Considering the Interplay of Cultural Context and Service Provision in Intimate Partner Violence

Can This Provider Be Trusted? A Review of the Role of Trustworthiness in the Provision of Community-Based Services for Intimate Partner Violence Survivors

While there is a growing literature on intimate partner violence (IPV) survivors and service providers, it is limited by its largely atheoretical and descriptive nature, and its emphasis on individual-level survivors' help-seeking. We seek to broaden our understanding by shifting the focus onto organizations and service systems and introducing the concept of these providers' trustworthiness toward survivors. Provider trustworthiness in delivering services includes benevolence (locally available and caring), fairness (accessible to all and non-discriminatory), and competence (acceptable and effective in meeting survivors' needs). Guided by this conceptualization, we conducted an integrative review drawing on four databases: PsycINFO, PubMed, Web of Science, and Westlaw. We identified studies for inclusion that were published between January 2005 and March 2022, and we examined the trustworthiness of community-based providers serving adult IPV survivors in the United States, including domestic violence services, health and mental health care, the legal system, and economic support services (N = 114). Major findings include (1) many survivors live in communities with no shelter beds, mental health care, or affordable housing; (2) many services are inaccessible because they lack, for example, bilingual staff, sliding fees, or telehealth options; (3) too many providers are harmful or discriminatory toward survivors, especially those who are, for example, sexual or gender minorities, immigrants or non-English-speaking, poor, or Native, Black, or Latinx; (4) many providers appear to be incompetent, lack evidence-based training, and are ineffective in meeting survivors' needs. We call on researchers, advocates, and providers to examine provider trustworthiness, and we offer an introduction to measuring it.

Help-Seeking Among Women of Haitian Descent in the Dominican Bateyes

People of Haitian descent in the Dominican Republic are at high risk of violence, including interpersonal violence, and experience multiple levels of structural oppression. However, limited research exists specifically about women of Haitian descent in this context, who are at unique risk for violence and marginalization given intersectional oppression related to antiblackness, xenophobia, and misogyny. It is unclear what resources and supports exist for women of Haitian descent living in the Dominican Republic, and whether women can effectively meet their needs through available supports. This study analyzed 25 life history interviews to understand help-seeking patterns to address self-defined needs among women of Haitian descent. Analysis focused on narratives of interpersonal violence, as most research on this issue focuses on experiences of women in the global north. Thematic analysis demonstrated that women navigate a variety of informal supports, primarily with other women in their kinship networks, to address different needs, including material, emotional, and interpersonal-but primarily to address needs related to pregnancy and childcare, interpersonal violence, and housing. Women also sought help from male family members and formal institutions, though less frequently compared to help-seeking from other women. Outcomes of help-seeking, including who provided effective help, conditions of support, and negative reactions varied. Implications of women's patterns of help-seeking in this context, and how they compare to patterns within the larger help-seeking literature are discussed.

Technology-Facilitated Domestic Violence Against Immigrant and Refugee Women: A Qualitative Study

Digital technologies are increasingly being used as tools for the perpetration of domestic violence. Little empirical research to date has explored the nature and impacts of technology-facilitated domestic violence (TFDV), and even less attention has been paid to the experiences of immigrant and refugee women. This article examines the nature and impacts of TFDV as experienced by immigrant and refugee women. Drawing on interviews with 29 victim-survivors and 20 stakeholders, we argue that although immigrant and refugee women may experience TFDV in similar ways to non-immigrant and refugee women, they face unique challenges, such as language barriers, cultural bias from support services, lack of financial resources, lack of trust in state institutions, and additional challenges with justice and migration systems. Immigrant and refugee women also face multiple structural layers of oppression and social inequality. Accordingly, we argue that a multifaceted approach is required to address TFDV that includes culturally sensitive and specific law reform, education, and training.

