Help-Seeking Behavior of Female Victims of Intimate Partner Violence in Ghana: The Role of Trust and Perceived Risk of Injury

Although several studies have investigated the socio-cultural underpinnings of intimate partner violence (IPV) in Ghana, few explore the help-seeking behavior of the victims. This study examined the help-seeking behavior of female victims of IPV in Ghana. Specifically, it explored the role of perceived risk of injury and trust in determining whether and where victims seek help and their likelihood of seeking help in the event of future abuse. The study used nationally representative cross-sectional data (N =?1689) and logit regression techniques to address these research objectives. The majority of respondents who had suffered IPV had not sought help after experiencing violence. However, of these, a substantial proportion said they would do so in the future. Respondents with high perceived risk of injury from physical and emotional violence were significantly more likely to seek help from both formal and informal support networks than those who saw themselves at no risk. Those with high levels of trust in formal and informal institutions were more likely to seek help from these networks. Compared to those who did not, respondents who thought IPV should be kept private were less likely to seek help, especially in future abuse. Finding suggest policy makers should educate women about IPV, especially their risk of violence.     

Factors influencing help-seeking from informal networks among African American victims of intimate partner violence

The purpose of this study was to gain an understanding of the challenges African-American women in abusive relationships face when they consider seeking-help from their informal networks. Data are reported from interviews with 15 African-American women who were self-identified as having survived physical intimate partner violence. A 13-item, semi-structured interview guide was developed in order to elicit information from participants. All of the interviews were audio-recorded, transcribed, and coded for analysis. This analysis revealed emergent themes from these interviews concerning the social factors and perceptions that influence help-seeking behavior. Participants perceived their informal networks as willing to offer instrumental support. However, informal networks were not emotionally supportive. Participants also noted that the African-American community at-large believes victims of violence to be "stupid" for remaining in violent relationships. Additional results are also discussed. Results may be used to help enhance efforts to reduce the rates of intimate partner violence among African-Americans.     

Intimate Partner Violence in Extremely Poor Women: Longitudinal Patterns and Risk Markers

Despite high revalence rates of intimate partner violence in the lives of extremely poor women with dependent children, few studies have investigated the patterns of violence that occur over time, and the characteristics of women that serve as risk markers for partner violence. This paper describes patterns of domestic violence longitudinally and uses multivariate analyses to delineate childhood and adult risk markers for recent intimate partner violence in this population of women. Analyses draw upon a sample of 436 homeless and extremely poor housed mothers receiving welfare, in a mid-sized city in Massachusetts with a large Hispanic population of Puerto Rican descent and relatively fewer Blacks. We found that among women with complete longitudinal data (N=280), almost two-thirds experienced intimate partner violence at some point during their adult life by the end of study follow-up, and that the abuse before and after the baseline interview was episodic and limited over time. To examine the role of individual women's factors, while controlling for partner characteristics, we used baseline data on women who had been partnered during the past year (N=336). Among childhood predictors, we found that sexual molestation contributed most significantly to adult intimate partner violence that occurred during the past year prior to the baseline interview. Adult risk markers included inadequate emotional support from non-professionals, poor self-esteem, and a partner with substance abuse problems. Having a partner with poor work history was another independent predictor of recent abuse. Ethnicity did not significantly predict whether women were abused or not during the past year, contrary to other findings reported in the literature.     

Factors influencing help-seeking behavior among battered Korean women in intimate relationships

In total, 123 battered Korean women who used domestic violence agencies were asked where they had turned for assistance in response to intimate partner violence. This study examined the factors related to use of formal and informal resources by these women. Formal resources included police, medical, legal, and shelter; informal were family or neighbors. Findings revealed that (a) the women studied used a variety of resources and that (b) income, violence-related injuries, and partner child abuse were related to whether they contacted police. Injury and partner child abuse were related to contacting a medical doctor/medical facility. Income, relationship status, and partner child abuse were related to approaching family or neighbors. The key finding was that partner child abuse increased the likelihood of battered Korean women seeking help from formal service resources and informal networks. This suggests the need for integrative services that link women's and children's protective services in order to meet the needs of both victims and children.     

