Obesity in women who have experienced intimate partner violence

Eman Alhalal

24 citations0/0 files storedJournal of Advanced Nursing

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Intimate Partner and Family Violence Eating Disorders and Behaviors Obesity, Physical Activity, Diet

Abstract

AIMS: The aim of this study was to examine the pathway through which intimate partner violence (IPV) severity and child abuse severity influence obesity among women who have experienced IPV. BACKGROUND: Intimate partner violence is a public health issue that is found to be related to obesity. Yet, little is known about the pathways that link both IPV and child abuse experiences to obesity. The roles of posttraumatic stress disorder and depressive symptoms in the relations between IPV and obesity are still not well known. DESIGN: A cross-sectional study of 299 women who have experienced IPV. METHODS: A convenience sample of abused women was recruited from nine primary healthcare centres in Saudi Arabia. Data were collected in 2015, using self-report questionnaires and physical measures for obesity. Non-parametric analysis of variance was conducted to explore group differences. Structural equation modelling was used to examine the hypothesized model. RESULTS: Among the sample, 52.5% was classified as obese based on body mass index. Obese women had significantly higher levels of IPV, physical child abuse, depressive symptoms and posttraumatic stress disorder symptoms. The study showed that both IPV severity and child abuse severity indirectly influenced obesity through depressive symptoms. CONCLUSION: The alarming rate of obesity among abused women suggests that these women are at great risk for obesity, which necessitates clinical consideration. The study findings highlight the need to treat depressive symptoms to manage and prevent obesity among IPV and child abuse survivors. Specifically, nurses should tailor interventions that address mental health outcomes of abuse in managing obesity.

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References

1999Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives 1977The CES-D Scale 2012Principles and Practice of Structural Equation Modeling 2010Overweight, Obesity, and Depression 2012The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis 2013Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence.2012A Systematic Review of Risk Factors for Intimate Partner Violence 2013Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies

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