000 05031nab a22004217a 4500
999 _c8023
_d8023
005 20250625151631.0
008 230306s2023 -nz|| |||| 00| 0 eng d
040 _aAFVC
100 _aMellar, Brooklyn M.
_911655
245 _aAssociation between women’s exposure to intimate partner violence and self-reported health outcomes in New Zealand
_cBrooklyn M. Mellar, Ladan Hashemi, Vanessa Selak, Pauline J. Gulliver, Tracey K.D. McIntosh and Janet L. Fanslow
260 _bJAMA Network,
_c2023
500 _aJAMA Network Open, 2023, 6(3): e231311
520 _aImportance Intimate partner violence (IPV) is increasingly recognized as a contributing factor for long-term health problems; however, few studies have assessed these health outcomes using consistent and comprehensive IPV measures or representative population-based samples. Objective To examine associations between women’s lifetime IPV exposure and self-reported health outcomes. Design, Setting, and Participants The cross-sectional, retrospective 2019 New Zealand Family Violence Study, adapted from the World Health Organization’s Multi-Country Study on Violence Against Women, assessed data from 1431 ever-partnered women (63.7% of eligible women contacted) in New Zealand. The survey was conducted from March 2017 to March 2019, across 3 regions, which accounted for approximately 40% of the New Zealand population. Data analysis was performed from March to June 2022. Exposures Exposures were lifetime IPV by types (physical [severe/any], sexual, psychological, controlling behaviors, and economic abuse), any IPV (at least 1 type), and number of IPV types. Main Outcomes and Measures Outcome measures were poor general health, recent pain or discomfort, recent pain medication use, frequent pain medication use, recent health care consultation, any diagnosed physical health condition, and any diagnosed mental health condition. Weighted proportions were used to describe the prevalence of IPV by sociodemographic characteristics; bivariate and multivariable logistic regressions were used for the odds of experiencing health outcomes by IPV exposure. Results The sample comprised 1431 ever-partnered women (mean [SD] age, 52.2 [17.1] years). The sample was closely comparable with New Zealand’s ethnic and area deprivation composition, although younger women were slightly underrepresented. More than half of the women (54.7%) reported any lifetime IPV exposure, of whom 58.8% experienced 2 or more IPV types. Compared with all other sociodemographic subgroups, women who reported food insecurity had the highest IPV prevalence for any IPV (69.9%) and all specific types. Exposure to any IPV and specific IPV types was significantly associated with increased likelihood of reporting adverse health outcomes. Compared with those unexposed to IPV, women who experienced any IPV were more likely to report poor general health (adjusted odds ratio [AOR], 2.02; 95% CI, 1.46-2.78), recent pain or discomfort (AOR, 1.81; 95% CI, 1.34-2.46), recent health care consultation (AOR, 1.29; 95% CI, 1.01-1.65), any diagnosed physical health condition (AOR, 1.49; 95% CI, 1.13-1.96), and any mental health condition (AOR, 2.78; 95% CI, 2.05-3.77). Findings suggested a cumulative or dose-response association because women who experienced multiple IPV types were more likely to report poorer health outcomes. Conclusions and Relevance In this cross-sectional study of women in New Zealand, IPV exposure was prevalent and associated with an increased likelihood of experiencing adverse health. Health care systems need to be mobilized to address IPV as a priority health issue. (Authors' abstract). Record #8023
650 _aABUSED WOMEN
_925
650 _aCOERCIVE CONTROL
_95771
650 _aDOMESTIC VIOLENCE
_9203
650 _aECONOMIC ABUSE
_93432
650 _aHEALTH
_9283
650 _aINTIMATE PARTNER VIOLENCE
_9431
650 4 _9439
_aPHYSICAL ABUSE
650 _aRISK FACTORS
_9505
650 4 _aSEXUAL VIOLENCE
_9531
650 _aSURVEYS
_9592
650 0 _99837
_a2019 NZ Family Violence Study | He Koiora Matapopore
650 4 _aVICTIMS OF DOMESTIC VIOLENCE
_9624
651 4 _aNEW ZEALAND
_92588
700 _aHashemi, Ladan
_99605
700 _aSelak, Vanessa
_911656
700 _92705
_aGulliver, Pauline
700 _aMcIntosh, Tracey.
_92985
700 _aFanslow, Janet L.
_91129
773 0 _tJAMA Network Open, 2023, 6(3): e231311
830 _aJAMA Network Open
_911657
856 _uhttps://dx.doi.org/10.1001/jamanetworkopen.2023.1311
_zDOI: 10.1001/jamanetworkopen.2023.1311 (Open access)
856 _uhttps://theconversation.com/family-violence-is-literally-making-us-sicker-new-study-finds-abuse-increases-risk-of-chronic-illness-199669
_yRead article in The Conversation, 4/3/2023
856 _uhttps://www.auckland.ac.nz/en/news/2023/03/08/family-violence-is-making-kiwis-sick--research-shows.html
_yRead media release (4/3/2023)
942 _2ddc
_cARTICLE
_hnews118