Life Stress as Mediator of the Childhood Maltreatment – Intimate Partner Violence Link in Low-Income, African American Women

This study examined the relations between childhood maltreatment, daily life hassles, and intimate partner violence among low-income, suicidal, abused African American women (N = 208). Findings indicated a significant association between childhood maltreatment and intimate partner violence, such that women who experienced childhood maltreatment were more likely to experience intimate partner violence as adults than those who reported no childhood maltreatment history. Also, results from bootstrapping analyses revealed that daily life stressors mediated the link between childhood maltreatment and both physical and nonphysical forms of intimate partner violence. These findings highlight the importance of thoroughly assessing for a history of childhood maltreatment, current intimate partner violence, and the nature and extent of daily hassles when working with low-income African American women, as well as helping abused women with a history of childhood maltreatment to cope effectively with the daily life hassles that they encounter.     

Relationships of depression to child and adult abuse and bodily pain among women who have experienced intimate partner violence

This study investigates whether depression in women who experienced intimate partner violence is associated with having also experienced childhood sexual and physical abuse, psychological abuse by an intimate partner, recent involvement with the abusive partner, and bodily pain. Fifty-seven women who had left a violent relationship with an intimate partner completed measures assessing their demographic characteristics, experiences of abuse in childhood and in their relationship with their intimate partner, and depressive symptoms. Multiple regression analysis showed that women's depression was significantly greater among those who had experienced childhood physical and sexual abuse, more severe psychological abuse, and greater bodily pain (p<.001), adjusted R(2)=.32. These results suggest characteristics that can help to identify abused women who are most at risk for depression, and they suggest specific issues that may need to be addressed in this population.     

Exposure to Family Violence in Childhood and Intimate Partner Perpetration or Victimization in Adulthood: Exploring Intergenerational Transmission in Urban Thailand

Investigators who study intimate partner violence have long recognized a relationship between exposure to violence in the family of origin and subsequent offending and victimization in the family context. This relationship holds not only for direct exposure (i.e., experiencing violence), but also for indirect exposure (i.e., witnessing violence against a parent or sibling). Typically, this relationship has been attributed to a social learning process that results in the intergenerational transmission of family violence. In this study, we explore intergenerational transmission in a sample of 816 married women in Bangkok, Thailand to determine how childhood exposure to violence in the family of origin is related to intimate partner perpetration and victimization during adulthood. Our results show that there are indeed long-term and significant effects of childhood exposure to family violence on the likelihood of Thai women’s psychological and physical intimate partner perpetration. However, these effects appear to be indirect. Additionally, our results demonstrate a direct association between childhood exposure to parental intimate partner violence and subsequent psychological and physical victimization in adulthood.     

The Impact of Children on Legal Actions Taken by Women Victims of Intimate Partner Violence

Successful criminal or civil legal system response to assaults against intimate partners (intimate partner violence; IPV) usually rely on the victim’s participation in the legal process, including having contact with the prosecutor, filing charges, and/or applying for an order of personal protection. Using data abstracted from criminal and civil legal system records for a county-wide cohort of 990 female IPV victims over a 4-year period, we examine the impact of having children, and of specific child factors, on victims’ engagement with the criminal prosecution of their abusive partners and/or seeking a personal protection order (PPO) in the civil court system. Having children increased victim’s contact with the prosecutor and applications for PPOs, but did not increase her likelihood of wanting to file or drop charges. Findings support prior work suggesting both the importance and complexity of children on mothers’ decision-making. Policy makers and service providers may want to assess survivors’ thoughts about the role children play in their decision-making. Additionally, by offering survivors interventions to help their children address the impact of IPV exposure, survivors may be more willing to engage with services.     

