Skip to main content
Top
Published in: BMC Women's Health 1/2013

Open Access 01-12-2013 | Research article

Intimate partner violence against women in the Erbil city of the Kurdistan region, Iraq

Authors: Hazha H Al-Atrushi, Namir G Al-Tawil, Nazar P Shabila, Tariq S Al-Hadithi

Published in: BMC Women's Health | Issue 1/2013

Login to get access

Abstract

Background

Violence against women is a worldwide problem and serious human rights abuse that occurs among all social, cultural, economic and religious groups. There is a paucity of research on intimate partner violence against women in Iraq, particularly in the Kurdistan region. This study assessed the prevalence of emotional, physical and sexual intimate partner violence against women and the impact of physical violence in Erbil, the main city of the Iraqi Kurdistan region.

Methods

A cross-sectional study was carried out on a convenience sample of 800 Kurdish ever married women. Women (aged 16 to 65 years) attending two public hospitals in Erbil city for reproductive health problems were included in the study. The study was conducted between 1st of October 2009 and 30th of March 2011. Each woman was seen only once. Intimate partner violence was assessed by administering a modified version of the World Health Organization’s domestic violence questionnaire through direct interview by a female doctor. Prevalence of intimate partner violence was assessed by timing (lifetime or past year), frequency (once, 2–5 times, > 5 times), and type (emotional, physical, and sexual violence). Descriptive statistical analysis was conducted with calculation of frequencies and percentages of women who reported different types, severities and impact of intimate partner violence.

Results

The prevalence of the overall lifetime and the overall past year intimate partner violence against women was 58.6% and 45.3%, respectively. The proportions of women experienced at least one form of lifetime intimate partner violence were: 52.6% for emotional abuse; 38.9% for physical violence; and 21.1% for sexual violence, while 43.3%, 15.1%, and 12.1% of women experienced at least one form of past year emotional, physical and sexual violence, respectively. Among those with lifetime physical violence, 11.6% were subjected to more serious injuries like stab wound, broken teeth or broken bones.