Traveling a Hard Road: Rites of Passage to Adulthood for Females of Haitian Descent Living in the Dominican Republic

This article examines the rites of passage for poor girls of Haitian descent living in the Dominican Republic. In the Dominican context, preparation for and the transition to wife and mother historically served as an important rite of passage to an adult identity. Industrialization and the global discourse surrounding young motherhood increasingly challenges this culturally sanctioned practice. No research has examined how perceptions around rites of passage to an adult female identity are evolving across generations within the Spanish Caribbean. The author conducted an ethnographic project that included the use of in-depth life history interviews with 42 participants. She interrogates the narratives of three generations of adolescent girls and women of Haitian descent using modified grounded theory to (a) describe current culturally acceptable pathways to becoming an adult woman and (b) examine shifts taking place across time regarding acceptable pathways to womanhood. Findings suggest that, increasingly, younger generations no longer perceive marriage and motherhood as the singular rite of passage to adulthood. Yet, additional skills and characteristics that the participants identified as important to effectively transition to an adult role are either very difficult for the poor to attain, or are acquired through the experience of marriage and motherhood.

Assessing Organizational Cultural Responsiveness among Refugee-Servicing Domestic Violence Agencies

Refugee community members who have experienced domestic violence in the U.S. face complex challenges in seeking help which may ultimately impact their ability to leave violent relationships. When domestic violence organizations are not prepared to serve them in culturally responsive ways, these challenges are exacerbated. This study surveyed 70 executive directors of domestic violence agencies in U.S. resettlement cities about the extent to which their organization’s practices reflected cultural responsiveness in serving refugee populations. The results showed promising indicators of organizational cultural responsiveness but uncovered numerous areas for growth. In particular, the study results underscore the need for organizations to improve their language supports and take active steps to outreach to, hire, and engage refugee communities in order to better serve them. This paper makes recommendations for how DV agencies can be more culturally responsive as they support refugee individuals who are seeking safety from violent relationships.

Predicting Disengagement from Judicial Proceedings by Female Victims of Intimate Partner Violence in Spain: A Systematic Replication With Prospective Data

This article examines which variables predict disengagement from legal proceedings by victims of intimate partner violence in the first steps of the Spanish judicial process. We replicated a previous retrospective study with a prospective sample of 393 women. The relationships of sociodemographic, emotional, motivational, and psychological variables with procedural withdrawals were analyzed. We developed a binary logistic regression model that predicts disengagement with two variables: the contact with the abuser and the interaction between this contact and the thought of going back with him. Interesting differences between the current and the retrospective study were found. Results are discussed extensively in the conclusions.

Challenges of health services related to the population displaced by violence in Mexico

OBJECTIVE

To analyze the impacts of the care to the population displaced by violence on the health system and the challenges that this entails.

METHODS

This is a narrative review of the national and international literature in PubMed, SciELO, WHO/PAHO, and Bireme. Inclusion criteria were date of publication (from 2000), relation with the subject, and language (Spanish or English). We found 292 documents, of which 91 met the inclusion criteria.

RESULTS

The main challenges are the intersectoral, participatory, and integral approach (with emphasis on mental health and sexual and reproductive health), ensured accessibility to health services, the need for a reliable registration and information system of the population displaced by violence and its characteristics, and the addressing of the biopsychosocial problems of the different groups, especially women, persons with disabilities or infectious diseases, adolescents, children, ethnic minorities, older adults and the lesbian, gay, bisexual, transsexual, and intersexual population.

CONCLUSIONS

The lack of political will to accept and see the internal displacement by violence and its importance as a humanitarian and public health problem is an obstacle to the adequate and timely care of the population displaced by violence in Mexico.

"Everybody's Really Close-Knit": Disconnections Between Helping Victims of Intimate Partner Violence and More General Helping in Rural Communities

Social support is key to well-being for victims of intimate partner violence (IPV), and bystanders have an important role to play in preventing IPV by taking action when there is risk for violence. The current study used qualitative interviews to explore young adults' perspectives on helping in situations of IPV, and more general helping, in the rural communities in which they resided. Participants were 74 individuals between the ages of 18 and 24 years from 16 rural counties across the eastern United States. Participants generally described their communities as close-knit and helpful, especially around daily hassles (e.g., broken down car) and unusual circumstances (e.g., house fire). Although participants generated ways in which community members help IPV victims, these mostly focused on providing support or taking action in the aftermath of IPV as opposed to more preventive actions. Lack of financial resources were uniquely cited as a barrier to more general helping, whereas concerns about privacy and lack of deservingness of help were barriers to both general helping and helping in IPV situations, although these were more pronounced in IPV situations than general helping situations. Taken together, these results suggest that although people generally see their communities as helpful and close-knit, these perceptions and scripts did not necessarily translate to helping in situations of IPV. Bystander intervention programs are needed that provide more specific helping scripts for IPV.

