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Prevalence, Rates and Correlates of Intimate Partner Violence Among South African Women During Pregnancy and the Postpartum Period

Maternal and Child Health Journal volume 19, pages 487–495 (2015)Cite this article

Abstract

Intimate partner violence (IPV) is a significant public health problem in South Africa. However, limited research exists on IPV during pregnancy and the postpartum period in South Africa. The purpose of this study is to describe the prevalence, rates and correlates of IPV among South African women during pregnancy and the first 9 months postpartum. Data are from a longitudinal study with women recruited during pregnancy between 2008 and 2010 at a public clinic in Durban. We used a modified version of the World Health Organization’s IPV scale to estimate prevalence and rates of IPV during pregnancy, at 4 months postpartum and 9 months postpartum and we used logistic regression to assess the correlates of IPV during this time. More than 20 % of all women experienced at least one act of physical, psychological or sexual IPV during pregnancy. Nearly one-quarter of all women experienced at least one act of physical, psychological or sexual IPV during the first 9 months postpartum. Psychological IPV was the most prevalent type of IPV during pregnancy and the first 4 months postpartum. Age and previous violence within the relationship were associated with IPV during pregnancy and IPV during the postpartum period. The high levels of IPV during pregnancy and the postpartum period highlight the need to develop screening and intervention strategies specifically for this time. Further, women should be screened not only for physical violence but also psychological violence given that psychological violence may result in distinct negative consequences.

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References

  1. CDC. (2010). Intimate partner violence: Definitions. Accessed January 10, 2011. http://www.cdc.gov/ViolencePrevention/intimatepartnerviolence/definitions.html.

  2. Norman, R., Schneider, M., Bradshaw, D., et al. (2010). Interpersonal violence: An important risk factor for disease and injury in South Africa. Population Health Metrics, 8(1), 32.

    Article  PubMed Central  PubMed  Google Scholar 

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

    Google Scholar 

  4. Gass, J. D., Stein, D. J., Williams, D. R., et al. (2010). Intimate partner violence, health behaviours, and chronic physical illness among South African women. South African Medical Journal, 100(9), 582–585.

    PubMed Central  PubMed  Google Scholar 

  5. Jewkes, R., Penn-Kekana, L., Levin, J., et al. (2001). Prevalence of emotional, physical and sexual abuse of women in three South African provinces. South Africa Medical Journal, 91(5), 421–428.

    CAS  Google Scholar 

  6. Ellsberg, M., Heise, L., Peña, R., et al. (2001). Researching domestic violence against women: Methodological and ethical considerations. Studies in Family Planning, 32(1), 1–16. doi:10.1111/j.1728-4465.2001.00001.x.

    Article  CAS  PubMed  Google Scholar 

  7. Koss, M. P. (1993). Detecting the scope of rape a review of prevalence research methods. Journal of Interpersonal Violence, 8(2), 198–222.

    Article  Google Scholar 

  8. Jewkes, R., & Abrahams, N. (2002). The epidemiology of rape and sexual coercion in South Africa: An overview. Social Science and Medicine, 55(7), 1231–1244.

    Article  PubMed  Google Scholar 

  9. (1998). Demographic and health survey. Pretoria, Department of Health.

  10. Jewkes, R., & Morrell, R. (2010). Gender and sexuality: Emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. Journal of the International AIDS Society, 13(1), 6.

    PubMed Central  PubMed  Google Scholar 

  11. Abrahams, N., Jewkes, R., Martin, L. J., et al. (2009). Mortality of women from intimate partner violence in South Africa: A national epidemiological study. Violence and Victims, 24(4), 546–556.

    Article  PubMed  Google Scholar 

  12. Sharps, P. W., Laughon, K., & Giangrande, S. K. (2007). Intimate partner violence and the childbearing year maternal and infant health consequences. Trauma, Violence, and Abuse, 8(2), 105–116.

