Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Claire Hawcroft; Rachael Hughes; Amira Shaheen; Jinan Usta; Hannah Elkadi; Tom Dalton; Khadijah Ginwalla; Gene Feder

doi:10.1186/s12889-019-6619-2

Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Claire Hawcroft^*, Rachael Hughes, Amira Shaheen, Jinan Usta, Hannah Elkadi, Tom Dalton, Khadijah Ginwalla, Gene Feder

^*Corresponding author for this work

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Abstract

BACKGROUND: An estimated 30% of women worldwide experience intimate partner violence (IPV) during their lifetime. Exposure to IPV is associated with poor health outcomes and the prevalence of violence may be higher amongst women seeking healthcare. Existing evidence from the Arab region is limited. We conducted a systematic review and meta-analysis of prevalence and health outcomes of domestic violence (IPV or violence from a family member) in clinical populations in Arab countries.

METHODS: Using terms related to domestic violence, Arab countries, and date limit > year 2000, we searched seven databases: Medline, EMBASE, PsycINFO, CINAHL, Web of Science: core collection, IBSS, Westlaw, IMEMR. We included observational studies reporting estimates of prevalence or health outcomes of domestic violence amongst women aged > 15 years, recruited while accessing healthcare in Arab countries. Studies that collected data on/after 1st January 2000 and were published in English, Arabic or French were included. Title/abstract screening, full text screening, quality assessment and data extraction were carried out. Extracted data were summarised and meta-analysis was performed where appropriate.

RESULTS: 6341 papers were screened and 41 papers (29 studies) met inclusion criteria. Total 19,101 participants from 10 countries were represented in the data. Meta-analysis produced pooled prevalence estimates of lifetime exposure to any type of IPV of 73·3% (95% CI 64·1-81·6), physical IPV 35·6% (95% CI 24·4-47·5), sexual IPV 22% (95% CI 13·3-32) and emotional/psychological IPV 49·8% (95% CI 37·3-62·3). Domestic violence (IPV or family violence) exposure was associated with increased odds of adverse health outcomes: depression OR 3·3 (95% CI 1·7-6·4), sleep problems OR 3·2 (95% CI 1·5-6·8), abortion OR 3·5 (95% CI 1·2-10·2), pain OR 2·6 (95% CI 1·6-4·1) and hypertension OR 1·6 (95% CI 1·2-2·0).

CONCLUSIONS: Domestic violence is common amongst women seeking healthcare in Arab countries. Exposure to domestic violence is associated with several poor health outcomes. Further research into domestic violence in the Arab world is required.

TRIAL REGISTRATION: Systematic review protocol was registered on PROSPERO: CRD42017071415 .

Original language	English
Article number	315
Number of pages	12
Journal	BMC Public Health
Volume	19
Issue number	1
DOIs	https://doi.org/10.1186/s12889-019-6619-2
Publication status	Published - 18 Mar 2019

Keywords

Domestic violence
Intimate partner violence
Violence against women
Spouse abuse
Arab
Arabic
Middle East
Health
Healthcare

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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@article{ee6fa19d38ff4013b8e4796b24276be3,