Domestic Violence: Intersection of Culture, Gender and Context

This study examines South Asian women's experience of domestic violence in Hong Kong. Despite the proliferation of literature on domestic violence, this issue remain unexplored in the discourse of domestic violence in Hong Kong. A qualitative research approach through face to face interview with 14 women was employed. Participants were recruited through purposive and snowball sampling. Findings from this study highlight the importance of considering the social and cultural influence on how women perceived and construct their experiences of abuse.Implications for practice and policies are highlighted.

Responses of International Migrant Women to Abuse Associated With Pregnancy

The current study aims to identify what newly arrived migrant women do, in the early months post-birth, to respond to abuse associated with pregnancy. Textual data from 59 migrant women were analyzed thematically to identify common responses to abuses. The most common response was to physically leave their countries of origin and move to Canada, or to move out of the shared dwelling. Other responses included taking legal action, remaining silent, reporting the abuse, seeking counseling, isolating themselves, and supporting anger management for the abuser. These results enhance our understanding of the decisions, including inaction, made by migrant women.

Outcomes Associated With Common and Immigrant-Group-Specific Responses to Intimate Terrorism

The research for this article used available qualitative data from separate studies of South Asian-, Vietnamese-, and Hispanic-origin women victimized by intimate terrorism. Regardless of country of origin, period, or U.S. community, women used similar ways to cope. Consistent with perpetrators’ misogynistic attitudes and aim of enforcing patriarchal expectations, many women responded to abuse from positions of powerlessness and fear. Instrumental help from family and friends and, depending on the group, advocacy agencies or counseling services assisted women in leaving men or stopping the abuse. Women used multiple coping strategies, often adding new approaches when those used initially failed.

Barriers and facilitators to effective coverage of Intimate Partner Violence services for immigrant women in Spain

OBJECTIVE

To explore service providers' perceptions in order to identify barriers and facilitators to effective coverage of Intimate Partner Violence (IPV) services for immigrant women in Spain, according to the different categories proposed in Tanahashi's model of effective coverage.

METHODS

A qualitative study based on 29 in-depth personal interviews and four group interviews with a total of 43 professionals working in public services (social and health-care services, women's refuges, the police force, the judiciary) and NGOs in Barcelona, Madrid, Valencia and Alicante (Spain) in 2011.

FINDINGS

Current IPV services in Spain partially fail in their coverage of abused immigrant women due to barriers of (i) availability, such as the inexistence of culturally appropriate services; (ii) accessibility, as having a residence permit is a prerequisite for women's access to different services and rights; (iii) acceptability, such as women's lack of confidence in the effectiveness of services; and (iv) effectiveness, for example, lack of specific training among professionals on the issues of IPV and immigration. However, interviewees also identified facilitators, such as the enabling environment promoted by the Spanish Law on Gender-Based Violence (1/2004), and the impetus it has provided for the development of other specific legislative tools to address IPV in immigrant populations in Spain (availability, accessibility and effectiveness).

CONCLUSION

Whilst not dismissing cultural barriers, aspects related to service structure are identified by providers as the main barriers and facilitators to immigrant women use of IPV services. Despite noteworthy achievements, improvements are still required in terms of mainstreaming assistance tailored to immigrant women's needs in IPV policies and services.

Psychosocial correlates of gender-based violence among HIV-infected and HIV-uninfected women in three US cities

Gender-based violence (GBV) is common among women with and at risk for HIV, yet little is known about the GBV associated psychological factors that could be modifiable through behavioral interventions. The current study examined the associations between some of these psychological factors (i.e., hopelessness, consideration of future consequences, self esteem), mental health symptoms, substance abuse, and GBV among a sample of 736 HIV-infected and sociodemographically similar uninfected participants in the Women's Interagency HIV Study (WIHS). Results indicated high rates of lifetime GBV among the sample (58%), as well as high rates of childhood sexual abuse (CSA) (22.2%). HIV-infected women were more likely to be hopeless and to experience lower consideration of future consequences as compared to uninfected women. Multivariable analysis indicated that current non-injection drug use and a history of injection drug use were the main correlates of GBV and CSA, even when other psychosocial variables were included in analytic models. Being born outside of the US reduced the likelihood of GBV and CSA. Future research directions and intervention implications are discussed.

