Abstract
To assess the associations between Intimate Partner Violence (IPV) victimization and health outcomes of South Asian women in Greater Boston. To explore the nature of the health experiences of victimized women in this population. Cross-sectional surveys with a community-based sample of women in relationships with males (n = 208) assessed demographics, IPV history, and health. In-depth interviews were conducted with a separate sample of women with a history of IPV (n = 23). Quantitative data were assessed by logistic regression, qualitative data by a grounded theory approach. Twenty-one percent of the quantitative sample reported IPV in the current relationship. Abused women were significantly more likely than those with no history of IPV in their current relationship to report poor physical health (95% CI = 1.3–12.0), depression (95% CI = 1.8–9.3), anxiety (95% CI = 1.3–6.4), and suicidal ideation (95% CI = 1.9–25.1). Qualitative subjects described how victimization resulted in injury and chronic health concerns and how IPV-induced depression and anxiety affected their sleep, appetite, energy, and wellbeing. Experiences of IPV are related to increased poor health among South Asian women. This elevated risk demands intervention. Healthcare providers should be trained to screen and refer South Asian patients for partner violence.
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References
Migration Information Source. Available: http://www.migrationinformation.org/GlobalData/country-data/data.cfm.Accessed January 11, 2005
Barnes JS, Bennett CE: The Asian Population: 2000 Census 2000 Brief. U.S. Census Bureau. Issued February 2002. Available: http://www.census.gov/prod/2002pubs/c2kbr01-16.pdf. Accessed July 27, 2004
Indian American Center for Political Awareness: A portrait of the Indian American community: An in-depth report based on the U.S. Census. August 2004. Available: http://www.iacfpa.org/press/iacpa_census.pdf. Accessed: January 7, 2005
Asian American Federation of New York, Census Information Center: Census 2000 Detailed Asian Groups in the United States (Analysis of Census 2000). Available: http://www.aafny.org/cic/table/ust.asp. Accessed December 28, 2004
Raj A, Silverman JG: Intimate partner violence against South Asian women in Greater Boston. J Am Med Women’s Assoc 2002; 57(2):111–114
Raj A, Silverman JG: Immigrant South Asian women at greater risk for injury from intimate partner violence. Am J Public Health 2003; 93(3):435–437
Schaefer J, Caetano R, Clark CL: Rates of intimate partner violence in the United States. Am J Public Health 1998; 88:1702–1704
Tjaden P, Thoennes N: Extent, nature, and consequences of intimate partner violence: Findings from the National Violence Against Women Survey. Washington, DC: Department of Justice, National Institute of Justice; 2000
Raj A, Silverman JG, McCleary-Sills J, Liu R: Immigration policies increase South Asian immigrant women’s vulnerability to intimate partner violence. J Am Med Women’s Assoc 2005; 60(1):26–32
Abraham M: Isolation as a form of marital violence: The South Asian immigrant experience. J Soc Distress Homeless 2000; 9(3):221–236
Abraham M: Sexual abuse in South Asian immigrant marriages. Violence Women 1999; 5(6):591–618
Dasgupta SD, Warrier S: In the footsteps of Arundhati: Asian Indian women’s experience of domestic violence in the United States. Violence Women 1996; 2(3):238–259
Dasgupta SD: Charting the course: An overview of domestic violence in the South Asian community in the United States. J Soc Distress Homeless 2000; 9(3):173–185
Mehrotra M: The social construction of wife abuse: Experiences of Asian Indian women in the United States. Violence Women 1999; 5(6):619–640
Merchant M: A comparative study of agencies assisting domestic violence victims: Does the South Asian community have special needs? J Soc Distress Homeless 2000; 9(3):249–259
Preisser AB: Domestic violence in South Asian Communities in America: Advocacy and intervention. Violence Women 1999; 5(6):684–699
Campbell JC: Health consequences of intimate partner violence. Lancet 2002; 359:1334–1336
Heise L, Ellsberg M, Gottermoeller M: Ending Violence Against Women. Population Reports, Vol. 27. Baltimore: Johns Hopkins University; 1999
Wu E, El-Bassel N, Witte SS, Gilbert L, Chang M: Intimate partner violence and HIV risk among urban minority women in primary health care settings. AIDS Behav 2003; 7(3):291–301
Wingood G, DiClemente R: The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. Am J Public Health 1997; 87:1016–1018
