem Sicherheitsgefuhl und Kriminalitatsfurcht. Kohlhammer, StuttgartGoogle Scholar
- 34.White JW, Merrill LL, Koss MP (2001) Prediction of premilitary courtship violence in a Navy recruit sample. Violence Vict 16:910–927Google Scholar