Professionals' perceptions of support resources for battered immigrant women: chronicle of an anticipated failure

The aim of this study was to explore the experience of service providers in Spain regarding their daily professional encounters with battered immigrant women and their perception of this group's help-seeking process and the eventual abandonment of the same. Twenty-nine in-depth interviews and four focus group discussions were conducted with a total of 43 professionals involved in providing support to battered immigrant women. We interviewed social workers, psychologists, intercultural mediators, judges, lawyers, and public health professionals from Spain. Through qualitative content analysis, four categories emerged: (a) frustration with the victim's decision to abandon the help-seeking process, (b) ambivalent positions regarding differences between immigrant and Spanish women, (c) difficulties in the migratory process that may hinder the help-seeking process, and (d) criticisms regarding the inefficiency of existing resources. The four categories were cross-cut by an overarching theme: helping immigrant women not to abandon the help-seeking process as a chronicle of anticipated failure. The main reasons that emerged for abandoning the help-seeking process involved structural factors such as economic dependence, loss of social support after leaving their country of origin, and limited knowledge about available resources. The professionals perceived their encounters with battered immigrant women to be frustrating and unproductive because they felt that they had few resources to back them up. They felt that despite the existence of public policies targeting intimate partner violence (IPV) and immigration in Spain, the resources dedicated to tackling gender-based violence were insufficient to meet battered immigrant women's needs. Professionals should be trained both in the problem of IPV and in providing support to the immigrant population.

Experiences of Muslim and Non-Muslim Battered Immigrant Women With the Police in the United States

Little research has been conducted to distinguish the unique experiences of specific groups of interpersonal violence victims. This is especially true in the case of battered Muslim immigrant women in the United States. This article examines battered Muslim immigrant women’s experiences with intimate partner violence and their experiences with the police. Furthermore, to provide a more refined view related to battered Muslim immigrant women’s situation, the article compares the latter group’s experiences to battered non-Muslim immigrant women’s experiences. Finally, we seek to clarify the similarities and differences between battered immigrant women aiming to inform responsive police service delivery.

Intimate partner violence among women with mental health-related activity limitations: a Canadian population based study

BACKGROUND

There is strong evidence that women with serious or chronic mental illness experience higher rates of violence than women in the general population. Our objective was to examine the risk of intimate partner violence (IPV), a form of violence that is often recurrent and linked to negative physical and psychological consequences, among a representative sample of non-institutionalized women with activity limitations (ALs) due to a mental health condition.

METHODS

Data from the 2009 General Social Survey were used, a national, population-based, cross-sectional survey. The sample included 6851 women reporting contact with a current or former partner in the previous five years, of whom 322 (4.7%) reported a mental health-related AL always/often or sometimes.

RESULTS

The prevalence of any type of IPV was highest among women with mental health-related ALs always/often (54.4%), followed by women reporting ALs sometimes (49.9%), and those reporting no ALs (18.3%, p < 0.0001). The same pattern was observed for emotional (51.1%, 45.5%, 16.3%, p < 0.0001) and financial IPV (18.1%, 9.5%, 4.0%, p < 0.0001). For physical/sexual violence, rates were similar among women reporting mental health-related ALs always/often and sometimes, but were lower among those reporting no ALs (20.2%, 20.9%, 5.9%, p < 0.0001). In a logistic regression analysis the odds of having experienced any IPV remained greater for women reporting ALs always/often (OR = 3.65; 95% CI: 2.10, 6.32) and sometimes (OR = 3.20; 95% CI: 2.15, 4.75) than those reporting no ALs. Several social capital variables, including perceptions of having experienced discrimination, a weak sense of belonging in their local community, and low trust toward family members and strangers were also significantly associated with having experienced IPV.

CONCLUSION

Findings suggest that women with mental health-related ALs may be at increased risk of IPV. Health and social service providers may need, therefore, to better target prevention and intervention initiatives to this population.

