DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20210245

Socio-epidemiological study of marital violence among women’s attending health care facility of Central Delhi

Abhishek Tibrewal, Suneela Garg

Abstract


Background: Marital or domestic violence (DV) is endemic in communities and countries around the world, cutting across class, race, age, religions and national boundaries. It is defined as a pattern of coercive / controlling behaviors and tactics used by one person over another to gain power and control. The study’s objectives were to understand DV prevalence, factors associated with DV, and health and social outcomes of DV among married women.

Methods: This was a healthcare facility based cross-sectional study conducted from Jan-Dec 2011among married women attending antenatal clinic and chest / ICTC clinic. The presence of DV was evaluated using a semi-structured interview designed based on the NHFS-3screening tool. The data collected was analyzed using SPSS version 22.

Results: A total of 700 subjects were included. 36% of married women reported the presence of DV. The independent risk factors for DV were belonging to non-Hindu religion (OR=1.95, CI:1.02-3.72), belonging to joint family (OR=1.52, CI: 1.08-2.14), having no daughter (OR=1.7, CI: 1.19-2.44), and ever contraceptive use (OR=1.50, CI: 1.06-2.11) in a multivariate logistic regression model. DV’s main cause was misunderstanding (46%) between the victim’s and the perpetrator. The main perpetrator was husband (81%); main support system for victim’s were parents or parental relatives (63%), while the main type of support received was emotional (92%). Headache (78%) was the most common symptom; 70% subjects were unable to carry out household activities, and 24% victim’s relationship with relatives were affected because of DV.

Conclusions: The proportion of DV among the married women is high and is a common problem irrespective of the socio-economic and demographic factors. Hence there is no time for complacency and an urgent need for multisectoral coordination for its quick redressal.


Keywords


Delhi, Epidemiology, Factors, Healthcare facility, Marital violence

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References


Selic P, Pesjak K, Kersnik J. The prevalence of exposure to domestic violence and the factors associated with co-occurrence of psychological and physical violence exposure: a sample from primary care patients. BMC Public Health. 2011(4);11:621.

Definition of Domestic Violence. Overview of Domestic & Sexual Violence. Massachusetts. Public Safety & Security. 2012. Available at www. mass.gov/eopss/crime-prev-personal-sfty/personal-sfty/. Accessed on 12 September 2020.

World Health Organization. Multi-country study on Women’s health and domestic violence against Women. WHO. 1997.

National Family Health Survey NFHS-III: Ministry of Health and Family Welfare, Govt. of India. Fact sheet: 2005-06.

Waits K. The criminal justice system’s response to battering: understanding the problem, forging the solutions. Washington Law Review. 1985;60:267-330.

Domestic violence in India causes consequences and remedies. Available at: http:// www. You thkiawaaz.com/2010/02/domestic-violence-in-india-causes-consequences-and-remedies-2/. Accessed on 07 February 2010.

World Health Organization. Violence against women: Health consequences. July 1997.

Kaur R, Garg S. Addressing domestic violence against women: An unfinished agenda. Indian J Community Med. 2008;33:73-6.

Campbell J, Jones A. Dienemann S, Kub J, Schollenberger, J, O’Campo P, Gielen AC, Wynne C. Intimate partner violence and physical health consequences. Arc Internal Med. 2002;162(10):1157-63.

LaViolette A, Barnett OW. It can happen to anyone. why battered women stay. Thousand Oaks, California. Sage Publications; 2000.

Hagion-Rzepka C. Acknowledging the invisible: Integrating family violence into mental health services. 2000. Available at: www.theripple-effect.info/publications /Advocating Public Policy Changes. Accessed on 16 March 2012.

Johnson K. Profiling domestic violence. A multi-country study Calverton, Maryland: ORC Macro. USAID. 2004.

Ghosh D. Predicting vulnerability of Indian women to domestic violence incidents. Res and practice in social Sci. 2007;3(1):48-72.

Varma D, Chandra PS, Thomas T. Intimate partner violence and sexual coercion among pregnant women in India: relationship with depression and post-traumatic Stress Disorder. J Affect Disord. 2007;102(1-3);227-35.

McDonnell KA, Abdulla SE. Project AWARE: Research Project: Asian/Pacific Islander domestic violence resource project; Washington, DC.2001.

Ellsberg M. Domestic violence and emotional distress among Nicaraguan women:results from a population-based study. American Psychol. 2000;54(1):30-6.

Plichta SB, Abraham C. Violence and gynaecological health in women <50 years old. Am J Obstetrics and Gynaecology. 1996;174:903-7.

Bowlus AJ, Seitz SN. Domestic violence, employment and divorce, working papers 1007. Department of Economics. Queen’s University, Ontario. 2002.

Koss M, Koss P, Woodruff J. Deleterious effects of criminal victimization on women’s health and medical utilization. Archives Int Med. 1991;151:342-7.

Strauss MA, Gelles RJ. Physical violence in American families; risk factors and adaptations to violence in 8,145. Families. New Brunswick: transaction publishers. 1990.