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  • Published: 20 June 2023

A qualitative quantitative mixed methods study of domestic violence against women

  • Mina Shayestefar 1 ,
  • Mohadese Saffari 1 ,
  • Razieh Gholamhosseinzadeh 2 ,
  • Monir Nobahar 3 , 4 ,
  • Majid Mirmohammadkhani 4 ,
  • Seyed Hossein Shahcheragh 5 &
  • Zahra Khosravi 6  

BMC Women's Health volume  23 , Article number:  322 ( 2023 ) Cite this article

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Violence against women is one of the most widespread, persistent and detrimental violations of human rights in today’s world, which has not been reported in most cases due to impunity, silence, stigma and shame, even in the age of social communication. Domestic violence against women harms individuals, families, and society. The objective of this study was to investigate the prevalence and experiences of domestic violence against women in Semnan.

This study was conducted as mixed research (cross-sectional descriptive and phenomenological qualitative methods) to investigate domestic violence against women, and some related factors (quantitative) and experiences of such violence (qualitative) simultaneously in Semnan. In quantitative study, cluster sampling was conducted based on the areas covered by health centers from married women living in Semnan since March 2021 to March 2022 using Domestic Violence Questionnaire. Then, the obtained data were analyzed by descriptive and inferential statistics. In qualitative study by phenomenological approach and purposive sampling until data saturation, 9 women were selected who had referred to the counseling units of Semnan health centers due to domestic violence, since March 2021 to March 2022 and in-depth and semi-structured interviews were conducted. The conducted interviews were analyzed using Colaizzi’s 7-step method.

In qualitative study, seven themes were found including “Facilitators”, “Role failure”, “Repressors”, “Efforts to preserve the family”, “Inappropriate solving of family conflicts”, “Consequences”, and “Inefficient supportive systems”. In quantitative study, the variables of age, age difference and number of years of marriage had a positive and significant relationship, and the variable of the number of children had a negative and significant relationship with the total score and all fields of the questionnaire (p < 0.05). Also, increasing the level of female education and income both independently showed a significant relationship with increasing the score of violence.

Conclusions

Some of the variables of violence against women are known and the need for prevention and plans to take action before their occurrence is well felt. Also, supportive mechanisms with objective and taboo-breaking results should be implemented to minimize harm to women, and their children and families seriously.

Peer Review reports

Violence against women by husbands (physical, sexual and psychological violence) is one of the basic problems of public health and violation of women’s human rights. It is estimated that 35% of women and almost one out of every three women aged 15–49 experience physical or sexual violence by their spouse or non-spouse sexual violence in their lifetime [ 1 ]. This is a nationwide public health issue, and nearly every healthcare worker will encounter a patient who has suffered from some type of domestic or family violence. Unfortunately, different forms of family violence are often interconnected. The “cycle of abuse” frequently persists from children who witness it to their adult relationships, and ultimately to the care of the elderly [ 2 ]. This violence includes a range of physical, sexual and psychological actions, control, threats, aggression, abuse, and rape [ 3 ].

Violence against women is one of the most widespread, persistent, and detrimental violations of human rights in today’s world, which has not been reported in most cases due to impunity, silence, stigma and shame, even in the age of social communication [ 3 ]. In the United States of America, more than one in three women (35.6%) experience rape, physical violence, and intimate partner violence (IPV) during their lifetime. Compared to men, women are nearly twice as likely (13.8% vs. 24.3%) to experience severe physical violence such as choking, burns, and threats with knives or guns [ 4 ]. The higher prevalence of violence against women can be due to the situational deprivation of women in patriarchal societies [ 5 ]. The prevalence of domestic violence in Iran reported 22.9%. The maximum of prevalence estimated in Tehran and Zahedan, respectively [ 6 ]. Currently, Iran has high levels of violence against women, and the provinces with the highest rates of unemployment and poverty also have the highest levels of violence against women [ 7 ].

Domestic violence against women harms individuals, families, and society [ 8 ]. Violence against women leads to physical, sexual, psychological harm or suffering, including threats, coercion and arbitrary deprivation of their freedom in public and private life. Also, such violence is associated with harmful effects on women’s sexual reproductive health, including sexually transmitted infection such as Human Immunodeficiency Virus (HIV), abortion, unsafe childbirth, and risky sexual behaviors [ 9 ]. There are high levels of psychological, sexual and physical domestic abuse among pregnant women [ 10 ]. Also, women with postpartum depression are significantly more likely to experience domestic violence during pregnancy [ 11 ].

Prompt attention to women’s health and rights at all levels is necessary, which reduces this problem and its risk factors [ 12 ]. Because women prefer to remain silent about domestic violence and there is a need to introduce immediate prevention programs to end domestic violence [ 13 ]. violence against women, which is an important public health problem, and concerns about human rights require careful study and the application of appropriate policies [ 14 ]. Also, the efforts to change the circumstances in which women face domestic violence remain significantly insufficient [ 15 ]. Given that few clear studies on violence against women and at the same time interviews with these people regarding their life experiences are available, the authors attempted to planning this research aims to investigate the prevalence and experiences of domestic violence against women in Semnan with the research question of “What is the prevalence of domestic violence against women in Semnan, and what are their experiences of such violence?”, so that their results can be used in part of the future planning in the health system of the society.

This study is a combination of cross-sectional and phenomenology studies in order to investigate the amount of domestic violence against women and some related factors (quantitative) and their experience of this violence (qualitative) simultaneously in the Semnan city. This study has been approved by the ethics committee of Semnan University of Medical Sciences with ethic code of IR.SEMUMS.REC.1397.182. The researcher introduced herself to the research participants, explained the purpose of the study, and then obtained informed written consent. It was assured to the research units that the collected information will be anonymous and kept confidential. The participants were informed that participation in the study was entirely voluntary, so they can withdraw from the study at any time with confidence. The participants were notified that more than one interview session may be necessary. To increase the trustworthiness of the study, Guba and Lincoln’s criteria for rigor, including credibility, transferability, dependability, and confirmability [ 16 ], were applied throughout the research process. The COREQ checklist was used to assess the present study quality. The researchers used observational notes for reflexivity and it preserved in all phases of this qualitative research process.

Qualitative method

Based on the phenomenological approach and with the purposeful sampling method, nine women who had referred to the counseling units of healthcare centers in Semnan city due to domestic violence in February 2021 to March 2022 were participated in the present study. The inclusion criteria for the study included marriage, a history of visiting a health center consultant due to domestic violence, and consent to participate in the study and unwillingness to participate in the study was the exclusion criteria. Each participant invited to the study by a telephone conversation about study aims and researcher information. The interviews place selected through agreement of the participant and the researcher and a place with the least environmental disturbance. Before starting each interview, the informed consent and all of the ethical considerations, including the purpose of the research, voluntary participation, confidentiality of the information were completely explained and they were asked to sign the written consent form. The participants were interviewed by depth, semi-structured and face-to-face interviews based on the main research question. Interviews were conducted by a female health services researcher with a background in nursing (M.Sh.). Data collection was continued until the data saturation and no new data appeared. Only the participants and the researcher were present during the interviews. All interviews were recorded by a MP3 Player by permission of the participants before starting. Interviews were not repeated. No additional field notes were taken during or after the interview.

The age range of the participants was from 38 to 55 years and their average age was 40 years. The sociodemographic characteristics of the participants are summarized in table below (Table  1 ).

Five interviews in the courtyards of healthcare centers, 2 interviews in the park, and 2 interviews at the participants’ homes were conducted. The duration of the interviews varied from 45 min to one hour. The main research question was “What is your experience about domestic violence?“. According to the research progress some other questions were asked in line with the main question of the research.

The conducted interviews were analyzed by using the 7 steps Colizzi’s method [ 17 ]. In order to empathize with the participants, each interview was read several times and transcribed. Then two researchers (M.Sh. and M.N.) extracted the phrases that were directly related to the phenomenon of domestic violence against women independently and distinguished from other sentences by underlining them. Then these codes were organized into thematic clusters and the formulated concepts were sorted into specific thematic categories.

In the final stage, in order to make the data reliable, the researcher again referred to 2 participants and checked their agreement with their perceptions of the content. Also, possible important contents were discussed and clarified, and in this way, agreement and approval of the samples was obtained.

Quantitative method

The cross-sectional study was implemented from February 2021 to March 2022 with cluster sampling of married women in areas of 3 healthcare centers in Semnan city. Those participants who were married and agreed with the written and verbal informed consent about the ethical considerations were included to the study. The questionnaire was completed by the participants in paper and online form.

The instrument was the standard questionnaire of domestic violence against women by Mohseni Tabrizi et al. [ 18 ]. In the questionnaire, questions 1–10, 11–36, 37–65 and 66–71 related to sociodemographic information, types of spousal abuse (psychological, economical, physical and sexual violence), patriarchal beliefs and traditions and family upbringing and learning violence, respectively. In total, this questionnaire has 71 items.

The scoring of the questionnaire has two parts and the answers to them are based on the Likert scale. Questions 11–36 and 66–71 are answered with always [ 4 ] to never (0) and questions 37–65 with completely agree [ 4 ] to completely disagree (0). The minimum and maximum score is 0 and 300, respectively. The total score of 0–60, 61–120 and higher than 121 demonstrates low, moderate and severe domestic violence against women, respectively [ 18 ].

In the study by Tabrizi et al., to evaluate the validity and reliability of this questionnaire, researchers tried to measure the face validity of the scale by the previous research. Those items and questions which their accuracies were confirmed by social science professors and experts used in the research, finally. The total Cronbach’s alpha coefficient was 0.183, which confirmed that the reliability of the questions and items of the questionnaire is sufficient [ 18 ].

Descriptive data were reported using mean, standard deviation, frequency and percentage. Then, to measure the relationship between the variables, χ2 and Pearson tests also variance and regression analysis were performed. All analysis were performed by using SPSS version 26 and the significance level was considered as p < 0.05.

Qualitative results

According to the third step of Colaizzi’s 7-step method, the researcher attempted to conceptualize and formulate the extracted meanings. In this step, the primary codes were extracted from the important sentences related to the phenomenon of violence against women, which were marked by underlining, which are shown below as examples of this stage and coding.

The primary code of indifference to the father’s role was extracted from the following sentences. This is indifference in the role of the father in front of the children.

“Some time ago, I told him that our daughter is single-sided deaf. She has a doctor’s appointment; I have to take her to the doctor. He said that I don’t have money to give you. He doesn’t force himself to make money anyway” (p 2, 33 yrs).

“He didn’t value his own children. He didn’t think about his older children” (p 4, 54 yrs).

The primary code extracted here included lack of commitment in the role of head of the household. This is irresponsibility towards the family and meeting their needs.

“My husband was fired from work after 10 years due to disorder and laziness. Since then, he has not found a suitable job. Every time he went to work, he was fired after a month because of laziness” (p 7, 55 yrs).

“In the evening, he used to get dressed and go out, and he didn’t come back until late. Some nights, I was so afraid of being alone that I put a knife under my pillow when I slept” (p 2, 33 yrs).

A total of 246 primary codes were extracted from the interviews in the third step. In the fourth step, the researchers put the formulated concepts (primary codes) into 85 specific sub-categories.

Twenty-three categories were extracted from 85 sub-categories. In the sixth step, the concepts of the fifth step were integrated and formed seven themes (Table  2 ).

These themes included “Facilitators”, “Role failure”, “Repressors”, “Efforts to preserve the family”, “Inappropriate solving of family conflicts”, “Consequences”, and “Inefficient supportive systems” (Fig.  1 ).

figure 1

Themes of domestic violence against women

Some of the statements of the participants on the theme of “ Facilitators” are listed below:

Husband’s criminal record

“He got his death sentence for drugs. But, at last it was ended for 10 years” (p 4, 54 yrs).

Inappropriate age for marriage

“At the age of thirteen, I married a boy who was 25 years old” (p 8, 25 yrs).

“My first husband obeyed her parents. I was 12–13 years old” (p 3, 32 yrs).

“I couldn’t do anything. I was humiliated” (p 1, 38 yrs).

“A bridegroom came. The mother was against. She said, I am young. My older sister is not married yet, but I was eager to get married. I don’t know, maybe my father’s house was boring for me” (p 2, 33 yrs).

“My parents used to argue badly. They blamed each other and I always wanted to run away from these arguments. I didn’t have the patience to talk to mom or dad and calm them down” (p 5, 39 yrs).

Overdependence

“My husband’s parents don’t stop interfering, but my husband doesn’t say anything because he is a student of his father. My husband is self-employed and works with his father on a truck” (p 8, 25 yrs).

“Every time I argue with my husband because of lack of money, my mother-in-law supported her son and brought him up very spoiled and lazy” (p 7, 55 yrs).

Bitter memories

“After three years, my mother married her friend with my uncle’s insistence and went to Shiraz. But, his condition was that she did not have the right to bring his daughter with her. In fact, my mother also got married out of necessity” (p 8, 25 yrs).

Some of their other statements related to “ Role failure” are mentioned below:

Lack of commitment to different roles

“I got angry several times and went to my father’s house because of my husband’s bad financial status and the fact that he doesn’t feel responsible to work and always says that he cannot find a job” (p 6, 48 yrs).

“I saw that he does not want to change in any way” (p 4, 54 yrs).

“No matter how kind I am, it does not work” (p 1, 38 yrs).

Some of their other statements regarding “ Repressors” are listed below:

Fear and silence

“My mother always forced me to continue living with my husband. Finally, my father had been poor. She all said that you didn’t listen to me when you wanted to get married, so you don’t have the right to get angry and come to me, I’m miserable enough” (p 2, 33 yrs).

“Because I suffered a lot in my first marital life. I was very humiliated. I said I would be fine with that. To be kind” (p1, 38 yrs).

“Well, I tell myself that he gets angry sometimes” (p 3, 32 yrs).

Shame from society

“I don’t want my daughter-in-law to know. She is not a relative” (p 4, 54 yrs).

Some of the statements of the participants regarding the theme of “ Efforts to preserve the family” are listed below:

Hope and trust

“I always hope in God and I am patient” (p 2, 33 yrs).

Efforts for children

“My divorce took a month. We got a divorce. I forgave my dowry and took my children instead” (p 2, 33 yrs).

Some of their other statements regarding the “ Inappropriate solving of family conflicts” are listed below:

Child-bearing thoughts

“My husband wanted to take me to a doctor to treat me. But my father-in-law refused and said that instead of doing this and spending money, marry again. Marriage in the clans was much easier than any other work” (p 8, 25 yrs).

Lack of effective communication

“I was nervous about him, but I didn’t say anything” (p 5, 39 yrs).

“Now I am satisfied with my life and thank God it is better to listen to people’s words. Now there is someone above me so that people don’t talk behind me” (p 2, 33 yrs).

Some of their other statements regarding the “ Consequences” are listed below:

Harm to children

“My eldest daughter, who was about 7–8 years old, behaved differently. Oh, I was angry. My children are mentally depressed and argue” (p 5, 39 yrs).

After divorce

“Even though I got a divorce, my mother and I came to a remote area due to the fear of what my family would say” (p 2, 33 yrs).

Social harm

“I work at a retirement center for living expenses” (p 2, 33 yrs).

“I had to go to clean the houses” (p 5, 39 yrs).

Non-acceptance in the family

“The children’s relationship with their father became bad. Because every time they saw their father sitting at home smoking, they got angry” (p 7, 55 yrs).

Emotional harm

“When I look back, I regret why I was not careful in my choice” (p 7, 55 yrs).

“I felt very bad. For being married to a man who is not bound by the family and is capricious” (p 9, 36 yrs).

Some of their other statements regarding “ Inefficient supportive systems” are listed below:

Inappropriate family support

“We didn’t have children. I was at my father’s house for about a month. After a month, when I came home, I saw that my husband had married again. I cried a lot that day. He said, God, I had to. I love you. My heart is broken, I have no one to share my words” (p 8, 25 yrs).

“My brother-in-law was like himself. His parents had also died. His sister did not listen at all” (p 4, 54 yrs).

“I didn’t have anyone and I was alone” (p 1, 38 yrs).

Inefficiency of social systems

“That day he argued with me, picked me up and threw me down some stairs in the middle of the yard. He came closer, sat on my stomach, grabbed my neck with both of his hands and wanted to strangle me. Until a long time later, I had kidney problems and my neck was bruised by her hand. Given that my aunt and her family were with us in a building, but she had no desire to testify and was afraid” (p 3, 32 yrs).

Undesired training and advice

“I told my mother, you just said no, how old I was? You never insisted on me and you didn’t listen to me that this man is not good for you” (p 9, 36 yrs).

Quantitative results

In the present study, 376 married women living in Semnan city participated in this study. The mean age of participants was 38.52 ± 10.38 years. The youngest participant was 18 and the oldest was 73 years old. The maximum age difference was 16 years. The years of marriage varied from one year to 40 years. Also, the number of children varied from no children to 7. The majority of them had 2 children (109, 29%). The sociodemographic characteristics of the participants are summarized in the table below (Table  3 ).

The frequency distribution (number and percentage) of the participants in terms of the level of violence was as follows. 89 participants (23.7%) had experienced low violence, 59 participants (15.7%) had experienced moderate violence, and 228 participants (60.6%) had experienced severe violence.

Cronbach’s alpha for the reliability of the questionnaire was 0.988. The mean and standard deviation of the total score of the questionnaire was 143.60 ± 74.70 with a range of 3-244. The relationship between the total score of the questionnaire and its fields, and some demographic variables is summarized in the table below (Table  4 ).

As shown in the table above, the variables of age, age difference and number of years of marriage have a positive and significant relationship, and the variable of number of children has a negative and significant relationship with the total score and all fields of the questionnaire (p < 0.05). However, the variable of education level difference showed no significant relationship with the total score and any of the fields. Also, the highest average score is related to patriarchal beliefs compared to other fields.

The comparison of the average total scores separately according to each variable showed the significant average difference in the variables of the previous marriage history of the woman, the result of the previous marriage of the woman, the education of the woman, the education of the man, the income of the woman, the income of the man, and the physical disease of the man (p < 0.05).

In the regression model, two variables remained in the final model, indicating the relationship between the variables and violence score and the importance of these two variables. An increase in women’s education and income level both independently show a significant relationship with an increase in violence score (Table  5 ).

