Association between intimate partner violence during pregnancy and maternal pregnancy complications among recently delivered women in Bangladesh

Intimate partner violence (IPV), an actual or threatened physical, sexual, or psychological abuse by a current or former partner or spouse, is a common global public health issue. Understanding both the prevalence of IPV during pregnancy and its potential impact on the health of pregnant women is important for the development and implementation of interventions to prevent maternal morbidity and mortality. The purpose of this study was to explore the association between maternal experiences of IPV during pregnancy and pregnancy complications. A health‐facility‐based cross‐sectional study was conducted from July 2015 to April 2016 among 400 randomly selected women who were admitted to the postnatal wards of Rajshahi Medical College Hospital for delivery. Data were collected through face‐to‐face interviews using a structured questionnaire. Multivariable logistic regressions were performed to assess relationships between variables of interest after controlling for potential confounders. Results indicated that 39.0% of women reported physical IPV and 26.3% of women reported sexual IPV during pregnancy. Additionally, 69.5% of women experienced medical complications (MCs); of this group, 44.3% experienced obstetric complications (OCs) and 79.3% experienced any pregnancy complication (AC) during their last pregnancy. The experience of physical IPV during pregnancy was significantly associated with the experience of MCs (adjusted odds ratio (AOR): 2.05, 95% confidence interval (CI): 1.15–4.01), OCs (AOR: 4.23, 95% CI: 2.01–7.12) and AC (AOR: 5.26, 95% CI: 2.98–10.52). Women who experienced sexual IPV during pregnancy were also at increased risk of suffering from any MC, any OC, and AC. Maternal experience of IPV during pregnancy is positively associated with pregnancy complications. Preventing IPV directed at pregnant women might reduce maternal morbidity and mortality in Bangladesh.

     

Pathways to Help-Seeking and Mental Health Service Provision for African Female Survivors of Conflict-Related Sexualized Gender-Based Violence

ABSTRACT

African migration to Canada is a relatively new development. There is a dearth of literature on the mental health of this newer immigrant population, especially those from the conflict zones of Sub-Saharan Africa. Our exploratory study examined the experiences of African female survivors of conflict-related sexualized violence based on the insights of six community mental health professionals. Guided by interpretive inquiry, semi-structured interviews were analyzed thematically and interpreted in light of multicultural feminist and transnational perspectives. Findings highlight refugee women’s resilience in the face of threats of social isolation and stigma. Their prioritization of assistance with practical needs, parenting, community/social supports, and education attainment in the context of counseling raises questions about agency and identity in understanding the relationships between female survivors, what they identify as important to their recovery, and their pathways to accessing mental health services.     

Hybridized Indigenous Healing in the Kyrgyz Republic: Helping Survivors of Violence

ABSTRACT

Harmful consequences of civil unrest in 2010, in the Southern region of the Kyrgyz Republic in Osh, continue to have an impact on communities to the present day. One of the most significant effects has been numerous undiagnosed cases of rape and other types of gender-based violence (GBV) that occurred during the interethnic conflict. The true prevalence rate of GBV cases is still unknown. For example, according to official data from the Ministry of Internal Affairs (2011), there were only seven cases of rape during the conflict; however, crisis center reports documented 322 rapes (Molchanova, 2016 Molchanova, E. (2016). Okazanie psihologicheskoi pomoshci licam, postradavshim ot genderno-gonasiliya vo vremya krizisov i chrezvichainih situacii. Bishkek, Kyrgyz Republic: AltynPrint Publishing House.  [Google Scholar]). Cultural norms dictate that women who experience GBV hide their “shame,” which is why only a small percentage of victims with PTSD symptoms resulting from GBV seek out services from professionals, such as from crisis centers, psychologists and psychiatrists, and police. Indigenous healers are often the first and only stop for help-seeking. However, the influences of diverse religious beliefs and practices as well as the development of Western-style helping methods in the Kyrgyz Republic have shaped the practice of traditional healing. This hybridization, which is a process of including religious and even medical practices into traditional healing, started in the middle of the 1990s, and now, the extensive networks of traditional healers in the Kyrgyz Republic often combine traditional rituals with Islamic prayer, herbal treatment, massage, and other techniques. This article explores the hybridization of indigenous healing in the Kyrgyz Republic as a consequence of a variety of social transformations, and, as a result of polymorphism, the complexity and clinical variability of posttraumatic symptoms in Kyrgyz cultural settings.     

