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Intimate partner sexual violence and risk for femicide, suicidality and substance use among women in antenatal care and general out-patients in Thailand.
BMC Womens Health. 2018 02 06; 18(1):37.BW

Abstract

BACKGROUND

Little is known about the occurrence and health consequences of intimate partner sexual assault. The aim of this study was to assess the prevalence and correlates of sexual assault in the context of intimate partner violence (IPV) in Thailand.

METHODS

In a cross-sectional survey adult female participants were systematically screened (self-administered or interview administered) for IPV in antenatal care and general outpatient clinics in nine randomly selected hospitals in two provinces in the central region. Measures included the Abuse Assessment Screen, Severity of Violence Against Women Scale, Danger assessment and suicidal behaviour.

RESULTS

From 14,288 women screened, 1.5% were positive for IPV and 207 participated in the study. The mean age of the study participants was 26.8 years (SD = 9.3). Fifty-seven women, 27.5% of the sample, reported sexual assault, one or more times, during the relationship in the past 12 months. Most reported some form of psychological abuse (82.1%), physical violence (67.1%) and danger (72.0%). In all, 21.3% reported psychological, physical and sexual violence. Bivariate analyses found that older age, being recruited in the general out-patient department, greater number of children, high psychological abuse, high physical violence, danger and suicidal behaviour in the past 12 months were associated with sexual assault. In multivariable backward conditional logistic regression physical violence (OR = 5.32, CI = 2.52-11.24) and suicidal behaviour (OR = 3.28, CI = 1.37-7.83) were found to be associated with sexual assault.

CONCLUSIONS

The study found a moderate rate of sexual assault in intimate violent partner relationships and those sexual assaults are more likely to co-occur with physical intimate partner violence and suicidal behaviour. This knowledge may be helpful in the detection and management of sexual assault in intimate violent partner relationships of women in health care settings in Thailand.

Authors+Show Affiliations

ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, 73170, Thailand. Department of Research & Innovation, University of Limpopo, Sovenga, 0727, South Africa.Department of Research & Innovation, University of Limpopo, Sovenga, 0727, South Africa. kpeltzer@hsrc.ac.za. HIV/AIDS/STI/and TB (HAST), Human Sciences Research Council, Pretoria, 0001, South Africa. kpeltzer@hsrc.ac.za.ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, 73170, Thailand.ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, 73170, Thailand.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29409489

Citation

Pengpid, Supa, et al. "Intimate Partner Sexual Violence and Risk for Femicide, Suicidality and Substance Use Among Women in Antenatal Care and General Out-patients in Thailand." BMC Women's Health, vol. 18, no. 1, 2018, p. 37.
Pengpid S, Peltzer K, Laosee O, et al. Intimate partner sexual violence and risk for femicide, suicidality and substance use among women in antenatal care and general out-patients in Thailand. BMC Womens Health. 2018;18(1):37.
Pengpid, S., Peltzer, K., Laosee, O., & Suthisukon, K. (2018). Intimate partner sexual violence and risk for femicide, suicidality and substance use among women in antenatal care and general out-patients in Thailand. BMC Women's Health, 18(1), 37. https://doi.org/10.1186/s12905-018-0526-z
Pengpid S, et al. Intimate Partner Sexual Violence and Risk for Femicide, Suicidality and Substance Use Among Women in Antenatal Care and General Out-patients in Thailand. BMC Womens Health. 2018 02 6;18(1):37. PubMed PMID: 29409489.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intimate partner sexual violence and risk for femicide, suicidality and substance use among women in antenatal care and general out-patients in Thailand. AU - Pengpid,Supa, AU - Peltzer,Karl, AU - Laosee,Orapin, AU - Suthisukon,Kawinarat, Y1 - 2018/02/06/ PY - 2015/12/16/received PY - 2018/01/28/accepted PY - 2018/2/8/entrez PY - 2018/2/8/pubmed PY - 2019/1/30/medline KW - Danger KW - Intimate partner KW - Physical violence KW - Psychological abuse KW - Sexual assault KW - Thailand SP - 37 EP - 37 JF - BMC women's health JO - BMC Womens Health VL - 18 IS - 1 N2 - BACKGROUND: Little is known about the occurrence and health consequences of intimate partner sexual assault. The aim of this study was to assess the prevalence and correlates of sexual assault in the context of intimate partner violence (IPV) in Thailand. METHODS: In a cross-sectional survey adult female participants were systematically screened (self-administered or interview administered) for IPV in antenatal care and general outpatient clinics in nine randomly selected hospitals in two provinces in the central region. Measures included the Abuse Assessment Screen, Severity of Violence Against Women Scale, Danger assessment and suicidal behaviour. RESULTS: From 14,288 women screened, 1.5% were positive for IPV and 207 participated in the study. The mean age of the study participants was 26.8 years (SD = 9.3). Fifty-seven women, 27.5% of the sample, reported sexual assault, one or more times, during the relationship in the past 12 months. Most reported some form of psychological abuse (82.1%), physical violence (67.1%) and danger (72.0%). In all, 21.3% reported psychological, physical and sexual violence. Bivariate analyses found that older age, being recruited in the general out-patient department, greater number of children, high psychological abuse, high physical violence, danger and suicidal behaviour in the past 12 months were associated with sexual assault. In multivariable backward conditional logistic regression physical violence (OR = 5.32, CI = 2.52-11.24) and suicidal behaviour (OR = 3.28, CI = 1.37-7.83) were found to be associated with sexual assault. CONCLUSIONS: The study found a moderate rate of sexual assault in intimate violent partner relationships and those sexual assaults are more likely to co-occur with physical intimate partner violence and suicidal behaviour. This knowledge may be helpful in the detection and management of sexual assault in intimate violent partner relationships of women in health care settings in Thailand. SN - 1472-6874 UR - https://www.unboundmedicine.com/medline/citation/29409489/Intimate_partner_sexual_violence_and_risk_for_femicide_suicidality_and_substance_use_among_women_in_antenatal_care_and_general_out_patients_in_Thailand_ L2 - https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-018-0526-z DB - PRIME DP - Unbound Medicine ER -