Identifying and Responding to the Complex Needs of Domestic Violence Housing Practitioners at the Onset of the COVID-19 Pandemic

The social, financial, and emotional repercussions of the COVID-19 pandemic has left many organizations that support survivors of intimate partner violence questioning how to maintain core services while addressing compounding individual, organizational, and public health issues. Stay-at-home orders and other COVID-19 mitigation strategies have resulted in reduced shelter availability and increased intimate partner violence rates. Coupled with the economic impact of the pandemic, these factors have threatened financial and housing stability. To better understand these challenges and provide immediate support, The National Alliance for Safe Housing (NASH) co-hosted a peer support call to provide a virtual platform for practitioners to ask questions, discuss challenges, and share strategies for quality service provision during the COVID-19 pandemic. Over 800 practitioners from across the United States participated in the NASH call, most of whom were advocates, program directors, and managers. NASH gathered data on practitioners’ needs from a brief survey from the registration form analyzed using conventional inductive content analysis. Practitioners’ primary concerns were situated within eight questions, which we categorized into four meta-categories: (1) managing residential housing programs; (2) getting survivors materials resources; (3) keeping staff safe; and (4) maintaining organizational operations. The paper concludes with community-grounded and empirically supported practice recommendations aligned with practitioners’ expressed needs.

     

The distribution of and factors associated with intimate terrorism and situational couple violence among a population-based sample of urban women in the United States

It has been proposed that two distinct forms of intimate partner violence exist: intimate terrorism and situational couple violence. This article describes the distribution of factors that characterize intimate terrorism and situational couple violence, including controlling behaviors, violence escalation, and injury, among a representative sample of 331 physically assaulted women living in 11 North American cities. In addition, respondent, partner, and relationship characteristics associated with each form of violence are identified. Most women who experienced physical assault also experienced controlling behavior by their male partner. In multivariate analyses, respondent's young age, violence escalation in the relationship, partner's access to guns, previous arrests for domestic violence offenses, poor mental health, and previous suicide attempts or threats were associated with intimate terrorism, defined as experiencing one or more controlling behaviors. These results suggest that situational couple violence is rare and that moderate and high levels of controlling behaviors are associated primarily with partner factors.     

Trajectories of non-intimate partner and intimate partner homicides, 1980-1999: The importance of rurality

Research had consistently shown that intimate partner homicide rates had been on a steady downward decline over the past two decades; however, a relatively recent movement in intimate partner homicide research had emphasized the need for further dissecting the aggregate trends by factors such as gender, race, victim-offender relationship, and same-sex partners. Taking this a step forward, this study utilized trajectory analysis for comparing and contrasting non-intimate partner homicide and intimate partner homicide rates over time in order to explore the importance of rurality when investigating intimate partner violence. Results of the analysis indicated that although intimate partner homicide rates had been declining over the 1980-1999 period for the majority of the 1,341 U.S. counties examined, there was evidence that rurality was significantly associated with an increased likelihood of assignment to a non-declining intimate partner homicide trajectory. In light of the findings, the authors also consider how these results can direct future research on intimate partner violence in rural areas.     

Sexual relationship power, intimate partner violence, and condom use among minority urban girls

This study examined the association between sexual relationship power, intimate partner violence, and condom use among African American and Hispanic urban girls. In this sample of 56 sexually active girls, 50% did not use condoms consistently and therefore were at higher risk for acquiring HIV or sexually transmitted diseases (STDs). Teens who experienced more intimate partner violence had a significantly higher likelihood of inconsistent condom use and therefore a greater risk for HIV/STDs. Girls' sense of sexual control in their relationships was not directly associated with inconsistent condom use but was inversely related to verbal and emotional abuse. Interventions aimed at reducing HIV/STD risk for adolescent girls need to address patterns of dominance and control in adolescent relationships as well as multiple forms of partner violence. This suggests the need for multilevel intervention approaches that promote girls' agency and multiple ways to keep girls safe from perpetrators of partner abuse.     

Prevalence of Intimate Partner Violence in Thailand

There is no recent national data on the prevalence of intimate partner violence in Thailand. This study proposed to examine the prevalence of intimate partner violence in 4 regions of Thailand by using a standardized questionnaire from the WHO multi country study on women’s health and domestic violence. Two thousand four hundred and sixty-two married or cohabiting women aged 20–59 years were interviewed about their experiences of psychologically, physically, sexually violent, and/or controlling behaviors by their male partners. The study found that 15% of respondents had experienced psychological, physical, and/or sexual violence in their life time which suggests that 1 in 6 of Thai women have faced intimate partner violence. Of the 15% of women who reported intimate partner violence within the past 12 months, psychological violence was the most common (60–68%), followed by sexual violence (62–63%) and physical violence (52–65%). In addition, the percentage of women who faced various forms of controlling behaviors varied from 4.6% to 29.3%. Men who were more controlling were more likely to abuse their female partners. The results reveal that partner violence against women is a significant public health issue in Thai society that must be addressed.     

