lancet-header

Preprints with The Lancet is part of SSRN´s First Look, a place where journals identify content of interest prior to publication. Authors have opted in at submission to The Lancet family of journals to post their preprints on Preprints with The Lancet. The usual SSRN checks and a Lancet-specific check for appropriateness and transparency have been applied. Preprints available here are not Lancet publications or necessarily under review with a Lancet journal. These preprints are early stage research papers that have not been peer-reviewed. The findings should not be used for clinical or public health decision making and should not be presented to a lay audience without highlighting that they are preliminary and have not been peer-reviewed. For more information on this collaboration, see the comments published in The Lancet about the trial period, and our decision to make this a permanent offering, or visit The Lancet´s FAQ page, and for any feedback please contact preprints@lancet.com.

Women's Experiences of Intimate Partner Violence, Economic Coercion, and Depressive Symptoms in Bangladesh

17 Pages Posted: 13 Feb 2020

See all articles by Zara Khan

Zara Khan

Emory University, Rollins School of Public Health, Hubert Department of Global Health

Yuk Fai Cheong

Emory University - Department of Psychology

Stephanie Miedema

Emory University - Department of Sociology

Ruchira T. Naved

International Centre for Diarrheal Disease Research

Kathryn Yount

Emory University, Rollins School of Public Health, Hubert Department of Global Health ; Emory University - Rollins School of Public Health; Emory University - Department of Sociology

More...

Abstract

Background: Prior studies of the association between intimate partner violence (IPV) and depressive symptoms have typically excluded economic coercion (EC), a common form of partner violence. We estimated associations of EC and other forms of IPV with depressive symptoms among women in Matlab, Bangladesh.

Methods: Data were collected from cross-sectional surveys with married women 15-49 years. We examined relationships of EC, physical/psychological/sexual IPV, and depressive symptoms using structural equation models (SEM). Past-week depressive symptoms were measured using the 10-item Center for Epidemiologic Studies Depression scale. Lifetime EC was assessed using a bi-dimensional, 36-item scale. Lifetime physical/sexual/psychological IPV was assessed with a 20-item scale. Covariates were age, age at marriage, and schooling; partner’s schooling; and household wealth.

Findings: Among 929 women, 82·2% reported any past-week depressive symptoms. Lifetime experience of EC ranged from 41·9% (control over access to work, schooling, and training) to 50·0% (control over use/maintenance of economic resources), while any lifetime physical/psychological/sexual IPV was 89·5%. The standardized association of physical/psychological/sexual IPV with depressive symptoms, adjusted for covariates, was 0·350 (p < 0.0001, R2 = 0·143); when additionally adjusted for two EC measures, the association was attenuated (0.017, p = 0·817). Coercion involving the use and maintenance of economic resources had a significant, adjusted association with depressive symptoms (0·480, p < 0·001, R2 = 0·221).

Interpretation: EC is prevalent and attenuates the association of physical/sexual/psychological IPV with depressive symptoms. Addressing EC with other forms of IPV may be necessary to reduce depressive symptoms in exposed women.

Funding Statement: This study was supported by research grant 1R21HD093027 (PI Yount) from the Eunice Kennedy Shriver National Institute of Child Health and Development.

Declaration of Interests: The authors have no conflicts of interest to report.

Ethics Approval Statement: The Institutional Review Boards of Emory University (IRB00097428) and the International Centre for Diarrheal Diseases Research, Bangladesh (icddr,b) (PR17077) reviewed and approved the study protocol.

Keywords: Bangladesh; depression; economic coercion; intimate partner violence; structural equation modeling

Suggested Citation

Khan, Zara and Cheong, Yuk Fai and Miedema, Stephanie and Naved, Ruchira T. and Yount, Kathryn, Women's Experiences of Intimate Partner Violence, Economic Coercion, and Depressive Symptoms in Bangladesh (January 31, 2020). Available at SSRN: https://ssrn.com/abstract=3529440 or http://dx.doi.org/10.2139/ssrn.3529440

Zara Khan

Emory University, Rollins School of Public Health, Hubert Department of Global Health

United States

Yuk Fai Cheong

Emory University - Department of Psychology

Atlanta, GA 30322
United States

Stephanie Miedema

Emory University - Department of Sociology

Atlanta, GA 30322
United States

Ruchira T. Naved

International Centre for Diarrheal Disease Research

Bangladesh

Kathryn Yount (Contact Author)

Emory University, Rollins School of Public Health, Hubert Department of Global Health ( email )

United States

Emory University - Rollins School of Public Health ( email )

Atlanta, GA 30322
United States

Emory University - Department of Sociology ( email )

Atlanta, GA 30322
United States

Click here to go to TheLancet.com

Paper statistics

Abstract Views
239
Downloads
21
PlumX Metrics