The results of analysis of variance to compare the scores of each field of violence in the subgroups of the participants also showed that the experience and result of the woman’s previous marriage has a significant relationship with physical violence and tradition and family upbringing, the experience of the man’s previous marriage has a significant relationship with patriarchal belief, the education level of the woman has a significant relationship with all fields and the level of education of the man has a significant relationship with all fields except tradition and family upbringing (p < 0.05).

According to the results of both quantitative and qualitative studies, variables such as the young age of the woman and a large age difference are very important factors leading to an increase in violence. At a younger age, girls are afraid of the stigma of society and family, and being forced to remain silent can lead to an increase in domestic violence. As Gandhi et al. (2021) stated in their study in the same field, a lower marriage age leads to many vulnerabilities in women. Early marriage is a global problem associated with a wide range of health and social consequences, including violence for adolescent girls and women [ 12 ]. Also, Ahmadi et al. (2017) found similar findings, reporting a significant association among IPV and women age ≤ 40 years [ 19 ].

Two others categories of “Facilitators” in the present study were “Husband’s criminal record” and “Overdependence” which had a sub-category of “Forced cohabitation”. Ahmadi et al. (2017) reported in their population-based study in Iran that husband’s addiction and rented-householders have a significant association with IPV [ 19 ].

The patriarchal beliefs, which are rooted in the tradition and culture of society and family upbringing, scored the highest in relation to domestic violence in this study. On the other hand, in qualitative study, “Normalcy” of men’s anger and harassment of women in society is one of the “Repressors” of women to express violence. In the quantitative study, the increase in the women’s education and income level were predictors of the increase in violence. Although domestic violence is more common in some sections of society, women with a wide range of ages, different levels of education, and at different levels of society face this problem, most of which are not reported. Bukuluki et al. (2021) showed that women who agreed that it is good for a man to control his partner were more likely to experience physical violence [ 20 ].

Domestic violence leads to “Consequences” such as “Harm to children”, “Emotional harm”, “Social harm” to women and even “Non-acceptance in their own family”. Because divorce is a taboo in Iranian culture and the fear of humiliating women forces them to remain silent against domestic violence. Balsarkar (2021) stated that the fear of violence can prevent women from continuing their studies, working or exercising their political rights [ 8 ]. Also, Walker-Descarte et al. (2021) recognized domestic violence as a type of child maltreatment, and these abusive behaviors are associated with mental and physical health consequences [ 21 ].

On the other hand and based on the “Lack of effective communication” category, ignoring the role of the counselor in solving family conflicts and challenges in the life of couples in the present study was expressed by women with reasons such as lack of knowledge and family resistance to counseling. Several pathologies are needed to investigate increased domestic violence in situations such as during women’s pregnancy or infertility. Because the use of counseling for couples as a suitable solution should be considered along with their life challenges. Lin et al. (2022) stated that pregnant women were exposed to domestic violence for low birth weight in full term delivery. Spouse violence screening in the perinatal health care system should be considered important, especially for women who have had full-term low birth weight infants [ 22 ].

Also, lack of knowledge and low level of education have been found as other factors of violence in this study, which is very prominent in both qualitative and quantitative studies. Because the social systems and information about the existing laws should be followed properly in society to act as a deterrent. Psychological training and especially anger control and resilience skills during education at a younger age for girls and boys should be included in educational materials to determine the positive results in society in the long term. Manouchehri et al. (2022) stated that it seems necessary to train men about the negative impact of domestic violence on the current and future status of the family [ 23 ]. Balsarkar (2021) also stated that men and women who have not had the opportunity to question gender roles, attitudes and beliefs cannot change such things. Women who are unaware of their rights cannot claim. Governments and organizations cannot adequately address these issues without access to standards, guidelines and tools [ 8 ]. Machado et al. (2021) also stated that gender socialization reinforces gender inequalities and affects the behavior of men and women. So, highlighting this problem in different fields, especially in primary health care services, is a way to prevent IPV against women [ 24 ].

There was a sub-category of “Inefficiency of social systems” in the participants experiences. Perhaps the reason for this is due to insufficient education and knowledge, or fear of seeking help. Holmes et al. (2022) suggested the importance of ascertaining strategies to improve victims’ experiences with the court, especially when victims’ requests are not met, to increase future engagement with the system [ 25 ]. Sigurdsson (2019) revealed that despite high prevalence numbers, IPV is still a hidden and underdiagnosed problem and neither general practitioner nor our communities are as well prepared as they should be [ 26 ]. Moreira and Pinto da Costa (2021) found that while victims of domestic violence often agree with mandatory reporting, various concerns are still expressed by both victims and healthcare professionals that require further attention and resolution [ 27 ]. It appears that legal and ethical issues in this regard require comprehensive evaluation from the perspectives of victims, their families, healthcare workers, and legal experts. By doing so, better practical solutions can be found to address domestic violence, leading to a downward trend in its occurrence.

Some of the variables of violence against women have been identified and emphasized in many studies, highlighting the necessity of policymaking and social pathology in society to prevent and use operational plans to take action before their occurrence. Breaking the taboo of domestic violence and promoting divorce as a viable solution after counseling to receive objective results should be implemented seriously to minimize harm to women, children, and their families.

Limitations

Domestic violence against women is an important issue in Iranian society that women resist showing and expressing, making researchers take a long-term process of sampling in both qualitative and quantitative studies. The location of the interview and the women’s fear of their husbands finding out about their participation in this study have been other challenges of the researchers, which, of course, they attempted to minimize by fully respecting ethical considerations. Despite the researchers’ efforts, their personal and professional experiences, as well as the studies reviewed in the literature review section, may have influenced the study results.

Data Availability

Data and materials will be available upon email to the corresponding author.

Abbreviations

Intimate Partner Violence

Human Immunodeficiency Virus

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Acknowledgements

The authors of this study appreciate the Deputy for Research and Technology of Semnan University of Medical Sciences, Social Determinants of Health Research Center of Semnan University of Medical Sciences and all the participants in this study.

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M.Sh. contributed to the first conception and design of this research; M.Sh., Z.Kh., M.S., R.Gh. and S.H.Sh. contributed to collect data; M.N. and M.Sh. contributed to the analysis of the qualitative data; M.M. and M.Sh. contributed to the analysis of the quantitative data; M.SH., M.N. and M.M. contributed to the interpretation of the data; M.Sh., M.S. and S.H.Sh. wrote the manuscript. M.Sh. prepared the final version of manuscript for submission. All authors reviewed the manuscript meticulously and approved it. All names of the authors were listed in the title page.

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Shayestefar, M., Saffari, M., Gholamhosseinzadeh, R. et al. A qualitative quantitative mixed methods study of domestic violence against women. BMC Women's Health 23 , 322 (2023). https://doi.org/10.1186/s12905-023-02483-0

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A model-based boosting approach to risk factors for physical intimate partner violence against women and girls in Mexico

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  • Juan Armando Torres Munguía   ORCID: orcid.org/0000-0003-3432-6941 1  

The goal of this study was to identify and describe the extent to which a comprehensive set of risk factors from the ecological model are associated with physical intimate partner violence (IPV) victimization in Mexico. To achieve this goal, a structured additive probit model is applied to a dataset of 35,000 observations and 42 theoretical correlates from 10 data sources. Due to the model's high dimensionality, the boosting algorithm is used for estimating and simultaneously performing variable selection and model choice. The findings indicate that age at sexual initiation and marriage, sexual and professional autonomy, social connectedness, household overcrowding, housework division, women's political participation, and geographical space are associated with physical IPV. The findings provide evidence of risk factors that were previously unknown in Mexico or were solely based on theoretical grounds without empirical testing. Specifically, this paper makes three key contributions. First, by examining the individual and relationship levels, it was possible to identify high-risk population subgroups that are often overlooked, such as women who experienced sexual initiation during childhood and women living in overcrowded families. Second, the inclusion of community factors enabled the identification of the importance of promoting women's political participation. Finally, the introduction of several emerging indicators allowed to examine the experiences faced by women in various aspects of life, such as decision-making power, social networks, and the division of housework.

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Introduction

Ending all forms of violence against women and girls (VAWG) is a sine qua non condition for achieving gender equality and woman empowerment worldwide. VAWG occurs in different spheres of life, including work, neighborhoods, and school, but it is more frequently observed in the context of intimate relationships [ 1 , 2 , 3 ].

The urgency of addressing this problem has increased during the COVID-19 pandemic, as women's preexisting vulnerabilities have been further exacerbated by confinement measures, which have led to an increase in the amount of time family members spend together at home [ 2 ]. Furthermore, the access to and use of protective services assisting women, such as emergency shelters and refuges, health institutions, and social networks, have also been disrupted during the pandemic [ 4 ]. This alarming situation puts the identification of the risk factors for intimate partner violence (IPV) victimization at the center of the debate.

The general purpose of this study is to contribute to the understanding of IPV by identifying and describing the extent to which a comprehensive set of risk factors are associated with IPV victimization. However, examining IPV presents two key challenges. First, most related studies have focused solely on analyzing individual and relationship levels while overlooking the significance of community and societal factors in relation to IPV [ 5 , 6 ]. Second, IPV is a multifaceted social problem with numerous potential covariates. Additionally, the links between each of these covariates and IPV may be described by various alternative effects, including linear, nonlinear, or interaction effects, which cannot be established or assumed a priori. This complexity, in terms of the extensive range of potential covariates and their multiple alternative effects, may result in a high-dimensional system of equations that is difficult -or impossible- to solve using traditional inference methods applied in IPV studies.

To overcome these challenges, this paper proposes a research strategy that involves creating a large dataset of more than 35,000 observations by integrating microdata from the 2016 Mexican Survey on the Dynamics of Household Relationships (ENDIREH) with information from nine other sources. The dataset contains 42 theoretical categorical and continuous covariates that describe the individual, relationship, community, and societal levels of the ecological approach. To account for the different potential effects of these covariates, a model with an additive structure was proposed [ 7 , 8 ]. However, due to the resulting high-dimensional setting, traditional inference methods cannot be used. Therefore, the boosting algorithm is employed to simultaneously estimate and select variables and choose the best model [ 9 , 10 , 11 ].

This paper relates to the scientific literature on the factors associated with experiencing IPV in Mexico. This research contributes to this literature by examining the physical IPV from a multilevel approach, considering individual, relationship, community, and societal levels of the ecological model. Methodologically, the contribution of this paper is the introduction of algorithm-based regression models able to deal with big and high-dimensional data into study of IPV. These models, although more complex, are more realistic since they enable us to identify a wide class of effects -linear, nonlinear, random, spatial, and interaction- and derive a sparse and parsimonious model from which researchers can draw conclusions in the same way as if the data had been fitted by conventional regression models.

The ecological model of IPV

Under the ecological approach, factors associated with IPV are observed at four different interacting levels: the individual level, the context of the intimate relationship, the community, and the society [ 12 ]. The interaction of variables at these levels is key because no single factor can explain IPV. Instead, the combination of many of these factors determines women's risk of victimization [ 12 ]. To briefly discuss the risk factors most consistently found to be significant in the literature, the following paragraphs present some findings at each level of the ecological model. This literature review will then be used to propose variables for analyzing the case of Mexico.

Individual-level factors

Personal sociodemographic, biological, and psychological characteristics of individuals in an intimate relationship, along with their previous experiences of victimization and perpetration, influence the likelihood of becoming a victim -and perpetrator- of IPV.

Regarding factors that increase a woman's vulnerability to victimization, it is widely recognized that women are more likely to suffer from IPV if they are young, face economic hardship, have a low educational level, have a personal history of abuse, and/or accept unequal gender norms [ 12 , 13 , 14 ]. Empirical support for these findings is not limited to multicountry studies [ 15 , 16 , 17 ]; rather, it includes country-specific analyses. For example, in Uganda, risk factors for IPV were found to include early initiation of sexual activity, limited educational attainment, younger age, a history of sexual abuse during childhood or adolescence, and acceptance of violence [ 18 ]. Similar results were reported in an examination of the Ethiopian case [ 19 ]. A study on the prevalence of IPV in Norway revealed that women with unsafe living conditions and a history of relationship issues are more likely to experience IPV [ 20 ]. More evidence in this respect is available in studies conducted in Ecuador and Ghana [ 21 ], Canada [ 22 ], Turkey [ 23 ], and the West Bank, Palestine [ 24 ].

On the other hand, regarding the partner's individual characteristics -perpetration risk factors-, existing studies have shown that IPV is more prevalent in relationships where the male partner has a low education level, low socioeconomic status, controlling behaviors toward the woman, previous exposure to abuse, personal history of violence perpetration, harmful use of alcohol and/or drugs, and low gender-equitable attitudes [ 12 , 13 , 15 , 25 , 26 , 27 ]. For instance, a study in Vietnam revealed that partner's behaviors supporting male domination, alcohol misuse, and witnessing violence during childhood were risk factors for perpetrating IPV [ 28 ]. Additionally, a study in Sweden determined that partner migration background is a relevant factor altering women's IPV victimization risks [ 29 ]. Further studies corroborating these results can be found in [ 30 ] with data from Sub-Saharan African countries, in [ 31 ] focusing on Turkey, and in [ 32 ] examining the Chinese context.

Relationship-level factors

The second level of the model focuses on the woman's interpersonal relationships within her family -with other household members- and with social peers, as well as her relative situation with her partner.

Regarding the woman's relationship with her family, studies suggest that households with traditional gender roles, characterized by an unequal division of household chores, restrictive gender expectations, and the prioritization of male authority within the household, as well as overcrowding, are factors that increase the risk of IPV. These findings were reported in a study conducted in Chicago [ 33 ], and similar conclusions were documented in three autonomous Spanish communities [ 34 ], in Lagos, Nigeria [ 35 ], and Egypt [ 36 ]. Additionally, evidence also indicates that the woman's closest social circle, including peers, influences the occurrence of IPV. In Tanzania, it was suggested that peers impact IPV through the internalization and pressure to conform to peer network norms, as well as their direct involvement in couple power dynamics [ 37 ]. Furthermore, studies have indicated that victims of IPV often spend less time with friends, leading to a reduced support network within their social circle [ 38 ].

The relationship level also considers the woman's situation in relation to her partner, i.e. IPV victimization risks are not solely associated with a woman's individual-level characteristics; rather, her vulnerability depends on a combination of her own factors and those of her partner [ 12 ]. For instance, an analysis of Ethiopian data revealed that a woman’s education level is not a direct correlate of IPV; instead, the difference in education relative to men’s is significant [ 39 ]. Moreover, studies from European Union countries indicated that disparities between a woman’s economic status and that of her partner contribute to higher IPV risks [ 40 ]. Additionally, a significant age gap has been found to increase the likelihood of IPV in India [ 41 ] and Turkey [ 23 ].

Community-level factors

The third level of the ecological approach to IPV examines the various settings in which social interactions occur and aims to identify the contexts associated with IPV. Generally speaking, there is broad consensus that IPV is not evenly distributed in the geographical space but rather tends to be concentrated in communities characterized by high rates of violence -including that of gender based- and crime and with development issues such as inequality, poverty, and unemployment [ 12 , 15 , 42 , 43 ].

In a study analyzing data from Samoa, it was found that, in addition to individual- and relationship-level factors, community characteristics, such as greater proportion of women engaged in household decision-making, as well as higher rates of employed men, were associated with lower levels of IPV [ 44 ]. Similarly, data from India indicate that the level of political involvement among women at the community level correlates significantly with marital conflicts and instances of violence, the overarching observation of this study was that increased representation of women in political spheres at the district level is associated with higher risks of physical IPV experienced by women [ 45 ]. Community dissimilarities in urbanization and education were identified as contributing factors to the likelihood of experiencing IPV in Ethiopia [ 19 ]. This evidence has also been found in a survey in Athens, Budapest, London, Östersund, Porto, and Stuttgart [ 46 ] and in metropolitan areas in the U.S. [ 47 ].

Societal-level factors

At the societal level, specific conditions, including the prevalence of harmful traditional gender norms that support nonegalitarian beliefs, corruption, limited access to quality public services, and high levels of criminal activity, can influence IPV victimization risks.

Research in [ 48 ], revealed that greater collective tolerance towards violence in the Niger Delta, compared to other regions in the country, was linked to a significantly higher prevalence of IPV. In India, it was found that societal factors such as attitudes towards mistreatment and standards of living increase individual IPV risks [ 49 ]. Studies in northern Uganda suggest that IPV results from structural violence in conflict-affected areas [ 50 ]. Supporting this perspective, an analysis of the Afrobarometer data shows that experiences of corruption are associated with individual permissive attitudes towards violence against women, consequently heightening the likelihood of IPV [ 51 ].

In addition to the previously mentioned key findings, studies underscore the significance of considering the interaction among multiple factors. For example, a study in Spain revealed that unemployment is an IPV risk factor for adult women but not for younger or elderly women [ 52 ]. Another study found that the relationship between age and victimization risk varies between indigenous and non-indigenous Canadian women [ 53 ]. Additionally, in Argentina, the impact of age on IPV was found to vary depending on the respondent’s level of education [ 54 ].

The Mexican case has been examined using a multidimensional approach within the ecological framework, yielding consistent findings regarding individual- and relationship-level factors [ 55 , 56 , 57 , 58 , 59 , 60 , 61 ]. However, these studies predominantly rely on data from the ENDIREH, limiting the examination of community and societal levels. Furthermore, the conclusions drawn are based on models that do not account for variable selection or model choice, and alternative effects of covariates, such as linear, nonlinear, and interaction effects, are not considered. Previous studies have shown that nonlinear and interaction effects are significant in describing the association of several covariates with the likelihood of experiencing IPV [ 62 , 63 ].

Variables and data sources

Dependent variable.

The response variable in this study measures women’s experiences of victimization from various violent physical acts committed by an intimate partner, including instances where their male partners pushed, pulled their hair, slapped, smacked, tied them up, kicked, threw objects at them, hit them with a fist or object, attempted to strangle or suffocate them, attacked them with a knife or blade, and/or shot them with a firearm [ 64 ].

