Study on the Current Situation and Spatial Distribution of Intimate Partner Violence Among Chinese Residents

Overview

Journal Front Public Health

Specialty Public Health

Date 2025 Mar 7

PMID 40051507

Authors

Ruofan Zhang

Ge Qu

Yuchao Sun

Jing Feng

Zihui Lei

Xinyan Li

Aoqi Shen

Yanli Zuo

Yong Gan

Affiliations

Soon will be listed here.

Abstract

Background: Intimate partner violence (IPV), defined as any behavior within an intimate relationship that causes physical, psychological, or sexual harm to those in the relationship, is a significant public health issue worldwide. To analyze the current status and spatial distribution patterns of IPV among residents in China, and identify the nationwide prevalence trends and regions of high severity, so as to provide a scientific basis for the formulation and implementation of government interventions.

Methods: A multi-stage sampling approach was employed to conduct a psychological and behavioral survey among 31,449 residents in 148 cities across the nation from June to August 2022. IPV was measured using a self-developed scale that was specifically designed and culturally adapted for the Chinese context, and it was been categorized into psychological violence, physical violence and sexual violence. Geographic information system (GIS) technology and spatial analysis methods was applied. GeoDa 1.18, ArcGIS 10.8 and STATA 17 software were utilized for data analysis.

Results: The prevalence rates of IPV among Chinese residents was 45.80%, and the prevalence rates of psychological violence, physical violence and sexual violence was 44.50, 21.65 and 18.96%, respectively. The standard deviation plot of prevalence rates across provinces revealed that residents in Shanghai consistently had higher rates of all three categories of IPV compared to the national average level. The results of local spatial auto-correlation analysis indicated that there was a high-high clustering pattern of overall prevalence rates of IPV in Jiangxi and Zhejiang provinces, and a high-low clustering pattern was observed in Jilin, Hebei, and Ningxia provinces. The distribution pattern of intimate partner psychological violence prevalence rates showed a similar clustering pattern as the overall IPV. Additionally, there was a low-low clustering pattern of intimate partner physical violence in Anhui province, and a low-low clustering pattern of intimate partner sexual violence was identified in Anhui and Shandong provinces.

Conclusion: The prevalence rates of IPV in China was relatively high, especially in Shanghai, and there was a certain degree of spatial distribution difference, which urgently needs to be paid attention to by relevant departments and institutions, especially around Zhejiang and Jiangxi in eastern China.

References

Brown S, Seals J . Intimate partner problems and suicide: are we missing the violence?. J Inj Violence Res. 2019; 11(1):53-64. PMC: 6420923. DOI: 10.5249/jivr.v11i1.997. View

Cochran K, Kashy D, Bogat G, Levendosky A, Lonstein J, Nuttall A . Economic Hardship Predicts Intimate Partner Violence Victimization During Pregnancy. Psychol Violence. 2023; 13(5):396-404. PMC: 10624335. DOI: 10.1037/vio0000454. View

Peterson C, Kearns M, McIntosh W, Estefan L, Nicolaidis C, McCollister K . Lifetime Economic Burden of Intimate Partner Violence Among U.S. Adults. Am J Prev Med. 2018; 55(4):433-444. PMC: 6161830. DOI: 10.1016/j.amepre.2018.04.049. View

Brown D, Meinhart M, Poulton C, Stark L . The Economic Burden of Intimate Partner Violence in Colombia: Estimated Health Costs Among Females Aged 13-24. J Interpers Violence. 2022; 38(3-4):3215-3243. DOI: 10.1177/08862605221104531. View

Zhao F, Guo S, Wang L, Wu J, Wang L . [Investigation on the patterns and knowledge regarding domestic violence among married women in rural areas of China]. Zhonghua Liu Xing Bing Xue Za Zhi. 2006; 27(8):664-8. View

