Violence Against Women and Increases in the Risk of Diarrheal Disease and Respiratory Tract Infections in Infancy

Kajsa Åsling‐Monemi · Ruchira Tabassum Naved · Lars Åke Persson

23 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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Intimate Partner and Family Violence Child Nutrition and Water Access Global Maternal and Child Health

Abstract

OBJECTIVE: To explore whether different forms of violence against women were associated with increased incidence rates of diarrhea and respiratory tract infections among infants. DESIGN: A 12-month follow-up study embedded in a food and micronutrient supplementation trial. SETTING: Rural Bangladesh. PARTICIPANTS: Pregnant women and their 3132 live-born children. MAIN EXPOSURE: Maternal exposure to physical, sexual, and emotional violence and level of controlling behavior in the family. MAIN OUTCOME MEASURES: Infants' risk of falling ill with diarrheal diseases and respiratory tract infections in relation to mothers' exposure to different forms of violence. Adjusted for household economic conditions, mother's education level, parity, and religion. RESULTS: Fifty percent of the women reported lifetime experience of family violence. Infants of mothers exposed to different forms of family violence had 26% to 37% higher incidence of diarrhea. Any lifetime family violence was positively associated with increased incidence of diarrheal diseases (adjusted rate ratio, 1.20; 95% confidence interval, 1.10-1.30) and lower respiratory tract infections (adjusted rate ratio, 1.31; 95% confidence interval, 1.17-1.46). Further, all forms of family violence were also independently positively associated with infant illness, and the highest incidence rates were found among the daughters of severely physically abused mothers. CONCLUSION: Family violence against women was positively associated with an increased risk of falling ill with diarrheal and respiratory tract infections during infancy. The present findings add to increasing evidence of the magnitude of public health consequences of violence against women.

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References

2001Estimating wealth effects without expenditure data—or tears: An application to educational enrollments in states of India 2019Systematic review and meta-analysis 2008Intimate partner violence and women's physical and mental health in the WHO multi-country study on women's health and domestic violence: an observational study 2004A Short Form of the Revised Conflict Tactics Scales, and Typologies for Severity and Mutuality 1981Sex Bias in the Family Allocation of Food and Health Care in Rural Bangladesh 2001Researching Domestic Violence Against Women: Methodological and Ethical Considerations 2001Abuse: a risk factor for low birth weight? A systematic review and meta-analysis.2005Factors Associated with Spousal Physical Violence Against Women in Bangladesh

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