Examining an Extension of Johnson’s Hypothesis: Is Male Perpetrated Intimate Partner Violence More Underreported than Female Violence?

This paper examines two hypotheses about under-reporting in intimate partner violence data. The first hypothesis holds that significant amounts of under-reporting of intimate partner violence occur due to stigma. The second examines the empirical evidence behind Johnson’s (Journal of Marriage and the Family 57:238–294, 1995) contention that controversial findings of equal rates of intimate partner violence perpetration among men and women occur through a combination of heterogeneity in type of intimate partner violence and missing data. E.M. and Data Augmentation are used to correct for item non-response in the Project on Human Development in Chicago Neighborhoods. Strong support is found for general under-reporting; weak support is found for greater under-reporting of male violence.     

Community effects on women’s help-seeking behaviour for intimate partner violence in India: gender disparity,feminist theory,and empowerment

ABSTRACT

While prior research has shown empowerment and gender disparity affect risk of intimate partner violence (IPV) in India, little research attention has been given to the effects of gender disparity and empowerment on the likelihood of help seeking for IPV. The present study used the nationally representative population-based 2005–2006 Indian National Family Health Surveys to assess individual/relationship- and community-level factors that influence help-seeking behaviour among a sample of women who reported having been involved in IPV. Results from the multilevel analyses revealed that working status, decision-making in the partner dyad, illiteracy, controlling behaviour, and severe physical or sexual abuse at the individual/relationship level affected the likelihood of help seeking. At the community level, age at marriage for women and the proportion of severe physical or sexual abuse affected help-seeking behaviours. Significant variation remains unexplained at the state level. Implications for programming are discussed.     

An Eight State Study on the Relationships Among Domestic Violence Shelter Services and Residents’ Self-Efficacy and Hopefulness

Survivors of intimate partner violence have myriad reasons why they turn to domestic violence shelter programs. While all are seeking immediate safety and feel a pressing need to leave their homes to obtain it, safety is rarely the only issue survivors are grappling with upon shelter entry. Other concerns are particular to each person’s history and circumstances, and include but are not limited to employment, counseling, social support, health care, addiction recovery services, immigration help, housing, and services for their children. The current study involved secondary analysis of survey data completed at two points in time by 565 shelter residents. The original research involved 215 domestic violence programs across eight states in the U.S., and surveys were completed by shelter residents shortly after they arrived in shelter and again as they were close to exiting. Results confirmed that survivors had numerous needs in addition to safety when entering shelter. Residents’ overall rating of how helpful their stay at shelter had been for them was predicted by how much help they had received across their presenting needs, as well as how they were treated by staff. The amount of help received, as well as treatment by staff, also related to survivors’ hopefulness at shelter exit, as well as the extent to which they felt better able to do things on their own. The study findings provide further evidence that domestic violence shelter staff assist residents with a variety of complex needs in addition to safety, and that this assistance is related to positive outcomes for survivors.     

INTIMATE PARTNER VIOLENCE IN U.S. METROPOLITAN AREAS: THE CONTEXTUAL INFLUENCES OF POLICE AND SOCIAL SERVICES*

Although community responses to the problem of intimate partner violence typically focus on increasing and improving policing and social services, few studies have examined the relationship among police force size, social service providers, and women's safety at home. To address this issue, we use data from the National Crime Victimization Survey to examine patterns of intimate partner violence for 40 metropolitan statistical areas (MSAs) over a 16‐year period (1989–2004). We analyze the data using three‐level multilevel models, with individual respondents (N = 487,166) nested within years, nested within MSAs. Net of other important individual and contextual factors, the results show that women's likelihood of victimization is significantly lower in MSAs that employ more sworn officers per capita, whereas the states’ mandatory arrest laws are not found to have significant independent effects. Above and beyond the effects of police force size, we also find a significant negative relationship between the size of the social service workforce and intimate partner violence. Future research should develop collaborative data collection efforts to examine the specific activities of police and social service workers in dealing with intimate partner violence so that the mechanisms underlying these significant relationships can be understood more clearly.