title = "Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis",

abstract = "BACKGROUND: An estimated 30% of women worldwide experience intimate partner violence (IPV) during their lifetime. Exposure to IPV is associated with poor health outcomes and the prevalence of violence may be higher amongst women seeking healthcare. Existing evidence from the Arab region is limited. We conducted a systematic review and meta-analysis of prevalence and health outcomes of domestic violence (IPV or violence from a family member) in clinical populations in Arab countries.METHODS: Using terms related to domestic violence, Arab countries, and date limit > year 2000, we searched seven databases: Medline, EMBASE, PsycINFO, CINAHL, Web of Science: core collection, IBSS, Westlaw, IMEMR. We included observational studies reporting estimates of prevalence or health outcomes of domestic violence amongst women aged > 15 years, recruited while accessing healthcare in Arab countries. Studies that collected data on/after 1st January 2000 and were published in English, Arabic or French were included. Title/abstract screening, full text screening, quality assessment and data extraction were carried out. Extracted data were summarised and meta-analysis was performed where appropriate.RESULTS: 6341 papers were screened and 41 papers (29 studies) met inclusion criteria. Total 19,101 participants from 10 countries were represented in the data. Meta-analysis produced pooled prevalence estimates of lifetime exposure to any type of IPV of 73·3% (95% CI 64·1-81·6), physical IPV 35·6% (95% CI 24·4-47·5), sexual IPV 22% (95% CI 13·3-32) and emotional/psychological IPV 49·8% (95% CI 37·3-62·3). Domestic violence (IPV or family violence) exposure was associated with increased odds of adverse health outcomes: depression OR 3·3 (95% CI 1·7-6·4), sleep problems OR 3·2 (95% CI 1·5-6·8), abortion OR 3·5 (95% CI 1·2-10·2), pain OR 2·6 (95% CI 1·6-4·1) and hypertension OR 1·6 (95% CI 1·2-2·0).CONCLUSIONS: Domestic violence is common amongst women seeking healthcare in Arab countries. Exposure to domestic violence is associated with several poor health outcomes. Further research into domestic violence in the Arab world is required.TRIAL REGISTRATION: Systematic review protocol was registered on PROSPERO: CRD42017071415 .",

keywords = "Domestic violence, Intimate partner violence, Violence against women, Spouse abuse, Arab, Arabic, Middle East, Health, Healthcare",

author = "Claire Hawcroft and Rachael Hughes and Amira Shaheen and Jinan Usta and Hannah Elkadi and Tom Dalton and Khadijah Ginwalla and Gene Feder",

year = "2019",

month = mar,

day = "18",

doi = "10.1186/s12889-019-6619-2",

language = "English",

volume = "19",

journal = "BMC Public Health",

issn = "1471-2458",

publisher = "Springer Nature",

number = "1",

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T1 - Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries

T2 - a systematic review and meta-analysis

AU - Hawcroft, Claire

AU - Hughes, Rachael

AU - Shaheen, Amira

AU - Usta, Jinan

AU - Elkadi, Hannah

AU - Dalton, Tom

AU - Ginwalla, Khadijah

AU - Feder, Gene

PY - 2019/3/18

Y1 - 2019/3/18

N2 - BACKGROUND: An estimated 30% of women worldwide experience intimate partner violence (IPV) during their lifetime. Exposure to IPV is associated with poor health outcomes and the prevalence of violence may be higher amongst women seeking healthcare. Existing evidence from the Arab region is limited. We conducted a systematic review and meta-analysis of prevalence and health outcomes of domestic violence (IPV or violence from a family member) in clinical populations in Arab countries.METHODS: Using terms related to domestic violence, Arab countries, and date limit > year 2000, we searched seven databases: Medline, EMBASE, PsycINFO, CINAHL, Web of Science: core collection, IBSS, Westlaw, IMEMR. We included observational studies reporting estimates of prevalence or health outcomes of domestic violence amongst women aged > 15 years, recruited while accessing healthcare in Arab countries. Studies that collected data on/after 1st January 2000 and were published in English, Arabic or French were included. Title/abstract screening, full text screening, quality assessment and data extraction were carried out. Extracted data were summarised and meta-analysis was performed where appropriate.RESULTS: 6341 papers were screened and 41 papers (29 studies) met inclusion criteria. Total 19,101 participants from 10 countries were represented in the data. Meta-analysis produced pooled prevalence estimates of lifetime exposure to any type of IPV of 73·3% (95% CI 64·1-81·6), physical IPV 35·6% (95% CI 24·4-47·5), sexual IPV 22% (95% CI 13·3-32) and emotional/psychological IPV 49·8% (95% CI 37·3-62·3). Domestic violence (IPV or family violence) exposure was associated with increased odds of adverse health outcomes: depression OR 3·3 (95% CI 1·7-6·4), sleep problems OR 3·2 (95% CI 1·5-6·8), abortion OR 3·5 (95% CI 1·2-10·2), pain OR 2·6 (95% CI 1·6-4·1) and hypertension OR 1·6 (95% CI 1·2-2·0).CONCLUSIONS: Domestic violence is common amongst women seeking healthcare in Arab countries. Exposure to domestic violence is associated with several poor health outcomes. Further research into domestic violence in the Arab world is required.TRIAL REGISTRATION: Systematic review protocol was registered on PROSPERO: CRD42017071415 .

