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BMC Public Health
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Intimate partner violence among women with mental health-related activity limitations: a Canadian population based study

Authors: Janice Du Mont, Tonia Forte

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

There is strong evidence that women with serious or chronic mental illness experience higher rates of violence than women in the general population. Our objective was to examine the risk of intimate partner violence (IPV), a form of violence that is often recurrent and linked to negative physical and psychological consequences, among a representative sample of non-institutionalized women with activity limitations (ALs) due to a mental health condition.

Methods

Data from the 2009 General Social Survey were used, a national, population-based, cross-sectional survey. The sample included 6851 women reporting contact with a current or former partner in the previous five years, of whom 322 (4.7%) reported a mental health-related AL always/often or sometimes.

Results

The prevalence of any type of IPV was highest among women with mental health-related ALs always/often (54.4%), followed by women reporting ALs sometimes (49.9%), and those reporting no ALs (18.3%, p < 0.0001). The same pattern was observed for emotional (51.1%, 45.5%, 16.3%, p < 0.0001) and financial IPV (18.1%, 9.5%, 4.0%, p < 0.0001). For physical/sexual violence, rates were similar among women reporting mental health-related ALs always/often and sometimes, but were lower among those reporting no ALs (20.2%, 20.9%, 5.9%, p < 0.0001). In a logistic regression analysis the odds of having experienced any IPV remained greater for women reporting ALs always/often (OR = 3.65; 95% CI: 2.10, 6.32) and sometimes (OR = 3.20; 95% CI: 2.15, 4.75) than those reporting no ALs. Several social capital variables, including perceptions of having experienced discrimination, a weak sense of belonging in their local community, and low trust toward family members and strangers were also significantly associated with having experienced IPV.