    Article  PubMed  Google Scholar 

  13. Silverman, J. G., Decker, M. R., Reed, E., et al. (2006). Intimate partner violence victimization prior to and during pregnancy among women residing in 26 US states: Associations with maternal and neonatal health. American Journal of Obstetrics and Gynecology, 195(1), 140.

    Article  PubMed  Google Scholar 

  14. Hassan, M., Kashanian, M., Hassan, M., et al. (2014). Maternal outcomes of intimate partner violence during pregnancy: Study in Iran. Public Health. doi:10.1016/j.puhe.2013.11.007.

  15. Lancaster, C. A., Gold, K. J., Flynn, H. A., et al. (2010). Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 202(1), 5–14.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Fisher, J., Tran, T., Kriitmaa, K., et al. (2010). Common perinatal mental disorders in northern Viet Nam: Community prevalence and health care use. Bulletin of the World Health Organization, 88(10), 737–745.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Groves, A. K., Kagee, A., Maman, S., et al. (2012). Associations between intimate partner violence and emotional distress among pregnant women in Durban, South Africa. Journal of Interpersonal Violence, 27(7), 1341–1356.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Ludermir, A. B., Lewis, G., Valongueiro, S. A., et al. (2010). Violence against women by their intimate partner during pregnancy and postnatal depression: A prospective cohort study. The Lancet, 376(9744), 903–910.

    Article  Google Scholar 

  19. McFarlane, J., Campbell, J. C., Sharps, P., et al. (2002). Abuse during pregnancy and femicide: Urgent implications for women’s health. Obstetrics and Gynecology, 100(1), 27–36.

    Article  PubMed  Google Scholar 

  20. Coker, A. L., Sanderson, M., & Dong, B. (2004). Partner violence during pregnancy and risk of adverse pregnancy outcomes. Paediatric and Perinatal Epidemiology, 18(4), 260–269.

    Article  PubMed  Google Scholar 

  21. Valladares, E., Ellsberg, M., Peña, R., et al. (2002). Physical partner abuse during pregnancy: A risk factor for low birth weight in Nicaragua. Obstetrics and Gynecology, 100(4), 700–705.

    Article  PubMed  Google Scholar 

  22. Murphy, C. C., Schei, B., Myhr, T. L., et al. (2001). Abuse: A risk factor for low birth weight? A systematic review and meta-analysis. Canadian Medical Association Journal, 164(11), 1567–1572.

    PubMed Central  CAS  PubMed  Google Scholar 

  23. Koen, N., Wyatt, G. E., Williams, J. K., et al. (2014). Intimate partner violence: Associations with low infant birthweight in a South African birth cohort. Metabolic Brain Disease, 29(2), 281–299. doi:10.1007/s11011-014-9525-4.

  24. Taillieu, T. L., & Brownridge, D. A. (2010). Violence against pregnant women: Prevalence, patterns, risk factors, theories, and directions for future research. Aggression and Violent Behavior, 15(1), 14–35.

    Article  Google Scholar 

  25. Shamu, S., Abrahams, N., Temmerman, M., et al. (2011). A systematic review of African studies on intimate partner violence against pregnant women: Prevalence and risk factors. PLoS ONE, 6(3), e17591.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  26. Stewart, D. E., & Cecutti, A. (1993). Physical abuse in pregnancy. Canadian Medical Association Journal, 149(9), 1257.

    PubMed Central  CAS  PubMed  Google Scholar 

  27. Martin, S. L., Mackie, L., Kupper, L. L., et al. (2001). Physical abuse of women before, during, and after pregnancy. The journal of the American Medical Association, 285(12), 1581–1584.

    Article  CAS  Google Scholar 

  28. Olagbuji, B., Ezeanochie, M., Ande, A., et al. (2010). Trends and determinants of pregnancy-related domestic violence in a referral center in southern Nigeria. International Journal of Gynecology & Obstetrics, 108(2), 101–103.

    Article  Google Scholar 

  29. Coovadia, H., Jewkes, R., Barron, P., et al. (2009). The health and health system of South Africa: Historical roots of current public health challenges. The Lancet, 374(9692), 817–834.

