Intimate Partner Violence in Immigrant women Presenter Resty Namata

Objective Present results of literature review concerning IPV in immigrant women.

Presentation Overview Acronyms Definitions Background & Purpose Method Results Conclusion.

Acronyms IPV Interpersonal violence. SPV Sexual Partner Violence. MFIPV Males to Female Intimate Partner Violence. NLM National Library of Medicine CI Confidence Interval

Definitions Latta, R. E., & Goodman, L. A. (2005) define IPV to “ include both physical and sexual abuse that occurred after the age of 18 ”.

Background Caetano (2003) report on IPV among different races

Gupta, J. et al, 2008 reports Intimate partners of immigrant women victimize them by as much as 40%-80% Statistics

Purpose of Literature Review Report some IPV factors involved in immigrant communities Provide evidence that can lead to better outcomes for the immigrant victims of IPV

Method MEDLINE NLM database with 5000 biomedical, nursing, public health (Polit et al., 2008). Google Scholar ® Key words Intimate partner violence, immigrant, domestic violence, refuge. Inclusion 1 O research articles that documented risk factors (Annan 2008).

2005 Latta et al qualitative study of Haitians Culture Context of IPV Place high value on family & children Do not report abuse to avoid Embarrassing & angering family members Losing support from husband Having husband deported Mainstream IPV services are inaccessible Due to language barriers

2008 Wrangle et al., Ha sentido sola? … Spanish speaking Latina women: Responded affirmatively to questions about feelings than direct ones of being slapped. Combination of “ Feelings ” questions 94 % sensitivity 95% CI (43.9% – 77.3%) 53 % specificity with 95% CI (61.9 % – 82.6%) Direct question of being slapped 60.6 % sensitivity 95% CI (43.9% – 77.3%) 90.3 % specificity with 95% CI (83.4% – 97.1%).

2006 Raj, A., et al., cross- sectional study IPV Experience in South Asian women is associated with emotional abuse by in-laws. 54.5% of women who participated in depth interview, reported abuse by in-laws. In-laws are involved in direct abuse and inciting abuse by the husband.

Nilsson (2008) quantitative study of Somali Acculturation Predictors of partner aggression English proficiency, longer time spent in US & fewer American friends (F (3, 38) = 6.49, p <.00, R2 =.34). Predictors of intimate partner physical assault English proficiency, longer time spent in US & more American friends F(3, 37) = 11.13, p <.00, R2 =.47).

Gupta et al (2008) study of pre- migration violence exposure

Conclusion Screening In-law abuse in South Asian women. in Latina women - ask indirect questions. In Haitian women, use instead family/culture approach. Training Providers to recognize: Male partner ’ s pre-migration political exposure Acculturation and English proficiency as risk factor in Somali refugee women.

References Caetano, R., & Cunradi, C. (2003). Intimate partner violence and depression among whites, blacks, and hispanics. Annals of Epidemiology, 13(10), Gupta, J., Acevedo-Garcia, D., Hemenway, D., Decker, M. R., Raj, A., & Silverman, J. G. (2008). Premigration exposure to political violence and perpetration of intimate partner violence among immigrant men in boston. American Journal of Public Health, Latta, R. E., & Goodman, L. A. (2005). Considering the interplay of cultural context and service provision in intimate partner violence: The case of haitian immigrant women. Violence Against Women, 11(11), Nilsson, J. E., Brown, C., Russell, E. B., & Khamphakdy-Brown, S. (2008). Acculturation, partner violence, and psychological distress in refugee women from somalia. Journal of Interpersonal Violence, 23(11), Polit, D. F., & Beck, C. T. (2008). Nursing research : Generating and assessing evidence for nursing practice (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Raj, A., Livramento, K. N., Santana, M. C., Gupta, J., & Silverman, J. G. (2006). Victims of intimate partner violence more likely to report abuse from in-laws. Violence Against Women, 12(10), Short, L. M., Hadley, S. M., & Bates, B. (2002). Assessing the success of the WomanKind program: An integrated model of 24-hour health care response to domestic violence. Women & Health, 35(2-3), Wrangle, J., Fisher, J. W., & Paranjape, A. (2008). Ha sentido sola? culturally competent screening for intimate partner violence in latina women. Journal of Women's Health (2002), 17(2),