Golding JM: Sexual assault history and physical health in randomly selected Los Angeles women. Healthy Psychol 1994; 13(2):130–138
Intimate Partner Violence and Healthy People 2010 Fact Sheet. Family Violence Prevention Fund. Available: http://endabuse.org/hcadvd/2003/tier4.pdf. Accessed December 28, 2004
Bostwick TD, Baldo AJ: Intrafamilial assaults, disturbed eating behaviors and further victimization. Psychol Rep 1996; 79:1057–1058
McNutt LA, Carlson BE, Persaud M, Postmus J: Cumulative abuse experiences, physical health, and health behaviors. Ann Epidemiol 2002; 12(2):123–130
Lemon SC, Verhoek-Oftedahl W, Donnelly EF: Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence. J Women’s Health Gend Med 2002; 11(6):555–562
Letourneau EJ, Holmes M, Chasedunn-Roark J: Gynecologic health consequences to victims of interpersonal violence. Women’s Health Issues 1999; 9(2):115–120
Hathaway JE, Mucci LA, Silverman JG, Brooks DR, Matthews R, Pavlos C: Health status and health care use of Massachusetts women reporting partner abuse. Am J Prev Med 2000; 19(4):302–307
Rennison CM, Welchans S: Intimate partner violence. Special Report, NCJ 178247. Washington, DC: U.S. Department of Justice; 2000
Webb E, Shankleman J, Evans MR, Brooks R: The health of children in refuge for women victims of domestic violence: Cross-sectional and descriptive survey. BMJ 2001; 323:210–213
Plichta SB: Intimate partner violence and physical health consequences: Policy and practice implications. J Interpers Violence 2004; 19(11):1296–1323
Coker AL, Smith PH, Bethea L, King MR, McKeown RE: Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med 2000; 9(5):451–457
Tollestrup K, Sklar D, Frost FJ, Olson L, Weybright J, Sandvig J, Larson M: Health indicators and intimate partner violence among women who are members of a managed care organization. Prev Med 1999; 29:431–440
Humphreys JC, Lee K, Neylan T, Marmar CR: Sleep patterns of sheltered battered women. Image J Nurs Sch 1999; 31:139–143
Brokaw J, Fullerton-Gleason L, Olson L, Crandall C, McLaughlin S, Sklar D: Health status and intimate partner violence: A cross-sectional study. Ann Emerg Med 2002; 39(1):31–38
Dienemann J, Boyle E, Baker D, Resnick W, Wiederhorn N, Campbell J: Intimate partner abuse among women diagnosed with depression. Issues Ment Health Nurs 2000; 21(5):499–513
Parsons LH, Harper MA: Violent maternal deaths in North Carolina. Obstet Gynecol 1999; 94:990–993
Zierler S, Cunningham W, Andersen R, Shapiro MF, Nakazono T, Morton S, Crystal S, Stein M, Turner B, St. Clair P, Bozzette SA: Violence victimization after HIV infection in a U.S. probability sample of adult patients in primary care. Am J Public Health 2000; 90:208–215
National Center for Injury Prevention and Control: Costs of intimate partner violence against women in the United States. Atlanta, GA: Centers for Disease Control and Prevention; 2003
Lloyd S, Talue N: The effects of male violence on female employment. Violence Women 1999; 5:370–392
Dubowitz H, Black MM, Kerr MA, Hussey JM, Morrel TM, Everson MD, Starr RH Jr.: Type and timing of mothers’ victimization: Effects on mothers and children. Pediatrics 2001; 107:728–735
Patel SP, Gaw AC: Suicide among immigrants from the Indian subcontinent: A review. Psychiatr Serv 1996; 47:517–521
Hicks MH, Bhugra D: Perceived causes of suicide attempts by U.K. South Asian women. Am J Orthopsychiatry 2003; 73(4):455–462
Raj A, Liu R, McCleary-Sills J, Silverman JG: South Asian Victims of IPV more likely than non-victims to report sexual health concerns. J Immigr Health 2005; 7(2):85–91
Massachusetts Department of Public Health, Massachusetts Behavioral Risk Factor Surveillance System. Survey Available: www.mass.gov/dph/bhrse/cdsp/brfss/brfss.htm#surveys. Accessed January 20, 2005
National Center for Chronic Disease Prevention and Health Promotion: YRBSS: Youth risk behavior surveillance system. Available at: http://www.cdc.gov/HealthyYouth/yrbs/index.htm. Accessed January 21, 2005
Behavioral Risk Factor Surveillance System, National Center for Chronic Disease Prevention and Health Promotion. Available: http://www.cdc.gov/brfss/. Accessed January 11, 2005
Glaser B, Strauss A: The discovery of grounded theory. Chicago: Aldine; 1967
Strauss A, Corbin J: Basics of qualitative research. Newbury Park, CA: Sage; 1990
Carey JW, Morgan M, Oxtoby MJ: Intercoder agreement in analysis of responses to open-ended interview questions: Examples for tuberculosis research. Cult Anthrpol Methods J 1996; 8(3):1–9