Data is sourced from self-reported responses to a 2016 ENDIREH question, which asked partnered women and girls about their victimization experiences within their current relationship over the past 12 months -from October 2015 to October 2016-. Responses to this question could be “many times”, “sometimes”, “once”, or “never” and were subsequently recoded as “yes” or “no” to create a binomial response variable. Given that the survey does not precisely define the frequency of “many times” or “sometimes” -leaving it to the respondent’s discretion- dichotomizing the variable helps reduce measurement error. In this way, focusing the study on the likelihood of experiencing physical IPV simplifies the interpretation of the findings and facilitates comparisons between two mutually exclusive population subgroups: women who were victims of physical IPV in the previous 12 months and those who did not experience physical IPV during the same period. See [ 64 ] for details.

Independent variables

Based on the ecological model and aiming at collecting information on a wide range of potentially associated factors at the individual, relationship, community, and societal levels to properly characterize the victims, perpetrators, and contexts of victimization, different official sources were identified and used to obtain as much information as possible. The full list of potential covariates included in this study is shown in Table  1 .

As shown in Table  1 , information at the individual and relationship levels is sourced from the 2016 ENDIREH. For individual-level factors, the included variables aim to capture women’s demographic information, their socioeconomic situation, personal experiences, and attitudes towards gender issues, alongside their partner’s primary individual demographic and socioeconomic characteristics. Concerning the relationship level, variables related to the woman’s interpersonal networks and family are included. Additionally, the interaction between a woman’s and her partner’s individual characteristics is considered to describe their relative roles and statuses within the relationship. For example, while a woman’s age is an individual-level factor, when contextualized within her intimate relationship, it is introduced in interaction with her partner’s age. This interaction is consequently regarded as a relationship-level factor. This approach allows for an examination of whether the age gap between the woman and her partner is relevant in explaining IPV victimization risks, as found in [ 23 ] and [ 41 ].

At the community level, all the variables correspond to official estimates at the municipal level. Data from various sources is incorporated, including geographic information -geographic centroids for municipal polygons- and homicide statistics from the INEGI, poverty statistics and the municipal Gini index from the National Council for the Evaluation of Social Development Policy (CONEVAL), the municipal human development index estimated by the United Nations Development Program (UNDP), information from the 2015 Intercensal Population Survey, data from the National Population Council (CONAPO), and information from the 2015 National Census of Municipal and Delegation Governments (CNGMD).

Finally, at the societal level, variables are incorporated to reflect conditions at the supracommunity level. Data sources for this include the 2015 National Survey of Quality and Governmental Impact (ENCIG) and the 2016 National Survey on Victimization and Perception of Public Safety (ENVIPE). All these variables are aggregated at the state level.

After combining the abovementioned data from the different sources and levels into a single, unified dataset (see the Electronic Supplemental Material for a description of this data integration process), the data were prepared for the analysis (a description of this process can be found in the Electronic Supplemental Material). The final dataset consisted of 35,004 observations of women who were surveyed at the age of 15 years or older, were married or cohabitating with a male partner and had at least one child at the time of the survey. This dataset is freely available from Figshare at https://doi.org/10.6084/m9.figshare.22153463 . More information on the variables can be found in the Electronic Supplemental Material and in the original sources [ 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 ]. The raw data can be accessed at www.inegi.org.mx , www.coneval.org.mx , www.conapo.gob.mx , and www.mx.undp.org .

Let us consider a generalized additive model as in [ 7 , 8 ], with variable \({y}_{i}\) following a \(Bernoulli\left({\pi }_{i}\right)\) distribution with probability \({\pi }_{i}\in \left[0, 1\right]\) , indicating whether woman \(i\) was a victim or not of physical violence within the intimate relationship in the last 12 months ( \(1=True\) ), for \(i=1,\dots ,n\) observations. By inserting the covariates from Sect. " Model " into a probit additive model, we can formally express it as follows:

For \(g\left({\eta }_{i}\right)={\pi }_{i}\) , the standard normal cumulative distribution is used, \({\beta }_{0}\) is the model intercept, and \({\varepsilon }_{i}\) are the standard normal errors. The structure of the additive model proposed has five components, each of which is related to a different effect based on the type of variable and previous findings from research:

Parametric effects: \({\sum }_{j=1}^{13}{\text{w}}_{ij}{\prime}{\beta }_{j}\) is the model component for estimating the linear effects of the categorical covariates.

Smooth effects: \({\sum }_{k=1}^{26}{s}_{k}\left({\text{z}}_{ik}\right)\) is a model component that captures smoothing parameters for univariate continuous independent variables. Each of these continuous covariates is centered at the mean for achieving convergence [ 73 ]. One of the goals of this paper is to properly identify the functional form of the association between IPV and the covariates; consequently, both linear and nonlinear effects are considered modeling alternatives for continuous covariates. To incorporate this into the model, consider the decomposition \({s}_{k}\left({\text{z}}_{ik}\right)={\alpha }_{0}+{\alpha }_{1}{\text{z}}_{ik}+{s}_{k}^{centered}\left({\text{z}}_{ik}\right)\) , where \({\alpha }_{0}+{\alpha }_{1}{\text{z}}_{ik}\) is a linear expression and \({s}_{k}^{centered}\left({\text{z}}_{ik}\right)\) is a smooth deviation from the linear form [ 11 , 73 ]. Functions \({s}_{k}^{centered}\left({\text{z}}_{ik}\right)\) are modeled as smooth p-splines with a second-order difference penalty and 20 equidistant inner knots [ 74 ]. From the decomposition of \({s}_{k}\left({\text{z}}_{ik}\right)\) , three possible results can be derived: a nonsignificant effect, linear effect, and nonlinear effect.

Interaction effects: \(\sum_{l=1}^{4}{\delta }_{l}\left({varying}_{l}\right)\) captures the interactions between a continuous and a categorical variable. Four interactions are considered in this paper:

age of the woman by indigenous origin,

age of the woman by education level,

age of the woman at her first sexual intercourse by condition of consent, and

age of the woman at marriage or at cohabitation by condition of consent.

Surface effects: \(\sum_{m=1}^{5}{\theta }_{m}\left({surface}_{m}\right)\) incorporates the interaction between two continuous covariates and are modeled as bivariate p-spline base-learners. The following surface effects are considered:

age of the woman by age at first childbirth;

age of the woman by age at her first sexual intercourse,

age of the woman by age at marriage or at cohabitation,

age of the woman by age of the husband or partner, and

woman’s monthly earned income by husband’s or partner’s reported monthly earned income.

Spatial effects: \({\varphi }_{\tau }\left({sp}_{i}\right)\) introduces geospatial information, estimated by bivariate tensor product p-splines [ 11 ].

Moreover, to take into account the hierarchical data structure, in which individual observations are connected to the information of the municipalities, and in turn to the state information, cluster-specific random intercepts are introduced. In addition, to ensure the representativeness of the data, sampling design and weights from the ENDIREH are used in the model.

The model in Eq. ( 1 ) cannot be estimated via traditional inference models due to its inherent high dimensionality and complex structure. To overcome this issue, the following strategy was used. First, the boosting algorithm is used for model optimization [ 10 , 75 ]. This approach combines estimation with simultaneous variable selection and model choice. The algorithm iteratively selects only the best fitting effect in each step. In this paper, 2000 initial boosting iterations are performed with a shrinkage parameter of 0.5 [ 76 ]. To achieve unbiased selection of influential variables and model choice, one degree of freedom is assigned to every alternative effect, aiming to make them comparable in terms of flexibility [ 9 , 11 ]. To avoid overfitting, cross-validation is applied to find the optimal number of iterations. Consequently, as discussed in [ 73 ], multicollinearity problems are also prevented.

Thereafter, after this initial selection of variables at their appropriate functional form, complementary pair stability selection with per family error rate (PFER) control was performed to avoid falsely selecting variables. For this purpose, a cutoff of 0.8 is set; i.e., to be considered a stable effect, at least 80% of the boosting fitted models had to be selected. Given the number of covariates in the full model and their alternative effects, this cutoff of 0.80 corresponds to a PFER with a significance level of 0.0425. See [ 77 , 78 ] for details.

Finally, 95% confidence intervals for each of the effects selected via stability selection were calculated by drawing 1000 random samples from the empirical distribution of the data using a bootstrap approach based on pointwise quantiles [ 73 ].

All computations were executed in the R package “mboost” [ 76 ]. The code and data used to replicate this study are available from Figshare at https://doi.org/10.6084/m9.figshare.22153463 .

In the data, it is observed that approximately 8.3% (2,892 respondents in the sample) of the surveyed women experienced some form of physical violence within the relationship in the 12 months prior to the interview. After the boosting algorithm was applied to these data, 3970 iterations were required to optimize the model according to Eq. ( 1 ). Subsequently, once the stability selection approach was used, nine covariates were found to be significantly associated with physical IPV victimization.

It is important to note that, as in traditional regression models, the coefficients in Table  2 indicate the direction and strength of the covariate effect on the response. To transform the coefficients into the probability of experiencing physical IPV, the cumulative standard normal distribution must be used. A significant effect is found when the corresponding 95% confidence interval does not contain zero. For categorical variables, estimates show the difference in comparison to the reference category. For the remaining selected effects, refer to the corresponding figures.

figure 1

Physical IPV victimization risk and women’s age at first sexual intercourse by consent. The bold lines indicate the expected value whereas the area within the dashed lines represent the 95% confidence intervals

figure 2

Physical IPV victimization risk and women’s age at marriage or at cohabiting by consent. The bold lines indicate the expected value whereas the area within the dashed lines represent the 95% confidence intervals

figure 3

Physical IPV victimization risk and average number of household members per room in the dwelling. The bold line indicates the expected value whereas the gray area represents the 95% confidence interval

figure 4

Spatial effects of physical IPV victimization risk

figure 5

Physical IPV victimization risk and share of senior positions in the public administration held by women. The bold line indicates the expected value whereas the gray area represents the 95% confidence interval

At the individual level, only one variable was found to be significantly correlated with physical IPV: women’s age at first sexual intercourse by the condition of consent. This study found that women who initiated sex during childhood are at a higher risk of victimization compared to those who initiated sex as adults, as illustrated in Fig.  1 . The data reveal a consistent pattern: the risk of victimization steadily decreases as the age at which a woman first had sex increases. No significant differences are observed based on the condition of consent -95% confidence intervals overlap-. Therefore, the expected risk of victimization is consistent regardless of whether the first sexual experience was consensual or not.

At the relationship level, physical IPV was significantly associated with six distinct factors. These factors encompass three key dimensions: the woman's relative role within the relationship, her family environment, and her relationships with peers and friends. Specifically, concerning the woman's role within her intimate relationship, a significant correlation between physical violence and age at marriage or cohabitation was found only among women who agreed to marry or move in by choice (Fig.  2 ). The effect is depicted as an inverted U-shaped curve reaching a maximum at about 18 years of age with a probability of approximately 57% of becoming victims of physical IPV.

At the relationship level, a second significant finding related to the woman's relative role within the intimate relationship was the importance of her autonomy in making decisions about her sexual and professional life as a factor for physical IPV, as shown in Table  2 . Women with a moderate level of autonomy experience a reduced risk of victimization compared to those with low or high levels of autonomy, with decreases of approximately 9.3 and 16.2 percentage points for professional and sexual autonomy, respectively.

In terms of household characteristics at the relationship level, both the number of members in the family and the distribution of housework among them are found to be significantly associated with physical IPV. Notably, regarding overcrowding, as the number of household members grows, the likelihood of suffering from physical violence in the context of intimate relationships increases at a rate of 1.6 percentage points per member per room in the dwelling, as shown in Fig.  3 .

Furthermore, concerning the division of household chores as a significant household factor linked to IPV, it was found that women in families where all housework is solely performed by male members are approximately 8.6 percentage points less likely to experience physical IPV than those women in families with other housework arrangements, as indicated in Table  2 .

Concerning the woman's relationship with peers and friends as a relationship-level factor, it was found that, on average, women with a moderate level of perceived support from social networks have a 9.7 percentage points higher probability of victimization compared to women with low or high levels of support, as shown in Table  2 .

Finally, at the community level, two factors were found to be associated with physical IPV. In particular, it was found that physical IPV is not a phenomenon homogeneously distributed in geographic space -see Fig.  4 -. It is observed that women and girls living in municipalities located in the central region of Mexico are on average more likely to suffer from physical violence perpetrated by their partner than women living in other regions. Lower probabilities of physical victimization within intimate relationships are observed for women living in municipalities in northwestern Mexico.

Furthermore, another community factor relevant to physical IPV was women's participation in municipal government, as shown in Table  2 . Specifically, the risk of victimization increases with the proportion of senior positions -Municipal President and heads of Municipal Secretaries- held by women, as illustrated in Fig.  5 . In communities where all senior positions are held by men, the likelihood of a woman experiencing physical IPV is approximately 4.5 percentage points lower than the risk for a woman living in a community where 50 percent of these positions are held by women.

It is important to note that no factor at the societal level was found to be relevant for physical IPV.

The abovementioned results indicate correlations between the covariates and women’s probability of suffering physical violence in the context of her intimate relationship. These significant correlations do not necessarily imply a causal effect; nevertheless, key insights can be obtained, and possible explanations can be drawn.

Firstly, at the individual level of the ecological model, only women’s age at first sexual intercourse was found to be significantly associated with physical IPV. Findings suggest that women who initiate sex during childhood, even if they do not consider it an unwanted or coerced experience, are a particularly vulnerable population to physical IPV in Mexico. This result is consistent with previous studies [ 2 , 12 , 18 ]. Moreover, this indicator is particularly important in gender studies as it reflects broader issues of gender inequality, power dynamics, and vulnerability to abuse [ 44 , 79 , 80 ]. It is crucial to recognize that the involvement of a child in sexual activity is a form of abuse, as the child is not able to give informed consent and is not emotionally or physically prepared for it. Consequently, sexual initiation during childhood can negatively impact individuals’ personality and emotional state, affecting their self-esteem, perception of healthy relationships, and behavior [ 79 , 80 ]. Thus, sexual experience during childhood becomes a vulnerability factor for revictimization at later stages in life.

The relationship level emerged as the ecological level with the most significant variables associated with physical IPV. This could be underscoring the importance of interpersonal dynamics -encompassing those with the intimate partner, family, and social peers- in understanding and addressing physical IPV. Specifically, concerning the woman's relative role within the intimate relationship, the effect of age at marriage or cohabitation for those who consented to marriage is described by an inverted U-shaped curve. One potential explanation for this pattern is that women who marry or cohabit during childhood, a form of violence against girls, may be more inclined to justify their partner's violent behavior and adhere to traditional gender roles, thereby making them less likely to report IPV. This explanation finds support in studies conducted in Pakistan [ 81 ] and Ethiopia [ 82 ], which identified a more tolerant attitude towards wife-beating among women married as children, generally with a limited decision-making power. The curve reaches its peak for women who marry in adolescence. As reported in [ 83 ] this could suggest that adolescent marriages may be characterized by greater IPV due to increased antisocial behaviors such as alcohol use, disagreements, and jealousy, serving as a causal mechanism for future acts of violence. This dynamic within the relationship may persist into subsequent phases of life. The descending side of the curve indicates that as the age at marriage or cohabitation increases, the risk of victimization decreases. This decrease could be attributed to the fact that victimization risks may diminish as individuals mature and acquire greater social, emotional, and economic resources, as explained in [ 84 ].

Furthermore, a second significant finding at the relationship level highlighted the importance of a woman’s autonomy in making decisions about her sexual and professional life. Interestingly, the victimization risk of women with high levels of sexual and professional autonomy does not differ significantly from that of women with low decision-making power. According to previous studies [ 85 , 86 ], this association suggests that, compared to low autonomy as a reference, as women's decision-making power increases to a medium level, the victimization risk decreases by approximately 16.2 percentage points for sexual autonomy and 9.3 percentage points for professional autonomy. However, as women's agency in these areas increases from a medium to a high level, their male partners may seek to exert domination and power over the woman in other aspects of the relationship, leading to an increased risk of physical violence -a phenomenon known as “male backlash” [ 86 ]-. Consequently, this escalates the probability of women's victimization.

At the relationship level, concerning household characteristics associated with IPV, it was observed that women living in overcrowded households face a higher risk of physical IPV victimization. The lack of sufficient living space for family members can intensify stress, tension, and conflicts among household members, thereby increasing the likelihood of physical violence by a partner against the woman [ 35 ]. Additionally, the division of household chores among family members was identified as another family characteristic linked to IPV victimization risks. The findings indicate that in households where housework is exclusively performed by women, the risk of IPV victimization is higher. As explained in [ 36 ], such households likely adhere to more traditional gender norms, which manifest in the use of violence as a mechanism of control by men over their partners.

At the relationship level, not only the interaction with the intimate partner and the family are associated with IPV, but also the woman's relationship with peers and friends. About the variable social networks, defined as woman's perception about having support from peers and friends, as described by [ 38 ], a potential causal mechanism leading to IPV could be that as women improve their social connectedness, conflicts and disputes with their partners first increase, increasing their probability of suffering from physical IPV. Once a medium level of social connectedness is surpassed, the likelihood of IPV victimization declines to its initial level, perhaps due to men's acceptance of their partner's social interactions or to a positive influence from friends on the woman, resulting in a decrease in the likelihood of accepting violence.

Lastly, community characteristics were also found to be associated with physical IPV. It is important to remark, that these characteristics were not related to economic, demographic, or security conditions of the community, but exclusively to the women's role and participation in the Municipality and the geographic distribution of IPV, which might indicate the nature of this phenomena and the community conditions that influence the intrahousehold dynamics. Specifically, the risk of physical IPV is disproportionately concentrated in central Mexico, while women in northwestern municipalities have a reduced likelihood of experiencing physical victimization in intimate relationships. This geographic distribution of physical IPV risks may reflect the spatial variation of other related factors, particularly those associated with gender and development. For instance, overlaying indicators from the Gender Atlas produced by INEGI on the map in Fig.  4 reveals that lower rates of women's informal labor and a smaller percentage of the female population living in multidimensional poverty are situated in the northern regions of Mexico, whereas higher rates are found in the central-southern region. Additionally, higher average schooling grades for women are observed in the northern states of Mexico, with lower rates in central and southern Mexico [ 87 ].