Conclusion

Findings suggest that women with mental health-related ALs may be at increased risk of IPV. Health and social service providers may need, therefore, to better target prevention and intervention initiatives to this population.
Appendix
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Literature
1.
Khalifeh H, Dean K: Gender and violence against people with severe mental illness. Int Rev Psychiatry. 2010, 22: 535-546. 10.3109/09540261.2010.506185.CrossRefPubMed
2.
Martin SL, Ray N, Sotres-Alvarez D, Kupper LL, Moracco KE, Dickens PA, Scandlin D, Gizlice Z: Physical and sexual assault of women with disabilities. Violence Against Wom. 2006, 12: 823-837. 10.1177/1077801206292672.CrossRef
3.
Goodman LA, Salyers MP, Mueser KT, Rosenberg SD, Swartz M, Essock SM, et al: Recent victimization in women and men with severe mental illness: prevalence and correlates. J Trauma Stress. 2001, 14 (4): 615-32. 10.1023/A:1013026318450.CrossRefPubMed
4.
Goodman LA, Rosenberg SD, Mueser KT, Drake RE: Physical and sexual assault history in women with serious mental illness: prevalence, correlates, treatment, and future research directions. Schizophr Bull. 1997, 23: 685-696. 10.1093/schbul/23.4.685.CrossRefPubMed
5.
Gearon JS, Bellack AS: Women with schizophrenia and co-occurring substance use disorders: an increased risk for violent victimization and HIV. Community Ment Health J. 1999, 35: 401-419. 10.1023/A:1018778310859.CrossRefPubMed
6.
Howard LM, Trevillion K, Khalifeh H, Woodall A, Agnew-Davies R, Feder G: Domestic violence and severe psychiatric disorders: prevalence and interventions. Psychol Med. 2010, 40: 881-893. 10.1017/S0033291709991589.CrossRefPubMed
7.
Trevillion K, Oram S, Feder G, Howard LM: Experiences of domestic violence and mental disorders: a systematic review and meta-analysis. PLoS One. 2012, 7: e51740-10.1371/journal.pone.0051740.CrossRefPubMedPubMedCentral
8.
Du Mont J, Hyman I, O'Brien K, White ME, Odette F, Tyyska V: Factors associated with intimate partner violence by a former partner by immigration status and length of residence in Canada. Ann Epidemiol. 2012, 22: 772-777. 10.1016/j.annepidem.2012.09.001.CrossRefPubMed
9.
Bonomi AE, Thompson RS, Anderson M, Reid RJ, Carrell D, Dimer JA, Rivara FP: Intimate partner violence and women's physical, mental, and social functioning. Am J Prev Med. 2006, 30: 458-466. 10.1016/j.amepre.2006.01.015.CrossRefPubMed
10.
Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C, The WHO Multi-country Study on Women's Health and Domestic Violence against Women Study Team: Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study. Lancet. 2008, 371 (9619): 1165-1172. 10.1016/S0140-6736(08)60522-X.CrossRefPubMed
11.
Golding J: Intimate partner violence as a risk factor for mental disorders: a meta-analysis. J Fam Violence. 1999, 14: 99-132. 10.1023/A:1022079418229.CrossRef
12.
Du Mont J, Forte T: An exploratory study on the consequences and contextual factors of intimate partner violence among immigrant and Canadian-born women. BMJ Open. 2012, 2 (6):
13.
Friedman SH, Loue S: Incidence and prevalence of intimate partner violence by and against women with severe mental illness. J Womens Health (Larchmt). 2007, 16: 471-480. 10.1089/jwh.2006.0115.CrossRef
14.
Morgan C, Burns T, Fitzpatrick R, Pinfold V, Priebe S: Social exclusion and mental health: conceptual and methodological review. Br J Psychiatry. 2007, 191: 477-483. 10.1192/bjp.bp.106.034942.CrossRefPubMed
15.
Rusch N, Angermeyer MC, Corrigan PW: The stigma of mental illness: concepts, forms, and consequences. Psychiatr Prax. 2005, 32: 221-232. 10.1055/s-2004-834566.CrossRefPubMed
16.
Rusch N, Angermeyer MC, Corrigan PW: Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry. 2005, 20: 529-539. 10.1016/j.eurpsy.2005.04.004.CrossRefPubMed
17.
Baumann AE: Stigmatization, social distance and exclusion because of mental illness: the individual with mental illness as a 'stranger'. Int Rev Psychiatry. 2007, 19: 131-135. 10.1080/09540260701278739.CrossRefPubMed
18.
Lochner K, Kawachi I, Kennedy BP: Social capital: a guide to its measurement. Health Place. 1999, 5: 259-270. 10.1016/S1353-8292(99)00016-7.CrossRefPubMed
19.
Angermeyer MC, Matschinger H: The stigma of mental illness: effects of labelling on public attitudes towards people with mental disorder. Acta Psychiatr Scand. 2003, 108: 304-309. 10.1034/j.1600-0447.2003.00150.x.CrossRefPubMed
20.
Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, Bruffaerts R, de Girolamo G, de Graaf R, Gureje O, et al: Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007, 370: 841-850. 10.1016/S0140-6736(07)61414-7.CrossRefPubMedPubMedCentral
21.
Engstrom K, Mattsson F, Jarleborg A, Hallqvist J: Contextual social capital as a risk factor for poor self-rated health: a multilevel analysis. Soc Sci Med. 2008, 66: 2268-2280. 10.1016/j.socscimed.2008.01.019.CrossRefPubMed
22.