Rand MR: Violence-related injuries treated in hospital emergency departments. Bureau of Justice Statistics special report. Washington, DC: US Department of Justice; 1997
Campbell JC, Lewandowski L: Mental and physical effects of intimate partner violence on women and children. Psychiatr Clin North Am 1997; 20:433–438
Koss MP, Koss PG, Woodruff WJ: Deleterious effects of criminal victimization on women’s health and medical utilization. Arch Intern Med 1991; 151:342–347
Mouton CP, Rovi S, Furniss K, Lasser NL: The associations between health and domestic violence in older women: Results of a pilot study. J Women’s Health Gend Med 1999; 8(9):1173–1179
Dearwater SR, Coben JH, Campbell JC, Nah G, Glass N, McLoughlin E, Bekemeier B: Prevalence of intimate partner abuse in women treated at community hospital emergency departments. JAMA 1998; 280:433–438
McCauley J, Kern DE, Kolodner K, Dill L, Schroeder AF, DeChant HK, Ryden J, Bass EB, Derogatis LR: The “battering syndrome”: Prevalence and clinical chararcteristics of domestic violence in primary care internal medicine practices. Ann Intern Med 1995; 123:737–746
Diaz-Olavarrieta C, Campbell JC, Garia de la Cadena C, Paz F, Villa A: Domestic violence against patients with neurologic disorders. Arch Neurol 1999; 56:68–75
Campbell J, Jones AS, Dienemann J, Kub J, Schollenberger J, O’Campo P, Gielern AC, Wynne C: Intimate partner violence and physical health consequences. Arch Intern Med 2002; 162(10):1157–1163
Kawachi I: Social capital and community effects on population and individual health. Ann NY Acad Sci 1999; 896:120–130
Berkman L: The role of social relations in health promotion. Psychosom Med 1995; 54:245–254
Roberts R, O’Connor T, Dunn J, Golding J: The effects of child sexual abuse in later family life; mental health, parenting and adjustment of offspring. Child Abuse Negl 2004; 28(5):525–545
U.S. Census Bureau, Census 2000 PHC-T-1. Population by Race and Hispanic or Latino Origin for the United States, Table 3. Population by Race Alone, Race in Combination Only, Race Alone or in Combination, and Hispanic or Latino Origin, for the United States: 2000; and Table 4. Difference in Population by Race and Hispanic or Latino Origin, for the United States, 1990–2000. Available: www.census.gov. Accessed January 11, 2005
Indian American Center for Political Awareness: Income, education, and occupation. Available: http://iacfpa.org/census2k/iadem.htm#household. Accessed January 11, 2005
Rodriguez MA, Bauer HM, McLoughlin E, Grumbach K: Screening and intervention for intimate partner abuse: Practices and attitudes of primary care physicians. JAMA 1999; 282(5):468–474
Rodriguez MA, Bauer HM, Flores-Ortiz Y, Szkupinski-Quiroga S: Factors affecting patient–physician communication for abused Latina and Asian immigrant women. J Fam Pract 1998; 47(4):309–311
Gupta J, O’Brien MK, Pham ST, O’Connor BB: Southeast Asian immigrant women and intimate partner violence: Is RADAR culturally appropriate in this population? Unpublished manuscript; 2000
Das AK, Kemp SF: Between two worlds: Counseling South Asian Americans. J Multicult Couns Dev 1997; 25:23–33
Ahmed SM, Lemkau JP: Cultural issues in the primary care of South Asians. J Immigr Health 2000; 2(2):89–96
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This work was presented as a poster at the Third International Conference on Urban Health, Boston, MA, October 2004. It was awarded Honorable Mention in the Student Abstract Contest (Masters Level).
Conflict of Interest: Anita Raj is a volunteer with and advisor to Saheli, the local South Asian CBO of volunteers providing cultural programs in the South Asian community and helping women in crisis. She has provided domestic violence advocacy and community education in the local South Asian community, and she has served as a South Asian Advisor to Asian Task Force Against Domestic Violence (ATFADV), the local Asian domestic violence program in Boston. Both Saheli and ATFADV assisted with recruitment for the current study. Saheli events that were not domestic violence-specific served as venues for recruitment for the cross-sectional study. Saheli and ATFADV cases of domestic violence were referred to the qualitative study.
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Hurwitz, E.J.H., Gupta, J., Liu, R. et al. Intimate Partner Violence Associated With Poor Health Outcomes in U.S. South Asian Women. J Immigrant Health 8, 251–261 (2006). https://doi.org/10.1007/s10903-006-9330-1
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DOI: https://doi.org/10.1007/s10903-006-9330-1