Research view
| Title: | Determinants and health consequences of domestic violence among women in reproductive age at zagazig district, egypt. |
| Author: | Fahmy HH, Abd El-Rahman SI. |
| Abstract: |
Violence against women is a global phenomenon that cuts across all social and
economic classes, it has recently drawn attention in the medical field as a
leading cause of preventable morbidity and mortality. The present study was
carried out to estimate the prevalence of domestic violence, to identify
socio-demographic and behavioral risk factors and to investigate the relationship
between the women`s psychological health status and violence exposure. This is a
comparative cross-sectional study using a multistage random sampling technique.
The sample comprised 500 women aged 18-50y. Data was collected via a structured
interview questionnaire including the socio-demographic characteristics of the
women and their husbands, some of the husbands` habits, attitude and history of
chronic illnesses. Also, the questionnaire assesses different forms of domestic
violence, women`s reaction to it and its consequences on psychological well-being
of women. A depression anxiety scale was used to assess the women`s psychological
status. The study revealed that the overall prevalence of domestic violence among
the studied group was (62.2%); the commonest form (74.0%) was psychological
abuse, followed by social (26.8%) one, then the physical (22.4%) and lastly
sexual abuse (19.6%). On studying the socio-demographic variables, a
significantly higher percentage of younger ( pound 30 years) non-educated, low
income and those having any property ownership were more exposed to violence.
Also exposure to abuse was more prevalent among women whose husbands were young,
non-educated, skilled workers, drug abuser, with positive history of family
troubles and chronic illness. The majority of women reported that they react to
violence by crying loudly or screaming, while a minority may seek medical care or
call the police. Regarding the psychological effect of violence exposure, the
most common effects were anxiety (69.2%) and depression (52.2%), with a highly
statistically significant difference with exposure in every form of domestic
violence. Conclusion & Recommendations: The overall prevalence of domestic
violence was relatively high and was predominantly of the psychological form.
Women abuse had serious health effects on the women`s health mainly her
psychological well being. The study recommends practicing compulsory pre-marital
counseling and offering health educational sessions in schools, universities and
health units to all expected couples about marital and family life and provision
of routine screening for domestic violence in primary care.
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| Journal: | J Egypt Public Health Assoc. 2008;83(1-2):87-106. |