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Hall-Clifford R, Hamdan ZA, Bergenfeld I, Bawadi H, Mowla W, Hamdaneh J, Salem HA, Clark CJ. "Infertility frightened me": Violence among infertile couples in Jordan. WOMEN'S HEALTH (LONDON, ENGLAND) 2025; 21:17455057251322815. [PMID: 40014755 PMCID: PMC11869262 DOI: 10.1177/17455057251322815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 01/10/2025] [Accepted: 02/06/2025] [Indexed: 03/01/2025]
Abstract
BACKGROUND Women in couples experiencing infertility are at heightened risk for intimate partner violence (IPV) from husbands and domestic violence (DV) from family. Couples experiencing infertility in Jordan, a patriarchal culture with high rates of IPV and DV, are particularly vulnerable. This article explores the gendered similarities and differences in the experiences of mental health, social support, exclusion, and IPV. OBJECTIVES The objectives of this study are to understand both men and women's perspectives on their experiences of infertility and to develop intervention strategies to reduce IPV among married couples experiencing infertility. DESIGN This study is a descriptive, observational study. METHODS Through quantitative surveys and in-depth qualitative interviews, we examined key themes including: challenges to mental health and well-being; reproductive health and fertility care-seeking; experiences of shame, isolation, and discrimination; coping skills; sources of support; and challenges within spousal and family relationships. RESULTS In this article, we analyze primary areas of gender discordance and discuss how gendered experiences can shape implementation of psychosocial support intervention programs to prevent IPV. Our findings provide important insight into facilitators and barriers to prevention of IPV in this vulnerable group. CONCLUSION We conclude that providing both women and men with culturally appropriate support during fertility treatment-seeking can improve psychosocial health and couple functioning and ultimately to reduce the occurrence of IPV in this vulnerable population.
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Affiliation(s)
- Rachel Hall-Clifford
- Center for the Study of Human Health, Department of Sociology, Hubert Department of Global Health, Emory University, Atlanta, GA, USA
| | - Zaid Al Hamdan
- School of Nursing and Health Management, Jordan University of Science and Technology, Irbid, Jordan
| | - Irina Bergenfeld
- Rollins School of Public Health, Hubert Department of Global Health, Emory University, Atlanta, USA
| | - Hala Bawadi
- School of Midwifery and Maternity, University of Jordan, Amman, Jordan
| | - Wardha Mowla
- Rollins School of Public Health, Hubert Department of Global Health, Emory University, Atlanta, USA
| | - Jehan Hamdaneh
- Department of Obstetrics and Gynecology, Director of the In Vitro Fertilization Center, King Abdullah University Hospital, Irbid, Jordan
| | | | - Cari Jo Clark
- Rollins School of Public Health, Hubert Department of Global Health, Emory University, Atlanta, USA
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Båge K, Kågesten A, Uthman O, Salazar M, Puranen B, Svallfors S, Ekström AM, Litorp H. Attitudes toward sexual and reproductive health and rights and their associations with reproductive agency: a population-based cross-sectional study in Ethiopia, Kenya, and Zimbabwe. Sex Reprod Health Matters 2024; 32:2444725. [PMID: 39803831 PMCID: PMC11849024 DOI: 10.1080/26410397.2024.2444725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2025] Open
Abstract
We investigated the association between values and attitudes toward sexual and reproductive health and rights (SRHR) and gender equality, with reproductive agency in Ethiopia, Kenya, and Zimbabwe. Using 2020-21 World Values Survey (WVS) data (n = 3096), we utilised the SRHR Support Index including five subindices to gauge SRHR attitudes, the WVS Equality Index for gender equality values, and the perceived level of freedom of choice and control over whether, when, and how many children to have as a proxy for reproductive agency. Descriptive statistics, bivariate, and multivariable logistic regressions were used to analyse how values and attitudes differed between respondents of high vs low reproductive agency using the median as cut-off, stratified by country and sex. Country, education, subjective social class, and religion were associated with reproductive agency. Adjusted analyses indicated associations between supportive values and attitudes towards equitable masculinity norms, SRHR interventions and gender equality, with high reproductive agency. Associations varied more between countries than by sex. Findings suggest an association between SRHR and gender equality values and attitudes and the level of reproductive agency, and underscore the importance of addressing values and attitudes in context-specific interventions. Measures of SRHR progress should be critically reviewed and complemented with self-assessed - as opposed to researcher-ascribed - items to support the successful implementation of global SRHR agendas.
