Violence against women: an integrated, ecological framework

This article encourages the widespread adoption of an integrated, ecological framework for understanding the origins of gender-based violence. An ecological approach to abuse conceptualizes violence as a multifaceted phenomenon grounded in an interplay among personal, situational, and sociocultural factors. Although drawing on the conceptual advances of earlier theorists, this article goes beyond their work in three significant ways. First, it uses the ecological framework as a heuristic tool to organize the existing research base into an intelligible whole. Whereas other theorists present the framework as a way to think about violence, few have attempted to establish what factors emerge as predictive of abuse at each level of the social ecology. Second, this article integrates results from international and cross-cultural research together with findings from North American social science. And finally, the framework draws from findings related to all types of physical and sexual abuse of women to encourage a more integrated approach to theory building regarding gender-based abuse.

Gender differences in mate selection preferences: a test of the parental investment model

Evolutionary-related hypotheses about gender differences in mate selection preferences were derived from Triver's parental investment model, which contends that women are more likely than men to seek a mate who possesses nonphysical characteristics that maximize the survival or reproductive prospects of their offspring, and were examined in a meta-analysis of mate selection research (questionnaire studies, analyses of personal advertisements). As predicted, women accorded more weight than men to socioeconomic status, ambitiousness, character, and intelligence, and the largest gender differences were observed for cues to resource acquisition (status, ambitiousness). Also as predicted, gender differences were not found in preferences for characteristics unrelated to progeny survival (sense of humor, "personality"). Where valid comparisons could be made, the findings were generally invariant across generations, cultures, and research paradigms.

Partner influences and gender-related factors associated with noncondom use among young adult African American women

We examined the partner influences and gender-related correlates of noncondom use among African American women. The prevalence of noncondom use was 45.3%. Women whose sexual partners were noncondom users were four times more likely to believe that asking their partner to use a condom implied he was unfaithful, three times as likely to have a partner who resisted using condoms, three times more likely to receive AFDC, twice as likely to be sexually nonassertive, three times more likely to believe that it was not difficult to find an "eligible" African American man, and three times as likely to have had one sexual partner. HIV prevention tailored towards African American women should address these partner influences and gender-related factors.

Major depression in individuals with a history of childhood physical or sexual abuse: relationship to neurovegetative features, mania, and gender

OBJECTIVE

Numerous studies have linked childhood trauma with depressive symptoms over the life span. However, it is not known whether particular neurovegetative symptom clusters or affective disorders are more closely linked with early abuse than are others. In a large community sample from Ontario, the authors examined whether a history of physical or sexual abuse in childhood was associated with particular neurovegetative symptom clusters of depression, with mania, or with both.

METHOD

The World Health Organization Composite International Diagnostic Interview was used to assess 8,116 individuals aged 15-64 years. Each subject was asked about early physical and sexual abuse experiences on a structured supplement to the interview. Six hundred fifty-three cases of major depression were identified. Rates of physical and sexual abuse in depressive subgroups defined by typical and reversed neurovegetative symptom clusters (i.e., decreased appetite, weight loss, and insomnia versus increased appetite, weight gain, and hypersomnia, respectively) and by the presence or absence of lifetime mania were compared by gender.

RESULTS

A history of physical or sexual abuse in childhood was associated with major depression with reversed neurovegetative features, whether or not manic subjects were included in the analysis. A strong relationship between mania and childhood physical abuse was found. Across analyses there was a significant main effect of female gender on risk of early sexual abuse; however, none of the group-by-gender interactions predicted early abuse.

CONCLUSIONS

These results suggest an association between early traumatic experiences and particular symptom clusters of depression, mania, or both in adults.

Women's fears and men's anxieties: the impact of family planning on gender relations in northern Ghana

The Navrongo experiment, a family planning and health project in northern Ghana, has demonstrated that an appropriately designed, community-based family planning program can produce a change in contraceptive practice that had been considered unattainable in such a setting. Simultaneously, however, evidence suggests that newly introduced family planning services and contraceptive availability can activate tension in gender relations. In this society, where payment of bridewealth signifies a woman's requirement to bear children, there are deeply ingrained expectations about women's reproductive obligations. Physical abuse and reprisals from the extended family pose substantial threats to women; men are anxious that women who practice contraception might be unfaithful. Data from focus-group discussions with men and women are examined in this report and highlight the strains on gender relations resulting from contraceptive use. The measures taken to address this problem and methods of minimizing the risk of adverse social consequences are discussed.