Factors influencing resource use by African American and African Caribbean women disclosing intimate partner violence

Many victims of intimate partner violence (IPV) do not access services. Education and severity of physical violence have previously been shown to predict resource utilization, but whether these hold true specifically among women of African descent is unknown. This article furthers our understanding of the relationship between IPV and resource use, considering sociodemographics and aspects of IPV by presenting results from a study conducted with African American and African Caribbean women in Baltimore, Maryland, and the U.S. Virgin Islands. Of the 545 women included in this analysis, 95 (18%) reported emotional abuse only, 274 (50%) reported experiencing physical abuse only, and 176 (32%) had experienced both physical and sexual abuse by an intimate partner. Resource utilization was relatively low among these women, with only 57% seeking any help. Among those who did, 13% sought medical, 18% DV, 37% community, and 41% criminal justice resources. Generalized linear model results indicated that older age and severe risk for lethality from IPV and PTSD were predictive of certain types of resource use, while education, insurance status, and depression had no influence. Perceived availability of police and shelter resources varied by site. Results suggest that systems that facilitate resource redress for all abused women are essential, particularly attending to younger clients who are less likely to seek help, while building awareness that women accessing resources may be at severe risk for lethality from the violence and may also be experiencing mental health complications. In addition, greater efforts should be made on the community level to raise awareness among women of available resources.

Intimate partner violence, depression, PTSD, and use of mental health resources among ethnically diverse black women

This study examined exposure to violence and risk for lethality in intimate partner relationships as factors related to co-occurring MH problems and use of mental health (MH) resources among women of African descent. Black women with intimate partner violence (IPV) experiences (n = 431) were recruited from primary care, prenatal or family planning clinics in the United States and the U.S. Virgin Islands. Severity of IPV was significantly associated with co-occurring MH problems, but was not associated with the use of MH resources among African-American women. Risk for lethality and co-occurring problems were also not significantly related to the use of resources. African Caribbean women with severe physical abuse experiences were significantly less likely to use resources. In contrast, severity of physical abuse was positively associated with the use of resources among Black women with mixed ethnicity. Severe IPV experiences are risk factors for co-occurring MH problems, which in turn, increases the need for MH services. However, Black women may not seek help for MH problems. Thus, social work practitioners in health care settings must thoroughly assess women for their IPV experiences and develop tailored treatment plans that address their abuse histories and MH needs.

Immigrant status, antenatal depressive symptoms, and frequency and source of violence: what's the relationship?

This study describes the prevalence of violence during pregnancy and examines the association between the experience of violence since the beginning of pregnancy and the prevalence of antenatal depressive symptoms while taking into account immigrant status. Cross-sectional study including 5,162 pregnant women attending Montreal hospitals for antenatal care was conducted, with 1,400 being born outside of Canada. CES-D scale was used to evaluate depression at 24-26 weeks of pregnancy. The Abuse Assessment Screen scale was used to determine the frequency and severity of violence since the beginning of pregnancy. Relationship with abuser was also considered. All modeling was done using logistic regressions. Threats were the most frequent type of violence, with 63 % happening more than once. Long-term immigrant women reported the highest prevalence of all types of violence (7.7 %). Intimate partner violence (IPV) (15 %) was most frequently reported among the poorest pregnant women. Strong associations exist between more than one episode of abuse and depression (POR = 5.21 [3.73; 7.23], and IPV and depression [POR = 5.81 [4.19; 8.08]. Immigrant status did not change the associations between violence and depression. Violence against pregnant women is not rare in Canada, and it is associated with antenatal depressive symptoms. These findings support future development of perinatal screening for violence, follow-up, and a culturally sensitive referral system.

A model of sexually and physically victimized women's process of attaining effective formal help over time: the role of social location, context, and intervention

As empirical evidence has demonstrated the pervasiveness of sexual assault and intimate partner violence in the lives of women, and the links to poor mental health outcomes, attention has turned to examining how women seek and access formal help. We present a conceptual model that addresses prior limitations and makes three key contributions: It foregrounds the influence of social location and multiple contextual factors; emphasizes the importance of the attainment of effective formal help that meets women's needs and leads to positive mental health outcomes; and highlights the role of interventions in facilitating help attainment. We conclude with research and practice implications.

Rising disparities in severe adverse birth outcomes among Haitians in Québec, Canada, 1981-2006

Perinatal health data for Haitians are scant. We evaluated adverse birth outcomes for Haitians in Québec, Canada. We analyzed 2,124,909 live births from 1981 to 2006. Haitian ethnicity was assessed using maternal birth country (Haiti, other Caribbean country, other foreign country, Canada) and home language (Creole, French/English but Creole mother tongue, French/English, other). Associations between ethnicity and preterm birth (PTB), low birth weight (LBW), and small-for-gestational-age (SGA) birth were calculated. Adverse birth outcomes were more common among mothers with Haitian ethnicity. Relative to Canadian-born mothers, odds for Haitian-born mothers were 4 times greater for extreme PTB (≤27 weeks), twice greater for very PTB (28-31 weeks), and 25% higher for moderate PTB (32-36 weeks). Patterns were similar for SGA birth and severe cases of LBW. Despite overall decreases LBW and SGA birth, relative and absolute inequalities increased over time. Perinatal health inequalities are increasing for Haitian-born mothers.

