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Published in: BMC International Health and Human Rights 1/2016

Open Access 01-12-2016 | Research article

Intimate partner violence as seen in post-conflict eastern Uganda: prevalence, risk factors and mental health consequences

Authors: Eugene Kinyanda, Helen A Weiss, Margaret Mungherera, Patrick Onyango-Mangen, Emmanuel Ngabirano, Rehema Kajungu, Johnson Kagugube, Wilson Muhwezi, Julius Muron, Vikram Patel

Published in: BMC International Health and Human Rights | Issue 1/2016

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Abstract

Background

Conflict and post-conflict communities in sub-Saharan Africa have a high under recognised problem of intimate partner violence (IPV). Part of the reason for this has been the limited data on IPV from conflict affected sub-Saharan Africa. This paper reports on the prevalence, risk factors and mental health consequences of IPV victimisation in both gender as seen in post-conflict eastern Uganda.

Methods

A cross-sectional survey was carried out in two districts of eastern Uganda. The primary outcome of IPV victimisation was assessed using a modified Intimate Partner Violence assessment questionnaire of the American Congress of Obstetricians and Gynaecologists.

Results

The prevalence of any form of IPV victimisation (physical and/or sexual and/or psychological IPV) in this study was 43.7 % [95 % CI, 40.1–47.4 %], with no statistically significant difference between the two gender. The factors significantly associated with IPV victimisation were: sub-county (representing ecological factors), poverty, use of alcohol, and physical and sexual war torture experiences. The mental health problems associated with IPV victimisation were probable problem alcohol drinking, attempted suicide and probable major depressive disorder.