    Article  Google Scholar 

  30. Garcia-Moreno, C., Jansen, H. A. F. M., Ellsberg, M., et al. (2005). WHO multi-country study on women’s health and domestic violence against women: Initial results on prevalence, health outcomes and women’s responses: World Health Organization.

  31. Dunkle, K. L., Jewkes, R. K., Brown, H. C., et al. (2004). Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa. The Lancet, 363, 1415–1421.

    Article  Google Scholar 

  32. Jewkes, R., Dunkle, K., Nduna, M., et al. (2006). Factors associated with HIV sero-status in young rural South African women: Connections between intimate partner violence and HIV. International Journal of Epidemiology, 35(6), 1461–1468.

    Article  CAS  PubMed  Google Scholar 

  33. Jewkes, R. K., Dunkle, K., Nduna, M., et al. (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.

    Article  Google Scholar 

  34. Filmer, D., & Pritchett, L. H. (2001). Estimating wealth effects without expenditure data—Or tears: An application to educational enrollments in states of India*. Demography, 38(1), 115–132.

    CAS  PubMed  Google Scholar 

  35. Bärnighausen, T., Hosegood, V., Timaeus, I. M., et al. (2007). The socioeconomic determinants of HIV incidence: Evidence from a longitudinal, population-based study in rural South Africa. AIDS (London, England). 21(Suppl 7), S29–S38.

  36. Blaauw, D., & Penn-Kekana, L. (Eds.). (2003). Socio-economic inequalities and maternal health in South Africa. Exposé présenté à la 22e conference on priorities in perinatal care in South Africa.

  37. SAS. (2009). SAS version 9.2. Cary, NC: SAS Institute.

  38. Abasiubong, F., Abasiattai, A. M., Bassey, E. A., et al. (2010). Demographic risk factors in domestic violence among pregnant women in Uyo, a community in the Niger Delta Region, Nigeria. Health Care for Women International, 31(10), 891–901.

    Article  PubMed  Google Scholar 

  39. Devries, K. M., Kishor, S., Johnson, H., et al. (2010). Intimate partner violence during pregnancy: Analysis of prevalence data from 19 countries. Reproductive Health Matters, 18(36), 158–170.

    Article  PubMed  Google Scholar 

  40. Kaye, D. K., Mirembe, F. M., Bantebya, G., et al. (2006). Domestic violence as risk factor for unwanted pregnancy and induced abortion in Mulago Hospital, Kampala, Uganda. Tropical Medicine and International Health, 11(1), 90–101.

    Article  PubMed  Google Scholar 

  41. Mbokota, M., & Moodley, J. (2003). Domestic abuse—An antenatal survey at King Edward VIII Hospital, Durban. South African Medical Journal, 93(6), 455.

    CAS  PubMed  Google Scholar 

  42. Makayoto, L. A., Omolo, J., Kamweya, A. M., et al. (2013). Prevalence and associated factors of intimate partner violence among pregnant women attending Kisumu District Hospital, Kenya. Maternal and Child Health Journal, 17(3), 441–447.

    Article  PubMed Central  PubMed  Google Scholar 

  43. Guo, S., Wu, J., Qu, C., et al. (2004). Physical and sexual abuse of women before, during, and after pregnancy. International Journal of Gynecology and Obstetrics, 84(3), 281–286.

    Article  CAS  PubMed  Google Scholar 

  44. Saurel-Cubizolles, M., Blondel, B., Lelong, N., et al. (1997). Marital violence after birth. Contraception, Fertilite, Sexualite (1992), 25(2), 159–164.

    CAS  Google Scholar 

  45. Kanotra, S., D’Angelo, D., Phares, T. M., et al. (2007). Challenges faced by new mothers in the early postpartum period: An analysis of comment data from the 2000 Pregnancy Risk Assessment Monitoring System (PRAMS) survey. Maternal and Child Health Journal, 11(6), 549–558.