Immigrant and nonimmigrant women: factors that predict leaving an abusive relationship

This research used logistic regression to test components of Choice and Lamke's (1997) two-part decision-making model and Hamby's (2008) holistic risk assessment as predictors of the decision to separate from an abusive partner, comparing significant predictors for immigrant (n = 497) and nonimmigrant (n = 808) women. Findings demonstrated that immigrant women reported higher levels of perceived risks/barriers to leaving, provided some support for the use of a holistic risk assessment in understanding women's decisions to leave, and demonstrated that immigrant and nonimmigrant women have both similarities and differences in the factors that predict leaving. Clinical and policy implications are addressed.

An exploratory study on the consequences and contextual factors of intimate partner violence among immigrant and Canadian-born women

OBJECTIVE

To compare immigrant and Canadian-born women on the physical and psychological consequences of intimate partner violence (IPV), as well as examine important sociodemographic, health and social support and network factors that may shape their experiences of abuse.

METHOD

National, population-based, cross-sectional survey conducted in 2009.

PARTICIPANTS

6859 women reported contact with a current or former partner in the previous 5 years, of whom 1480 reported having experienced emotional, financial, physical and/or sexual IPV. Of these women, 218 (15%) were immigrants and 1262 (85%) were Canadian-born.

RESULTS

Immigrant women were less likely than Canadian-born women to report having experienced emotional abuse (15.3% vs 18.2%, p=0.04) and physical and/or sexual violence (5.1% vs 6.9%, p=0.04) from a current or former partner. There were no differences between immigrant and Canadian-born women in the physical and psychological consequences of physical and/or sexual IPV. However, compared with Canadian-born women, immigrant women reported lower levels of trust towards their neighbours (50.7% vs 41.5%, p=0.04) and people they work or go to school with (38.6% vs 27.5%, p=0.02), and were more likely to report having experienced discrimination based on ethnicity or culture (18.8% vs 6.8%, p<0.0001), race or skin colour (p=0.003) and language (10.1% vs 3.2%, p<0.0001). Immigrant women were less likely than Canadian-born women to report activity limitations (p=0.01) and medication use for sleep problems (14.1% vs 20.6%, p=0.05) and depression (11.5% vs 17.6%, p=0.05).

CONCLUSIONS

Our exploratory study revealed no differences between immigrant and Canadian-born women in the physical and psychological consequences of IPV. Abused immigrant women's lower levels of trust for certain individuals and experiences of discrimination may have important implications for seeking help for IPV and underscores the need for IPV-related intervention and prevention services that are culturally sensitive and appropriate.

Intimate partner violence perpetration, immigration status, and disparities in a community health center-based sample of men

OBJECTIVE

We examined disparities in male perpetration of intimate partner violence (IPV) based on immigration status.

METHODS

From 2005 to 2006, 1,668 men aged 18-35 who were recruited from community health centers anonymously completed an automated, computer-assisted self-interview. Men self-reported their immigrant status (e.g., native-born, <6 years in the U.S. [recent immigrants], or > or = 6 years in the U.S. [non-recent immigrants]) and IPV perpetration. We calculated differences in IPV perpetration based on immigrant status. Among immigrant men, we further examined differences in IPV perpetration based on English-speaking ability.

RESULTS

Recent immigrants were less likely to report IPV perpetration than native-born men in the overall sample (adjusted odds ratio [AOR] = 0.60, 95% confidence interval [CI] 0.36, 1.00). However, we observed no differences in IPV perpetration between non-recent immigrants and native-born men (AOR=0.88, 95% CI 0.63, 1.23). Among immigrant men, those who were non-recent immigrants and reported limited English-speaking ability were at the highest risk for IPV perpetration, compared with recent immigrants with high English-speaking ability (AOR=7.48, 95% CI 1.92, 29.08).