Tiwari A, Cheung D, Hui V . Improving mental health outcomes of Chinese women survivors of intimate partner violence through advocacy interventions. Glob Ment Health (Camb). 2018; 5:e15. PMC: 5981653. DOI: 10.1017/gmh.2018.5. View

Wang L, Qin M, Liu Z, Wu W, Xiao N, Zhou X . Prevalence and spatial distribution characteristics of human echinococcosis in China. PLoS Negl Trop Dis. 2021; 15(12):e0009996. PMC: 8789093. DOI: 10.1371/journal.pntd.0009996. View

Kiss L, Schraiber L, Hossain M, Watts C, Zimmerman C . The Link Between Community-Based Violence and Intimate Partner Violence: the Effect of Crime and Male Aggression on Intimate Partner Violence Against Women. Prev Sci. 2015; 16(6):881-9. PMC: 4498283. DOI: 10.1007/s11121-015-0567-6. View

Anselin L . How (not) to lie with spatial statistics. Am J Prev Med. 2006; 30(2 Suppl):S3-6. DOI: 10.1016/j.amepre.2005.09.015. View

10.

Joksimovic N, Vallieres F, Hyland P . Gender differences in intimate partner violence: Risk factors and associations with suicide. Psychol Trauma. 2023; 16(3):470-477. DOI: 10.1037/tra0001457. View

11.

Fang L, Yan L, Liang S, de Vlas S, Feng D, Han X . Spatial analysis of hemorrhagic fever with renal syndrome in China. BMC Infect Dis. 2006; 6:77. PMC: 1471792. DOI: 10.1186/1471-2334-6-77. View

12.

Yang T, Yang X, Cottrell R, Wu D, Jiang S, Anderson J . Violent injuries and regional correlates among women in China: results from 21 cities study in China. Eur J Public Health. 2015; 26(3):513-7. DOI: 10.1093/eurpub/ckv193. View

13.

Nectoux M, Mugnier C, Baffert S, Albagly M, Thelot B . [An economic evaluation of intimate partner violence in France]. Sante Publique. 2010; 22(4):405-16. View

14.

Gao Y, Jacka T . [Prevalence of intimate partner violence and its impact on women's mental health in rural western China: a study of a county in Ningxia]. Beijing Da Xue Xue Bao Yi Xue Ban. 2012; 44(3):379-86. View

15.

Jonas S, Khalifeh H, Bebbington P, McManus S, Brugha T, Meltzer H . Gender differences in intimate partner violence and psychiatric disorders in England: results from the 2007 adult psychiatric morbidity survey. Epidemiol Psychiatr Sci. 2013; 23(2):189-99. PMC: 6998174. DOI: 10.1017/S2045796013000292. View

16.

Zhu Y, He C, Bell M, Zhang Y, Fatmi Z, Zhang Y . Association of Ambient Temperature With the Prevalence of Intimate Partner Violence Among Partnered Women in Low- and Middle-Income South Asian Countries. JAMA Psychiatry. 2023; 80(9):952-961. PMC: 10308303. DOI: 10.1001/jamapsychiatry.2023.1958. View

17.

De Paula Silva R, Leite F . Intimate partner violence during pregnancy: prevalence and associated factors. Rev Saude Publica. 2020; 54:97. PMC: 7593049. DOI: 10.11606/s1518-8787.2020054002103. View

18.

Peltzer K, Pengpid S, McFarlane J, Banyini M . Mental health consequences of intimate partner violence in Vhembe district, South Africa. Gen Hosp Psychiatry. 2013; 35(5):545-50. DOI: 10.1016/j.genhosppsych.2013.04.001. View

19.

Dosari M, AlDayel S, Alduraibi K, Alturki A, Aljehaiman F, Alamri S . Prevalence of Highly Sensitive Personality and Its Relationship With Depression, and Anxiety in the Saudi General Population. Cureus. 2024; 15(12):e49834. PMC: 10758235. DOI: 10.7759/cureus.49834. View