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Disability severity and risk of new or recurrent intimate partner violence – Evidence from a cohort study in rural Pakistan
Disability and Health Journal ( IF 3.7 ) Pub Date : 2024-07-20 , DOI: 10.1016/j.dhjo.2024.101673
Amanda Collins 1 , Joanna Maselko 2 , Ashley Hagaman 3 , Lisa Bates 4 , Sarah C Haight 5 , Aparna G Kachoria 6 , Sugandh Gupta 7 , Sonia Bhalotra 8 , Siham Sikander 9 , Amina Bibi 10
Affiliation  

People with disabilities are more likely to experience intimate partner violence (IPV) than those without. Most research examining the relationship between disability and IPV, however, is cross-sectional and approaches disability as a binary variable. This relationship is also important to consider in a South Asian context, where it may be affected by cultural norms surrounding IPV, and resources for people with disabilities. To estimate the degree to which disability severity increases the risk of subsequent IPV among a cohort of mothers living in rural Pakistan. Mothers from the Bachpan study (N = 869) with data for at least two consecutive waves between 1-, 2-, 3-, and 6-years postpartum were included in this study. Modified Poisson regression models were used to estimate the relationship between disability level in the preceding wave and psychological, physical, and sexual IPV in the following wave. For psychological IPV, the risk ratio (RR) for medium severity was 1.27 (95 % CI: 1.10, 1.46) and the RR for high severity was 1.23 (95 % CI: 1.02, 1.48), relative to low severity. Physical IPV had a medium severity RR of 1.44 (95 % CI: 1.00, 2.06) and high severity RR of 1.60 (95 % CI: 1.02, 2.53). For sexual IPV, the medium severity RR was 1.35 (95 % CI: 1.05, 1.75) and the high severity RR was 1.53 (95 % CI: 1.11, 2.10). This study supports that, in a low-income, rural South Asian context, mothers with disabilities are particularly susceptible to future psychological, physical, and sexual .

中文翻译:


残疾严重程度和新的或经常发生的亲密伴侣暴力的风险——来自巴基斯坦农村地区队列研究的证据



残疾人比非残疾人更容易遭受亲密伴侣暴力 (IPV)。然而,大多数研究残疾与 IPV 之间关系的研究都是横向的,并将残疾视为二元变量。在南亚背景下考虑这种关系也很重要,因为它可能受到围绕 IPV 的文化规范和残疾人资源的影响。旨在估计巴基斯坦农村地区的一组母亲中残疾严重程度增加后续 IPV 风险的程度。本研究纳入了 Bachpan 研究 (N = 869) 中具有产后 1 年、2 年、3 年和 6 年之间至少两次连续波的数据的母亲。使用修正的泊松回归模型来估计前一波的残疾水平与下一波的心理、身体和性 IPV 之间的关系。对于心理 IPV,相对于低严重程度,中等严重程度的风险比 (RR) 为 1.27 (95% CI: 1.10, 1.46),高严重程度的 RR 为 1.23 (95% CI: 1.02, 1.48)。物理 IPV 的中等严重程度 RR 为 1.44 (95% CI: 1.00, 2.06),高严重程度 RR 为 1.60 (95% CI: 1.02, 2.53)。对于性 IPV,中等严重程度 RR 为 1.35(95% CI:1.05,1.75),高严重程度 RR 为 1.53(95% CI:1.11,2.10)。这项研究表明,在低收入的南亚农村地区,残疾母亲特别容易受到未来心理、身体和性方面的影响。
更新日期:2024-07-20
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