Furthermore, regarding the association between the risk of victimization and the proportion of senior positions -Municipal President and heads of Municipal Secretaries- held by women, it can be seen as a two-way relationship. On the one hand, a more active role of women in the political public sphere may lead to more tensions and disputes in private life, specifically in the context of intimate relationships. This causal effect has been previously found in India [ 45 ]. On the other hand, since physical violence is one of the most visible faces of IPV, more concerns about this issue are observed in municipalities in which women and girls have greater probabilities of being victimized. As a consequence, more women are involved in public decisions to fight against IPV in these municipalities.

No factor at the societal level was found to be significantly associated with physical IPV. This could indicate that elements closer to the individual, such as her interactions with peers, family, and partner, may be more relevant in understanding and addressing physical IPV than broader societal factors. It suggests that societal-level variables might not directly influence the occurrence of physical IPV in Mexico.

Conclusions

To determine the factors linked to women’s likelihood of suffering from physical violence by their intimate partners, we applied a boosting additive model with a binomial response variable to a dataset composed of more than 35,000 households. To properly describe the risk factors associated with physical IPV, following the ecological model approach, we introduced a set of 42 potential covariates by integrating data from nine different sources, including surveys, administrative records, and censuses, and incorporating information at the individual, relationship, community, and societal levels.

From a methodological point of view, by applying the boosting algorithm to the high-dimensional data structure of the model, we were able to automatically select, across the multiple covariates and modeling alternatives, those variables found to be significantly correlated with the probability of physical IPV victimization without establishing a priori a particular functional form. In this way, not only linear relationships but also nonlinear and interaction effects were selected.

The results contribute to the study of physical IPV in Mexico in four ways. First, the findings call for the importance of including variables at different levels of the ecological model and not restricting the analysis to individual and relationship factors, as has been done in most related studies. Second, a set of factors correlated with physical IPV is found, including age at first sexual intercourse, age at marriage, autonomy about one’s sexual and professional life, social networks, overcrowding, division of housework, and women’s participation in government. Third, some groups of people at particular risk of victimization are identified, such as women who had sex for the first time as children and women living in overcrowded households, which implies that comprehensive IPV prevention programming is needed to delay sexual initiation, protect girls and women from forced sex and forced marriage, and point out strategies to overcome families. Finally, this phenomenon is not homogenously distributed across the country; rather, higher probabilities of victimization are concentrated in the center of Mexico.

The main limitation of this paper is that the findings refer exclusively to associations between the covariates and the likelihood of suffering from physical IPV victimization, which does not necessarily imply causality. A second limitation regards the fact that the analysis covers a single year and that there could be specific features that do not apply to other periods. Additionally, this study exclusively analyzes the IPV experiences of married and/or cohabiting women with at least one child. Women in other relationship or family structures may face different risk factors for IPV. Furthermore, this study focuses only on physical IPV. Other forms of IPV, such as emotional, sexual, and economic violence, may have distinct risk factors due to their inherent nature and dynamics. It is also important to consider that this paper does not examine other features of physical violence, such as frequency and severity. Lastly, while survey studies offer valuable insights into the prevalence and correlates of IPV, it is key to recognize their inherent limitations. One such concern is the risk of non-disclosure bias, whereby individuals may be hesitant to report their experiences of victimization, particularly if they are still in an abusive relationship and fear potential repercussions from their partner. This potential bias could result in an underestimation of the true prevalence of IPV within surveyed populations. Readers must consider these limitations when interpreting the findings and applying them to broader populations or different types of IPV.

Data availability

The data, metadata, and R-code for replicating the estimations presented in this study are openly available in Figshare at https://doi.org/10.6084/m9.figshare.22153463 .

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Torres Munguía, J.A. A model-based boosting approach to risk factors for physical intimate partner violence against women and girls in Mexico. J Comput Soc Sc (2024). https://doi.org/10.1007/s42001-024-00292-5

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Introduction

All states made ‘‘wife beating’’ illegal by 1920. However, only since the 1970s has the criminal justice system begun to treat domestic violence as a serious crime, not as a private family matter. Domestic violence is any physical, sexual, or psychological abuse that people use against a former or current intimate partner. It refers to a number of criminal behaviors: assault and battery; sexual assault; stalking; harassment; violation of a civil restraining order; homicide; and other offenses that occur in the course of a domestic violence incident, such as arson, robbery, malicious destruction of property, and endangering a minor. No person can validly consent to a breach of the peace or a battery that may result in serious injury or death. Furthermore, most states have abolished the marital rape exemption in toto; this exemption precluded husbands from being prosecuted for raping their wives. Thus, in general, there is no legal distinction between crimes committed against intimate partners and those committed against strangers.

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Police, prosecutors, and judges are routinely trained in domestic violence, and aggressive interventions are continually implemented. Individuals across the political spectrum have generally supported these changes, although there is ongoing debate as to which interventions work best. Furthermore, some fear that the pendulum has swung too far, and that those who are accused of domestic violence, particularly men, are presumed guilty rather than innocent. Advocates are concerned that the needs of victims are being sacrificed for higher conviction rates. Indeed, the ongoing challenge for the criminal justice system is to protect the rights of both defendants and victims while at the same time treating domestic violence as a serious social problem. Even though the criminal justice system has come a long way since 1920, it still has a long way to go.

Who are The Abusers? Who are The Victims?

The majority of those arrested for domestic violence are heterosexual men. However, between 5 and 15 percent of those arrested for battering are women. Many of these cases involve self-defending women who have been mistakenly arrested. While women can be the initial aggressor, female abusers are rarely identified or studied. Thus, most theoretical and practical work on domestic violence, as well as the policies and controversies that are discussed in this research paper, assume the male batterer/female victim paradigm.

Gay men and lesbians constitute only a small percentage of those arrested for domestic violence. As with female abusers, we know surprisingly little about domestic violence in same-sex relationships. Same-sex victims receive fewer protections and face many more social consequences when reporting domestic violence to the authorities than heterosexual victims. For example, many states define domestic violence in a way that excludes same-sex victims, and some states with sodomy laws also require victims to acknowledge that they are in a domestic relationship, forcing victims to admit to a crime before receiving legal protection.

How many people are victims of domestic violence? The honest answer is that we just do not know. The federal government and a majority of the states collect statistics on domestic violence, but there are wide variations in how each jurisdiction defines offenses, determines what is counted, and measures or reports incidents. Statistics on the incidence and prevalence of domestic violence vary greatly. Thus, it is imperative that when evaluating data one considers the source and the methodology. It is vital to have an accurate picture of domestic violence in order to formulate appropriate policies and maintain intellectual integrity.

There are two official federal measures of crime, the National Crime Victimization Survey (NCVS) and the Uniform Crime Reporting Program (UCR) of the F.B.I. The NCVS gathers information about crime and its consequences from a nationally representative sample of U.S. residents. It surveys respondents about any crimes experienced, including their relationship to the perpetrator. However, there is no way to independently verify this information or to determine how many incidents go unreported to authorities. In fact, it is estimated that about one-half of the incidents of intimate violence experienced by women are never reported to the police. This percentage is likely higher for both straight and gay men and lesbians given that the traditional definition of domestic violence is ‘‘wife beating.’’

The UCR tracks crimes reported to law enforcement. However, it does not require local law enforcement to maintain data on the relationship between victim and offender except in the case of murder. The National Incident-Based Reporting System (NIBRS), authorized by Congress in 1995, will include and standardize data collection on domestic violence. However, NIBRS has not yet been implemented nationally.

Data compiled in 1996 by the Bureau of Justice Statistics yielded the estimate that women experienced 840,000 rape, sexual assault, robbery, and aggravated and simple assault victimizations at the hands of an intimate, down from 1.1 million in 1993. Men experienced about 150,000 such victimizations, with little variation between 1992 and 1996. In 1996, just over 1,800 murders were attributable to intimates, and in almost three out of four of these killings, the victim was a woman. By comparison, in 1976, there were nearly 3,000 victims of intimate murder (Greenfeld). Other studies have suggested that as many as four million women are battered each year, and that 14 percent of women report having been violently abused by a spouse or boyfriend at some time in their lives. (Healy, Smith, and O’Sullivan).

Most intimate relationships are established between people of the same racial and economic background. Domestic violence occurs across all demographic groups. However, official rates of nonlethal, intimate violence are highest among women aged sixteen to twenty-four, women in households in the lowest income categories, and women residing in urban areas (Greenfeld). Couples who cohabitate experience more violence than those who are married (HolzworthMunroe). Other studies have found that abused women are more likely to live in communities with the highest rates of stranger violence (Fagan). African American women comprise the largest group of victims, although they are also more likely to report intimate victimizations to the police than any other group. However, ethnicity and race are not significant correlates with domestic violence when controlling for other socio-demographic variables, such as income, employment status, and age.

Official statistics may be overinclusive of the poor and minorities. Women with higher incomes often have the resources to deal with domestic violence privately without involving the criminal justice system. Furthermore, the police may be more likely to arrest people in poor and middle-class neighborhoods than in upper-class neighborhoods. However, those with fewer resources also face more stressors, and while stress itself does not lead directly to violence, it can exacerbate the risk of violence (Holzworth, Munroe).

The Causes of Domestic Violence

There are many theories as to the causes of domestic violence. Feminist-inspired theories look to the institution of patriarchy and argue that battering mirrors male power and control over females. Family-based theories examine the level of family conflict and the indirect lessons children learn about the relationship between violence and love. Individual-based theories attribute domestic violence to personality disorders or biomedical factors, such as head injuries or mental illness. Evolutionary theorists have suggested that male violence against females, both in primates and cross-culturally, is a strategy used to control the female’s reproduction and, in humans, is often precipitated by male sexual jealousy (Daly and Wilson).

Furthermore, domestic violence researchers are exploring how race, class, religion, and culture, as well as psychological variables such as low self-esteem and abusive childhoods, affect one’s experiences with violence. As a result, we are beginning to understand how the battering experience is both common and unique among abusers and victims.

No single causal model can explain why people hurt those they claim to love. As research becomes more interdisciplinary, and policies are driven as much by empirical data as by politics, theories will have to account for the complicated interplay of biological, social, economic, cultural, and individual factors that lead to domestic violence.

Federal Approaches to Domestic Violence

Local and state governments are responsible for enforcing most domestic violence crimes. However, in 1994, Congress passed the Violence Against Women Act (VAWA). Among its many provisions, VAWA makes certain offenses federal crimes, such as interstate stalking and violation of a protection order. In addition, the 1996 Lautenberg Amendment to the Gun Control Act of 1968 prohibits the transfer, possession, or receipt of both firearms and ammunition by anyone convicted of a misdemeanor domestic violence offense. These laws reflect a larger trend to federalize the criminal law, and they are controversial. Advocates applaud them as providing for a fundamental change in the criminal justice system’s response to domestic violence. Opponents argue that they are overreaching, ineffective, and grant excessive power to the federal government, and insist that combating domestic violence is best left to local, not federal, law enforcement. It is too early to access VAWA’s impact on curbing domestic violence.

Arrest Policies

Prior to 1984, most police could not legally make a warrantless arrest unless a misdemeanor occurred in the officer’s presence, or the officer had probable cause to believe that a felony had taken place. Since most domestic violence cases involve simple assault and battery—a misdemeanor—the police could not make an arrest at the scene. Advising the husband or boyfriend to ‘‘take a walk around the block’’ was often the extent of police intervention.

In 1984, the U.S. Attorney General recommended arrest as the standard police response to domestic violence. This recommendation resulted from a landmark Minneapolis controlled experimental study that compared the deterrent effects of arresting the suspect, mediating the dispute, and requiring the batterer to leave the house for eight hours. The study found that arrest more effectively deterred subsequent violence than did the other courses of action. The results were widely publicized.

That same year, Tracy Thurman received a $1.9 million settlement from the Torrington, Connecticut, Police Department for its policy of nonintervention and nonarrest in domestic violence cases. After the Thurman case, police departments concerned about similar lawsuits began to rethink their policies. All fifty states now provide for warrantless arrests in domestic violence cases.

Since arrest statutes have been broadened, many jurisdictions have adopted mandatory or pro-arrest policies. Under these policies, an arrest is either required or preferred if the police officer has probable cause to believe that a domestic battery has taken place, regardless of the victim’s wishes. These policies have received mixed reviews. Some advocates maintain that mandatory arrest not only substantially reduces domestic assaults and murders, especially when prosecution follows, but also provides police officers with clear guidelines on how to proceed, correcting the ‘‘take a walk around the block’’ mentality. Opponents argue that these policies fail to account for the criminal justice system’s historic mistreatment of minorities. Furthermore, when officers are either unable or unwilling to discern who was the initial aggressor, mandatory arrest policies can result in both parties being arrested. Thus, these pro-arrest policies have the unintended consequence of penalizing rather than protecting victims. Others argue that police ought to have more discretion to handle domestic violence situations on a caseby-case basis.

Does arrest work? The research is inconclusive. For example, when the Minneapolis study was replicated in other jurisdictions, the results differed significantly. Specifically, arrest consistently deterred employed batterers, but increased repeat violence among unemployed batterers. Yet, these findings were largely ignored. Furthermore, between 1992 and 1996, while the police responded to 90 percent of calls for assistance, in only 20 percent of the cases was the alleged abuser arrested immediately (Greenfeld). These findings raise questions as to how effective arrest policies have been in reducing recidivism or changing police practices.

Prosecution and Sentencing Policies

Prosecutors routinely fail to initiate cases and follow through with prosecution. Victim noncooperation is often cited as the major reason for dismissing a domestic violence case. Thus, once police began to arrest alleged batterers, advocates began to focus reform efforts on prosecution practices. As a result, prosecutors are undertaking new initiatives. Many have established specialized domestic violence units. A few units specialize in same-sex battering, while others target teenagers in dating relationships, where experimentation with violence often begins. Vertical prosecution, in which one prosecutor is assigned to handle the case from arraignment to completion, thus providing the victim with ongoing support, is becoming common. Increasingly, jurisdictions are employing social workers to counsel victims and their families. Some courts expedite, or rocket docket , domestic violence cases. Others divert first-time offenders into batterer treatment prior to trial.

Most controversial, many jurisdictions are implementing no-drop policies. Under such policies, prosecutors cannot routinely dismiss charges at the victim’s request, but are required to pursue a case if enough evidence exists to substantiate the charge. Moreover, the prosecutor usually signs the charge, relieving the victim of responsibility. At least four states have adopted legislation encouraging the use of no-drop policies, and VAWA has authorized grants to local law enforcement agencies that adopt aggressive prosecution policies.

Pro-prosecution policies are often characterized as either hard or soft no-drop policies. Under hard policies, cases proceed regardless of the victim’s wishes when there is enough evidence to go forward. This can include subpoenaing the victim to testify and requesting that the judge issue an order of contempt if the victim refuses to cooperate. Most states recognize an exemption to marital privilege laws in cases in which one spouse is charged with a crime against the other and, thus, the vast majority of victims can be compelled to testify as a witness for the state and incarcerated for refusing to do so. Some jurisdictions go forward without the victim’s testimony, just as if it were a homicide case, by introducing other evidence, such as 911 tapes, photographs, medical records, and testimonies of police officers and expert witnesses.

Under soft policies, victims are provided with support services and encouraged to proceed, but are never mandated to participate. The state will not proceed if the victim insists that the case be dropped.

Those supportive of aggressive prosecution argue that no-drop policies take the burden off the victim by removing her as the ‘‘plaintiff.’’ They contend that the batterer has less incentive to try to harm or intimidate his victim once he realizes that she no longer controls the process. Furthermore, aggressive prosecution sends a strong message that domestic violence is a crime against the state as well as the individual. However, many advocates for battered women argue that the use of hard policies has the unintended effect of punishing or revictimizing the victim for the actions of the abuser. It also fails to take into account the effect that prosecution will have on family income or children. The state should neither force the victim into a process over which she has no control, nor undermine her autonomy or decision-making.

Do aggressive prosecution policies work? It is difficult to measure the difference between policies as written and policies as practiced. While early data indicate that aggressive policies can reduce domestic homicides, lower recidivism rates, and change attitudes within the criminal justice system, more research is needed to verify these findings (Hanna, 1996).

Despite these reforms, most domestic violence cases still end in arrest. Of those cases that are prosecuted, many are charged or plead down to misdemeanors even though the conduct constituted a felony. When prosecutors do go forward, the final disposition is most often a period of probation. A growing number of defendants must also complete a batterer’s treatment program as a condition of probation. Only a small percentage of domestic violence offenders are sentenced to incarceration (Hanna, 1998).

How do domestic violence cases compare to nondomestic violence cases? As of 1999, no empirical evidence supported the assertion that the criminal justice system treats domestic violence offenses less seriously than other violent crimes. One study in the mid-1980s found that offenders closely related by blood or sexual ties to their victims were usually given probation or had their cases dismissed, but so too were offenders unrelated to their victims (Ferraro and Boychuck). According to a 1998 study of all inmates incarcerated in state prisons, the median sentence for assault was four years longer if the victim was the offender’s spouse rather than a stranger (Greenfeld). Given the changes in arrest and prosecution policies, as well as increased public pressure on law enforcement to treat domestic violence as a serious crime, it is likely that domestic cases are being treated more seriously than nondomestic cases.

Batterer Treatment Programs

In 1984, the Attorney General’s Task Force on Family Violence concluded that treatment for domestic violence is most successful when the criminal justice system mandates it. Although the Task Force report recommended incarceration for serious offenses, it encouraged the use of batterer treatment programs in cases where the injury to the victim was not serious. Since then, the criminal justice system has adopted faith in treatment as a matter of policy. Some states require courts to order attendance into a batterer treatment program as a condition of probation. Others have pretrial diversion programs in which first-time offenders can avoid conviction by completing a batterer treatment program. VAWA also endorses batterer treatment for violations of its criminal provisions.