Conclusions

There is a high prevalence of intimate partner violence, in particular emotional abuse behavior, against the women attending hospitals in Erbil. Physical violence is also a significant problem particularly in terms of its consequences.
Appendix
Available only for authorised users
Literature
1.
go back to reference Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R: World report on violence and health. 2002, Geneva: WHO Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R: World report on violence and health. 2002, Geneva: WHO
2.
go back to reference Garcia-moreno C, Jansen HA, Ellsberg M, Heise L, Watts C: Prevalence of intimate partner violence: finding from WHO multi-country study on women’s health and domestic violence. Lancet. 2006, 368: 1260-1269. 10.1016/S0140-6736(06)69523-8.CrossRefPubMed Garcia-moreno C, Jansen HA, Ellsberg M, Heise L, Watts C: Prevalence of intimate partner violence: finding from WHO multi-country study on women’s health and domestic violence. Lancet. 2006, 368: 1260-1269. 10.1016/S0140-6736(06)69523-8.CrossRefPubMed
3.
go back to reference Campbell J, Jones AS, Dienemann J, Schollenberger J, O’Campo P, Gielen AC, Wynne C: Intimate partner violence and physical health consequences. Arch Intern Med. 2002, 162: 1157-1163. 10.1001/archinte.162.10.1157.CrossRefPubMed Campbell J, Jones AS, Dienemann J, Schollenberger J, O’Campo P, Gielen AC, Wynne C: Intimate partner violence and physical health consequences. Arch Intern Med. 2002, 162: 1157-1163. 10.1001/archinte.162.10.1157.CrossRefPubMed
5.
go back to reference Ellsberg M: Violence against women and the millennium development goals: facilitating women’s access to support. Int J Gynaecol Obstet. 2006, 94: 325-332. 10.1016/j.ijgo.2006.04.021.CrossRefPubMed Ellsberg M: Violence against women and the millennium development goals: facilitating women’s access to support. Int J Gynaecol Obstet. 2006, 94: 325-332. 10.1016/j.ijgo.2006.04.021.CrossRefPubMed
6.
go back to reference WHO: Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. 2013, Geneva: WHO WHO: Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. 2013, Geneva: WHO
7.
go back to reference Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C, 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 Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C, 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
8.
go back to reference Bott S, Guedes A, Goodwin M, Mendoza J: Violence against women in Latin America and Caribbean: a comparative analysis of population-based data from 12 countries. 2012, Washington: Pan American Health Organization Bott S, Guedes A, Goodwin M, Mendoza J: Violence against women in Latin America and Caribbean: a comparative analysis of population-based data from 12 countries. 2012, Washington: Pan American Health Organization
9.
go back to reference WHO: Multi-country study on women’s health and life experiences questionnaire (version 9). 2000, Geneva: WHO WHO: Multi-country study on women’s health and life experiences questionnaire (version 9). 2000, Geneva: WHO
10.
go back to reference MOH/Iraq, Central Organization for Statistics and Information Technology, MOH/Kurdistan, Kurdistan Regional Statistics Office, WHO/Iraq: Iraq family health survey report 2006/2007. 2008, Iraq: WHO MOH/Iraq, Central Organization for Statistics and Information Technology, MOH/Kurdistan, Kurdistan Regional Statistics Office, WHO/Iraq: Iraq family health survey report 2006/2007. 2008, Iraq: WHO
11.
go back to reference Clark CJ, Bloom DE, Hilli A, Silverman JG: Prevalence estimate of intimate partner violence in Jordan. East Mediterr Health J. 2009, 15 (4): 880-889.PubMed Clark CJ, Bloom DE, Hilli A, Silverman JG: Prevalence estimate of intimate partner violence in Jordan. East Mediterr Health J. 2009, 15 (4): 880-889.PubMed
12.
go back to reference Tashkandi AA, Rasheed P: Wife abuse: a hidden problem. A study among Saudi women attending PHC centers. East Mediterr Health J. 2009, 15 (5): 1242-1253.PubMed Tashkandi AA, Rasheed P: Wife abuse: a hidden problem. A study among Saudi women attending PHC centers. East Mediterr Health J. 2009, 15 (5): 1242-1253.PubMed
13.
go back to reference WHO: Putting women first guidelines on ethics and safety for violence research. 1999, Geneva: WHO WHO: Putting women first guidelines on ethics and safety for violence research. 1999, Geneva: WHO