家庭功能与青少年消极冒险行为的关系:一个有调节的中介模型

为探讨家庭功能影响青少年消极冒险行为的作用机制及条件,采用青少年冒险行为问卷、家庭功能问卷、自尊问卷、同伴群体特征问卷对山东省日照市940名初高中学生进行调查。结果发现:(1)家庭功能不良不仅可直接预测青少年更多的消极冒险行为,而且也可通过使青少年交往更多不良同伴进而使其冒险行为进一步增多;(2)不良同伴交往对青少年消极冒险行为的预测受到个体自尊的调节。低自尊个体更容易受到不良同伴交往的影响而发生更多的消极冒险行为,表现出两风险因素的叠加效应。研究结果提示,家庭是青少年健康成长的基础,家庭功能不良可使青少年适应不良,塑造良好的同伴环境、培养良好的自我素质或可降低这一风险。     

An experimental test to reveal negative side-effects of high treatability information on preventative health behaviour

Objectives: When the course of a disease can be positively changed by health professionals the disease can be indicated as ‘highly treatable’. This ‘high treatability information’ (HTI) may have negative side-effects on people’s preventative motivation. This study examined the effects of HTI regarding skin cancer on preventative motivation.

Design: This study employed a 2 (high treatability (HTI) versus low treatability (LTI)) × 2 (high versus low susceptibility)?experiment with a hanging control group. (family) History and self-efficacy were assessed as moderators. Participants (N = 309) were randomly assigned to one of the five conditions.

Main outcome measures: The main outcome was intention to engage in preventative actions regarding skin cancer.

Results: HTI significantly lowered the intention compared to LTI, under the condition of high susceptibility in people with low self-efficacy. In addition, in people with a (family) history of skin cancer, HTI significantly lowered the intention compared to the no-information group.

Conclusion: HTI regarding skin cancer can cause a drop in the preventative motivation. The effects can be conceptualised as negative side-effects of HTI. As substantial proportions of the general population have a (family) history of skin cancer or low self-efficacy, the side-effects may be widespread, possibly increasing the incidence of skin cancer.     

The role of retributive justice and the use of international criminal tribunals in post‐conflict reconciliation

Four experiments examined people's responses to intergroup violence either committed or suffered by their own group. Experiment 1 demonstrated that Serbs who strongly glorified Serbia were more supportive of future violence against, and less willing to reconcile with, Bosniaks after reading about Serbian victimization by Bosniaks rather than Serbian transgressions against Bosniaks. Replicating these effects with Americans in the context of American–Iranian tensions, Experiment 2 further showed that demands for retributive justice explained why high glorifiers showed asymmetrical reactions to ingroup victimization vs. perpetration. Again in the Serb and the American context, respectively, Experiments 3 and 4 demonstrated that post‐conflict international criminal tribunals can help satisfy victim group members' desire for retributive justice, and thereby reduce their support for future violence and increase their willingness to reconcile with the perpetrator group. The role of retributive justice and the use of international criminal justice in intergroup conflict (reduction) are discussed.     

Living under threat: Mutual threat perception drives anti‐Muslim and anti‐Western hostility in the age of terrorism

This research demonstrates a common psychology of outgroup hostility driven by perceived intergroup threat among three groups and seven cultural contexts: non‐Muslim Westerners, Muslims in Western societies, and Muslims in the Middle East. In Study 1, symbolic, but not realistic and terroristic threats, predicted non‐Muslim Norwegians' intentions to join anti‐Islamic movements. In Study 2, symbolic and realistic, but not terroristic threat, predicted non‐Muslim Americans' willingness to persecute Muslims. In Studies 3 and 4, symbolic threat predicted support and behavioral intentions against the West among Swedish and Turkish Muslims. Finally, in Study 5, a comparison demonstrated that symbolic and realistic threats had the same effects on violent intentions among non‐Muslim and Muslim Danes, and Muslims in Afghanistan. Meta‐analysis showed that symbolic threat was most strongly associated with intergroup hostility. Across studies, participants with high religious group identification experienced higher levels of threat. Implications for intergroup research and prejudice reduction are discussed.     

Development and psychometric evaluation of a rapid intimate partner violence perpetration screening tool

Current methods of identifying intimate partner violence (IPV) perpetration rely upon lengthy screening instruments, partner injury, and legal involvement. There exist no viable, brief screening tools to facilitate the rapid and early identification of IPV perpetration. The development of a brief IPV screening tool would reduce participant burden and compensation in research as well as aid in self‐identification and appropriate consultation for treatment. Three samples were recruited and administered an IPV assessment measure. Receiver Operating Characteristic (ROC) curve analyses were used to determine a critical subset of items that could be rapidly administered and used to accurately detect physical IPV perpetrators. A set of four items emerged that were capable of differentiating between partner violent and nonviolent participants in Samples 1 (the Area Under the ROC Curve (AUC) = .95, SE = .02), 2 (AUC = .98, SE =.01), and 3 (AUC = .94, SE = .04). Internal consistency of the screening items was acceptable across samples and the scores on the screening tool were significantly associated in the expected direction with all assessed risk factors for IPV. Initial evaluation of the rapid IPV perpetration screening tool suggests that it may help satisfy the growing need to quickly determine research eligibility and to help college students self‐identify risk, offering objective data upon which to base the decision for follow‐up consultation.