Recent Intimate Partner Violence Against Women and Health: a Systematic Review and Meta-analysis of Cohort Studies

Overview

Journal BMJ Open

Specialty General Medicine

Date 2018 Jul 30

PMID 30056376

Citations 130

Authors

Loraine J Bacchus

Meghna Ranganathan

Charlotte Watts

Karen Devries

Affiliations

Soon will be listed here.

Abstract

Objective: We reviewed cohort studies to determine the magnitude and temporal direction of the association between recent intimate partner violence (IPV) and a range of adverse health outcomes or health risk behaviours.

Design: Systematic review and meta-analysis.

Methods: Medline, EMBASE and PsycINFO were searched from the first record to November 2016. Recent IPV was defined as occurring up to and including the last 12 months; all health outcomes were eligible for inclusion. Results were combined using random-effects meta-analysis.

Results: 35 separate cohort studies were retrieved. Eight studies showed evidence of a positive association between recent IPV and subsequent depressive symptoms, with a pooled OR from five estimates of 1.76 (95% CI 1.26 to 2.44, I=37.5%, p=0.172). Five studies demonstrated a positive, statistically significant relationship between depressive symptoms and subsequent IPV; the pooled OR from two studies was 1.72 (95% CI 1.28 to 2.31, I=0.0%, p=0.752). Recent IPV was also associated with increased symptoms of subsequent postpartum depression in five studies (OR=2.19, 95% CI 1.39 to 3.45, p=0.000), although there was substantial heterogeneity. There was some evidence of a bidirectional relationship between recent IPV and hard drug use and marijuana use, although studies were limited. There was no evidence of an association between recent IPV and alcohol use or sexually transmitted infections (STIs), although there were few studies and inconsistent measurement of alcohol and STIs.

Conclusions: Exposure to violence has significant impacts. Longitudinal studies are needed to understand the temporal relationship between recent IPV and different health issues, while considering the differential effects of recent versus past exposure to IPV. Improved measurement will enable an understanding of the immediate and longer term health needs of women exposed to IPV. Healthcare providers and IPV organisations should be aware of the bidirectional relationship between recent IPV and depressive symptoms.

Prospero Registration Number: CRD42016033372.

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References

Salazar M, Valladares E, Ohman A, Hogberg U . Ending intimate partner violence after pregnancy: findings from a community-based longitudinal study in Nicaragua. BMC Public Health. 2009; 9:350. PMC: 2754464. DOI: 10.1186/1471-2458-9-350. View

Escriba-Aguir V, Royo-Marques M, Artazcoz L, Romito P, Ruiz-Perez I . Longitudinal study of depression and health status in pregnant women: incidence, course and predictive factors. Eur Arch Psychiatry Clin Neurosci. 2012; 263(2):143-51. DOI: 10.1007/s00406-012-0336-5. View

Lehrer J, Buka S, Gortmaker S, Shrier L . Depressive symptomatology as a predictor of exposure to intimate partner violence among US female adolescents and young adults. Arch Pediatr Adolesc Med. 2006; 160(3):270-6. DOI: 10.1001/archpedi.160.3.270. View

Cohen S, Kamarck T, Mermelstein R . A global measure of perceived stress. J Health Soc Behav. 1983; 24(4):385-96. View

Roberts T, Klein J . Intimate partner abuse and high-risk behavior in adolescents. Arch Pediatr Adolesc Med. 2003; 157(4):375-80. DOI: 10.1001/archpedi.157.4.375. View

Higgins J, Thompson S . Quantifying heterogeneity in a meta-analysis. Stat Med. 2002; 21(11):1539-58. DOI: 10.1002/sim.1186. View

Taft A, Watson L . Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: the confounding effect of women's experience of violence. BMC Public Health. 2008; 8:75. PMC: 2278138. DOI: 10.1186/1471-2458-8-75. View

Boden J, Fergusson D . Alcohol and depression. Addiction. 2011; 106(5):906-14. DOI: 10.1111/j.1360-0443.2010.03351.x. View

Clark C, Alonso A, Everson-Rose S, Spencer R, Brady S, Resnick M . Intimate partner violence in late adolescence and young adulthood and subsequent cardiovascular risk in adulthood. Prev Med. 2016; 87:132-137. PMC: 11221343. DOI: 10.1016/j.ypmed.2016.02.031. View

10.

Devries K, Child J, Bacchus L, Mak J, Falder G, Graham K . Intimate partner violence victimization and alcohol consumption in women: a systematic review and meta-analysis. Addiction. 2013; 109(3):379-91. DOI: 10.1111/add.12393. View

11.

Howard L, Oram S, Galley H, Trevillion K, Feder G . Domestic violence and perinatal mental disorders: a systematic review and meta-analysis. PLoS Med. 2013; 10(5):e1001452. PMC: 3665851. DOI: 10.1371/journal.pmed.1001452. View

12.

Boden J, Fergusson D, Horwood L . Alcohol misuse and violent behavior: findings from a 30-year longitudinal study. Drug Alcohol Depend. 2011; 122(1-2):135-41. DOI: 10.1016/j.drugalcdep.2011.09.023. View

13.

Kita S, Haruna M, Matsuzaki M, Kamibeppu K . Associations between intimate partner violence (IPV) during pregnancy, mother-to-infant bonding failure, and postnatal depressive symptoms. Arch Womens Ment Health. 2016; 19(4):623-34. DOI: 10.1007/s00737-016-0603-y. View

14.

Keiley M, Keller P, El-Sheikh M . Effects of physical and verbal aggression, depression, and anxiety on drinking behavior of married partners: a prospective and retrospective longitudinal examination. Aggress Behav. 2009; 35(4):296-312. PMC: 4096005. DOI: 10.1002/ab.20310. View

15.

Gao W, Paterson J, Abbott M, Carter S, Iusitini L, McDonald-Sundborn G . Impact of current and past intimate partner violence on maternal mental health and behaviour at 2 years after childbirth: evidence from the Pacific Islands Families Study. Aust N Z J Psychiatry. 2010; 44(2):174-82. DOI: 10.3109/00048670903487126. View

16.

Jewkes R, Dunkle K, Nduna M, Shai N . Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010; 376(9734):41-8. DOI: 10.1016/S0140-6736(10)60548-X. View

17.

El-Bassel N, Gilbert L, Wu E, Go H, Hill J . Relationship between drug abuse and intimate partner violence: a longitudinal study among women receiving methadone. Am J Public Health. 2005; 95(3):465-70. PMC: 1449203. DOI: 10.2105/AJPH.2003.023200. View

18.

Ludermir A, Lewis G, Valongueiro S, Araujo T, Araya R . Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. Lancet. 2010; 376(9744):903-10. DOI: 10.1016/S0140-6736(10)60887-2. View

19.

Campbell J . Health consequences of intimate partner violence. Lancet. 2002; 359(9314):1331-6. DOI: 10.1016/S0140-6736(02)08336-8. View

20.

Flach C, Leese M, Heron J, Evans J, Feder G, Sharp D . Antenatal domestic violence, maternal mental health and subsequent child behaviour: a cohort study. BJOG. 2011; 118(11):1383-91. DOI: 10.1111/j.1471-0528.2011.03040.x. View