CONCLUSIONS

Although immigrant men were at a lower risk as a group for IPV perpetration as compared with non-immigrants, this lower likelihood of IPV perpetration was only evident among recent immigrants. Among immigrant men, those who arrived in the U.S. more than six years ago and reported speaking English relatively poorly appeared to be at greatest risk for using violence against partners. Future research should examine the effects of fear of legal sanctions, discrimination, and changes in gender roles to clarify the present findings.

Intimate partner violence and barriers to mental health care for ethnically diverse populations of women

Ethnically diverse populations of women, particularly survivors of intimate partner violence (IPV), experience many barriers to mental health care. The search terms ''women'' and ''domestic violence or IPV'' and ''mental health care'' were used as a means to review the literature regarding barriers to mental health care and minority women. Abstracts chosen for further review included research studies with findings on women of one or more ethnic minority groups, potential barriers to accessing mental health care, and a nonexclusive focus on IPV. Fifty-five articles were selected for this review. Identified barriers included a variety of patient, provider, and health system/community factors. Attention to the barriers to mental health care for ethnically diverse survivors of IPV can help inform the development of more effective strategies for health care practice and policy.

[Sociodemographic profile of women affected by intimate partner violence in Spain]

OBJECTIVE

To determine the prevalence of reported intimate partner violence (IPV) and to analyze the main sociodemographic characteristics of affected women.

METHODS

We performed a cross-sectional study based on the Spanish National Health Survey of 2006. The sample comprised 13,094 women who agreed to answer questions about violence (87.2% of the total interviewees). Bivariate and multivariate analyses were performed. The dependent variable was reported IPV and the independent variables were educational level, employment, marital status, living arrangements with the partner or analogous individual, number of children at home, nationality (Spanish vs. foreign women) and age.

RESULTS

IPV was reported by 1% (n=128) of the sample. Women with primary school education or without studies (odds ratio [OR]: 3.63 [1.90-6.92]), with three or more children (OR: 3.51 [1.78-6.90]), and those who were separated or divorced (OR: 2.81 [1.89-4.97]) were most likely to experience IPV when the effect of the remaining variables was controlled. The likelihood of IPV was also higher in women born outside Spain (OR: 2.83 [1.87-4.28]).

CONCLUSIONS

IPV seems not to affect Spanish and foreign women equally. The characteristics most closely associated with women affected by IPV were educational level, the number of children at home and marital status. The sensitivity of current measures against IPV should be considered in relation to the needs of affected women.

“Violence Is an International Language”

Research on intimate partner violence (IPV) across populations is challenging because of the multiplicity of definitions and lack of clarity about the behaviors that constitute IPV. The purpose of this study was to examine the ways in which Sri Lankan Tamil women in Toronto understand, define, and experience IPV. Focus group interviews were conducted with women representing different ages and stages of life. Findings suggest that definitions of IPV were not culturally specific. Rather, the Tamil women defined IPV broadly and recognized different forms of coercive control. However, psychologically abusive behaviors were identified that held particular meanings for this community.

Intimate partner and nonpartner violence against pregnant women in rural Haiti

OBJECTIVE

To examine the association between violence experienced by pregnant Haitian women in the previous 6 months and pregnancy-related symptom distress.

METHODS

A total of 200 women seeking prenatal care at community health dispensaries in the Artibonite Valley were interviewed.

RESULTS

Over 4 in 10 women (44.0%) reported that they had experienced violence in the 6 months prior to interview; 77.8% of these women reported that the violence was perpetrated by an intimate partner. Those who experienced intimate partner violence reported significantly greater pregnancy-related symptom distress (beta=0.23, P=0.001). No significant differences between violence perpetrated by family members or others and reporting of symptoms were observed (beta=0.06, P=0.38).

CONCLUSION

The findings indicate the need to integrate violence screening, resources, and primary prevention into prenatal care in rural Haiti.

Community-based violence awareness

Violence against women is a major influence on women's mental health. We used popular education techniques to train 14 Spanish-speaking women as promotoras (community health workers) to increase awareness about violence against women in low income Texas communities. These women then conducted over 80 presentations in Spanish in local community settings. The impact of the program on the promotoras and on women attending the presentations was evaluated using qualitative methods. This research lends support to the idea that nurses working in community mental health settings must use innovative primary prevention strategies and evaluation mechanisms to change awareness about violence against women.