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Open Access 01-12-2019 | Research article

Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Authors: Claire Hawcroft, Rachael Hughes, Amira Shaheen, Jinan Usta, Hannah Elkadi, Tom Dalton, Khadijah Ginwalla, Gene Feder

Published in: BMC Public Health | Issue 1/2019

Abstract

Background

An estimated 30% of women worldwide experience intimate partner violence (IPV) during their lifetime. Exposure to IPV is associated with poor health outcomes and the prevalence of violence may be higher amongst women seeking healthcare. Existing evidence from the Arab region is limited. We conducted a systematic review and meta-analysis of prevalence and health outcomes of domestic violence (IPV or violence from a family member) in clinical populations in Arab countries.

Methods

Using terms related to domestic violence, Arab countries, and date limit > year 2000, we searched seven databases: Medline, EMBASE, PsycINFO, CINAHL, Web of Science: core collection, IBSS, Westlaw, IMEMR. We included observational studies reporting estimates of prevalence or health outcomes of domestic violence amongst women aged > 15 years, recruited while accessing healthcare in Arab countries. Studies that collected data on/after 1st January 2000 and were published in English, Arabic or French were included. Title/abstract screening, full text screening, quality assessment and data extraction were carried out. Extracted data were summarised and meta-analysis was performed where appropriate.

Results

6341 papers were screened and 41 papers (29 studies) met inclusion criteria. Total 19,101 participants from 10 countries were represented in the data. Meta-analysis produced pooled prevalence estimates of lifetime exposure to any type of IPV of 73·3% (95% CI 64·1–81·6), physical IPV 35·6% (95% CI 24·4–47·5), sexual IPV 22% (95% CI 13·3–32) and emotional/psychological IPV 49·8% (95% CI 37·3–62·3). Domestic violence (IPV or family violence) exposure was associated with increased odds of adverse health outcomes: depression OR 3·3 (95% CI 1·7–6·4), sleep problems OR 3·2 (95% CI 1·5–6·8), abortion OR 3·5 (95% CI 1·2–10·2), pain OR 2·6 (95% CI 1·6–4·1) and hypertension OR 1·6 (95% CI 1·2–2·0).

Conclusions

Domestic violence is common amongst women seeking healthcare in Arab countries. Exposure to domestic violence is associated with several poor health outcomes. Further research into domestic violence in the Arab world is required.

Trial registration

Systematic review protocol was registered on PROSPERO: CRD42017071415.

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Title: Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis
Authors: Claire Hawcroft
Rachael Hughes
Amira Shaheen
Jinan Usta
Hannah Elkadi
Tom Dalton
Khadijah Ginwalla
Gene Feder
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-019-6619-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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