1
|
Lu L, Ye L, Zhang T, Li R, Chen C, Cao Z, Ma BC, Dang ZC, Yu B, Andreassen OA, Shen Q, Zhou Z, Lai S, Liu S. Gender Differences in Intimate Partner Violence Victimization and Its Relationships With Anxiety, Depression Symptoms and Suicide Behaviours in China. Int J Public Health 2025; 70:1607953. [PMID: 40041880 PMCID: PMC11876969 DOI: 10.3389/ijph.2025.1607953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2024] [Accepted: 01/02/2025] [Indexed: 05/12/2025] Open
Abstract
Objectives To investigate the gender difference in Intimate partner violence (IPV) victimization and its association with mental health, examine social-demographic and health characteristics-specific relationships. Methods This cross-sectional study evaluated lifetime prevalence of total, psychological, physical and sexual IPV victimization. Gender-stratified multiple logistic regressions were performed to examine associations between total and subtypes of IPV victimization and anxiety and depressive symptoms, suicide ideation and suicide attempt. Sensitivity analyses and stratification analyses were additionally conducted. Results Among 21,824 participants (female: 44.7%), females reported higher total, psychological and physical but not sexual lifetime prevalence of IPV victimization than males. Specifically, male participants with psychological (OR = 3.62, 95% CI: 2.58-5.08 vs. OR = 1.87, 95% CI: 1.39-2.51) or sexual (OR = 4.02, 95% CI: 2.61-6.20 vs. OR = 1.46, 95% CI: 0.91-2.35) IPV victimization presented greater odds of presenting possible anxiety than females; males with physical IPV victimization showed greater likelihood of with suicide ideation than females (OR = 9.95, 95% CI: 6.68-14.82 vs. OR = 4.61, 95% CI: 3.02-6.15). Conclusion Prevention programs should be tailored to respond to IPV in various contexts to reduce the likelihood of and the detrimental effects of IPV.
Collapse
Affiliation(s)
- Li Lu
- Institute of Health Management and Policy, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
- System Behavior and Management Laboratory, Philosophy and Social Sciences Laboratory of the Ministry of Education, Xi’an Jiaotong University, Xi’an, China
| | - Lizhen Ye
- Department of Public Health, Erasmus MC—University Medical Center Rotterdam, Rotterdam, Netherlands
| | - TianTian Zhang
- Department of Nosocomial Infection Management, Xi’an Central Hospital, College of Medicine, Xi’an Jiaotong University, Xi’an, China
| | - Rong Li
- Institute of Health Management and Policy, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Chang Chen
- MSD R&D (China) Co., Ltd., Beijing, China
| | - Zixuan Cao
- Institute of Health Management and Policy, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Bing-Cun Ma
- Department of Public Health, Medical College, Qinghai University, Xining, China
| | - Zhan-Cui Dang
- Department of Public Health, Medical College, Qinghai University, Xining, China
| | - Baeksan Yu
- Department of Education, Gwangju National University of Education, Gwangju, Republic of Korea
| | - Ole A. Andreassen
- NORMENT Centre, Division of Mental Health and Addiction, University of Oslo and Oslo University Hospital, Oslo, Norway
| | - Qing Shen
- Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China
- Institute for Advanced Study, Tongji University, Shanghai, China
| | - Zhongliang Zhou
- Institute of Health Management and Policy, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Sha Lai
- Institute of Health Management and Policy, School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Shou Liu
- Department of Public Health, Medical College, Qinghai University, Xining, China
| |
Collapse
|
2
|
Liu S, Kazonda P, Leyna GH, Rohr JK, Fawzi WW, Shinde S, Abioye AI, Francis JM, Probst C, Sando D, Mwanyka-Sando M, Killewo J, Bärnighausen T. Emotional and cognitive influences on alcohol consumption in middle-aged and elderly Tanzanians: a population-based study. Sci Rep 2024; 14:17520. [PMID: 39079984 PMCID: PMC11289436 DOI: 10.1038/s41598-024-64694-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2024] [Accepted: 06/12/2024] [Indexed: 08/02/2024] Open
Abstract
Alcohol consumption in Tanzania exceeds the global average. While sociodemographic difference in alcohol consumption in Tanzania have been studied, the relationship between psycho-cognitive phenomena and alcohol consumption has garnered little attention. Our study examines how depressive symptoms and cognitive performance affect alcohol consumption, considering sociodemographic variations. We interviewed 2299 Tanzanian adults, with an average age of 53 years, to assess their alcohol consumption, depressive symptoms, cognitive performance, and sociodemographic characteristics using a zero-inflated negative binomial regression model. The logistic portion of our model revealed that the likelihood alcohol consumption increased by 8.4% (95% confidence interval [CI] 3.6%, 13.1%, p < 0.001) as depressive symptom severity increased. Conversely, the count portion of the model indicated that with each one-unit increase in the severity of depressive symptoms, the estimated number of drinks decreased by 2.3% (95% CI [0.4%, 4.0%], p = .016). Additionally, the number of drinks consumed decreased by 4.7% (95% CI [1.2%, 8.1%], p = .010) for each increased cognitive score. Men exhibited higher alcohol consumption than women, and Christians tended to consume more than Muslims. These findings suggest that middle-aged and elderly adults in Tanzania tend to consume alcohol when they feel depressed but moderate their drinking habits by leveraging their cognitive abilities.