14.
go back to reference Abdul Jabbar MA: The prevalence of violence among a group of married women attending two teaching hospitals in Baghdad. 2006, Iraq: Iraqi Council for Medical Specializations Thesis. Iraqi Council for Medical Specializations Abdul Jabbar MA: The prevalence of violence among a group of married women attending two teaching hospitals in Baghdad. 2006, Iraq: Iraqi Council for Medical Specializations Thesis. Iraqi Council for Medical Specializations
15.
16.
go back to reference Babu BV, Kar SK: Domestic violence against women in eastern India: a population-based study on prevalence and related issues. BMC Public Health. 2009, 9: 129-10.1186/1471-2458-9-129.CrossRefPubMedPubMedCentral Babu BV, Kar SK: Domestic violence against women in eastern India: a population-based study on prevalence and related issues. BMC Public Health. 2009, 9: 129-10.1186/1471-2458-9-129.CrossRefPubMedPubMedCentral
17.
go back to reference Mohammadhosseini E, Sahraean L, Bubrami T: Domestic abuse before, during and after pregnancy in Jahrom, Islamic Republic of Iran. East Mediterr Health J. 2010, 16 (7): 752-758.PubMed Mohammadhosseini E, Sahraean L, Bubrami T: Domestic abuse before, during and after pregnancy in Jahrom, Islamic Republic of Iran. East Mediterr Health J. 2010, 16 (7): 752-758.PubMed
18.
go back to reference Yoshihama M, Horocks J, Kamano S: Experiences of intimate partner violence and related injuries among women in Yokohama, Japan. Am J Public Health. 2007, 97 (2): 232-240. 10.2105/AJPH.2005.078113.CrossRefPubMedPubMedCentral Yoshihama M, Horocks J, Kamano S: Experiences of intimate partner violence and related injuries among women in Yokohama, Japan. Am J Public Health. 2007, 97 (2): 232-240. 10.2105/AJPH.2005.078113.CrossRefPubMedPubMedCentral
19.
go back to reference Neroien AI, Scheis B: Partner violence and health: results from the first national study on violence against women in Norway. Scand J Public Health. 2008, 36 (2): 161-168. 10.1177/1403494807085188.CrossRefPubMed Neroien AI, Scheis B: Partner violence and health: results from the first national study on violence against women in Norway. Scand J Public Health. 2008, 36 (2): 161-168. 10.1177/1403494807085188.CrossRefPubMed
20.
go back to reference Xu X, Zhu F, O’Campo P, Koinig MA, Mock V, Campbell J: Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005, 95 (1): 78-85. 10.2105/AJPH.2003.023978.CrossRefPubMedPubMedCentral Xu X, Zhu F, O’Campo P, Koinig MA, Mock V, Campbell J: Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005, 95 (1): 78-85. 10.2105/AJPH.2003.023978.CrossRefPubMedPubMedCentral
21.
go back to reference Mousavi SM, Eshagian A: Wife abuse in Esfahan, Islamic republic of Iran, 2002. East Mediterr Health J. 2005, 1 (5/6): 860-869. Mousavi SM, Eshagian A: Wife abuse in Esfahan, Islamic republic of Iran, 2002. East Mediterr Health J. 2005, 1 (5/6): 860-869.
22.
go back to reference Bradley F, Smith M, Long J, O’Dowd T: Reported frequency of domestic violence: cross sectional survey of women attending general practice. BMJ. 2002, 324: 1-6.CrossRef Bradley F, Smith M, Long J, O’Dowd T: Reported frequency of domestic violence: cross sectional survey of women attending general practice. BMJ. 2002, 324: 1-6.CrossRef
23.
go back to reference Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C: WHO multicountry study on women’s health and domestic violence against women: initial results on prevalence, health outcomes, and women’s responses. 2005, Geneva: WHO Garcia-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts C: WHO multicountry study on women’s health and domestic violence against women: initial results on prevalence, health outcomes, and women’s responses. 2005, Geneva: WHO
24.
go back to reference Saltzman LE, Fanslow JL, McMahon PM, Shelley GA: Intimate partner violence surveillance: uniform definitions and recommended data elements. 1999, Atlanta, Georgia: National Center for Injury Prevention and Control Saltzman LE, Fanslow JL, McMahon PM, Shelley GA: Intimate partner violence surveillance: uniform definitions and recommended data elements. 1999, Atlanta, Georgia: National Center for Injury Prevention and Control
25.
go back to reference Kareem H: Domestic violence a fieldwork in the city of Erbil. 2008, Erbil, Iraq: Ministry of Culture press Kareem H: Domestic violence a fieldwork in the city of Erbil. 2008, Erbil, Iraq: Ministry of Culture press
