Disability severity and risk of new or recurrent intimate partner violence - Evidence from a cohort study in rural Pakistan.
Amanda Collins, Joanna Maselko, Ashley Hagaman and 7 others
PMID 39095292WHAT IT FOUND
In rural Pakistan, mothers with medium or high disability severity faced a higher risk of psychological, physical, and sexual intimate partner violence in the following year compared to those with low severity.
The risk was elevated for all violence types, suggesting disability severity predicts future IPV.
Key findings
01Mothers with medium or high disability severity were more likely to experience psychological, physical, and sexual intimate partner violence in the subsequent wave compared to those with low severity.
02The risk of physical IPV was elevated for both medium (RR 1.44) and high (RR 1.60) disability severity groups compared to the low severity group.
03The risk of sexual IPV was elevated for both medium (RR 1.35) and high (RR 1.53) disability severity groups compared to the low severity group.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The overall level of disability in the sample was relatively low, so findings may not generalize to people with more severe disabilities. The study focused only on married women with children in rural Pakistan, excluding unmarried women, those without children, and those in other regions or countries. Women may have underreported both disability and IPV due to social desirability or fear. The study only assessed violence perpetrated by husbands, missing abuse by other caregivers or family members. Adjusting for depression may have attenuated the observed association, as depression could be a mediator rather than just a confounder. The study did not differentiate between types of disability (e.g., physical vs. intellectual), treating them all as a single functional capacity measure.
Declared interests
The study received ethical approval from the University of North Carolina at Chapel Hill, Duke University, and the Human Development Research Foundation. No specific funding sources or conflicts of interest declarations were provided in the text.
The easy way to misread this
Do not assume this risk applies to all people with disabilities or in all settings. The study was conducted in a specific low-resource, rural South Asian context with culturally normative IPV prevalence, and the sample had relatively low overall disability severity.