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Frequency and Types of Intimate Partner Violence and Symptoms of Gynecologic Morbidity among Married Indian Women

Winter, Amy (2011)
Master's Thesis (98 pages)
Committee Chair / Thesis Adviser: Stephenson, Robert
Committee Members:
Research Fields: Health Sciences, Public Health; Health Sciences, Epidemiology; Health Sciences, Obstetrics and Gynecology
Partnering Agencies: Does not apply (no collaborating organization)
Keywords: intimate partner violence; gynecologic morbidity; domestic violence; Women; India; RTI; STI
Program: Rollins School of Public Health, Hubert Department of Global Health
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Abstract. This study examines the association between self-reported verbal, physical, and/or sexual intimate partner violence (IPV) and self-reported symptoms of gynecologic morbidity among 65,610 married Indian women (age 15-49). Data are taken from the 2005-2006 Indian National Family Health Survey-III. Regression models are fitted to identify associations between three types of self-reported IPV (verbal, physical, and sexual) and three symptoms of gynecologic morbidity (genital sores, abnormal vaginal discharge, and sexually transmitted infections). IPV is uniquely measured by examining self-reported physical, sexual, and verbal IPV, IPV frequency, and all combinations of IPV type. In the year preceding the survey, 24% of women reported any IPV (10% verbal, 19% physical, 6% sexual) and 10% reported at least one symptom of gynecologic morbidity. The model results indicate that after controlling for other covariates, experiencing physical, verbal, or sexual IPV is associated with an increased risk of gynecologic morbidity. Women who experience all three types of violence are at the highest risk of reporting each symptom (genital sore OR=4.57, abnormal discharge OR=3.24, STI OR=2.49; all p-values<0.05). There is a call for health providers to recognize IPV and provide treatment and resources for women who experience IPV. In addition, community awareness of the harmful consequences of IPV needs to be increased to reduce IPV tolerance.

Table of Contents

TABLE OF CONTENTS -- CHAPTER 1 - INTRODUCTION (1) -- Intimate Partner Violence (2) -- Objective (5) -- Aims (5) -- Study Setting: Women and IPV in India (5) -- CHAPTER 2 - LITERATURE REVIEW (9) -- Intimate Partner Violence (9) -- - Risk Factors Associated with IPV (11) -- - Health Outcomes or Associations with IPV (17) -- Gynecologic Morbidity (24) -- - Risk Factors of Symptoms of Gynecologic Morbidity (26) -- Intimate Partner Violence and Gynecologic Morbidity (28) -- - Evidence on the Link between IPV and Gynecologic Morbidity (28) -- - Causal Pathways (39) -- CHAPTER 3 - MANUSCRIPT (41) -- Abstract (43) -- Introduction (44) -- Background (45) -- Data and Methods (48) -- Results (51) -- Discussion (55) -- Conclusion (59) -- Works Cited (60) -- CHAPTER 4 - DISCUSSION and PUBLIC HEALTH IMPLICATIONS (72) -- Discussion (72) -- Public Health Implications & Recommendations (78) -- 1. Decrease the overall prevalence of intimate partner violence (79) -- 2. Support IPV victims and screen for symptoms of gynecologic morbidity (80) -- 3. Screen for IPV in Gynecologic Clinics (81) -- REFERENCES (82) -- SIGNATURE FOR NON-RESEARCH PROJECTS (91)
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