Community perceptions of reasons for preference for consanguineous marriages in Pakistan

Although the recent Pakistan Demographic and Health Survey (DHS) show that two-thirds of marriages in Pakistan are consanguineous, the sociocultural determinants of such marriages remain largely unexplored. This paper examines the relative importance of the three commonly perceived reasons for such marriages: religious, economic and cultural. The analysis is based on qualitative data collected in 1995 from multi-ethnic and multi-religious communities in Karachi, the largest city of Pakistan. Results show that consanguineous marriages are preferred across all ethnic and religious groups to a varying degree, and that parents continue to be the prime decision-makers for marriages of both sons and daughters. The major reasons for a preference for consanguineous marriages are sociocultural rather than any perceived economic benefits, either in the form of consolidation of family property or smaller and less expensive dowries. Among Muslims, following religious traditions is the least commonly cited reason for such marriages. Despite the reported sociocultural advantages of consanguineous marriages, such unions are perceived to be exploitative as they perpetuate the existing power structures within the family.

Killing the beast within: woman battering and female suicidality

This article explores the importance of woman battering for female suicidality, with special attention to the link among black women. Suicidality has classically been framed with a distinctly male bias. As a result, suicide attempts (a predominantly female event) have been defined as "failed suicides" and the distinctive social context of suicidality among women has been missed. The authors propose that suicidality among battered women is evoked by the "entrapment" women experience when they are subjected to "coercive control" by abusive men. A literature review highlights the probable importance of male violence as a cause of female suicidality. Pursuing this possibility, we assess the significance of battering in a sample of women who have attempted suicide, the characteristics of battered women who attempt suicide, and the appropriateness of the medical response. The results indicate that battering may be the single most important cause of female suicidality, particularly among black and pregnant women. The implications of this finding for theory and clinical intervention are discussed.

Gendered power dynamics and HIV risk in drug-using sexual relationships

This study illustrates how a sample (n = 63) of Scottish drug-using women's patterns of injecting and needle sharing were strongly influenced by the nature and type of their sexual relationships. Our data shows that 12 out of the 13 drug-using couples were sharing needles and 33 out of 41 drug-using women who had ever been in a sexual relationship with a male injector had been predominately injected by their partner whilst in that relationship. For the most part, these women placed significant importance on and investment in their heterosexual relationships. These dynamics clearly impacted on the women's HIV risk taking and risk management and the implications of these findings are discussed.

Gender-related differences in the impact of tropical diseases on women: what do we know?

This paper explores the importance of gender differences in the impact of tropical diseases on women. Malaria and schistosomiasis are used as examples but most of the observations also apply to other diseases endemic to developing countries. The distinction between sex and gender is discussed and evidence of sex and gender differences in the determinants and consequences of malaria and schistosomiasis, particularly their economic, social and personal dimensions, is reviewed. Issues on which research and intervention studies are needed are identified.

Gender-related correlates and predictors of consistent condom use among young adult African-American women: a prospective analysis

The present study examined the correlates of consistent condom use among African-American women and prospectively evaluated the stability of these significant variables to predict consistent condom use at 3-month follow-up. A sample of 128 African-American women, 18-29 years of age completed a baseline interview and 3 months later completed a similar follow-up interview (n = 100). Compared to women who were inconsistent condom users, women who were consistent condom users were more likely to: have high assertive communication skills (OR=13), desire not becoming pregnant (OR=8.6), have high sexual self-control over condom use (OR=7.6), perceive having control over their partners' use of condoms (OR=6.6), be younger (OR=5.8), and report having a partner that was not committed to the relationship (OR=3.3). Prospective analyses identified baseline level of condom use as the best predictor of condom use at 3-month follow-up. Women who were consistent condom users at baseline were 6.3 times as likely to be consistent condom users at 3-month follow-up. In conclusion, HIV prevention programmes for women need to be gender specific and need to be implemented before high-risk behaviours are established and may be more difficult to modify.

Gender and equity in health sector reform programmes: a review

This paper reviews current literature and debates about Health Sector Reform (HSR) in developing countries in the context of its possible implications for women's health and for gender equity. It points out that gender is a significant marker of social and economic vulnerability which is manifest in inequalities of access to health care and in women's and men's different positioning as users and producers of health care. Any analysis of equity must therefore include a consideration of gender issues. Two main approaches to thinking about gender issues in health care are distinguished--a 'women's health' approach, and a 'gender inequality' approach. The framework developed by Cassels (1995), highlighting six main components of HSR, is used to try to pinpoint the implications of HSR in relation to both of these approaches. This review makes no claim to sociological or geographical comprehensiveness. It attempts instead to provide an analysis of the gender and women's health issues most likely to be associated with each of the major elements of HSR and to outline an agenda for further research. It points out that there is a severe paucity of information on the actual impact of HSR from a gender point of view and in relation to substantive forms of vulnerability (e.g. particular categories of women, specific age groups). The use of generic categories, such as 'the poor' or 'very poor', leads to insufficient disaggregation of the impact of changes in the terms on which health care is provided. This suggests the need for more carefully focused data collection and empirical research.