Many states mandate the length and content of treatment programs that can be court ordered, although there is no convincing evidence that either the length or model of the treatment determines its effectiveness. Most court-ordered programs are six months to a yearlong. Program content varies greatly. Early programs were based on the premise that poor conflict management skills within the relationship caused violence and, therefore, treated both parties. Most court-ordered programs today, however, reject couple’s therapy and treat the batterer only. While some programs focus on anger control and the individual’s history with violence, increasingly, the majority of court-ordered programs adopt the premise that battering is an outgrowth of patriarchy and focus on the use of violence by the batterer to establish power and control over his victim. Most of these programs will not accept batterers who have substance abuse problems, although more than half of those incarcerated for domestic violence had been using drugs or alcohol at the time of the incident for which they were incarcerated, suggesting that many abusers are in need of multiple interventions (Greenfeld).

Does batterer treatment work? Some available data suggest that court-ordered treatment correlates with a reduction in physical violence, although treatment neither terminates violence in many cases nor curbs the more subtle forms of abuse. However, whether treatment, or simply individual motivation brought on by legal intervention, causes the reduction of violence is unclear. In fact, some studies have found that men arrested and treated resume violent behaviors as frequently as do men arrested and not referred to treatment, and that there is no significant difference between men who complete batterer’s treatment and men who drop out of the program (Rosenfeld). The available research on batterer treatment is hampered by the lack of a control group. As of 1999, no study has randomly assigned abusers to incarceration, treatment, or unsupervised probation. A control group would give researchers confidence that treatment, and not some other variable, such as threat of incarceration, individual motivation, support from one’s partner, social stigma, or other factors, are influencing a change in behavior. Additionally, many studies are methodologically unsound. Sample sizes are often too small to draw valid conclusions and drop-out rates are high. Even more troubling is that most studies that report treatment successes include only subjects who have no substance abuse problems, no psychiatric difficulty, and high motivation. Thus, the complex question of which programs work best for whom, and under what circumstances, remains largely unanswered.

Finally, some jurisdictions have established specialized probation units. Probation officers trained in domestic violence intensively supervise abusers, following their progress in treatment and at home. This is considered to be the last loophole that the criminal justice system needs to close in order to hold abusers accountable for their crimes.

Future of The System’s Response to Domestic Violence

One of the most promising developments in the prevention and treatment of domestic violence is research on batterer typologies. Despite popular misconceptions, all abusers are not equally dangerous, nor are they all alike. It is estimated that only two percent of the total male population is repeatedly severely abusive to women in any given year (Dutton). Most men arrested for domestic violence are low-risk offenders, and are violent only with family members. Those who pose the greatest risk often have extensive criminal histories, including property crimes, drug or alcohol offenses, and violent offenses against nonfamily victims (Dutton). This research will help law enforcement to better screen cases and develop interventions that account for the differences among abusers. In addition, research on the relationship between violence and biomedical conditions is likely to lead to treatments for abusers that involve both medical and behavioral therapy.

The criminal justice system also needs to expand its understanding of domestic violence beyond the male abuser/female victim model and to provide adequate protections for all victims regardless of gender or sexual orientation. Further research into why most men do not engage in intimate violence is imperative to understand what role gender does play in domestic violence.

Only time and solid research will tell if the criminal justice system can successfully reduce domestic violence. None of the initiatives described above will work in isolation. The best research suggests that a coordinated community response, which involves police, prosecutors, defense attorneys, judges, probation officers, victims’ advocates, treatment providers, and medical professionals, is essential. And, while both lethal and nonlethal intimate violence declined in the 1990s, so too has nondomestic violence. Thus, we must be cautious before attributing progress solely to more aggressive criminal intervention. Nevertheless, many remain optimistic that treating domestic violence as a serious public crime and not a trivial family matter will make for a safer society.

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The Multicultural Community Liaison Officer (MCLO) Program is designed to combat domestic violence in the Australia.  This presentation briefly discusses the challenges and achievements of MCLO. 

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This thesis is born of the question: why do women suffer domestic violence disproportionately to any other group? Why does it continue, in the same form, with the same degree of pain, without rebate? And, if the same harm occurs over and over again, consistent through generations and uniform across borders, why then has the international community not yet developed effective means to address it? This thesis attempts to find a legal answer. This is prefaced, however, by the acknowledgement that the law is only one tool in an array of mechanisms, such as health, economics, and politics, which, if properly combined, could alleviate the pain and difficulties experienced by many victims of domestic violence. The area of law to which I look is international human rights law. My initial motivation for considering public international law arose from the repetition of similar forms of domestic violence around the globe. All over the world women suffer the same type of violence at the hands of their intimate partners and they endure the same feelings of helplessness and isolation when looking to the state for protection. If such violence is universal, it seems then, so too should be the solution. I propose in this thesis that international law, if properly fashioned, can be used effectively as part of this solution. In particular, I maintain that the authoritative enunciation of a norm against domestic violence in international law can improve the way states address domestic violence. I do not propose that individual abusers should be tried by international law. My focus instead is on the extent to which states fail consistently to alleviate domestic violence. This is important because many legal systems appreciate neither the exigency of extreme forms of domestic violence, nor the extent to which women as a group are disproportionately victims of this violence. The result of this lack of appreciation is an almost universal failure to police, prevent and punish domestic violence effectively.3 Due to the socialized normalcy of domestic violence, very few cases are reported or actually prosecuted. Where prosecutions do proceed, victims will often drop their complaints either because they have reconciled with, or because they fear recrimination from, their abuser. Given the disjuncture between the reality of domestic violence and the inefficacy of many legal systems to address it, a revision of the law vis-à-vis domestic violence is needed. Both national and international legal systems are in need of change. This thesis proposes that the international community should adopt a clear and authoritative articulation of a legal right against extreme and systemic forms of domestic violence and a corresponding duty of states to help remedy such violence. This proposition is made on the basis that international law currently does not contain an effective articulation of this right, and that adopting effective global standards in international law for addressing such violence would help improve state enforcement of this right. Under the current state of international law, it is difficult to convince states to prioritize its resources and infrastructures to protect abused women. Articulating clear and effective global standards in international law for addressing extreme forms of domestic violence would provide an important and practical benchmark against which domestic state legislation could be evaluated and re-shaped. Formulating such global standards could place pressure on states to take basic remedial steps against such violence, such as enacting legislation that allows for restraining orders to be made at the same time as a maintenance order, or creating accessible shelters, which will accommodate the divergent needs of women, including their children.

http://odhikar.org/fairness-creams-skin-colour-based-discrimination-and-violence-against-women-time-to-stop/

Ruma (not her real name), a school teacher by profession and a mother of two, living in Dhaka, married Mainul eight years ago. Soon after, Mainul started harassing her, calling her an ‘ugly’ woman – because of her dark complexion.  Her mother-in-law and other members of her husband’s family used to verbally abuse her almost every day, saying that her skin is ‘moyla’ (dirty); and expressed their anger and frustration, and thought that Mainul had bad luck as he was not able to marry a ‘beautiful’ woman–meaning a fair-complexioned woman. Ruma tried very hard to be seen as beautiful in the eyes of her husband and in-laws and experimented to see how she could look fairer. She started buying brand name fairness creams, hoping to make her skin lighter as she started to believe that fair meant lovely, as the advertisements say. She regularly watched fairness cream advertisements on television, read about them on bill boards and newspapers and wanted to be as fair as the models in the advertisements. Unfortunately, nothing really worked or showed much of a result. Her husband and in laws demanded a huge amount of dowry repeatedly – apparently as a retaliation for her darker skin.

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  • Medical and psychological treatment of victims, abusers and their children

http://odhikar.org/are-you-a-silent-observer-of-dowry-and-related-violence/

Every year many women in Bangladesh are killed and physically abused and many commit suicide because of the the vicious dowry practice and related violence. According to the rights organisation Odhikar, at least 2,800 women were killed, 1,833 were physically abused and 204 committed suicide because of dowry-related violence between 2001 and July 2014.

By analysing the overall dowry situation, reported statistics indicate that it is only the tip of the iceberg. Majority of the victims continue to tolerate abuse, if they are not killed, all through their married life and never report it. The main reasons behind tolerating or not reporting such abuse is that they are either financially incapable of going away and protecting themselves from their abusive husbands or they are not welcome by their poverty-stricken or stigmatised parental families.

http://www.ncbi.nlm.nih.gov/pubmed/24777256

Exposure to intimate partner violence (IPV) has negative consequences for children's well-being and behavior. Much of the research on parenting in the context of IPV has focused on whether and how IPV victimization may negatively shape maternal parenting, and how parenting may in turn negatively influence child behavior, resulting in a deficit model of mothering in the context of IPV. However, extant research has yet to untangle the interrelationships among the constructs and test whether the negative effects of IPV on child behavior are indeed attributable to IPV affecting mothers' parenting. The current study employed path analysis to examine the relationships among IPV, mothers' parenting practices, and their children's externalizing behaviors over three waves of data collection among a sample of 160 women with physically abusive partners. Findings indicate that women who reported higher levels of IPV also reported higher levels of behavior problems in their children at the next time point. When parenting practices were examined individually as mediators of the relationship between IPV and child behavior over time, one type of parenting was significant, such that higher IPV led to higher authoritative parenting and lower child behavior problems [corrected]. On the other hand, there was no evidence that higher levels of IPV contributed to more child behavior problems due to maternal parenting. Instead, IPV had a significant cumulative indirect effect on child behavior via the stability of both IPV and behavior over time. Implications for promoting women's and children's well-being in the context of IPV are discussed.

http://www.pearsonhighered.com/educator/product/Heavy-Hands-An-Introduct...

Heavy Hands, Fifth Edition, provides an authentic introduction to the crimes of family violence, covering offenders and offenses, impact on victims, and responses of the criminal justice system. This established text is essential reading for those considering careers in criminal justice, victim advocacy, social work, and counseling. Gosselin draws on extensive field experience and uses real-life examples to provide sharp insight into how and why abuse occurs and its effects on abuse survivors. The text’s accessible language and effective learning tools keep students engaged and motivated, while its practical, real-world focus helps students connect text material to the world around them. 

http://dhsprogram.com/publications/publication-DHSQMP-DHS-Questionnaires...

**Go to the publication " DHS6_Module_Domestic_Violence_6Aug2014_DHSQMP"

This document is part of the Demographic and Health Survey’s DHS Toolkit of methodology for the MEASURE DHS Phase III project, implemented from 2008-2013.

This publication was produced for review by the United States Agency for International Development (USAID). It was prepared by MEASURE DHS/ICF International.

http://www.pulp.up.ac.za/edited-collections/strengthening-the-protection...

Strengthening the protection of sexual and reproductive health and rights in the African region through human rights uses rights-based frameworks to address some of the serious sexual and reproductive health challenges that the African region is currently facing. More importantly, the book provides insightful human rights approaches on how these challenges can be overcome. The book is the first of its kind. It is an important addition to the resources available to researchers, academics, policymakers, civil society organisations, human rights defenders, learners and other persons interested in the subject of sexual and reproductive health and rights as they apply to the African region. Human rights issues addressed by the book include: access to safe abortion and emergency obstetric care; HIV/AIDS; adolescent sexual health and rights; early marriage; and gender-based sexual violence.

Myanmar Activists Demand Law to Ban Violence Against Women

This article from The New York Times explores Myanmar's lack of infrastructure to combat violence against women and children. 

http://euromedrights.org/publication/violence-against-women-in-the-conte...

On the occasion of International Women’s Day (8th of March), the Euro Mediterranean Human Rights Network (EMHRN) published today its regional report “Violence against women in the context of political transformations and economic crisis in the Euro-Mediterranean region; trends and recommendations towards equality and justice”.

This report alerts that violence against women has dramatically increased in the Euro-Mediterranean region during the recent years,  showcasing key patterns of violence against women, through case studies from Egypt, Syria, Tunisia, Libya, France, Cyprus and Spain.

The report also underlines the alarming increase and severity of sexual violence in countries such as Libya, Syria and Egypt mounting to sexual terrorism.  In Egypt, women protestors were subjected to systematic and seemingly planned harassment and gang rapes in Tahrir Square. In Syria, women and are subjected to trafficking and sexual exploitation girls in refugee camps.

Subject : This research memorandum presents key findings from desk research conducted in January and February 2014, on the barriers to instituting appropriate VAW laws against domestic violence (DV), and to effectively implementing them in three countries in Asia (China, Pakistan, and Sri Lanka).

Background and Cross-Cutting Findings: China, Pakistan, and Sri Lanka have all ratified CEDAW; however, both China and Pakistan have not passed the Optional Protocol to CEDAW. Research found four cross-cutting barriers impeding the institutionalization of appropriate VAW laws against DV in these three countries:

1)  The predominant public discourse on DV is fragmented. As a result, an overall sense of urgency and severity of the problem is not felt among key stakeholders in all 3 countries.

2)  Other national policies regarding housing, marriage, fertility, migration, etc. undermine both the international (CEDAW) legal framework, and the national policies set up for service provision and protection across all three countries.

3)  There is an overall lack of appropriate resource allocation among all 3 countries for comprehensively implementing appropriate VAW laws against DV. A large body of evidence suggests multiple root causes for VAW-DV, and States disagree on where and how to allocate resources to VAW-DV (prevention, intervention, prosecution, and protection).

4)  Incomparable and unreliable data is the 4 th major barrier to instituting appropriate VAW laws against DV both internationally through CEDAW, and nationally within all 3 countries. Transparency of data collection methodologies is also a noted concern. 

Violence against Women (VAW) is a pervasive, global human rights violation. This research memo discusses the current state of VAW in Australia, and the Australian Governments proposed National Action Plan (NAP) addressing VAW across Australia’s diverse community. Noting that women’s rights are not fully protected by the Commonwealth and revealing the current appalling statistics around domestic and sexual violence against Australian women, the memo then provides insight on Indigenous women and VAW, followed by a deeper look at NAP. Finally, after a brief look at the recent study tour of Australia by the Special Rapporteur on Violence against Women, Australia’s commitment to addressing VAW is discussed with reference to reporting for CEDAW and UPR. The memo then considers the Special Rapporteur’s study tour in light of the election of a new federal government. It then concludes that if the state shows genuine commitment to its people, and to its obligations under human rights treaties, the onus ultimately rests on it to work with civil society to make use of the human rights mechanisms and seek to honestly and with purpose examine their human rights status and develop and adopt sustainable positive change. 

https://www.ncbi.nlm.nih.gov/pubmed/24164531

Intimate partner violence (IPV) has detrimental consequences for women's mental health. To effectively intervene, it is essential to understand the process through which IPV influences women's mental health. The current study used data from 5 waves of the Women's Employment Study, a prospective study of single mothers receiving Temporary Assistance for Needy Families (TANF), to empirically investigate the extent to which job stability mediates the relationship between IPV and adverse mental health outcomes. The findings indicate that IPV significantly negatively affects women's job stability and mental health. Further, job stability is at least partly responsible for the damaging mental health consequences of abuse, and the effects can last up to 3 years after the IPV ends. This study demonstrates the need for interventions that effectively address barriers to employment as a means of enhancing the mental health of low-income women with abusive partners.

http://jbp.sagepub.com/content/40/6/563

Racial microaggressions are often unintentional and subtle forms of racism that manifest in interpersonal communications, behaviors, or environments. The purpose of this study was to explore the presence of racial microaggressions within domestic violence shelters and to understand how women respond to them. Using a phenomenological approach to data collection and analysis, 14 Black women from 3 different shelters were interviewed. Twelve women reported experiencing at least one racial microaggression, although few identified the experience as racist. Additional themes were also examined to understand why women did not identify their experiences of racial microaggressions as racist. Implications for research and practice are discussed.

http://www.unwomen.org/en/digital-library/publications/2010/1/ending-vio...

Can be found under the 'View Online' portion of the site

Ending violence against women is at the heart of the mandate of the United Nations Development Fund for Women (UNIFEM). The international community has an unprecedented opportunity to make meaningful progress in tackling this universal human rights violation. Within this context, UNIFEM has developed its Strategy 2008-2013 to end violence against women and girls, an overview of which is presented here. 

http://www.larepublica.ec/blog/internacional/2013/02/15/bolivia-enfrenta...

La Paz, 15 feb (EFE).- Bolivia ha asumido el reto de frenar la hasta ahora reinante impunidad en los crímenes contra las mujeres con una ley que castigará con dureza la violencia machista, tras el asesinato esta semana de una periodista a manos de su esposo policía.

http://www.echr.coe.int/sites/search_eng/pages/search.aspx#{"fulltext":["factsheet: Violence against women"],"subcategory":["factsheets"]}

Document summaries the court’s case law in relation to domestic violence, genital mutilations, rape, violence and social exclusion, violence at the hands of state authorities and violence in public places.

12 cases dealing with domestic violence refer to the violation of different articles of the European Convention of human rights, namely of the article 2 on the right to life, article 13 on the right to an effective remedy, article 8 on the right to respect for family life, prohibition of inhuman or degrading treatment and article 14 on prohibition of discrimination. Both cases relating genital mutilation against Austria and Ireland were declared inadmissible for the reasons of insufficient protection of the young Nigerian girls that should be provided by their parents. 5 cases dealing with rape reaffirmed the violation of articles 3 on the prohibition of inhuman or degrading treatment or punishment, article 8 and artcile 13 mentioned above. The case of violence and social exclusion confirmed violation of the article 3 whereas the violence at the hands of state authorities brought forward violation of the article 3, artcile 14 and article 11 on freedom of assembly. The last case presented in the factsheet deals with the violence in public places giving declaring the violation of the article 3 and article 8.

http://www.statcan.gc.ca/pub/85-002-x/2013001/article/11766-eng.htm

For the past three decades, Federal-Provincial-Territorial (FPT) Ministers responsible for the Status of Women have shared a common vision to end violence against women in all its forms. Violence against women inCanada is a serious, pervasive problem that crosses every social boundary and affects communities across the country. It remains a significant barrier to women's equality and has devastating impacts on the lives of women, children, families and Canadian society as a whole.

This report marks the third time that the FPT Status of Women Forum has worked with Statistics Canada to add to the body of evidence on gender-based violence. Assessing Violence Against Women: A Statistical Profile was released in 2002 and was followed by Measuring Violence Against Women: Statistical Trends 2006. The 2006 report expanded the analysis into new areas, presenting information on Aboriginal women and women living in Canada's territories. The current report maintains this important focus and also includes information on dating violence, violence against girls and violence that occurs outside of the intimate partner/family context. It also shows trends over time and provides data at national, provincial/territorial, and census metropolitan area levels. A study on the economic impacts of one form of violence against women, spousal violence, is also presented.

http://mptf.undp.org/document/search?fund=WAV00&document_areas=fund,proj...

