title: South Asian victims of intimate partner violence more likely than non-victims to report sexual health concerns.
abstract: To assess relationships between intimate partner violence (IPV) and sexual health among South Asian women in Boston. Surveys assessed demographics, IPV and sexual and reproductive health outcomes of women in relationships with men (N=208). In-depth interviews explored these issues with women with a history of IPV (N=23). Subjects were majority Indian, non-U.S. citizens, and highly educated. Quantitative data were assessed by logistic regression, qualitative data by a grounded theory approach. About 21.2% of the survey sample reported IPV in the current relationship. These women are 2.6 times as likely to report discolored vaginal discharge in the past year (95% CI=1.27-6.50), 3.1 times as likely to report burning during urination in the past year (95% CI=1.52-6.31) and 3.4 times as likely to report unwanted pregnancy in the current relationship (95% CI=1.33-8.66). Interviewed women described how abuse reduces sexual autonomy, increasing risk for unwanted pregnancy and multiple abortions. Study findings demonstrate the need for increased gynecologic health outreach to abused South Asian women in the U.S.
authors.affiliation: Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, Massachusetts 02118, USA. anitaraj@bu.edu
authors.forename: Anita
authors.initials: A
authors.lastname: Raj
authors.forename: Rosalyn
authors.initials: R
authors.lastname: Liu
authors.forename: Jennifer
authors.initials: J
authors.lastname: McCleary-Sills
authors.forename: Jay G
authors.initials: JG
authors.lastname: Silverman
mesh_terms: D000328:Adult; D000368:Aged; D001210:Asia, Southeastern / Q000208:ethnology; D018585:Battered Women / Q000523:psychology / Q000706:statistics & numerical data*; D001900:Boston / Q000453:epidemiology; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012307:Risk Factors; D012742:Sex Offenses / Q000208:ethnology / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000150:complications / Q000453:epidemiology* / Q000208:ethnology; D013179:Spouse Abuse / Q000208:ethnology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D016387:Women's Health