Conclusion

In post-conflict eastern Uganda, in both gender, war torture was a risk factor for IPV victimisation and IPV victimisation was associated with mental health problems.
Literature
2.
go back to reference Stark L, Ager A. A systematic review of prevalence studies of gender-based violence in complex emergencies. Trauma Violence Abuse. 2011;12(3):127–34.CrossRefPubMed Stark L, Ager A. A systematic review of prevalence studies of gender-based violence in complex emergencies. Trauma Violence Abuse. 2011;12(3):127–34.CrossRefPubMed
4.
go back to reference Hossain M, Zimmerman C, Kiss L, Kone D, Bakayoko-Topolska M, Manan KAD, et al. Men's and women's experiences of violence and traumatic events in rural Cote d'Ivoire before, during and after a period of armed conflict. BMJ Open. 2014;4(2):e003644.CrossRefPubMedPubMedCentral Hossain M, Zimmerman C, Kiss L, Kone D, Bakayoko-Topolska M, Manan KAD, et al. Men's and women's experiences of violence and traumatic events in rural Cote d'Ivoire before, during and after a period of armed conflict. BMJ Open. 2014;4(2):e003644.CrossRefPubMedPubMedCentral
6.
go back to reference Kinyanda E, Otim TC, Were-Oguttu J. War trauma experiences and mental health consequences. In: Ojiambo-Ochieng R, Nwoha HK, Were-Oguttu J, Kireju BB, Nabukeera-Musoke H, editors. Touching the unreached: A medical intervention in Liberia. Kampala, Uganda: Isis-WICCE; 2009. p. 75–88. Kinyanda E, Otim TC, Were-Oguttu J. War trauma experiences and mental health consequences. In: Ojiambo-Ochieng R, Nwoha HK, Were-Oguttu J, Kireju BB, Nabukeera-Musoke H, editors. Touching the unreached: A medical intervention in Liberia. Kampala, Uganda: Isis-WICCE; 2009. p. 75–88.
8.
go back to reference Johnson K, Scott J, Rughita B, Kisielewski M, Asher J, Ong R, et al. Association of sexual violence and human rights violations with physical and mental health in territories of the Eastern Democratic Republic of the Congo. JAMA. 2010;304(5):553–62.CrossRefPubMed Johnson K, Scott J, Rughita B, Kisielewski M, Asher J, Ong R, et al. Association of sexual violence and human rights violations with physical and mental health in territories of the Eastern Democratic Republic of the Congo. JAMA. 2010;304(5):553–62.CrossRefPubMed
9.
go back to reference Usta J, Farver JA, Zein L. Women, war, and violence: surviving the experience. J Women’s Health. 2008;17(5):793–804.CrossRef Usta J, Farver JA, Zein L. Women, war, and violence: surviving the experience. J Women’s Health. 2008;17(5):793–804.CrossRef
10.
go back to reference Gupta J, Falb KL, Carliner H, Hossain M, Kpebo D, Annan J. Associations between exposure to intimate partner violence, armed conflict, and probable PTSD among women in rural Côte d'Ivoire. PLoS One. 2014;9(5):e96300.CrossRefPubMedPubMedCentral Gupta J, Falb KL, Carliner H, Hossain M, Kpebo D, Annan J. Associations between exposure to intimate partner violence, armed conflict, and probable PTSD among women in rural Côte d'Ivoire. PLoS One. 2014;9(5):e96300.CrossRefPubMedPubMedCentral
11.
go back to reference Kinyanda E, Musisi S, Biryabarema C, Ezati I, Oboke H, Ojiambo-Ochieng R, et al. War related sexual violence and it's medical and psychological consequences as seen in Kitgum, Northern Uganda: A cross-sectional study. BMC Int Health Hum Rights. 2010;10:28.CrossRefPubMedPubMedCentral Kinyanda E, Musisi S, Biryabarema C, Ezati I, Oboke H, Ojiambo-Ochieng R, et al. War related sexual violence and it's medical and psychological consequences as seen in Kitgum, Northern Uganda: A cross-sectional study. BMC Int Health Hum Rights. 2010;10:28.CrossRefPubMedPubMedCentral
13.
go back to reference Isis-WICCE: Medical Interventional study of war affected Teso region, Uganda. Edited by Musisi S, Kinyanda E, Ojiambo-Ochieng R. Kampala, Uganda: Isis-WICCE; 2002. Isis-WICCE: Medical Interventional study of war affected Teso region, Uganda. Edited by Musisi S, Kinyanda E, Ojiambo-Ochieng R. Kampala, Uganda: Isis-WICCE; 2002.
14.
go back to reference TPO, Uganda. Sexual and gender-based violence. In: Muron J, Mungherera M, Kinyanda E, editors. Psychological effects of war: A factor to high risk sexual behaviour, Research report. Kampala, Uganda: TPO, Uganda; 2010. p. 30–4. TPO, Uganda. Sexual and gender-based violence. In: Muron J, Mungherera M, Kinyanda E, editors. Psychological effects of war: A factor to high risk sexual behaviour, Research report. Kampala, Uganda: TPO, Uganda; 2010. p. 30–4.
15.
go back to reference Kinyanda E, Weiss HA, Mungherera M, Onyango-Mangen P, Ngabirano E, Kajungu R, et al. Psychiatric disorders and psychosocial correlates of high HIV risk sexual behaviour in war-affected Eastern Uganda. AIDS Care. 2012;24(11):1323–32.CrossRefPubMedPubMedCentral Kinyanda E, Weiss HA, Mungherera M, Onyango-Mangen P, Ngabirano E, Kajungu R, et al. Psychiatric disorders and psychosocial correlates of high HIV risk sexual behaviour in war-affected Eastern Uganda. AIDS Care. 2012;24(11):1323–32.CrossRefPubMedPubMedCentral
16.
go back to reference Kinyanda E, Weiss HA, Mungherera M, Onyango-Mangen P, Ngabirano E, Kajungu R, et al. Prevalence and risk factors of attempted suicide in adult war- affected population of eastern Uganda. Crisis. 2013;22:1–10. Kinyanda E, Weiss HA, Mungherera M, Onyango-Mangen P, Ngabirano E, Kajungu R, et al. Prevalence and risk factors of attempted suicide in adult war- affected population of eastern Uganda. Crisis. 2013;22:1–10.
18.
go back to reference Musisi S, Kinyanda E, Leibling H, Mayengo K. Posttraumatic torture disorders in Uganda- A three year retrospective study of patient records as seen at a specialized torture treatment center in Kampala. Uganda Torture. 2000;10(3):81–7. Musisi S, Kinyanda E, Leibling H, Mayengo K. Posttraumatic torture disorders in Uganda- A three year retrospective study of patient records as seen at a specialized torture treatment center in Kampala. Uganda Torture. 2000;10(3):81–7.