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Affiliation(s)
- Karin Båge
- Phd Student, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Anna Kågesten
- Associate Professor, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Olalekan Uthman
- Professor, Warwick Centre for Global Health, Warwick Applied Health, Warwick Medical School, Warwick University, Warwick, UK
| | - Mariano Salazar
- Associate Professor, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Bi Puranen
- Associate Professor, Senior Research Fellow, Institute for Future Studies, Stockholm, Sweden; Secretary General, World Values Survey, Stockholm, Sweden
| | - Signe Svallfors
- Post Doctoral Fellow, Department of Sociology, Stanford University, Stanford, CA, USA; Post Doctoral Fellow, Department of Sociology, Stockholm University, Stockholm, Sweden; Post Doctoral Fellow, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Anna Mia Ekström
- Professor, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden; Senior Physician, Department of Infectious Diseases/Venhälsan, South General Hospital, Stockholm, Sweden
| | - Helena Litorp
- Associate Professor, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden; Associate Professor, Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
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Amin SN, Al-Jussani GN, S Hassan S, Sharif AF, Ismail AA, Badie Taher D, Aolymat I, El-Akabawy G, Zayed AA. Evaluating cognitive and affective abilities among medical students: behavioural and medicolegal perspectives. PeerJ 2024; 12:e16864. [PMID: 38317841 PMCID: PMC10840496 DOI: 10.7717/peerj.16864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 01/09/2024] [Indexed: 02/07/2024] Open
Abstract
Medical students attending university for the first time experience a new environment, full of significant social, cultural, and intellectual challenges. Moreover, drug abuse and bullying among university students are major global concerns. The aim of the current study was to assess the impact of medicolegal issues on undergraduate and postgraduate students. It is a cross-sectional survey-based study, with each set of questions investigating cognitive functions, aggression, personality, and exposure to medicolegal issues. Males and those with a chronic disease have been significantly exposed to medicolegal issues; exposed students were significantly older than nonexposed ones. The scores of aggression were significantly higher among exposed and male students. The cognitive scores were higher for the students from rural areas than in urban areas, and females were more neurotic than males. The current study recommends conducting campaigns to educate university students on the importance of formally disclosing unethical behaviors and listening to the victims to facilitate overcoming their negative feelings. As many victims feel comfortable disclosing victimization to their friends, we recommend conducting peer educational programs to help friends support their colleagues regarding unethical misconduct.