    Article  PubMed  Google Scholar 

  46. O’Leary, K. D. (1999). Psychological abuse: A variable deserving critical attention in domestic violence. Violence and Victims, 14(1), 3–23.

    PubMed  Google Scholar 

  47. Campbell, J. C., & Soeken, K. L. (1999). Forced sex and intimate partner violence effects on women’s risk and women’s health. Violence Against Women, 5(9), 1017–1035.

    Article  Google Scholar 

  48. World Health Organization. (2012). Countdown to 2015 maternal, newborn and child survival. World Health Organization. http://www.countdown2015mnch.org/documents/2012Report/2012/2012_SouthAfrica.pdf.

  49. Health SADo (Ed.). (2011). Guidelines for maternity care in South Africa (3rd ed.). Republic of South Africa. http://www.health.gov.za/docs/Policies/2011/guidelines_a.pdf.

  50. Nelson, H. D., Bougatsos, C., & Blazina, I. (2012). Screening women for intimate partner violence. Annals of Internal Medicine, 156, 796–808.

  51. Kiely, M., El-Mohandes, A. A. E., El-Khorazaty, M. N., et al. (2010). An integrated intervention to reduce intimate partner violence in pregnancy: A randomized trial. Obstetrics and Gynecology, 115(2 Pt 1), 273.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Tiwari, A., Leung, W., Leung, T., et al. (2005). A randomised controlled trial of empowerment training for Chinese abused pregnant women in Hong Kong. An International Journal of Obstetrics and Gynaecology, 112(9), 1249–1256.

    Article  CAS  Google Scholar 

  53. Taft, A. J., Small, R., Hegarty, K. L., et al. (2011). Mothers’ advocates in the community (MOSAIC)-non-professional mentor support to reduce intimate partner violence and depression in mothers: A cluster randomised trial in primary care. BMC Public Health, 11(1), 178.

    Article  PubMed Central  PubMed  Google Scholar 

  54. Jones, D. L., Peltzer, K., Villar-Loubet, O., et al. (2013). Reducing the risk of HIV infection during pregnancy among South African women: A randomized controlled trial. AIDS Care, 25(6), 702–709. doi:10.1080/09540121.2013.772280.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  55. Jewkes, R., Nduna, M., Levin, J., et al. (2008). Impact of stepping stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: Cluster randomised controlled trial. British Medical Journal, 337.

  56. Kim, J. C., Watts, C. H., Hargreaves, J. R., et al. (2007). Understanding the impact of a microfinance-based intervention on women’s empowerment and the reduction of intimate partner violence in South Africa. American Journal of Public Health, 97(10), 1794.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

Many thanks to each of the South African women who participated in this study for helping us to better understand IPV during pregnancy and the postpartum period. This research was sponsored by the US National Institute of Mental Health (R01HD050134). We also received funds from the Open Society Institute and Elton John Foundation (20020472/20030878).

Conflict of interest

The authors report no conflicts of interest.

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Affiliations

  1. University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Allison K. Groves, Luz McNaughton-Reyes, Sandra L. Martin, Vangie Foshee & Suzanne Maman

  2. University of KwaZulu-Natal, Durban, South Africa

    Dhayendre Moodley

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  1. Allison K. Groves
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  2. Dhayendre Moodley
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  3. Luz McNaughton-Reyes
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  4. Sandra L. Martin
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Correspondence to Allison K. Groves.

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Groves, A.K., Moodley, D., McNaughton-Reyes, L. et al. Prevalence, Rates and Correlates of Intimate Partner Violence Among South African Women During Pregnancy and the Postpartum Period. Matern Child Health J 19, 487–495 (2015). https://doi.org/10.1007/s10995-014-1528-6

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  • DOI: https://doi.org/10.1007/s10995-014-1528-6

Keywords

  • Intimate partner violence
  • Pregnancy
  • Postpartum
  • South Africa
  • Prevalence
  • Correlates