De Silva MJ, McKenzie K, Harpham T, Huttly SR: Social capital and mental illness: a systematic review. J Epidemiol Community Health. 2005, 59: 619-627. 10.1136/jech.2004.029678.CrossRefPubMedPubMedCentral
23.
Clays E, De Clercq B: Individual and contextual influences of workplace social capital on cardiovascular health. G Ital Med Lav Ergon. 2012, 34: 177-179.PubMed
24.
Barnett O: Why battered women do not leave, part 2: external inhibiting factors-social support and internal inhibiting factors. Trauma Violence Abuse. 2001, 2: 3-35. 10.1177/1524838001002001001.CrossRef
25.
Brownridge DA: Partner violence against women with disabilities: prevalence, risk, and explanations. Violence Against Wom. 2006, 12: 805-822. 10.1177/1077801206292681.CrossRef
26.
Cohen MM, Forte T, Du Mont J, Hyman I, Romans S: Intimate partner violence among Canadian women with activity limitations. J Epidemiol Community Health. 2005, 59: 834-839. 10.1136/jech.2004.022467.CrossRefPubMedPubMedCentral
27.
Perreault S, Brennan S: Criminal victimization in Canada, 2009. Statistics Canada: Juristat. 2010, 30 (2):
28.
Maniglio R: Severe mental illness and criminal victimization: a systematic review. Acta Psychiatr Scand. 2009, 119: 180-191. 10.1111/j.1600-0447.2008.01300.x.CrossRefPubMed
29.
30.
Perreault S: Criminal victimization and health: a profile of victimization among persons with activity limitations or other health problems. 2009, Ottawa: Statistics Canada, Canadian Centre for Justice Statistics
31.
World Health Organization and The World Bank: World report on disability. 2011, Geneva: World Health Organization
32.
Straus M, Hamby S, Boney-McCoy S, Sugarman D: The revised conflict tactics scales (CTS2): development and preliminary psychometric data. J Fam Issues. 1996, 17 (3): 283-316. 10.1177/019251396017003001.CrossRef
33.
Johnson H: Department of Criminology, University of Ottawa. Personal Communication, November 11, 2013
34.
Hosmer D, Lemeshow S: Applied Logistic Regression. 1989, New York: John Wiley & Sons
35.
Okuda M, Olfson M, Hasin D, Grant BF, Lin KH, Blanco C: Mental health of victims of intimate partner violence: results from a national epidemiologic survey. Psychiatr Serv. 2011, 62: 959-962.CrossRefPubMedPubMedCentral
36.
Lehrer JA, Buka S, Gortmaker S, Shrier LA: Depressive symptomatology as a predictor of exposure to intimate partner violence among US female adolescents and young adults. Arch Pediatr Adolesc Med. 2006, 160: 270-276. 10.1001/archpedi.160.3.270.CrossRefPubMed
37.
Neria Y, Bromet EJ, Carlson GA, Naz B: Assaultive trauma and illness course in psychotic bipolar disorder: findings from the Suffolk county mental health project. Acta Psychiatr Scand. 2005, 111: 380-383. 10.1111/j.1600-0447.2005.00530.x.CrossRefPubMed
38.
Stueve A, O'Donnell L: Urban young women's experiences of discrimination and community violence and intimate partner violence. J Urban Health. 2008, 85: 386-401. 10.1007/s11524-008-9265-z.CrossRefPubMedPubMedCentral
39.
Government of Canada: The human face of mental health and mental illness in Canada. 2006, Ottawa: Government of Canada
40.
41.
Kessler RC, Mickelson KD, Williams DR: The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. J Health Soc Behav. 1999, 40: 208-230. 10.2307/2676349.CrossRefPubMed
42.
Latta RE, Goodman LA: Considering the interplay of cultural context and service provision in intimate partner violence: the case of Haitian immigrant women. Violence Against Wom. 2005, 11: 1441-1464. 10.1177/1077801205280273.CrossRef
43.
Trivedi AN, Ayanian JZ: Perceived discrimination and use of preventive health services. J Gen Intern Med. 2006, 21: 553-558. 10.1111/j.1525-1497.2006.00413.x.CrossRefPubMedPubMedCentral
44.
Abramsky T, Watts CH, Garcia-Moreno C, Devries K, Kiss L, Ellsberg M, Jansen HA, Heise L: What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence. BMC Public Health. 2011, 11: 109-10.1186/1471-2458-11-109.CrossRefPubMedPubMedCentral
45.
Flury M, Nyberg E, Riecher-Rossler A: Domestic violence against women: definitions, epidemiology, risk factors and consequences. Swiss Med Wkly. 2010, 140: w13099-PubMed
46.
Heise L, Garcia-Moreno C: Violence by intimate partners: World report on violence and health. Edited by: Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. 2002, Geneva: World Health Organization
47.
Barnett O: Why battered women do not leave, part 1 external inhibiting factors within society. Trauma Violence Abuse. 2000, 1: 343-372. 10.1177/1524838000001004003.CrossRef
48.
Anderson DK, Saunders DG: Leaving an abusive partner: an empirical review of predictors, the process of leaving, and psychological well-being. Trauma Violence Abuse. 2003, 4: 163-191. 10.1177/1524838002250769.CrossRefPubMed
Metadata
Title
Intimate partner violence among women with mental health-related activity limitations: a Canadian population based study
Authors
Janice Du Mont
Tonia Forte
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-51

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