Collapse
Affiliation(s)
- Shuyan Liu
- Department of Psychiatry and Psychotherapy (Campus Charité Mitte), Charité - Universitätsmedizin Berlin, Berlin, Germany.
- German Center for Mental Health (DZPG), Berlin and Heidelberg, Germany.
| | | | - Germana H Leyna
- Department of Epidemiology, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania
| | - Julia K Rohr
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Wafaie W Fawzi
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Sachin Shinde
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Ajibola Ibraheem Abioye
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Joel M Francis
- Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Charlotte Probst
- Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - David Sando
- Management and Development for Health, Dar Es Salaam, Tanzania
| | | | - Japhet Killewo
- Department of Epidemiology, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania
| | - Till Bärnighausen
- German Center for Mental Health (DZPG), Berlin and Heidelberg, Germany.
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
- Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany.
- Africa Health Research Institute, Somkhele and Durban, South Africa.
| |
Collapse
|
3
|
Hatoum S, Mukamana D, Gishoma D, Kayiranga D, Pan W, Relf MV. Intimate Partner Violence Among Rwandan Women With HIV: A Cross-Sectional Study. J Assoc Nurses AIDS Care 2024; 35:222-233. [PMID: 38569185 PMCID: PMC11216853 DOI: 10.1097/jnc.0000000000000467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2024]
Abstract
ABSTRACT In Rwanda, women have higher incidence of HIV and intimate partner violence (IPV). This study aimed to estimate the prevalence of IPV among women living with HIV (WWH) in Rwanda and measure the difference in psychological outcomes, demographic data, and HIV-related outcomes using a cross-sectional, descriptive, observational design. A convenience sample of 162 Rwandan WWH were purposefully recruited to participate. The study collected demographic data and data about IPV, depression, HIV-related stigma, coping, self-esteem, and hope. The prevalence of any form of IPV in the sample was 27% with psychological IPV being the most prevalent. Demographic data had no statistical significance with the prevalence of IPV. WWH who experienced IPV had higher HIV stigma, lower coping self-efficacy, lower self-esteem, and less hope and worse HIV psychological outcomes. Further studies are needed to look into the correlation between the two and interventions addressing IPV prevention.
Collapse
Affiliation(s)
- Sandy Hatoum
- Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA
- Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Darius Gishoma, PhD, RMHN, is an Associate Professor, the School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Dieudonne Kayiranga, MSN, RN, is an Assistant Lecturer and PhD in Nursing Student, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Wei Pan, PhD, is an Associate Professor, School of Nursing, Duke University, Durham, North Carolina, USA
- Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University, School of Nursing, Durham, North Carolina, USA
| | - Donatilla Mukamana
- Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA
- Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Darius Gishoma, PhD, RMHN, is an Associate Professor, the School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Dieudonne Kayiranga, MSN, RN, is an Assistant Lecturer and PhD in Nursing Student, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Wei Pan, PhD, is an Associate Professor, School of Nursing, Duke University, Durham, North Carolina, USA
- Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University, School of Nursing, Durham, North Carolina, USA
| | - Darius Gishoma
- Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA
- Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Darius Gishoma, PhD, RMHN, is an Associate Professor, the School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Dieudonne Kayiranga, MSN, RN, is an Assistant Lecturer and PhD in Nursing Student, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Wei Pan, PhD, is an Associate Professor, School of Nursing, Duke University, Durham, North Carolina, USA
- Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University, School of Nursing, Durham, North Carolina, USA
| | - Dieudonne Kayiranga
- Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA
- Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Darius Gishoma, PhD, RMHN, is an Associate Professor, the School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Dieudonne Kayiranga, MSN, RN, is an Assistant Lecturer and PhD in Nursing Student, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Wei Pan, PhD, is an Associate Professor, School of Nursing, Duke University, Durham, North Carolina, USA
- Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University, School of Nursing, Durham, North Carolina, USA
| | - Wei Pan
- Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA
- Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Darius Gishoma, PhD, RMHN, is an Associate Professor, the School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Dieudonne Kayiranga, MSN, RN, is an Assistant Lecturer and PhD in Nursing Student, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Wei Pan, PhD, is an Associate Professor, School of Nursing, Duke University, Durham, North Carolina, USA
- Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University, School of Nursing, Durham, North Carolina, USA
| | - Michael V Relf
- Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA
- Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Darius Gishoma, PhD, RMHN, is an Associate Professor, the School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Dieudonne Kayiranga, MSN, RN, is an Assistant Lecturer and PhD in Nursing Student, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda
- Wei Pan, PhD, is an Associate Professor, School of Nursing, Duke University, Durham, North Carolina, USA
- Michael Relf, PhD, RN, AACRN, ANEF, FAAN, is a Professor of Nursing and Global Health, Duke University, School of Nursing, Durham, North Carolina, USA
| |
Collapse
|