Women's lives and sex: implications for AIDS prevention

Preliminary findings from the Women and AIDS program, a research grants program of the International Center for Research on Women in Washington, D.C. that supports 17 studies in developing countries worldwide, provide a glimpse into the complex interaction between women's social and economic status and risk of HIV infection. In many settings, the cultural norms that demand sexual fidelity and docile and acquiescent sexual behavior among women permit--and sometimes even encourage--early sexual experimentation, multiple partnerships, and aggressive and dominating sexual behavior among men. Drawing upon the finding from the program, the paper analyzes how such cultural norms, together with women's social and economic dependency, can limit a woman's ability to negotiate safer sex with her partner; restrict her access to information and knowledge about her body; force her to sometimes barter sex for survival; increase her vulnerability to physical violence in sexual interaction; and compromise her self-esteem. The findings highlight the limitations of the current HIV/AIDS prevention strategy for reducing women's risk of HIV, and underline the urgency for an approach to prevention that is grounded in the realities of women's lives and sexual experiences--an approach that recognizes the relationship between the dynamics of gender relations, sexual behavior, and HIV risk.

Gender and social reproduction: historical perspectives

This paper defines the concepts of gender and social reproduction as developed in feminist theory and discusses their utility for synthesizing recent historical research on women. We review literature on the emergence, institutionalization, and reorganization of “separate spheres” in nineteenth and early twentieth century Europe and North America. Focusing on social class differences in family strategies, procreation, sexuality, consumerism, professionalization, and state policy, we argue that the organization of gender relations and social reproduction crucially shaped macrohistorical processes, as well as being shaped by them.

A multivariate model explaining men's violence toward women. Predisposing and triggering hypotheses

Violence against women by men is considered the single most serious threat to women's health and welfare in the United States. Knowledge about why male violence occurs against women is very limited. Previous theory and conceptualizations explaining men's violence have narrowly focused on individual factors or typologies. Predicting male violence is complex, necessitating a multivariate explanatory model. No heuristic model has been developed that explains the multiplicity of hypotheses that might explain men's violence toward women. This article presents a multivariate model explaining men's violence toward women using four content areas and 13 hypotheses. The content areas are: (a) macrosocietal explanation; (b) biological, neuroanatomical, hormonal explanation; (c) gender role socialization or gender role conflict explanation; and (d) intergender, relational explanation. Implications of the model for educational interventions, research, and training are explored.

Rethinking homicide: violence, race, and the politics of gender

Although homicide is the fourth leading cause of premature mortality in the United States and the leading cause of death for young blacks, the health professions have been largely oblivious to violence. Prevailing explanations contribute to this neglect by emphasizing biological or psychiatric factors that make homicide unpredictable and cultural and environmental factors such as the emergence of a new "underclass" that link violence to race. Focusing on instances where no other crime is involved, this article proposes that "primary" homicide be reconceptualized as a by-product of interpersonal violence, a broad category of social entrapment rooted in the politics of gender inequality and including wife abuse, child abuse, and assaults by friends and acquaintances. The data show that blacks are no more violent than whites, though they are arrested and die more often as the consequence of violence. In addition, a majority of homicides are between social partners or involve gender stereotypes, are preceded by a series of assaults that are known to service providers, and grow out of "intense social engagement" about issues of male control and independence. Professional failure to respond appropriately is a major reason why assaults become fatal, particularly among blacks. An international strategy that combines sanctions against interpersonal assault, gun control, and the empowerment of survivors might prevent half of all homicides.

The social construction of gendered migration from the Philippines

"This article examines how the social construction of gender influences the migration of Filipina overseas workers and contributes to the increased vulnerability and exploitation of women migrants. In particular, direct and indirect socialization processes, as well as gendered and racial stereotypes, are manifest within the labor recruitment process, helping to channel women migrants into the domestic services and entertainment sectors...."

Gender differences in attributions of self-defense and control in interpartner aggression

This study compared batterers with battered women to investigate hypothesized differences in terms of frequencies, forms, outcomes, and attributions for abuse. To obtain data for abusive behavior profiles, 34 men arrested for spouse abuse and 30 women connected with a battered women's shelter completed the Relationship Abuse Questionnaire (a modified Conflict Tactics Scale). Although significant group differences did not occur in frequencies or forms of abuse, significant decreasing linear trends for both men and women occurred in verbal, psychological, threat, and physical abuse. In addition, significant gender dissimilarities occurred in outcomes of abuse, attributions for abuse, and their interactions. Significant decreasing linear trends for both genders occurred for both outcomes and attributions. These results suggest that underlying the similar gender frequencies of abuse are statistically significant contextual gender disparities in outcomes and attributions.

Warnings to women. Police advice and women's safety in Britain

This article examines police and other governmental crime prevention literature advising women about personal safety. Through a radical feminist perspective, my personal narrative includes a historical context for developments in Britain that give rise to a social and political climate within which individual responsibility for avoiding violence is paramount. The purpose of this article is to raise theoretical questions about the effect of this context on us as women. As a feminist, I also argue for the usefulness of a radical feminist perspective to inform our thinking about avoiding men's violence and ensuring women's safety.