26.
go back to reference Ahmed AM, Elmardi AE: A study of domestic violence among women attending a medical center in Sudan. East Mediterr Health J. 2005, 11 (1/6): 164-174.PubMed Ahmed AM, Elmardi AE: A study of domestic violence among women attending a medical center in Sudan. East Mediterr Health J. 2005, 11 (1/6): 164-174.PubMed
27.
go back to reference Directorate to Trace Violence Against Women: Women’s Social condition in Kurdistan region: annual rapport. 2009, Erbil: Kurdistan Regional Government Directorate to Trace Violence Against Women: Women’s Social condition in Kurdistan region: annual rapport. 2009, Erbil: Kurdistan Regional Government
28.
go back to reference Ali TS, Bustamante-Gavino I: Prevalence of and reasons for domestic violence among women from low socioeconomic communities of Karachi. East Mediterr Health J. 2007, 13 (6): 1417-1426.PubMed Ali TS, Bustamante-Gavino I: Prevalence of and reasons for domestic violence among women from low socioeconomic communities of Karachi. East Mediterr Health J. 2007, 13 (6): 1417-1426.PubMed
29.
go back to reference Ellsberg M, Heise L: Researching violence against women: A practical guide for researchers and activities. 2005, WHO, PATH: Washington, DC, United States Ellsberg M, Heise L: Researching violence against women: A practical guide for researchers and activities. 2005, WHO, PATH: Washington, DC, United States
30.
go back to reference Ghazizadeh A: Domestic violence: a cross-sectional study in an Iranian city. East Mediterr Health J. 2005, 11 (5/6): 880-887.PubMed Ghazizadeh A: Domestic violence: a cross-sectional study in an Iranian city. East Mediterr Health J. 2005, 11 (5/6): 880-887.PubMed
31.
go back to reference El-Zanaty F, Hussein EM, Shawky GA, Way AA, Kishor S: Egypt demographic and health survey 1995. 1996, Macro-International: Calverton, Maryland El-Zanaty F, Hussein EM, Shawky GA, Way AA, Kishor S: Egypt demographic and health survey 1995. 1996, Macro-International: Calverton, Maryland
32.
go back to reference Bates LM, Schuler SR, Islam F, Islam MK: Socioeconomic factors and processes associated with domestic violence in rural Bangladesh. Int Fam Plan Perspect. 2004, 30 (4): 190-199. 10.1363/3019004.CrossRefPubMed Bates LM, Schuler SR, Islam F, Islam MK: Socioeconomic factors and processes associated with domestic violence in rural Bangladesh. Int Fam Plan Perspect. 2004, 30 (4): 190-199. 10.1363/3019004.CrossRefPubMed
33.
go back to reference Faramarzi M, Esmailzadeh S, Mosavi S: Prevalence and determinants of intimate partner violence in Babol city, Islamic Republic of Iran. East Mediter Health J. 2005, 11 (5/6): 870-879. Faramarzi M, Esmailzadeh S, Mosavi S: Prevalence and determinants of intimate partner violence in Babol city, Islamic Republic of Iran. East Mediter Health J. 2005, 11 (5/6): 870-879.
34.
go back to reference Maziak W, Asfar T: Physical abuse in low income women in Aleppo, Syria. Health Care Women Int. 2003, 24 (4): 313-326.CrossRefPubMed Maziak W, Asfar T: Physical abuse in low income women in Aleppo, Syria. Health Care Women Int. 2003, 24 (4): 313-326.CrossRefPubMed
36.
go back to reference Akmatov MK, Mikolajczyk RT, Labeb S, Dhaher E, Kkann MM: Factors associated with wife beating in Egypt: analysis of two surveys (1995 and 2005). BMC Womens Health. 2008, 8: 15-10.1186/1472-6874-8-15.CrossRefPubMedPubMedCentral Akmatov MK, Mikolajczyk RT, Labeb S, Dhaher E, Kkann MM: Factors associated with wife beating in Egypt: analysis of two surveys (1995 and 2005). BMC Womens Health. 2008, 8: 15-10.1186/1472-6874-8-15.CrossRefPubMedPubMedCentral
37.
go back to reference Tjaden P, Thoennes N: Full report of the prevalence, incidence, and consequences of violence against women. Finding from the national violence against women survey. 2000, Washigton: Department of Justice, National Institute of Justice and CDC Tjaden P, Thoennes N: Full report of the prevalence, incidence, and consequences of violence against women. Finding from the national violence against women survey. 2000, Washigton: Department of Justice, National Institute of Justice and CDC
38.
