Association between exposure to political violence and intimate-partner violence in the occupied Palestinian territory

a cross-sectional study

Cari J Clark, Susan Everson-Rose, Shakira Franco Suglia, Rula Btoush, Alvaro Alonso, Muhammad M. Haj-Yahia

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

Background: Intimate-partner violence might increase during and after exposure to collective violence. We assessed whether political violence was associated with male-to-female intimate-partner violence in the occupied Palestinian territory. Methods: A nationally representative, cross-sectional survey was done between Dec 18, 2005, and Jan 18, 2006, by the Palestinian Central Bureau of Statistics. 4156 households were randomly selected with a multistage random cluster design, from which 3815 ever-married women aged 15-64 years were identified. We restricted our analysis to presently married women (n=3510, 92% participation rate), who completed a short version of the revised conflict tactics scales and exposure to political violence inventory. Exposure to political violence was characterised as the husband's direct exposure, his indirect exposure via his family's experiences, and economic effects of exposure on the household. We used adjusted multinomial logistic regression models to estimate odds ratios (ORs) for association between political violence and intimate-partner violence. Findings: Political violence was significantly related to higher odds of intimate-partner violence. ORs were 1·89 (95% CI 1·29-2·76) for physical and 2·23 (1·49-3·35) for sexual intimate-partner violence in respondents whose husbands were directly exposed to political violence compared with those whose husbands were not directly exposed. For women whose husbands were indirectly exposed, ORs were 1·61 (1·25-2·07) for physical and 1·97 (1·49-2-60) for sexual violence, compared with those whose husbands were not indirectly exposed. Economic effects of exposure were associated with increased odds of intimate-partner violence in the Gaza Strip only. Interpretation: Because exposure to political violence is associated with increased odds of intimate-partner violence, and exposure to many traumas is associated with poor health, a range of violent exposures should be assessed when establishing the need for psychosocial interventions in conflict settings. Funding: Palestinian National Authority, Core Funding Group, Program in Health Disparities Research at the University of Minnesota.

Original languageEnglish (US)
Pages (from-to)310-316
Number of pages7
JournalThe Lancet
Volume375
Issue number9711
DOIs
StatePublished - Jan 25 2010

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Cross-Sectional Studies
Spouses
Violence
Odds Ratio
Logistic Models
Economics
Middle East
Sexual Partners
Sex Offenses
Health
Exposure to Violence
Intimate Partner Violence
Equipment and Supplies
Wounds and Injuries
Research
Conflict (Psychology)

Cite this

Association between exposure to political violence and intimate-partner violence in the occupied Palestinian territory : a cross-sectional study. / Clark, Cari J; Everson-Rose, Susan; Suglia, Shakira Franco; Btoush, Rula; Alonso, Alvaro; Haj-Yahia, Muhammad M.

In: The Lancet, Vol. 375, No. 9711, 25.01.2010, p. 310-316.

Research output: Contribution to journalArticle

Clark, Cari J ; Everson-Rose, Susan ; Suglia, Shakira Franco ; Btoush, Rula ; Alonso, Alvaro ; Haj-Yahia, Muhammad M. / Association between exposure to political violence and intimate-partner violence in the occupied Palestinian territory : a cross-sectional study. In: The Lancet. 2010 ; Vol. 375, No. 9711. pp. 310-316.
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abstract = "Background: Intimate-partner violence might increase during and after exposure to collective violence. We assessed whether political violence was associated with male-to-female intimate-partner violence in the occupied Palestinian territory. Methods: A nationally representative, cross-sectional survey was done between Dec 18, 2005, and Jan 18, 2006, by the Palestinian Central Bureau of Statistics. 4156 households were randomly selected with a multistage random cluster design, from which 3815 ever-married women aged 15-64 years were identified. We restricted our analysis to presently married women (n=3510, 92{\%} participation rate), who completed a short version of the revised conflict tactics scales and exposure to political violence inventory. Exposure to political violence was characterised as the husband's direct exposure, his indirect exposure via his family's experiences, and economic effects of exposure on the household. We used adjusted multinomial logistic regression models to estimate odds ratios (ORs) for association between political violence and intimate-partner violence. Findings: Political violence was significantly related to higher odds of intimate-partner violence. ORs were 1·89 (95{\%} CI 1·29-2·76) for physical and 2·23 (1·49-3·35) for sexual intimate-partner violence in respondents whose husbands were directly exposed to political violence compared with those whose husbands were not directly exposed. For women whose husbands were indirectly exposed, ORs were 1·61 (1·25-2·07) for physical and 1·97 (1·49-2-60) for sexual violence, compared with those whose husbands were not indirectly exposed. Economic effects of exposure were associated with increased odds of intimate-partner violence in the Gaza Strip only. Interpretation: Because exposure to political violence is associated with increased odds of intimate-partner violence, and exposure to many traumas is associated with poor health, a range of violent exposures should be assessed when establishing the need for psychosocial interventions in conflict settings. Funding: Palestinian National Authority, Core Funding Group, Program in Health Disparities Research at the University of Minnesota.",
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