Please enter "Consolidated Report China" into the search engine in order to find this document.

The United Nations Trust Fund in Support of Actions to Eliminate Violence against Women (UN Trust Fund to EVAW) is a leading multilateral grant-making mechanism devoted to supporting national and local efforts to end violence against women and girls. Established in 1996 by a UN General Assembly Resolution, the UN Trust Fund to EVAW is now administered by UN WOMEN. In 2008, the UN Trust Fund to EVAW began awarding grants on a competitive basis for Joint Programmes submitted by UN Country Teams. 

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A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors

Emilomo ogbe.

1 International Centre for Reproductive Health, Ghent University, Ghent, Belgium

Stacy Harmon

2 Georgia State University Alumna, Atlanta, Georgia, United States of America

Rafael Van den Bergh

3 Médecins Sans Frontières-Operational Centre Brussels, Brussels, Belgium

Olivier Degomme

Associated data.

All relevant data are within the paper and its Supporting Information files.

Intimate partner violence (IPV) is a key public health issue, with a myriad of physical, sexual and emotional consequences for the survivors of violence. Social support has been found to be an important factor in mitigating and moderating the consequences of IPV and improving health outcomes. This study’s objective was to identify and assess network oriented and support mediated IPV interventions, focused on improving mental health outcomes among IPV survivors.

A systematic scoping review of the literature was done adhering to PRISMA guidelines. The search covered a period of 1980 to 2017 with no language restrictions across the following databases, Medline, Embase, Web of Science, PROQUEST, and Cochrane. Studies were included if they were primary studies of IPV interventions targeted at survivors focused on improving access to social support, mental health outcomes and access to resources for survivors.

337 articles were subjected to full text screening, of which 27 articles met screening criteria. The review included both quantitative and qualitative articles. As the focus of the review was on social support, we identified interventions that were i) focused on individual IPV survivors and improving their access to resources and coping strategies, and ii) interventions focused on both individual IPV survivors as well as their communities and networks. We categorized social support interventions identified by the review as Survivor focused , advocate/case management interventions (15 studies) , survivor focused, advocate/case management interventions with a psychotherapy component (3 studies), community-focused , social support interventions (6 studies) , community-focused , social support interventions with a psychotherapy component (3 studies) . Most of the studies, resulted in improvements in social support and/or mental health outcomes of survivors, with little evidence of their effect on IPV reduction or increase in healthcare utilization.

There is good evidence of the effect of IPV interventions focused on improving access to social support through the use of advocates with strong linkages with community based structures and networks, on better mental health outcomes of survivors, there is a need for more robust/ high quality research to assess in what contexts and for whom, these interventions work better compared to other forms of IPV interventions.

Introduction

The global prevalence of intimate partner violence (IPV) has been estimated at about 30% for women aged 15 and over [ 1 ]. We define IPV within this paper as ‘any acts of physical violence, sexual violence, stalking and psychological aggression (including coercive tactics) by a current or former intimate partner’ [ 2 ]. IPV affects men and women, and men or women can be perpetrators or survivors of violence. However, women are the most affected by IPV, and men tend to perpetrate violence more than women [ 3 ]. Survivors of violence are likely to first disclose experiences of intimate partner violence and expect informal support from a friend, family member, neighbour or other members of their social network, prior to seeking support from formal sources like health institutions and legal officers, however, the extent of disclosure differed with age, nature, ethnicity and gender [ 4 ].

IPV has been found to be associated with an increased risk of poor health, depressive symptoms, substance use, chronic disease, chronic mental illness and injury for both men and women [ 5 ]. Social support has been found to be an important factor for mediating, buffering and improving the outcomes of survivors of violence and improving mental health outcomes[ 6 ]. Conversely, social isolation and lack of social support have been found to be linked with poor health outcomes for survivors of violence. Liang et al [ 6 ] discussed the importance, perception of the abuse by the IPV survivor plays on their decision to ask for help and support. They mentioned how cultural factors including stigma and shame around disclosing IPV, perception of the incident as a personal problem and awareness of resources available, play a determining factor on types of resources accessed, especially for IPV survivors with a migrant background or of a low socioeconomic status. IPV survivors who perceive the abuse to be a personal problem were more likely to use placating and avoidant strategies before seeking external support [ 6 ].

In this study, we make use of Shumaker and Brownell’s definition of social support, and define it as any provision of assistance, which may be financial or emotional, that is recognized by both the beneficiary and provider as advantageous to the beneficiary’s welfare. ‘[ 7 ]. IPV interventions that involve the use of social support, have the potential to improve the health seeking behaviour, access to resources and mental health outcomes of IPV survivors. Commonly cited types of social support interventions include but are not limited to the use of peer support, family support and the use of ‘remote interventions like the use of internet or telephones as sources of social support from trained counsellors, as well as information about resources’ [ 8 ]. Goodman and Smyth [ 9 ] discussed the importance of using a ‘network oriented’ approach to provision of domestic violence services that takes into account the value of informal support, from social network members of IPV survivors, as this would promote the well-being of the survivor and sustain some of the benefits of the intervention over time. Given the existing gap in evidence on the effect of different IPV interventions on social support and/ mental health outcomes of IPV survivors, this study aimed to address the evidence gap, by assessing the effects of these different IPV interventions, and network oriented approaches on improving access to social support and improved mental health outcomes for IPV survivors. This is of added benefit, as access to social support improves the mental health outcome of survivors of violence. More evidence of different types of social support interventions targeted at different groups of people, that are effective in addressing mental health outcomes of survivors, are needed.

The systematic review was developed according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-analyses) guidelines. The methods used to screen the studies and define eligibility are described below:

Eligibility criteria

Studies meeting the following criteria were included: Primary research (original articles excluding systematic reviews), targeted at IPV survivors, describing interventions focused on improving access to resources and mental health outcomes for IPV survivors. The interventions had to use a social support or network-oriented approach. There were no restrictions on gender, but most of the studies identified focused on female survivors of violence (See Table 1 ). We defined ‘IPV as physical, sexual and psychological abuse directed against a person, by a current or ex-partner’ [ 10 ].

Studies had to address the following outcomes: intimate partner violence, social support, mental health outcomes and quality of life. Other outcomes that were also included were those associated with access to resources, utilisation of health services, and safety-promoting behaviours, if they were assessed in addition to the outcomes mentioned earlier. No restrictions were placed on study design or language, to allow for inclusion of all relevant studies.

Information sources

Between May and July 2017, we conducted a search across 5 databases: Medline, Embase, Web of Science, Cochrane and PROQUEST, for studies published between 1980 and 2017. We decided to include studies from the 1980’s because some of the pioneering publications on the use of advocacy and social support, for example, Sullivan et al’s work were published in the late 80’s and early 1990’s and we wanted our review to include some of these publications. Even though the review eventually included only primary studies, we included studies from COCHRANE to allow us to identify additional articles. We did not conduct a separate search for grey literature, as the PROQUEST database also included scholarly journals, newspapers, reports, working papers, and datasets along with e-books. Retrieved references were imported to Endnote and Mendeley and were then transferred to a systematic review software called Co-evidence [ 11 ]. In January 2019, another search was done to update and ensure new articles or information could be included in the review. Table 1 provides an overview and summary of the studies selected, as well as the evidence ranking of the studies.

Search strategy

The search strategy was developed in collaboration with a librarian, as well as a review of other existing systematic reviews on IPV or social support interventions. Search terms combined MeSH terms, and specific terms related to IPV and were adapted to each of the databases searched. This is presented in Table 2 .

Study selection

Inclusion of retrieved studies and their eligibility were independently assessed by two reviewers, EO and SH, in a two-step process. First, the authors independently screened all study titles and abstracts using Co-evidence (the systematic review software), which notified each author of conflicts. When a conflict was identified, articles were again independently reviewed, and discordance was resolved through discussion, using the systematic review protocol as a guide. The same process was also used for the full text-screening phase of the study. While this process lengthened the screening process, it allowed for transparency and made it possible for both reviewers to continually reference the study protocol and ensure that the study objectives were adhered to, through the review process.

Data extraction

A standardized data collection form was developed by EO and SH, adapted from the Cochrane data collection grid. EO extracted all the data from the studies, SH and RB reviewed the data and it was agreed that OD would provide input if there was any disagreement about the data extracted.

Risk of bias

The quality and risk of bias in the studies were independently assessed by EO and SH, using the appropriate quality assessment tool. As the studies selected included quantitative and qualitative studies, there was an agreement to assess quantitative and qualitative studies separately. Quantitative studies were assessed using the Quality Assessment Tool for quantitative studies developed by the Effective Public Health Practice Project, see Table 3 for an overview of the components of this tool [ 12 ]. This tool had been used in another systematic review focused on interventions [ 13 ]. Qualitative studies were assessed, using the Critical Appraisal Skills Programme (CASP) Qualitative Research Checklist [ 14 ], the main components focused on assessing the methodological limitations, coherence, adequacy of data and relevance of research. See Table 4 for an overview.

Information about studies selected

The initial search across the different databases retrieved 3712 articles, of which 3364 articles were irrelevant based on the screening criteria. 337 articles were assessed at the full text screening stage, and 27 articles selected to be part of the systematic review, the overview is presented in Fig 1

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Object name is pone.0235177.g001.jpg

From : Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). P referred R eporting I tems for S ystematic Reviews and M eta- A nalyses: The PRISMA Statement. PLoS Med 6(7): e1000097. doi: 10.1371/journal.pmed1000097 For more information, visit www.prisma-statement.org .

Results/Key findings from the systematic review

The interventions were classified based on the methodology or type of social support provided to the survivors of violence. Most of the studies identified involved the use of an ‘advocate/ case manager’ or ‘interventionist’ (which referred to a nurse, psychologist or volunteer trained to administer the IPV intervention). The advocate was often responsible for offering the survivor information on resources and helping them identify safety strategies. The interventions usually consisted of weekly sessions or phone calls for a certain period of time. These interventions were mostly in the United States and from other countries like China, Canada, Denmark, Netherlands, Uganda and the United Kingdom. Other interventions involved the use of advocacy with an added psychotherapy component, and interventions that focused on community education, as well as empowerment of the IPV survivors. One of such community focused interventions used an empowerment model and encouraged survivors of violence to take photos of their safety strategies. These photos were used to educate the community about the consequences of intimate partner violence and advocate for community support to prevent intimate partner violence and encourage access to services. In our paper, the term ‘community focused’ included interventions targeted at the community which used participatory and non-participatory methods in the design and implementation of the programmes. The interventions identified in this systematic review had different target groups, pregnant women, survivors of violence resident in shelters, community members and IPV survivors, substance abusing women, and women with small children.

Types of social support interventions for intimate partner violence survivor

Survivor- focused social support interventions.

The interventions described below were all focused on providing social support and improving mental health outcomes for the survivors of violence, all of them involved the use of advocacy/case management approaches, through remote or ‘face to face’ methods. We also identified advocacy interventions with a strong therapeutic component, which we have discussed separately.

Advocacy/ Case management interventions

These interventions involved the use of community-based advocacy interventions focused on individuals that were survivors of violence, these interventions were focused on assisting the survivors identify and access resources, supportive relationships and cope with the effects of intimate partner violence. Fifteen of the studies reviewed (11 RCTs, 2 pre-post evaluation, 1 retrospective study, 1 quasi-experimental study with randomization) described experiences with social support interventions that provided some sort of advocacy service in combination with community support for survivors of violence, on an individual level [ 15 – 29 ].

Advocacy interventions may include ‘helping abused women to access services, guiding them through the process of safety planning, and improving abused women’s physical or psychological health’ [ 30 ]. For the review, interventions grouped under this category included mentor-mother interventions (these interventions involved the training of IPV survivors who were mothers as counsellors and mentors, for other IPV survivors), and use of home-based or in-clinic advocates. Most of the studies reported a decrease in depression, fear, post-traumatic stress disorder, and increased access to social support for the IPV survivors included in the study.

In Tiwari et al’s study, where an advocacy intervention was compared to the usual community services, the reduction in depression and other mental outcomes, was not significant but the reduction in ‘partner aggression’ and increase in access to social support in the intervention arm was significant [ 15 ]. Two of the studies, an in-clinic advocacy intervention by Coker et al [ 23 ] and a home-based advocate intervention by Sharps et al [ 20 ] resulted in a significant reduction in the experience of intimate partner violence by the survivors (decrease in experience of IPV in the intervention arm compared to the control group). The two mentor mothers’ studies included in this review, showed an increase in uptake of support services and mental health services. Prosman et al’s study [ 18 ] specifically showed evidence that the mentor mother intervention led to a decrease of in experience of IPV (decreased Composite Abuse Scale (CAS) mean score by 37.7 (SD 25.7) after 16 weeks), as well as in depression scores. This study had a component that focused on uptake of therapy, which may have influenced the outcomes. Four of these studies compared ‘face to face’ case management/ advocacy services to remote modes of care and assessed the impact on social support and IPV. Gilbert et al’s study [ 24 ] compared online and case manager implemented screening, assessment, and referral to treatment intervention for IPV survivors who were substance abusing, the intervention was guided by social cognitive theory, and focused on short screening, an intervention and referral to treatment (SBIRT) model. There were no significant differences between both groups in terms of impact of the interventions, the study found both groups has an increase in access to social support, IPV self-efficacy (ability to protect themselves from IPV) and abstinence from substance use, irrespective of the type of intervention they received. McFarlane et al [ 26 ] assessed the differences between nurse case management and a referral card on reduction of violence and use of community resources among IPV survivors, and found no differences in outcome between both groups, but found compared to baseline, participants who received either intervention (nurse case management or referral card) had a significant reduction in experiences of violence (threats of abuse, assaults, risks of homicide and work harassment) between baseline and 24 months post-intervention. There were no significant differences in outcome for participants who were in the referral card or case management intervention arm. Other outcomes like improved safety behaviors and a reduction in the utilization of community resources were also found across both groups. Stevens et al’s [ 27 ] study focused on using telephone based support/referral services for IPV survivors compared to enhanced usual care (, the intervention was based on a social support and empowerment model. The study found no significant difference in outcomes between the intervention arm (telephone-based arm) and the control arm (enhanced usual care- community services provided by the community center including health, social, educational, and recreational services). Research participants reported a decrease in experiences of IPV across both groups, associated with ‘higher levels of social support’ at baseline and at 3 months post-intervention. However, the reduced levels of violence did not influence the capacity to obtain or utilize community resources among the research participants. Constantino et al’s [ 29 ] study compared an advocacy based intervention across different methods (online and face to face) and found the intervention reduced depression, anxiety and increased personal and social support among the online group compared to the control group. The intervention included a module that addressed interpersonal relationships, thoughts and emotions as well as access to referral services like legal aid. Another study by Constantino [ 28 ] involved a nurse led intervention focused on providing information on resources and services for IPV survivors living in a domestic violence shelter. The intervention was compared to usual care in the shelter. The intervention group had reduced psychological distress, increased levels of social support and reduced reporting of health care issues. Most of the studies we found in this category showed moderate levels of quality of evidence.

Advocacy/Case management interventions with a psychotherapy component

3 of the studies (3 RCTs) [ 31 – 33 ] were focused on interventions that included specific types of psychotherapy, sometimes delivered remotely or through individual or group sessions. Zlotnick et al [ 31 ] described the use of interpersonal psychotherapy among pregnant women focused at improving social support among the survivors of violence during individual psychotherapy sessions. Though there was a moderate change in depression and PTSD scores (reduction) between the control and intervention groups at post-intake (5–6 weeks), this difference was not sustained at the post-partum period. Hansen et al [ 33 ] describes the use of psychotherapy using either the ‘Trauma Recovery Group’ (TRG) method developed by ‘a private Danish organization called ‘‘The Mothers’ Aid”‘ or regular trauma therapy for individual or groups of women who were survivors of IPV. The study reported significant changes in PTSD, depression and anxiety symptoms and increased levels of social support (high effect sizes); however, our assessment with the EPHPP grading revealed that the study design was weak. Miller et al’s [ 32 ] study shows the effect of a ‘mom empowerment programme’ focused on improving mental health outcomes and ability to access resources among IPV survivors participating in the programme, with resulting improvement in PTSD, depression and anxiety symptoms.

Community-focused/ network social support interventions

These group of studies, distinct from the ones described above focused on community education and change, so the focus of the studies was not just the individual survivor of violence, but the community as a whole. 9 (3 RCTs, 3 pre-post evaluations, 3 qualitative research) of the studies we reviewed consisted of interventions described as being community-based [ 34 – 42 ]. The definitions of community-focused interventions used for classifying the studies followed the typology by McLeroy et al [ 43 ], which refers to interventions where:

  • The setting of the intervention is the community
  • The target population of the intervention is the community
  • The intervention uses community members as a resource
  • The community serves as an agent for the intervention (i.e. interventions working with already existing structures within the community)

We have focused on interventions in this category where the focus of the intervention is the community. The interventions described include community participatory research, like those described by Ragavan et al’s systematic review on community participatory research on domestic violence [ 44 ], as well as interventions that are ‘community placed’, where the community is a target of the intervention, and might not have been involved in the design of the intervention, in a participatory way.

All the interventions were focused on IPV reduction and improving social support and mental health outcomes for survivors of violence. Interventions like SASA [ 34 , 39 ], used community members as a resource for the intervention. In the SASA intervention, community activists in the intervention sites were trained on GBV prevention, power inequalities and gender norms. After training, they carried out advocacy activities, engaging different stakeholders and members of their social networks to address harmful social norms around GBV. At the end of the intervention, there were reported lower rates of IPV among the intervention community. Other interventions like the ‘Framing Safety project’ [ 35 ], which focused on promoting agency and self-empowerment among survivors of violence, found that by providing means through which survivors of violence could tell their own stories and take ownership of this process, there was a resulting feeling of empowerment among the women. Other interventions used group therapy sessions that were community-based and culturally tailored to the specific target population. Wuest et al [ 41 ] described a collaborative partnership with different stakeholders (academic, NGOs and community members) to develop a comprehensive intervention to IPV, ‘Intervention for Health Enhancement After Leaving (iHEAL), a primary health care intervention for women recently separated from violent/abusive partners’. The post evaluation revealed significant reduction in depression and PTSD from baseline to 6 months post-intervention, these improvements in mental health outcomes, were present at 12 months post-intervention. Other outcomes, like social support, showed some initial improvement from baseline to 6 months post-intervention but these changes were not sustained till 12 months post-intervention.