go back to reference Kyriacou DN, Anglin D, Taliaferro E, Stone S, Tabba T, Linden JA, Muelleman R, Barton E, Kraus JF: Risk factors for injury to women from domestic violence against women. N Engl J Med. 1999, 341 (25): 1892-1898. 10.1056/NEJM199912163412505.CrossRefPubMed Kyriacou DN, Anglin D, Taliaferro E, Stone S, Tabba T, Linden JA, Muelleman R, Barton E, Kraus JF: Risk factors for injury to women from domestic violence against women. N Engl J Med. 1999, 341 (25): 1892-1898. 10.1056/NEJM199912163412505.CrossRefPubMed
39.
go back to reference Walby S, Allen J: Domestic violence, sexual assault and stalking: findings from the British crime survey. 2004, London: Home Office Walby S, Allen J: Domestic violence, sexual assault and stalking: findings from the British crime survey. 2004, London: Home Office
40.
go back to reference Ellsberg M, Caldera T, Herrera A, Winkvist A, Kullgren G: Domestic violence and emotional distress among Nicaraguan women: results from population-based study. Am Psychol. 1999, 54: 30-36.CrossRef Ellsberg M, Caldera T, Herrera A, Winkvist A, Kullgren G: Domestic violence and emotional distress among Nicaraguan women: results from population-based study. Am Psychol. 1999, 54: 30-36.CrossRef
41.
go back to reference Pico-Alfonso MA, Garcia-Linares MI, Celda-Navarro N, Blasco-Ros C, Echemburua E, Martinez M: The impact of physical, psychological, and sexual intimate partner violence on women’s mental health: depressive symptoms, post traumatic stress disorder, state anxiety, and suicide. J Womens Health. 2006, 15 (5): 599-611. 10.1089/jwh.2006.15.599.CrossRef Pico-Alfonso MA, Garcia-Linares MI, Celda-Navarro N, Blasco-Ros C, Echemburua E, Martinez M: The impact of physical, psychological, and sexual intimate partner violence on women’s mental health: depressive symptoms, post traumatic stress disorder, state anxiety, and suicide. J Womens Health. 2006, 15 (5): 599-611. 10.1089/jwh.2006.15.599.CrossRef
42.
go back to reference Wright RJ, Wright RO, Issac NE: Response to battered mothers in the pediatric emergency department: a call for an interdisciplinary approach to family violence. Pediatrics. 1997, 99 (2): 186-192. 10.1542/peds.99.2.186.CrossRefPubMed Wright RJ, Wright RO, Issac NE: Response to battered mothers in the pediatric emergency department: a call for an interdisciplinary approach to family violence. Pediatrics. 1997, 99 (2): 186-192. 10.1542/peds.99.2.186.CrossRefPubMed
43.
go back to reference Carlson BE: Children exposed to intimate partner violence: research findings and implications for intervention. Trauma Violence Abuse. 2000, 1 (4): 321-340. 10.1177/1524838000001004002.CrossRef Carlson BE: Children exposed to intimate partner violence: research findings and implications for intervention. Trauma Violence Abuse. 2000, 1 (4): 321-340. 10.1177/1524838000001004002.CrossRef
44.
go back to reference Thacheray JD, Hibbard R, Dowd MD, Committee on Child Abuse and Neglect, Committee on injury, violence, and Poison Prevention: Intimate partner violence: the role of the pediatrician. Pediatrics. 2010, 125 (5): 1094-1100. 10.1542/peds.2010-0451.CrossRef Thacheray JD, Hibbard R, Dowd MD, Committee on Child Abuse and Neglect, Committee on injury, violence, and Poison Prevention: Intimate partner violence: the role of the pediatrician. Pediatrics. 2010, 125 (5): 1094-1100. 10.1542/peds.2010-0451.CrossRef
45.
go back to reference Brookoff D, O’Brien KK, Cook CS, Thampson TS, Williams C: Characteristics of participants in domestic violence: assessment of the scene of domestic assault. JAMA. 1997, 277 (17): 1369-1373. 10.1001/jama.1997.03540410047029.CrossRefPubMed Brookoff D, O’Brien KK, Cook CS, Thampson TS, Williams C: Characteristics of participants in domestic violence: assessment of the scene of domestic assault. JAMA. 1997, 277 (17): 1369-1373. 10.1001/jama.1997.03540410047029.CrossRefPubMed
46.
go back to reference Edleson JL: The overlap between child maltreatment and woman battering. Violence Against Women. 1999, 5 (2): 134-135. 10.1177/107780129952003.CrossRef Edleson JL: The overlap between child maltreatment and woman battering. Violence Against Women. 1999, 5 (2): 134-135. 10.1177/107780129952003.CrossRef
Metadata
Title
Intimate partner violence against women in the Erbil city of the Kurdistan region, Iraq
Authors
Hazha H Al-Atrushi
Namir G Al-Tawil
Nazar P Shabila
Tariq S Al-Hadithi
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2013
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/1472-6874-13-37

Other articles of this Issue 1/2013

BMC Women's Health 1/2013 Go to the issue