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Attitudinal Acceptance of Intimate Partner Violence and Mental Health Outcomes for Female Survivors in Sub-Saharan Africa

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  • Reine-Marcelle Ibala

    (Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065, USA)

  • Ilana Seff

    (George Warren Brown School, Washington University in St. Louis, Campus Box 1196, 1 Brookings Drive, St. Louis, MO 63130, USA)

  • Lindsay Stark

    (George Warren Brown School, Washington University in St. Louis, Campus Box 1196, 1 Brookings Drive, St. Louis, MO 63130, USA)

Abstract

While current literature evidences a strong association between gender-based violence exposure and adverse mental health outcomes, few studies have explored how attitudinal acceptance of intimate partner violence (IPV) might impact this relationship. This analysis employed data from 13–24-year-old females as part of the Violence Against Children Surveys in Nigeria, Uganda, and Malawi. Mental health status, defined by the Kessler Screening Scale for Psychological Distress, and suicide ideation served as outcome measures. Predictors of interest included lifetime experiences of IPV and attitudinal acceptance of IPV. Country-stratified logistic and ordinary least squares regressions were used to predict outcomes and included interactions between violence exposure and attitudinal acceptance of IPV. Violence exposure was associated with increased symptoms of mental distress and increased suicide ideation in all countries. Among those who experienced IPV, exhibiting attitudinal acceptance of IPV was associated with improved mental health in Nigeria and Malawi. IPV tolerance conferred lower odds of suicide ideation following IPV exposure in Nigeria. The findings suggest that programs aiming to reduce attitudinal acceptance of IPV must consider how these changes may interact with women’s exposure to IPV.

Suggested Citation

  • Reine-Marcelle Ibala & Ilana Seff & Lindsay Stark, 2021. "Attitudinal Acceptance of Intimate Partner Violence and Mental Health Outcomes for Female Survivors in Sub-Saharan Africa," IJERPH, MDPI, vol. 18(10), pages 1-8, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5099-:d:552659
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    References listed on IDEAS

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    1. Inmaculada Fernández-Antelo & Isabel Cuadrado-Gordillo & Guadalupe Martín-Mora Parra, 2020. "Synergy between Acceptance of Violence and Sexist Attitudes as a Dating Violence Risk Factor," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
    2. Rachel Kidman & Hans-Peter Kohler, 2020. "Emerging partner violence among young adolescents in a low-income country: Perpetration, victimization and adversity," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-16, March.
    3. LynnMarie Sardinha & Héctor E Nájera Catalán, 2018. "Attitudes towards domestic violence in 49 low- and middle-income countries: A gendered analysis of prevalence and country-level correlates," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-18, October.
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    1. Lindsay Stark & Ilana Seff & Massy Mutumba & Emma Fulu, 2023. "Intimate Partner Violence and Mental Health: Deepening Our Understanding of Associations, Pathways, and Prevention in Low- and Middle-Income Countries," IJERPH, MDPI, vol. 20(2), pages 1-4, January.
    2. Helen Cahill & Babak Dadvand & Anne Suryani & Anne Farrelly, 2023. "A Student-Centric Evaluation of a Program Addressing Prevention of Gender-Based Violence in Three African Countries," IJERPH, MDPI, vol. 20(15), pages 1-19, August.

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