Community focused/ network interventions with a psychotherapy component

Three of the nine studies (1 RCT and 2 pre-post study) by Kelly et al [ 36 ], McWhirter et al [ 37 ], and Nicolaidis et al [ 38 ] described group therapy interventions that were designed in collaboration with the target population in a participatory way. These studies reported significant reductions in severity of mental health conditions like depression and PTSD, as well as an increase in social support and self-efficacy for the women who were involved in the study.

The focus of this systematic review was to assess the existing evidence available on IPV interventions focused on improving social support and/or mental health outcomes. To ensure that we included all relevant studies, we included both quantitative and qualitative articles. 27 articles were included in the systematic review out of 337 full text articles assessed. The following interventions were identified via the review: Survivor focused interventions (18 studies: 15 of these studies were focused on advocacy/case management services; 3 of these on advocacy/case management services with a psychotherapy component), community-based social support interventions (9 studies:4 out of these were community coordinated interventions with a psychotherapy component). The heterogeneity of the studies made it difficult to conduct a meta-analysis because of the variability in outcome measures, study design and processes and duration of interventions implemented. Survivor focused advocacy/case management IPV interventions made up most of the interventions identified (18 out of 27). The studies showed good to moderate evidence of the positive impact of these interventions on mental health outcomes and also access to social support for the IPV survivors included in the study, and in a few studies, a reduction in partner aggression or experience of IPV (IPV scores) [ 15 – 23 ]. In one study, by De Prince et al [ 42 ], where a community-based advocacy intervention was compared to an advocacy intervention that was focused on referral, both groups showed improvement in mental health outcomes, but the community-based advocacy intervention group (outreach) had slightly better mental health outcomes. A specific approach of the intervention was that it was community-led/ coordinated, the community based organisation reached out directly to the survivors of violence based on information from the systems based advocate, hence removing the need for survivors to seek out services themselves based on the referrals received from the system based advocate. This study might have important lessons for future advocacy interventions, as just provision of referrals might not ensure uptake of services, and a community coordinated follow up of IPV survivors might be more effective in ensuring uptake. However, it must be noted that only few of the advocate-based studies and 1 of the community-focused interventions reported an impact on IPV, with good level of evidence [ 15 , 20 – 23 , 34 ], similar to what has been found in other reviews of advocate-based interventions on intimate partner violence [ 45 ]. Tiwari et al’s study, which focused on the use of an empowerment, social support and advocacy-focused telephone intervention, found improved mental health outcomes among the intervention group. In comparison, Cripe et al’s [ 46 ] study also compared the effect of an empowerment-based intervention in comparison to usual care among abused pregnant women and found higher scores of improved safety behaviours among the intervention group compared to the control group but ‘no statistically significant difference in health-related quality of life, adoption of safety behaviours, and use of community resources between women in the intervention and control groups’. These differences we attribute to the study design, context and characteristics of the study participant. Goodman et al has described the importance of integrating a ‘social network’ approach into IPV interventions, and linking interventions with social networks of IPV survivors to ensure sustained access to social support for the survivors [ 9 , 47 ]. Many of the advocacy/case management interventions described above have created these linkages by assisting IPV survivors identify sources of support within their existing networks and also engage in forming new social relationships [ 16 , 18 , 48 ]. However, more IPV interventions should integrate this approach in a coordinated systemic manner, as engaging with social network members of the IPV survivors ensures sustainability of the programme’s effects over time [ 9 ].

Several of the studies focused on psychotherapy interventions, which were individual, or group based. We classified these interventions separately as these interventions combined community-based advocacy with a therapeutic component, as opposed to advocacy/case management alone or community focused interventions. These interventions either used interpersonal therapy [ 31 ], traumatic treatment therapy [ 33 ], empowerment based group therapy [ 32 ], and a multicomponent intervention that combined therapeutic education sessions with information on resources and legal help remotely or ‘face to face’ [ 29 ]. All the interventions showed some impact on mental health outcomes and social support, with a weaker level of evidence of an impact on IPV. Although Zlotnick et al’s study[ 31 ] on a therapeutic intervention for pregnant IPV survivors, described an improvement of mental health outcomes (moderate effect on PTSD and depression), this finding was not sustained in the postpartum period, drawing attention to the need to assess the efficacy of interventions in this particular group, taking into account time dependent factors and participant attributes. A review done by Trabold et al [ 49 ], found that clinically focused interventions and group-based cognitive or cognitive behavioural interventions had a significant effect on depression and PTSD, as well as the uses of Interpersonal therapy (time dependent). However, as our review focused on therapies focused on improving social support and mental health outcomes, we included fewer studies. Although we found a similar trend as described by Trabold et al, among community-based interventions (including those that were psychotherapy focused), we could not assign the effect specifically to the type of psychotherapy method, but rather to the length, associated support services and context of the intervention. Sullivan et al [ 50 ] discussed the positive effect of trauma informed practice on mental health outcomes of IPV survivors in Shelters, showing evidence of the importance of IPV interventions to include a comprehensive ‘therapeutic or mental health component’. They also discussed the six components of what ‘trauma informed practice’ which includes: (a) reflecting and understanding of trauma and its many impacts on health and behaviour, (b) addressing both physical and psychological safety concerns, (c) using a culturally informed strengths-based approach, (d) helping to illuminate the nature and impact of trauma on survivors’ everyday experience, and (e) providing opportunities for clients to regain control over their lives’. These components were useful for advocacy/case management interventions for IPV survivors, to ensure a focus on improving mental health outcomes, intersectional collaboration between stakeholders, and that the intervention is survivor-centred and addresses cultural factors.

Interventions that compared remote and ‘face to face’ methods of support and advocacy mostly resulted in a reduction in IPV victimization and increased access to social support. In cases where different modes of intervention delivery were tested, for example a comparison between remotely delivered interventions (telephone or online) and ‘face to face’ interventions, no difference was noted between both modes of intervention. Krasnoff and Moscati’s study [ 51 ] discussed a multi-component referral, support and case management intervention that reported similar reduction in perceived IPV victimization as seen in studies included in our review. There were some differences in the telephone support interventions included, Stevens et al’s study [ 27 ] reported no difference in mental health outcomes compared to Tiwari et al’s study[ 15 ] which found an improvement in mental health outcomes among the intervention group. We postulate differences in outcome could be attributable to the fact that Tiwari’s intervention was more advocacy, empowerment and support focused than the intervention described in Stevens et al study, which was more information and referral focused.

Summary of key findings and recommendations

  • Most of the interventions that used advocacy with strong community linkages and a focus on community networks showed significant effects on mental health outcomes and access to social support, we assume a reason for this could be that because these interventions were rooted in the community, there were more sources of support that allowed the survivors of violence to develop better coping strategies, for example in the SASA study that included a strong community engagement component, community responses to cases of IPV were supportive of the survivor, and this had an effect on incidence of IPV. Future research and interventions on IPV should focus on ensuring stronger community linkages and outreach programmes to enhance the impact of the interventions on IPV survivors.
  • This review found that when remote modes of intervention delivery were compared to ‘in person’ delivery of an intervention, there were no significant differences in outcome. This finding is of specific importance to hard-to-reach and vulnerable populations whom might be unwilling to access care at hospitals and registered clinics. More research focused on the use of remote support interventions among vulnerable populations (specifically IPV survivors), should be encouraged.
  • There was a lot of heterogeneity in outcome measurements, especially measures of social support, drawing attention to the need for research and discussions around standardization and synthesis of evidence-based research on social support and IPV.
  • In some of the studies, the ‘dosage of the intervention’, as well as some participant characteristics like age or ethnicity are often cited as potential moderators of some of the outcomes, more research on IPV intervention should examine the time dependent nature of interventions and their effect on outcomes similar to what was done by Bybee et al[ 16 ].

Limitations

Although there were no language restrictions included in our search strategy, most of the studies retrieved and subsequently reviewed were in English, which could have influenced some of our conclusions.

Conclusions

This systematic review presented the findings from IPV interventions focused on social support and mental health outcomes for IPV survivors. Advocacy/case management interventions that had strong linkages with communities, and were community focused seemed to have significant effects on mental health outcomes and access to resources for IPV survivors. However, all IPV survivors are not the same, and culture, socioeconomic background and the perception of abuse by the IPV survivor, have a mediating effect on their decision to access social support and utilize referral services. ‘An intersectional trauma informed practice’[ 50 ] [ 52 ] that addresses psychological and physical effects of IPV, is culturally appropriate and is empowering for the survivor, in addition to a ‘social network oriented approach’ might provide a way to ensure that IPV interventions are responsive to the needs of the IPV survivor[ 47 ]. This will ensure the interventions are targeted at ensuring survivors are able to access social support from their existing networks or new social relationships, and might also promote community education about IPV and promote community support for IPV prevention and mitigation. Future studies on IPV interventions should assess how these approaches impact the incidence of IPV, social and mental health outcomes across different populations’ of IPV survivors.

Supporting information

S1 checklist, funding statement.

E.O- University of Gent BOF startkrediet (BOF.STA.2016.0031.01) The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Data Availability

153 Domestic Violence Topics & Essay Examples

A domestic violence essay can deal with society, gender, family, and youth. To help you decide which aspect to research, our team provided this list of 153 topics .

📑 Aspects to Cover in a Domestic Violence Essay

🏆 best domestic violence titles & essay examples, ⭐ interesting domestic violence topics for an essay, 🎓 good research topics about domestic violence, ❓ research questions on domestic violence.

Domestic violence is a significant problem and one of the acute topics of today’s society. It affects people of all genders and sexualities.

Domestic violence involves many types of abuse, including sexual and emotional one. Essays on domestic violence can enhance students’ awareness of the issue and its causes. Our tips will be useful for those wanting to write outstanding domestic violence essays.

Start with choosing a topic for your paper. Here are some examples of domestic violence essay titles:

  • Causes of domestic violence and the ways to eliminate them
  • The consequences of domestic violence
  • The importance of public domestic violence speech
  • Ways to reduce domestic violence
  • The prevalence of domestic violence in the United States (or other countries)
  • The link between domestic violence and mental health problems among children

Now that you have selected one of the titles for your essay, you can start working on the paper. We have prepared some tips on the aspects you should cover in your work:

  • Start with researching the issue you have selected. Analyze its causes, consequences, and effects. Remember that you should include some of the findings in the paper using in-text citations.
  • Develop a domestic violence essay outline. The structure of your paper will depend on the problem you have selected. In general, there should be an introductory and a concluding paragraph, as well as three (or more) body paragraphs. Hint: Keep in mind the purpose of your essay while developing its structure.
  • Present your domestic violence essay thesis clearly. The last sentence of your introductory paragraph should be the thesis statement. Here are some examples of a thesis statement:

Domestic violence has a crucial impact on children’s mental health. / Domestic violence affects women more than men.

  • Present a definition of domestic violence. What actions does the term involve? Include several possible perspectives on domestic violence.
  • Discuss the victims of domestic violence and the impact it has on them too. Provide statistical data, if possible.
  • Help your audience to understand the issue better by discussing the consequences of domestic violence, even if it is not the primary purpose of your paper. The essay should show why it is necessary to eliminate this problem.
  • You can include some relevant quotes on domestic violence to make your arguments more persuasive. Remember to use citations from relevant sources only. Such sources include peer-reviewed articles and scholarly publications. If you are not sure whether you can use a piece of literature, consult your professor to avoid possible mistakes.
  • Support your claims with evidence. Ask your professor in advance about the sources you can use in your paper. Avoid utilizing Wikipedia, as this website is not reliable.
  • Stick to a formal language. Although you may want to criticize domestic violence, do not use offensive terms. Your paper should look professional.
  • Pay attention to the type of paper you should write. If it is an argumentative essay, discuss opposing views on domestic violence and prove that they are unreliable.
  • Remember that you should include a domestic violence essay conclusion in your paper too. This section of the paper should present your main ideas and findings. Remember not to present any new information or citations in the concluding paragraph.

There are some free samples we have prepared for you, too. Check them out!

