Browsing by Author "Kwaramba, Tendai"
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Item Open Access Epidemiologic Profile and Underreporting Patterns of Intimate Partner Violence in Maringá, Brazil(2015) Kwaramba, TendaiBackground: Intimate partner violence is a global burden that disproportionately affects women and has more severe outcomes in women as well. Our objective was to explore the epidemiologic profile for intimate partner violence and preliminary patterns in the underreporting of this burden in Maringá, Brazil. Methods: A community-based cross-sectional study was conducted in Maringá. A convenience sampling method was utilized to recruit participants. 435 women at least 18 years of age who either currently had or had previously had an intimate partner were interviewed about their experiences with IPV. Sociodemographic characteristics were collected at the time of the interview to estimate associations with IPV using univariable and multivariable logistic regression models. Positive IPV cases identified from the community survey were compared with positive IPV cases identified from the Maringá city violence registry using sociodemographic variables and location variables in both datasets to explore patterns of underreporting. Results: Lifetime prevalence of IPV was 53.79%. Significant bivariate associations found between the SES indicator occupation and psychological violence (X2 = 8.688, p < 0.05) and overall IPV (X2 =12.441, p < 0.01) showed differences in distribution of IPV among the different levels of occupation. Significant bivariate associations found between the SES indicator number of children and physical violence (X2 = 6.963, p < 0.05) and sexual violence (X2 = 8.969, p < 0.05) also showed differences in distribution of IPV among the different levels of number of children. Women who had no paid work outside the home seemed to experience all 3 types of violence as well as overall IPV significantly less than women who had paid work outside the home (p < 0.05). Having 4 or more children was noted to significantly increase women's experience with physical and sexual violence (p< 0.01). Patterns of underreporting noted were associated with older age, women racially self-identifying as brown, and women being either illiterate, or completing higher education. Geospatially, IPV cases found through the community survey were ill-represented in the violence registry. Conclusion: IPV is a significant burden in Maringá and some underreporting patterns were noted through this study. These findings highlight the need for further research into conditional and precipitation risk factors of IPV and further exploring the burden and reasons for underreporting of IPV. Care settings can be potential sites for screening communities for IPV and exploring patterns in reporting of IPV.
Item Open Access Lifetime prevalence of intimate partner violence against women in an urban Brazilian city: A cross-sectional survey.(PloS one, 2019-01) Kwaramba, Tendai; Ye, Jinny J; Elahi, Cyrus; Lunyera, Joseph; Oliveira, Aline Chotte; Sanches Calvo, Paulo Rafael; de Andrade, Luciano; Vissoci, Joao Ricardo Nickenig; Staton, Catherine ABACKGROUND:Intimate partner violence is a global health burden that disproportionately affects women and their health outcomes. Women in Brazil are also affected by interpersonal violence. We aimed to estimate the lifetime prevalence of three forms of interpersonal violence against women (IPVAW) and to identify sociodemographic factors associated with IPVAW in one urban Brazilian city. METHODS:Using a cross-sectional design, we interviewed women aged ≥18 years in the urban Brazilian city, Maringá, who currently have or have had an intimate partner. The 13-item WHO Violence Against Women instrument was used to ask participants about their experiences with intimate partner violence, categorized into psychological, physical and sexual violence. We estimated associations between IPVAW and sociodemographic characteristics using generalized linear models. RESULTS AND CONCLUSIONS:Of the 419 women who were enrolled and met inclusion criteria, lifetime prevalence of IPVAW was 56%. Psychological violence was more prevalent (52%) than physical (21%) or sexual violence (13%). Twenty-eight women (6.4%) experienced all three forms of IPVAW. Women were more likely to experience violence if they were employed, did not live with their partner or had 4 or more children. Educational level, household income, age and race were not significantly associated factors. Our findings highlight a high prevalence of IPVAW in a community in southern Brazil.