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Affiliation(s)
- Shaimaa Nasr Amin
- Department of Anatomy, Physiology and Biochemistry, Faculty of Medicine, The Hashemite University, Zarqa, Jordan
- Physiology Department, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Ghada Nazar Al-Jussani
- Department of Microbiology, Pathology and Forensic Medicine, Faculty of Medicine, The Hashemite University, Zarqa, Jordan
| | - Sherif S Hassan
- Department of Internal Medicine, University of California, Riverside, California, United States
| | - Asmaa F. Sharif
- Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - Ahmed A. Ismail
- Community Medicine and Public Health Department, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt
- Kansas Department of Health and Environment, Topeka, Kansas, USA
| | - Dina Badie Taher
- Department of Psychiatry, Kasr al Ainy, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Iman Aolymat
- Department of Anatomy, Physiology and Biochemistry, Faculty of Medicine, The Hashemite University, Zarqa, Jordan
| | - Gehan El-Akabawy
- Department of Basic Medical Sciences, College of Medicine, Ajman University, Ajman, United Arab Emirates
- Centre of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
- Department of Anatomy and Embryology, Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Abeer Ahmed Zayed
- Department of Forensic Medicine & Clinical Toxicology, Faculty of Medicine, Cairo University, Cairo, Egypt
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Mickel A. Legend of the locked doors: The sexualization of archaeological site workers in the Middle East. AMERICAN ANTHROPOLOGIST 2022. [DOI: 10.1111/aman.13802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Allison Mickel
- Department of Sociology & Anthropology, Lehigh University Bethlehem PA USA
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Alsawalqa RO, Alrawashdeh MN, Sa'deh YAR, Abuanzeh A. Exploring Jordanian women's resistance strategies to domestic violence: A scoping review. FRONTIERS IN SOCIOLOGY 2022; 7:1026408. [PMID: 36439076 PMCID: PMC9685401 DOI: 10.3389/fsoc.2022.1026408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
Despite there being an abundant gender and social science research on domestic violence (DV) in Jordan, particularly during the COVID-19 pandemic, there is limited understanding and knowledge of women's resistance strategies to DV. To fill this gap, this study conducted a scoping review to synthesize and analyze 11 articles published in English-language scholarly journals between 2001 and 2021 by following the PRISMA-ScR guidelines. The databases of the University of Jordan Library, Dar Almandumah, PsycINFO, PubMed, Google Scholar, and Scopus were searched in December 2021. Our review found no scientific articles that primarily discussed Jordanian women's resistance to DV and explicate it as a secondary aim within the context of screening for the causes, consequences, and prevalence of DV. Therefore, while a few articles implicitly conceptualized women's resistance in the context of the patriarchal structure-either as tactics of physical, social, economic survival, and to protect their family and honor, or as consequences of DV-no article provided an explicit definition of this concept. The articles also deliberated on 12 resistance strategies that women use to deal with DV; predominant among them are daily resistance, activities hidden for immediate and de facto gains (e.g., to avoid beatings, divorce and family disintegration, the decision to keep their children, and maintaining economic stability). The most common strategies are silence and not seeking help, reporting to family members or friends, seeking legal and social advice, and reporting to the police or healthcare provider.
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Affiliation(s)
| | | | | | - Amal Abuanzeh
- School of Law, The University of Jordan, Amman, Jordan
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Alsawalqa RO, Alrawashdeh MN. The role of patriarchal structure and gender stereotypes in cyber dating abuse: A qualitative examination of male perpetrators experiences. THE BRITISH JOURNAL OF SOCIOLOGY 2022; 73:587-606. [PMID: 35644007 DOI: 10.1111/1468-4446.12946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 03/24/2022] [Accepted: 05/11/2022] [Indexed: 06/15/2023]
Abstract
In Jordan, premarital romantic relationships are still socially unacceptable as they contradict traditional values and norms. Although previous studies have examined cyber dating abuse (CDA), few have utilized an exploratory qualitative design to clarify male abusers' perceptions of their motivations, particularly in Arabic and clan environments. Therefore, this study conducted a thematic qualitative analysis of 47 male university students aged 19-26 and asked about their experiences and beliefs regarding their engagement in CDA against female romantic partners via social media (WhatsApp, Facebook) and mobile phone. Two themes were identified: (1) contexts and motivations for male perpetration of CDA (2) consequences of CDA for the male perpetrators. The results revealed that control and direct aggression and sexual behaviors are common practices among male perpetrators; gender identity and male entitlement are related factors, enabling and normalizing male abusive behavior. Women, taught to be submissive by Jordanian society, are unable to defend themselves. Hence, CDA also predicts offline intimate partner violence-related behaviors. Moreover, the main motives for CDA from the perspective of male perpetrators are anger, jealousy, revenge, abandonment, feeling betrayed by female partners, earning money, sexual exploitation, and incitement by another woman. The results suggest that engaging in CDA behaviors can negatively impact perpetrators' physical and psychological health as well as their social and academic behaviors. These results confirm that efforts to reduce CDA that may lead to domestic violence against women must address the social pressures and context of violence, including masculinity and patriarchal domination.
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