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Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study

BACKGROUND: Intimate partner violence (IPV) against women is a global public health problem, yet data on IPV against Native American women are extremely limited. We conducted a cross-sectional study of Native American women to determine prevalence of lifetime and past-year IPV and partner injury; ex...

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Autores principales: Malcoe, Lorraine Halinka, Duran, Bonnie M, Montgomery, Juliann M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC446227/
https://www.ncbi.nlm.nih.gov/pubmed/15157273
http://dx.doi.org/10.1186/1741-7015-2-20
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author Malcoe, Lorraine Halinka
Duran, Bonnie M
Montgomery, Juliann M
author_facet Malcoe, Lorraine Halinka
Duran, Bonnie M
Montgomery, Juliann M
author_sort Malcoe, Lorraine Halinka
collection PubMed
description BACKGROUND: Intimate partner violence (IPV) against women is a global public health problem, yet data on IPV against Native American women are extremely limited. We conducted a cross-sectional study of Native American women to determine prevalence of lifetime and past-year IPV and partner injury; examine IPV in relation to pregnancy; and assess demographic and socioeconomic correlates of past-year IPV. METHODS: Participants were recruited from a tribally-operated clinic serving low-income pregnant and childbearing women in southwest Oklahoma. A self-administered survey was completed by 312 Native American women (96% response rate) attending the clinic from June through August 1997. Lifetime and past-year IPV were measured using modified 18-item Conflict Tactics Scales. A socioeconomic index was created based on partner's education, public assistance receipt, and poverty level. RESULTS: More than half (58.7%) of participants reported lifetime physical and/or sexual IPV; 39.1% experienced severe physical IPV; 12.2% reported partner-forced sexual activity; and 40.1% reported lifetime partner-perpetrated injuries. A total of 273 women had a spouse or boyfriend during the previous 12 months (although all participants were Native American, 59.0% of partners were non-Native). Among these women, past-year prevalence was 30.1% for physical and/or sexual IPV; 15.8% for severe physical IPV; 3.3% for forced partner-perpetrated sexual activity; and 16.4% for intimate partner injury. Reported IPV prevalence during pregnancy was 9.3%. Pregnancy was not associated with past-year IPV (odds ratio = 0.9). Past-year IPV prevalence was 42.8% among women scoring low on the socioeconomic index, compared with 10.1% among the reference group. After adjusting for age, relationship status, and household size, low socioeconomic index remained strongly associated with past-year IPV (odds ratio = 5.0; 95% confidence interval: 2.4, 10.7). CONCLUSIONS: Native American women in our sample experienced exceptionally high rates of lifetime and past-year IPV. Additionally, within this low-income sample, there was strong evidence of socioeconomic variability in IPV. Further research should determine prevalence of IPV against Native American women from diverse tribes and regions, and examine pathways through which socioeconomic disadvantage may increase their IPV risk.
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spelling pubmed-4462272004-07-09 Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study Malcoe, Lorraine Halinka Duran, Bonnie M Montgomery, Juliann M BMC Med Research Article BACKGROUND: Intimate partner violence (IPV) against women is a global public health problem, yet data on IPV against Native American women are extremely limited. We conducted a cross-sectional study of Native American women to determine prevalence of lifetime and past-year IPV and partner injury; examine IPV in relation to pregnancy; and assess demographic and socioeconomic correlates of past-year IPV. METHODS: Participants were recruited from a tribally-operated clinic serving low-income pregnant and childbearing women in southwest Oklahoma. A self-administered survey was completed by 312 Native American women (96% response rate) attending the clinic from June through August 1997. Lifetime and past-year IPV were measured using modified 18-item Conflict Tactics Scales. A socioeconomic index was created based on partner's education, public assistance receipt, and poverty level. RESULTS: More than half (58.7%) of participants reported lifetime physical and/or sexual IPV; 39.1% experienced severe physical IPV; 12.2% reported partner-forced sexual activity; and 40.1% reported lifetime partner-perpetrated injuries. A total of 273 women had a spouse or boyfriend during the previous 12 months (although all participants were Native American, 59.0% of partners were non-Native). Among these women, past-year prevalence was 30.1% for physical and/or sexual IPV; 15.8% for severe physical IPV; 3.3% for forced partner-perpetrated sexual activity; and 16.4% for intimate partner injury. Reported IPV prevalence during pregnancy was 9.3%. Pregnancy was not associated with past-year IPV (odds ratio = 0.9). Past-year IPV prevalence was 42.8% among women scoring low on the socioeconomic index, compared with 10.1% among the reference group. After adjusting for age, relationship status, and household size, low socioeconomic index remained strongly associated with past-year IPV (odds ratio = 5.0; 95% confidence interval: 2.4, 10.7). CONCLUSIONS: Native American women in our sample experienced exceptionally high rates of lifetime and past-year IPV. Additionally, within this low-income sample, there was strong evidence of socioeconomic variability in IPV. Further research should determine prevalence of IPV against Native American women from diverse tribes and regions, and examine pathways through which socioeconomic disadvantage may increase their IPV risk. BioMed Central 2004-05-24 /pmc/articles/PMC446227/ /pubmed/15157273 http://dx.doi.org/10.1186/1741-7015-2-20 Text en Copyright © 2004 Malcoe et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
spellingShingle Research Article
Malcoe, Lorraine Halinka
Duran, Bonnie M
Montgomery, Juliann M
Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study
title Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study
title_full Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study
title_fullStr Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study
title_full_unstemmed Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study
title_short Socioeconomic disparities in intimate partner violence against Native American women: a cross-sectional study
title_sort socioeconomic disparities in intimate partner violence against native american women: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC446227/
https://www.ncbi.nlm.nih.gov/pubmed/15157273
http://dx.doi.org/10.1186/1741-7015-2-20
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