Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South
Objectives To describe associations between men’s poor mental health (depressive and post-traumatic stress symptomatology) and their perpetration of intimate partner violence (IPV) and non-partner sexual violence (NPSV), and women’s mental health and their experiences of IPV and NPSV in five setting...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/3/e063730.full |
| _version_ | 1797744308367917056 |
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| author | Rachel Jewkes Andrew Gibbs Kristin Dunkle Mercilene T Machisa Leane Ramsoomar Esnat D Chirwa Deda Ogum Alangea Adolphina Addoley Addo-Lartey |
| author_facet | Rachel Jewkes Andrew Gibbs Kristin Dunkle Mercilene T Machisa Leane Ramsoomar Esnat D Chirwa Deda Ogum Alangea Adolphina Addoley Addo-Lartey |
| author_sort | Rachel Jewkes |
| collection | DOAJ |
| description | Objectives To describe associations between men’s poor mental health (depressive and post-traumatic stress symptomatology) and their perpetration of intimate partner violence (IPV) and non-partner sexual violence (NPSV), and women’s mental health and their experiences of IPV and NPSV in five settings in the Global South.Design A pooled analysis of data from baseline interviews with men and women participating in five violence against women and girls prevention intervention evaluations.Setting Three sub-Saharan African countries (South Africa, Ghana and Rwanda), and one Middle Eastern country, the occupied Palestinian territories.Participants 7021 men and 4525 women 18+ years old from a mix of self-selecting and randomly selected household surveys.Main outcome measures All studies measured depression symptomatology using the Centre for Epidemiological Studies-Depression, and the Harvard Trauma Scale for post-traumatic stress disorder (PTSD) symptoms among men and women. IPV and NPSV were measured using items from modified WHO women’s health and domestic violence and a UN multicountry study to assess perpetration among men, and experience among women.Findings Overall men’s poor mental health was associated with increased odds of perpetrating physical IPV and NPSV. Specifically, men who had more depressive symptoms had increased odds of reporting IPV (adjusted OR (aOR)=2.13; 95%CI 1.58 to 2.87) and NPSV (aOR=1.62; 95% CI 0.97 to 2.71) perpetration compared with those with fewer symptoms. Men reporting PTSD had higher odds of reporting IPV (aOR=1.87; 95% CI 1.44 to 2.43) and NPSV (aOR=2.13; 95% CI 1.49 to 3.05) perpetration compared with those without PTSD. Women who had experienced IPV (aOR=2.53; 95% CI 2.18 to 2.94) and NPSV (aOR=2.65; 95% CI 2.02 to 3.46) had increased odds of experiencing depressive symptoms compared with those who had not.Conclusions Interventions aimed at preventing IPV and NPSV perpetration and experience must account for the mental health of men as a risk factor, and women’s experience. |
| first_indexed | 2024-03-12T15:07:53Z |
| format | Article |
| id | doaj.art-0da4c80d785b4a57a5cd3c2ca38e643d |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T15:07:53Z |
| publishDate | 2023-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-0da4c80d785b4a57a5cd3c2ca38e643d2023-08-12T00:40:07ZengBMJ Publishing GroupBMJ Open2044-60552023-03-0113310.1136/bmjopen-2022-063730Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global SouthRachel Jewkes0Andrew Gibbs1Kristin Dunkle2Mercilene T Machisa3Leane Ramsoomar4Esnat D Chirwa5Deda Ogum Alangea6Adolphina Addoley Addo-Lartey7Gender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, South AfricaGender and Health Research Unit, South African Medical Research Council, Pretoria, Gauteng, South AfricaDepartment of Population, Family & Reproductive Health, University of Ghana School of Public Health, Legon, Accra, GhanaDepartment of Population, Family & Reproductive Health, University of Ghana School of Public Health, Legon, Accra, GhanaObjectives To describe associations between men’s poor mental health (depressive and post-traumatic stress symptomatology) and their perpetration of intimate partner violence (IPV) and non-partner sexual violence (NPSV), and women’s mental health and their experiences of IPV and NPSV in five settings in the Global South.Design A pooled analysis of data from baseline interviews with men and women participating in five violence against women and girls prevention intervention evaluations.Setting Three sub-Saharan African countries (South Africa, Ghana and Rwanda), and one Middle Eastern country, the occupied Palestinian territories.Participants 7021 men and 4525 women 18+ years old from a mix of self-selecting and randomly selected household surveys.Main outcome measures All studies measured depression symptomatology using the Centre for Epidemiological Studies-Depression, and the Harvard Trauma Scale for post-traumatic stress disorder (PTSD) symptoms among men and women. IPV and NPSV were measured using items from modified WHO women’s health and domestic violence and a UN multicountry study to assess perpetration among men, and experience among women.Findings Overall men’s poor mental health was associated with increased odds of perpetrating physical IPV and NPSV. Specifically, men who had more depressive symptoms had increased odds of reporting IPV (adjusted OR (aOR)=2.13; 95%CI 1.58 to 2.87) and NPSV (aOR=1.62; 95% CI 0.97 to 2.71) perpetration compared with those with fewer symptoms. Men reporting PTSD had higher odds of reporting IPV (aOR=1.87; 95% CI 1.44 to 2.43) and NPSV (aOR=2.13; 95% CI 1.49 to 3.05) perpetration compared with those without PTSD. Women who had experienced IPV (aOR=2.53; 95% CI 2.18 to 2.94) and NPSV (aOR=2.65; 95% CI 2.02 to 3.46) had increased odds of experiencing depressive symptoms compared with those who had not.Conclusions Interventions aimed at preventing IPV and NPSV perpetration and experience must account for the mental health of men as a risk factor, and women’s experience.https://bmjopen.bmj.com/content/13/3/e063730.full |
| spellingShingle | Rachel Jewkes Andrew Gibbs Kristin Dunkle Mercilene T Machisa Leane Ramsoomar Esnat D Chirwa Deda Ogum Alangea Adolphina Addoley Addo-Lartey Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South BMJ Open |
| title | Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South |
| title_full | Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South |
| title_fullStr | Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South |
| title_full_unstemmed | Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South |
| title_short | Pooled analysis of the association between mental health and violence against women: evidence from five settings in the Global South |
| title_sort | pooled analysis of the association between mental health and violence against women evidence from five settings in the global south |
| url | https://bmjopen.bmj.com/content/13/3/e063730.full |
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