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  • Domestic Violence and Its Main Signs In general, the providers should be able to identify the markers of abuse by paying closer attention to the people they serve, treat, teach, or work with.
  • Domestic Violence Ethical Dilemmas in Criminal Justice Various ethical issues such as the code of silence, the mental status of the offender, and limited evidence play a vital role in challenging the discretion of police officers in arresting the DV perpetrators.
  • Healthcare Testing of a Domestic Violence Victim Accordingly, the negative aspects of this exam include difficulties in identifying and predicting the further outcome of events and the course of side effects.
  • Financial Insecurity: Impact on Domestic Violence Therefore, this problem is global and widespread, and it would be wrong to assume that spousal abuse only exists when couples are poor.
  • Domestic Violence, Child Abuse, or Elder Abuse In every health facility, a nurse who notices the signs of abuse and domestic violence must report them to the relevant authorities.
  • Educational Services for Children in Domestic Violence Shelters In order to meet the objectives of the research, Chanmugam et al.needed to reach out to the representatives of emergency domestic violence shelters located in the state of Texas well-aware of the shelters’ and schools’ […]
  • The Domestic Violence Arrest Laws According to the National Institute of Justice, mandatory arrest laws are the most prevalent in US states, indicating a widespread agreement on their effectiveness.
  • Environmental Scan for Hart City Domestic Violence Resource Center In particular, it identifies the target population, outlines the key resources, and provides an overview of data sources for assessing key factors and trends that may affect the Resource Center in the future.
  • Domestic Violence Investigation Procedure If they claim guilty, the case is proceeded to the hearing to estimate the sentencing based on the defendant’s criminal record and the scope of assault. The issue of domestic abuse in households is terrifyingly […]
  • Educational Group Session on Domestic Violence This will be the first counseling activity where the counselor assists the women to appreciate the concepts of domestic violence and the ways of identifying the various kinds of violence.
  • Domestic Violence and COVID-19: Literature Review The “stay safe, stay at home” mantra used by the governments and public health organizations was the opposite of safety for the victims of domestic violence.
  • The Impact of COVID-19 on Domestic Violence in the US Anurudran et al.argue that the new measures taken to fight COVID-19 infections heightened the risk of domestic abuse. The pandemic paradox: The consequences of COVID 19 on domestic violence.
  • Rachel Louise Snyder’s Research on Domestic Violence Language and framing play a significant role in manipulating people’s understanding of domestic violence and the nature of the problem. However, it is challenging to gather precise data on the affected people and keep track […]
  • Domestic Violence Restraining Orders: Renewals and Legal Recourse Since upon the expiry of a restraining order, a victim can file a renewal petition the current task is to determine whether the original DVRO of our client has expired, the burden of obtaining a […]
  • Alcoholism, Domestic Violence and Drug Abuse Kaur and Ajinkya researched to investigate the “psychological impact of adult alcoholism on spouses and children”. The work of Kaur and Ajinkya, reveals a link between chronic alcoholism and emotional problems on the spouse and […]
  • Domestic Violence Counselling Program Evaluation The evaluation will be based upon the mission of the program and the objectives it states for the participants. The counselors arrange treatment for both sides of the conflict: the victims and offenders, and special […]
  • Sociological Imagination: Domestic Violence and Suicide Risk Hence, considering these facts, it is necessary to put the notion of suicide risk in perspective when related to the issue of domestic violence.
  • The Roles of Domestic Violence Advocates Domestic conflict advocates assist victims in getting the help needed to cope and move forward. Moreover, these advocates help the survivors in communicating to employers, family members, and lawyers.
  • Domestic Violence: The Impact of Law Enforcement Home Visits As the study concludes, despite the increase in general awareness concerning domestic violence cases, it is still a significant threat to the victims and their children.
  • Domestic Violence: How Is It Adressed? At this stage, when the family members of the battered women do this to them, it becomes the responsibility of the people to do something about this.
  • Victimology and Domestic Violence In this situation there are many victims; Anne is a victim of domestic violence and the children are also victims of the same as well as the tragic death of their father.
  • Domestic Violence Factors Among Police Officers The objective of this research is to establish the level of domestic violence among police officers and relative the behavior to stress, divorce, police subculture, and child mistreatment.
  • “The Minneapolis Domestic Violence Experiment” by Sherman and Berk The experiment conducted by the authors throws light on the three stages of the research circle. This is one of the arguments that can be advanced.
  • Domestic Violence and Drug-Related Offenders in Australia The article is very informative since outlines a couple of the reasons behind the rampant increase in cases of negligence and lack of concern, especially from the government.
  • An Investigation on Domestic Violence This particular experiment aimed to evaluate the nature of relationship and the magnitude of domestic violence meted on either of the partners.
  • Educational Program on Domestic Violence The reason why I have chosen this as the topic for my educational program is that victims of domestic violence often feel that they do not have any rights and hence are compelled to live […]
  • Family and Domestic Violence: Enhancing Protective Factors Current partner Previous partner Percentage of children When children are exposed to violence, they encounter numerous difficulties in their various levels of development.
  • Domestic Violence in Women’s Experiences Worldwide Despite the fact the author of the article discusses a controversial problem of domestic violence against women based on the data from recent researches and focusing on such causes for violence as the problematic economic […]
  • Parenting in Battered Women: The Effects of Domestic Violence In this study, ‘Parenting in Battered Women: The Effects of Domestic Violence on Women and their Children,’ Alytia A. It is commendable that at this stage in stating the problem the journalists seek to conclude […]
  • Domestic Violence Types and Causes This is acknowledged by the law in most countries of the world as one of the most brutal symbols of inequality.
  • Alcohol and Domestic Violence in Day-To-Day Social Life My paper will have a comprehensive literature review that will seek to analyze the above topic in order to assist the reader understand the alcohol contributions in the domestic and social violence in our society.
  • Power and Control: Domestic Violence in America The abusive spouse wants to feel powerful and in control of the family so he, usually the abusive spouse is the man, beats his wife and children to assert his superiority.
  • Domestic or Intimate Partner Violence Intervention Purpose of the study: The safety promoting behavior of the abused women is to be increased using a telephone intervention. They were allocated to either of the groups by virtue of the week of enrolment […]
  • Federal and State Legislative Action on Domestic Violence In 2004, the state of New York decided to look into some of the ways of preventing this form of domestic violence by forming an Office for the Prevention of Domestic Violence in 2005, employers […]
  • Substance Abuse and Domestic Violence: Comprehensive Discussion Substance abuse refers to the misuse of a drug or any other chemical resulting in its dependence, leading to harmful mental and physical effects to the individual and the wellbeing of the society.
  • Environmental Trends and Conditions: Domestic Violence in the Workplace Despite the fact that on average the literacy rate and the rate of civilization in the world have been increasing in the past few decades, the statistics for domestic violence have been increasing on an […]
  • Domestic Violence in the Organizations Despite the fact that on average the literacy rate and the rate of civilization in the world has been increasing in the past few decades, the statistics for domestic violence have been increasing on an […]
  • Facts About Domestic Violence All aspects of the society – which starts from the smallest unit, that is the family, to the church and even to the government sectors are all keen on finding solutions on how to eliminate, […]
  • Domestic Violence in Marriage and Family While there are enormous reports of intimate partner homicides, murders, rapes, and assaults, it is important to note that victims of all this violence find it very difficult to explain the matter and incidents to […]
  • Domestic Violence and Repeat Victimisation Theory Domestic violence is a crime which often happens because of a bad relationship between a man and woman and usually continues to be repeated until one of the parties leaves the relationship; hence victims of […]
  • One-Group Posttest-Only Design in the Context of Domestic Violence Problem This application must unveil the risks and their solutions by researching the variables and the threats to the validity of the research.
  • Help-Seeking Amongst Women Survivors of Domestic Violence First, the article explains the necessity of the research conduction, which includes the relevance of the abuse problem and the drawbacks of solving and studying it.
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  • Gender Studies: Combating Domestic Violence The purpose of this paper is to provide a detailed description of domestic violence, as well as the development of an action plan that can help in this situation.
  • Addressing Domestic Violence in the US: A Scientific Approach The implementation of sound research can help in addressing the problem and decreasing the incidence of domestic violence, which will contribute to the development of American society.
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  • Millennium Development Goals and Domestic Violence: A Bilateral Link As a result, a review of the potential of MDGs for resolving the issue needs to analyze the contribution of the goals to the resolution of the instances, consequences, and causes of DV.
  • Campaign against Domestic Violence: Program Plan In addition, men who used to witness aggressive behavior at home or in the family as children, or learned about it from stories, are two times more disposed to practice violence against their partners than […]
  • Domestic Violence Within the US Military In most of the recorded domestic violence cases, females are mostly the victims of the dispute while the males are the aggressors of the violence.
  • Domestic Violence and Family Dynamics: A Dual Perspective There are different types and causes of domestic violence, but the desire to take control over relationships is the most common cause.
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  • Domestic Violence in Australia: Budget Allocation and Victim Support On the other hand, the allocation of financial resources with the focus on awareness campaigns has also led to a lack of financial support for centres that provide the frontline services to victims of domestic […]
  • Domestic and Family Violence: Case Studies and Impacts This paper highlights some of the recent cases of the violence, the forms of abuse involved, and their overall impacts on the victims.
  • Family and Domestic Violence Legislation in the US In fact, this law is a landmark pointing to the recognition of the concept of domestic violence at the legal level and acknowledging that it is a key problem of the society.
  • Domestic Violence and Social Interventions In conclusion, social learning theory supports the idea that children have a high likelihood of learning and simulating domestic violence through experiences at home.
  • Legal Recourse for Victims of Child Abuse and Domestic Violence Victims of child abuse and domestic violence have the right to seek legal recourse in case of violation of their rights.
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  • Local Domestic Violence Victim Resources in Kent The focus of this paper is to document the local domestic violence victim resources found within a community in Kent County, Delaware, and also to discuss the importance of these resources to the community.
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  • Domestic Violence in Australia: Policy Issue In this paper, DV in Australia will be regarded as a problem that requires policy decision-making, and the related terminology and theory will be used to gain insights into the reasons for the persistence of […]
  • Domestic Violence in International Criminal Justice The United Nations organization is deeply concerned with the high level of violence experienced by women in the family, the number of women killed, and the latency of sexual violence.
  • Project Reset and the Domestic Violence Court The majority of the decisions in courts are aimed to mitigate the effects of the strict criminal justice system of the United States.
  • Same-Sex Domestic Violence Problem Domestic violence in gay or lesbian relationships is a serious matter since the rates of domestic violence in such relationships are almost equivalent to domestic violence in heterosexual relationships. There are a number of misconceptions […]
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  • Anger Management Counseling and Treatment of Domestic Violence by the Capital Area Michigan Works These aspects include: the problem that the program intends to solve, the results produced by the program, the activities of the program, and the resources that are used to achieve the overall goal.
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  • Poverty and Domestic Violence It is based on this that in the next section, I have utilized my educational experience in order to create a method to address the issue of domestic violence from the perspective of a social […]
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  • Cross-Cultural Aspects of Domestic Violence This is one of the limitations that should be taken account. This is one of the problems that should not be overlooked.
  • Domestic Violence in the Lives of Women She gives particular focus on the social and traditional aspects of the community that heavily contribute to the eruption and sustenance of violence against women in households. In the part 1 of the book, Renzetti […]
  • Financial Planning and Management for Domestic Violence Victims Acquisition of resources used in criminal justice require financial resources hence the need to manage the same so as to provide the best machines and equipments.
  • Violence against Women: Domestic, National, and Global Rape as a weapon for the enemy Majority of cultures in war zones still accept and regard rape to be a weapon of war that an enemy should be punished with.
  • Effects of Domestic Violence on Children Development In cases where children are exposed to such violence, then they become emotionally troubled: In the above, case them the dependent variable is children emotions while the independent variable is domestic violence: Emotions = f […]
  • Evaluation of Anger Management Counseling and Treatment of Domestic Violence by the Capital Area Michigan Works These aspects include: the problem that the program intends to solve, the results produced by the program, the activities of the program, and the resources that are used to achieve the overall goal.
  • Knowledge and Attitudes of Nurses Regarding Domestic Violence and Their Effect on the Identification of Battered Women In conducting this research, the authors sought the consent of the prospective participants where the purpose of the study was explained to participants and confidentiality of information to be collected was reassured.
  • Domestic Violence Dangers Mount With Economic, Seasonal Pressures These variables are believed to be able to prompt the family to explore the experiences and meanings of stress and stress management.
  • Impact of the Economic Status on Domestic Violence This article investigates the possible factors that may help in explaining the status of women who are homeless and their capacity to experience domestic violence.
  • Dominance and “Power Plays” in Relationships to Assist Clients to Leave Domestic Violence According to psychologists, the problem of domestic violence is based on the fact that one partner needs to be in control of the other.
  • Art Therapy With Women Who Have Suffered Domestic Violence One of the most significant benefits of art therapy is the fact the patients get to understand and interpret their own situations which puts them in a better position to creatively participate in own healing […]
  • Collaborative Crisis Intervention at a Domestic Violence Shelter The first visit is meant to collect the information that the professional in domestic violence deem crucial concerning the precipitating incidence and history of violence.
  • Domestic Violence Exposure in Colombian Adolescents In this topic, the authors intend to discover the extent of association of drug abuse to domestic violence exposure, violent and prosocial behavior among adolescents.
  • Domestic Violence and Its Classification Sexual abuse is the other common form of maltreatment which is on the rise and refers to any circumstance in which force is utilized to get involvement in undesired intimate action. Emotional maltreatment entails inconsistent […]
  • Domestic Violence and Social Initiatives in Solving the Problem The absence of the correct social programs at schools and the lack of desire of government and police to pay more attention to the prevention of the problem while it is not too late are […]
  • Domestic Violence in the African American Community Previous research has suggested this due to the many causes and effects that are experienced by the members and especially the male members of the African American community.
  • Domestic Violence: Predicting and Solutions There are several factors which predict the state of domestic violence in the future and this will help in preventing domestic violence.
  • Domestic Violence: Signs of Abuse and Abusive Relationships The unprecedented rejuvenation of such a vile act, prompted the formation of factions within society, that are sensitive to the plight of women, and fight for the cognizance of their rights in society.
  • Domestic Violence against South Asian Women Again, this strategy is premised on the idea that domestic violence can be explained by the financial dependence of women in these communities.
  • The Effects of Domestic Violence According to statistics and research provided in the handout, women are at a higher risk of being victims of domestic violence.
  • Effect of Domestic Violence on Children This is done with the aim of ensuring that the child is disciplined and is meant as a legitimate punishment. Most of our children have been neglected and this has contributed to the increase in […]
  • Domestic Violence and Elderly Abuse- A Policy Statement Though this figure has been changing with the change in the method of survey that was conducted and the nature of samples that were taken during the research process, it is widely accepted fact that […]
  • Domestic Violence as a Social and Public Health Problem The article, authored by Lisa Simpson Strange, discusses the extent of domestic violence especially in women and the dangers it exposes the victims to, insisting that severe actions should be taken against those who commit […]
  • Community and Domestic Violence: Elder Abuse In addition, the fact the elderly people cannot defend themselves because of the physical frailty that they encounter, they will experience most of the elderly abuse.
  • Community and Domestic Violence; Gang Violence Solitude, peer pressure, need to belong, esteem, and the excitement of the odds of arrest entice adolescents to join these youth gangs.
  • Fighting Domestic Violence in Pocatello, Idaho Having realized the need to involve the family unit in dealing with this vice, Walmart has organized a sensitization program that will involve the education of whole family to increase awareness on the issue. The […]
  • What Is the Purpose of Studying Domestic Violence?
  • What Does Theory Explain Domestic Violence?
  • What Is the Difference Between IPV and Domestic Violence?
  • What Age Group Does Domestic Violence Affect Most?
  • When Domestic Violence Becomes the Norm?
  • How Are Domestic Violence Problems Solved in American and Other Cultures?
  • What Are the 3 Phases in the Domestic Violence Cycle?
  • How Can Domestic Violence Be Explained?
  • How Many Deaths Are Caused by Domestic Violence?
  • When Was Domestic Violence First Defined?
  • How Is a Domestic Violence Prevention?
  • How Race, Class, and Gender Influences Domestic Violence?
  • Why Do Victims of Abuse Sometimes Stay Silent?
  • How Does Domestic Violence Affect the Brain?
  • Is Mental Illness Often Associated With Domestic Violence?
  • How Does Domestic Violence Affect a Person Emotionally?
  • How Does Domestic Violence Affect Children’s Cognitive Development?
  • Why Should Employers Pay Attention to Domestic Violence?
  • What Are the Causes of Domestic Violence?
  • What Country Has the Highest Rate of Domestic Violence?
  • How Does Domestic Violence Affect the Lives of Its Victims?
  • What Are the Possible Causes and Signs of Domestic Violence?
  • How Does Socioeconomic Status Affect Domestic Violence?
  • How Does the Australian Criminal Justice System Respond to Domestic Violence?
  • How Does Culture Affect Domestic Violence in the UK?
  • What Is the Psychology of an Abuser?
  • What Is Police Doing About Domestic Violence?
  • How Does the Government Define Domestic Violence?
  • What Profession Has the Highest Rate of Domestic Violence?
  • What Percent of Domestic Violence Is Alcohol-Related?
  • Family Relationships Research Ideas
  • Alcohol Abuse Paper Topics
  • Drug Abuse Research Topics
  • Child Welfare Essay Ideas
  • Childhood Essay Topics
  • Sexual Abuse Essay Titles
  • Divorce Research Ideas
  • Gender Stereotypes Essay Titles
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COMMENTS

  1. Exploring factors influencing domestic violence: a comprehensive study on intrafamily dynamics

    By investigating these factors, our study enhances the existing understanding of the complex dynamics of domestic violence within the unique context of the pandemic. The COVID-19 crisis has exacerbated various stressors and challenges within households, potentially intensifying the risk of violence. Understanding the interplay between these ...

  2. (PDF) Domestic Violence

    Abstract. Introduction: Domestic Violence [DV] is a global health problem of pandemic proportions. WHO identifies it as psychological, physical or sexual violence or threats of the same, in the ...

  3. (PDF) Domestic Violence: A Literature Review Reflecting an

    Abstract. This empirical literature review examines and synthesizes inter-national domestic violence literature related to prevalence, types of violence, honor and dowry killings, health=pregnancy ...

  4. Assessing the Impact of Domestic Violence Upon the Lives of African

    domestic violence. Purposeful sampling was used to guide to select the participants. Despite many studies on the subject and programs to combat violence, domestic violence against women has grown dramatically over the years. As a result of this, research on domestic violence in leading scholarly academic journals and national reports has grown

  5. Intimate Partner Violence: Effects of Emotional Abuse in Women

    The U.S. Department of Justice (2018) has defined domestic violence (DV) as a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner. Domestic violence can be physical, sexual, emotional, economic, or threats of actions that influence another person. (p. 1)

  6. The Impacts of Exposure to Domestic Violence in Childhood That Leads to

    exposure to domestic violence in childhood was the second highest predictor for experiencing domestic violence as an adult (Kimber et al., 2018). By gaining insight into the problem, this research can educate adolescents and adults on the impacts of domestic violence and identify methods to decrease or prevent violence in future relationships.

  7. Intimate partner violence: A loop of abuse, depression and

    EXPOSURE OF CHILDREN TO PARENTAL DOMESTIC VIOLENCE. It has been outlined by recent research that the presence of intimate partner violence often compromises a child's attachment to primary caregivers, which results in an additional risk factor for social, emotional, and psychological impairment[].A child can be exposed to domestic violence also through the awareness that violence occurs ...

  8. A qualitative quantitative mixed methods study of domestic violence

    Violence against women is one of the most widespread, persistent and detrimental violations of human rights in today's world, which has not been reported in most cases due to impunity, silence, stigma and shame, even in the age of social communication. Domestic violence against women harms individuals, families, and society. The objective of this study was to investigate the prevalence and ...

  9. PDF Domestic Violence Against Women: A Literature Review

    ABSTRACT This literature review of research in the past 30 years on domestic violence against women focuses on the cycle of violence within abusive relationships, why women ... For the purposes of this paper, domestic violence is defined as rape,p:gy~ic.,M~;~ A,,,' assault and stalking perpetuated by current and former dates, ...

  10. Intimate Partner Violence: A Systematic Literature Review

    Abstract. Intimate partner violence (IPV) and domestic violence have devastating effects on the health and. well-being of people exposed to abuse. It is known that up to 75% of IPV episodes occur after a. woman leaves her abuser, and women who seek help are most likely to suffer aggravated assaults.

  11. PDF A Policy Analysis of the Violence Against Women Act Reauthorization of

    Research has shown that domestic violence is a gender-based issue (Black et al., 2011). Although perpetrators of domestic violence can either be males or females, research statistics and have long showed that the majority of domestic violence victims are women, and the level of injuries for women is higher in comparison to men (Black et al., 2011).

  12. (PDF) Domestic Violence and Its Impacts on Children: A ...

    The effects of domestic violence are highly influential on children and can result in. emotional problems, such a s depre ssion, emotional confusion, nervousness, fear, possible. adaptation ...

  13. A model-based boosting approach to risk factors for physical ...

    The goal of this study was to identify and describe the extent to which a comprehensive set of risk factors from the ecological model are associated with physical intimate partner violence (IPV) victimization in Mexico. To achieve this goal, a structured additive probit model is applied to a dataset of 35,000 observations and 42 theoretical correlates from 10 data sources. Due to the model's ...

  14. Domestic Violence Research Paper

    View sample crime research paper on domestic violence. Browse other research paper examples for more inspiration. If you need a thorough research paper written according to all the academic standards, you can always turn to our experienced writers for help. This is how your paper can get an A!

  15. Domestic Violence

    Publisher's Version Abstract. Jemia MB, Sedou L, Scott M, Thill M, Pavlou S, Brié F, Alqurah L. Violence against Women in the context of Political Transformations and Economic Crisis in the Euro-Mediterranean Region: Trends and Recommendations towards Equality and Justice. EuroMed Rights - Euro-Mediterranean Human Rights Network; 2014.

  16. A systematic review of intimate partner violence interventions focused

    We define IPV within this paper as 'any acts of physical violence, sexual violence, stalking ... (0.11, 0.74), and Referral condition d 0.31 (- 0.08, 0.70). RCI of 8.77 was calculated based on a reliability sample, ... like those described by Ragavan et al's systematic review on community participatory research on domestic violence ...

  17. Exploring the Theological Context to Domestic and Family Violence

    The document analysis was conducted as part of a larger research project exploring religion and men's perpetration of DFV (Wendt et al., 2023a). 5 The research proposal was established in response to the LCA approaching the research project's Chief Investigator about the opportunity to conduct research that will support the work of the LCA's domestic violence (DV) Taskforce and the capacity of ...

  18. How to Write a Research Proposal for Domestic Violence

    Write a title, having studied the latest scholarly material and made an informed decision about what you would like to research. Your title does not need to explain every aspect of the proposal, but should reflect the main content. For example: "Cultural Factors of Domestic Violence among Eastern European Immigrants" or "The Impact of Domestic ...

  19. Domestic Violence and Its Effect on Women

    ex -husbands, whilst 13% are committed by women mainly step mothers and rivals. On the other hand. 84% of victims are women, children, disabled and the aged with 3% of victims being males. The age ...

  20. Domestic Violence Abstract

    Domestic Violence. CJA 334 -Research Methods in Criminal Justice. March 5, 2013. Abstract Domestic violence is a crime and a common dilemma that may affect more than a quarter of women. It is a complicated area in which to undertake research. Why do victims stay in abusive relationships and how do we protect this issue?

  21. 153 Domestic Violence Topics & Essay Examples

    Domestic violence is a significant problem and one of the acute topics of today's society. It affects people of all genders and sexualities. Domestic violence involves many types of abuse, including sexual and emotional one. Essays on domestic violence can enhance students' awareness of the issue and its causes.

  22. PDF Welcome to White Rose eTheses Online

    Welcome to White Rose eTheses Online - White Rose eTheses Online