19.
go back to reference Cochran WG. Sampling techniques. New York, USA: John Wiley and Sons; 1963. Cochran WG. Sampling techniques. New York, USA: John Wiley and Sons; 1963.
23.
go back to reference Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins symptom checklist (HSCL): a self report symptom inventory. Behav Sci. 1974;19(1):1–15.CrossRefPubMed Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L. The Hopkins symptom checklist (HSCL): a self report symptom inventory. Behav Sci. 1974;19(1):1–15.CrossRefPubMed
24.
go back to reference Kinyanda E, Woodburn P, Tugumisirize J, Kagugube J, Ndyanabangi S, Patel V. Poverty, life events and the risk for depression in Uganda. Soc Psychiatry Psychiatr Epidemiol. 2011;46(1):35–44.CrossRefPubMed Kinyanda E, Woodburn P, Tugumisirize J, Kagugube J, Ndyanabangi S, Patel V. Poverty, life events and the risk for depression in Uganda. Soc Psychiatry Psychiatr Epidemiol. 2011;46(1):35–44.CrossRefPubMed
26.
go back to reference Kebede D, Alem A. The epidemiology of alcohol dependence and problem drinking in Addis Ababa, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:30–4.CrossRefPubMed Kebede D, Alem A. The epidemiology of alcohol dependence and problem drinking in Addis Ababa, Ethiopia. Acta Psychiatr Scand Suppl. 1999;397:30–4.CrossRefPubMed
27.
go back to reference Parry CD, Plüddemann A, Steyn K, Bradshaw D, Norman R, Laubscher R. Alcohol use in South Africa: findings from the first Demographic and Health Survey (1998). J Stud Alcohol. 2005;66(1):91–7.CrossRefPubMed Parry CD, Plüddemann A, Steyn K, Bradshaw D, Norman R, Laubscher R. Alcohol use in South Africa: findings from the first Demographic and Health Survey (1998). J Stud Alcohol. 2005;66(1):91–7.CrossRefPubMed
28.
go back to reference Tlapek SM: Women's status and intimate partner violence in the Democratic Republic of Congo. J Interpers Violence 2014, pii: 0886260514553118. Tlapek SM: Women's status and intimate partner violence in the Democratic Republic of Congo. J Interpers Violence 2014, pii: 0886260514553118.
29.
go back to reference Gass JD, Stein DJ, Williams DR, Seedat S. Gender differences in risk for intimate partner violence among South African adults. J Interpers Violence. 2011;26(14):2764–89.CrossRefPubMed Gass JD, Stein DJ, Williams DR, Seedat S. Gender differences in risk for intimate partner violence among South African adults. J Interpers Violence. 2011;26(14):2764–89.CrossRefPubMed
30.
go back to reference Andersson N, Ho-Foster A, Mitchell S, Scheepers E, Goldstein S. Risk factors for domestic physical violence: national cross-sectional household surveys in eight southern African countries. BMC Womens Health. 2007;7:11.CrossRefPubMedPubMedCentral Andersson N, Ho-Foster A, Mitchell S, Scheepers E, Goldstein S. Risk factors for domestic physical violence: national cross-sectional household surveys in eight southern African countries. BMC Womens Health. 2007;7:11.CrossRefPubMedPubMedCentral
31.
32.
go back to reference Shamu S, Abrahams N, Temmerman M, Musekiwa A, Zarowsky C. A systematic review of African studies on intimate partner violence against pregnant women: prevalence and risk factors. PLoS One. 2011;6(3):e17591.CrossRefPubMedPubMedCentral Shamu S, Abrahams N, Temmerman M, Musekiwa A, Zarowsky C. A systematic review of African studies on intimate partner violence against pregnant women: prevalence and risk factors. PLoS One. 2011;6(3):e17591.CrossRefPubMedPubMedCentral
33.
go back to reference Thaler K: Norms about intimate partner violence among urban South Africans: A quantitative and qualitative vignette analysis MICROCON Research Working Paper 59, Brighton: MICROCON. Thaler K: Norms about intimate partner violence among urban South Africans: A quantitative and qualitative vignette analysis MICROCON Research Working Paper 59, Brighton: MICROCON.
34.
go back to reference Krause ED, Kaltman S, Goodman L, Dutton MA. Role of distinct PTSD symptoms in intimate partner reabuse: a prospective study. J Trauma Stress. 2006;19(4):507–16.CrossRefPubMed Krause ED, Kaltman S, Goodman L, Dutton MA. Role of distinct PTSD symptoms in intimate partner reabuse: a prospective study. J Trauma Stress. 2006;19(4):507–16.CrossRefPubMed
35.
go back to reference Coker AL, Davis KE, Arias I, Desai S, Sanderson M, Brandt HM, et al. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 2002;23(4):260–8.CrossRefPubMed Coker AL, Davis KE, Arias I, Desai S, Sanderson M, Brandt HM, et al. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 2002;23(4):260–8.CrossRefPubMed
36.
go back to reference Bonomi AE, Thompson RS, Anderson M, Reid RJ, Carrell D, Dimer JA, et al. Intimate partner violence and women's physical, mental, and social functioning. Am J Prev Med. 2006;30(6):458–66.CrossRefPubMed Bonomi AE, Thompson RS, Anderson M, Reid RJ, Carrell D, Dimer JA, et al. Intimate partner violence and women's physical, mental, and social functioning. Am J Prev Med. 2006;30(6):458–66.CrossRefPubMed
37.
Metadata
Title
Intimate partner violence as seen in post-conflict eastern Uganda: prevalence, risk factors and mental health consequences
Authors
Eugene Kinyanda
Helen A Weiss
Margaret Mungherera
Patrick Onyango-Mangen
Emmanuel Ngabirano
Rehema Kajungu
Johnson Kagugube
Wilson Muhwezi
Julius Muron
Vikram Patel
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC International Health and Human Rights / Issue 1/2016
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/s12914-016-0079-x

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