AB - BACKGROUND: An estimated 30% of women worldwide experience intimate partner violence (IPV) during their lifetime. Exposure to IPV is associated with poor health outcomes and the prevalence of violence may be higher amongst women seeking healthcare. Existing evidence from the Arab region is limited. We conducted a systematic review and meta-analysis of prevalence and health outcomes of domestic violence (IPV or violence from a family member) in clinical populations in Arab countries.METHODS: Using terms related to domestic violence, Arab countries, and date limit > year 2000, we searched seven databases: Medline, EMBASE, PsycINFO, CINAHL, Web of Science: core collection, IBSS, Westlaw, IMEMR. We included observational studies reporting estimates of prevalence or health outcomes of domestic violence amongst women aged > 15 years, recruited while accessing healthcare in Arab countries. Studies that collected data on/after 1st January 2000 and were published in English, Arabic or French were included. Title/abstract screening, full text screening, quality assessment and data extraction were carried out. Extracted data were summarised and meta-analysis was performed where appropriate.RESULTS: 6341 papers were screened and 41 papers (29 studies) met inclusion criteria. Total 19,101 participants from 10 countries were represented in the data. Meta-analysis produced pooled prevalence estimates of lifetime exposure to any type of IPV of 73·3% (95% CI 64·1-81·6), physical IPV 35·6% (95% CI 24·4-47·5), sexual IPV 22% (95% CI 13·3-32) and emotional/psychological IPV 49·8% (95% CI 37·3-62·3). Domestic violence (IPV or family violence) exposure was associated with increased odds of adverse health outcomes: depression OR 3·3 (95% CI 1·7-6·4), sleep problems OR 3·2 (95% CI 1·5-6·8), abortion OR 3·5 (95% CI 1·2-10·2), pain OR 2·6 (95% CI 1·6-4·1) and hypertension OR 1·6 (95% CI 1·2-2·0).CONCLUSIONS: Domestic violence is common amongst women seeking healthcare in Arab countries. Exposure to domestic violence is associated with several poor health outcomes. Further research into domestic violence in the Arab world is required.TRIAL REGISTRATION: Systematic review protocol was registered on PROSPERO: CRD42017071415 .

KW - Domestic violence

KW - Intimate partner violence

KW - Violence against women

KW - Spouse abuse

KW - Arab

KW - Arabic

KW - Middle East

KW - Health

KW - Healthcare

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U2 - 10.1186/s12889-019-6619-2

DO - 10.1186/s12889-019-6619-2

M3 - Article (Academic Journal)

C2 - 30885168

SN - 1471-2458

VL - 19

JO - BMC Public Health

JF - BMC Public Health

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M1 - 315

ER -

Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Abstract

Keywords

UN SDGs

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HERA: HERA - Healthcare Responding to Violence and Abuse

Full Application: Improving the Primary Care Health Response to Gender Violence

Dr Rach Hughes

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Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: a systematic review and meta-analysis

Abstract

Keywords

UN SDGs

Access to Document

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Other files and links

Embargoed Document

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Projects

HERA: HERA - Healthcare Responding to Violence and Abuse

Full Application: Improving the Primary Care Health Response to Gender Violence

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Dr Rach Hughes

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