Risk Markers for Victimization and Perpetration of Male-to-Female Physical Intimate Partner Violence in Sub-Saharan Africa: A Meta-Analysis.

Journal: Trauma, violence & abuse

Volume: 24

Issue: 5

Year of Publication: 2023

Affiliated Institutions:  Columbia University, New York, NY, USA. Kansas State University, Manhattan, USA. New School for Social Research, New York, NY, USA. Mozambique Ministry of Health, Maputo, Mozambique.

Abstract summary 

Exposure to intimate partner violence (IPV) incurs significant public health consequences. Understanding risk markers can accelerate prevention and response efforts, important in settings like Sub-Saharan Africa (SSA) where resources are scarce. In this study, four databases were searched to identify studies that examined risk markers for male-to-female physical IPV. With application of the socioecological model, we analyzed 11 risk markers for male physical IPV perpetration (with 71 effect sizes) and 16 risk markers for female physical IPV victimization (with 131 effect sizes) in SSA from 51 studies. For male IPV perpetration, we found medium-to-large effect sizes for six risk markers: perpetrating emotional abuse and sexual IPV, witnessing parental IPV, being abused as a child, cohabitating (not married), and exhibiting controlling behaviors. We found small effect sizes for substance use. Employment, age, marital status, and education were not significant risk markers. For female IPV victimization, a medium effect size was found for post-traumatic stress symptoms. Small effect sizes were found for reporting depressive symptoms, being abused as a child, witnessing parental IPV, and reporting drug and alcohol use. Rural residence, approval of violence, length of relationship, income, education, employment, age, marital status, and religiosity were not significant risk markers. Findings highlight opportunities for screening and intervention at the couple level, show the need to test and incorporate interventions for IPV in mental health treatment, and emphasize the importance of further research on sociodemographic risk markers and the interventions that target them.

Authors & Co-authors:  Mootz Jennifer J JJ Spencer Chelsea M CM Ettelbrick Julia J Kann Bianca B Fortunato Dos Santos Palmira P Palmer Megan M Stith Sandra M SM

Study Outcome 

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Statistics
Citations :  Agyepong IA, Sewankambo N, Binagwaho A, Coll-Seck AM, Corrah T, Ezeh A, Fekadu A, Kilonzo N, Lamptey P, Masiye F, Mayosi B, Mboup S, Muyembe JJ, Pate M, Sidibe M, Simons B, Tlou S, Gheorghe A, Legido-Quigley H, & Piot P (2017). The path to longer and healthier lives for all Africans by 2030: The Lancet Commission on the future of health in sub-Saharan Africa. The Lancet, 390(10114), 2803–2859. 10.1016/S0140-6736(17)31509-X
Authors :  7
Identifiers
Doi : 10.1177/15248380221129589
SSN : 1552-8324
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Africa;domestic violence;intimate partner violence;low- and middle-income countries;risk marker;socioecological model
Study Design
Study Approach
Country of Study
Publication Country
United States