Change search
ReferencesLink to record
Permanent link

Direct link
Intimate partner violence and mental health effects: A population-based study among married women in Karachi, Pakistan
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
2011 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 20, no 1, 131-139 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Intimate partner violence (IPV) is recognized all over the world for its association with mental health problems in women. In Pakistan, such violence occurs commonly, but detailed information on mental health effects is scarce. The purpose of this study is to focused on married couples in urban Karachi to investigate mental health effects associated with physical, sexual and psychological violence perpetrated by husbands towards wives. Disclosure rates and health care-seeking behaviour were also investigated. METHOD: This cross-sectional study involved 759 women between the ages of 25 and 60 years, selected using a multi-stage random sampling technique. The women were interviewed by trained community midwives using a structured questionnaire. RESULTS: In the total population of women, mental symptoms were prevalent. Women subjected to any form of violence reported, however, considerably poorer mental health than unexposed women. A statistically significant difference for almost all of the studied health parameters persisted even after controlling for socio-demographic factors. The strongest associations were found for suicidal thoughts and physical violence (OR 4.41; 3.18-6.12), sexual abuse (OR 4.39; 3.17-6.07) and psychological abuse (OR 5.17; 3.28-8.15). The interviews revealed that only 27% of the women subjected to violence had disclosed this to anyone, in most cases to their parents. CONCLUSION: The findings in this study highlight that the violence women have to face contributes to the development of multiple forms of psychological stress and serious mental health problems. Women's restrictive life circumstances seriously hamper women's empowerment. Reliable health surveillance system and health care services are needed to serve abused women. Policy initiatives focused on IPV and gender inequality in Pakistan should be initiated.

Place, publisher, year, edition, pages
Springer, 2011. Vol. 20, no 1, 131-139 p.
Keyword [en]
Intimate partner violence; Domestic violence; Mental health effects; Depression; Suicidal thoughts; Coping
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gender Studies
URN: urn:nbn:se:umu:diva-52601DOI: 10.1007/s12529-011-9201-6ISI: 000315271400018PubMedID: 22037921OAI: diva2:505998
Available from: 2012-02-27 Created: 2012-02-27 Last updated: 2014-12-15Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Mogren, Ingrid
By organisation
Obstetrics and Gynaecology
In the same journal
International Journal of Behavioral Medicine
Public Health, Global Health, Social Medicine and EpidemiologyGender Studies

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 85 hits
ReferencesLink to record
Permanent link

Direct link