A Systematic Review of African Studies on Intimate Partner Violence against Pregnant Women: Prevalence and Risk Factors

Background: Intimate partner violence (IPV) is very high in Africa. However, information obtained from the increasing number of African studies on IPV among pregnant women has not been scientifically analyzed. This paper presents a systematic review summing up the evidence from African studies on IPV prevalence and risk factors among pregnant women. Methods: A key-word defined search of various electronic databases, specific journals and reference lists on IPV prevalence and risk factors during pregnancy resulted in 19 peer-reviewed journal articles which matched our inclusion criteria. Quantitative articles about pregnant women from Africa published in English between 2000 and 2010 were reviewed. At least two reviewers assessed each paper for quality and content. We conducted meta-analysis of prevalence data and reported odds ratios of risk factors. Results: The prevalence of IPV during pregnancy ranges from 2% to 57% (n = 13 studies) with meta-analysis yielding an overall prevalence of 15.23% (95% CI: 14.38 to 16.08%). After adjustment for known confounders, five studies retained significant associations between HIV and IPV during pregnancy (OR1.48-3.10). Five studies demonstrated strong evidence that a history of violence is significantly associated with IPV in pregnancy and alcohol abuse by a partner also increases a woman's chances of being abused during pregnancy (OR 2.89-11.60). Other risk factors include risky sexual behaviours, low socioeconomic status and young age. Conclusion: The prevalence of IPV among pregnant women in Africa is one of the highest reported globally. The major risk factors included HIV infection, history of violence and alcohol and drug use. This evidence points to the importance of further research to both better understand IPV during pregnancy and feed into interventions in reproductive health services to prevent and minimize the impact of such violence

The Link Between Community-Based Violence and Intimate Partner Violence: the Effect of Crime and Male Aggression on Intimate Partner Violence Against Women.

Both intimate partner violence (IPV) and community violence are prevalent globally, and each is associated with serious health consequences. However, little is known about their potential links or the possible benefits of coordinated prevention strategies. Using aggregated data on community violence from the São Paulo State Security Department (INFOCRIM) merged with WHO multi-country study on women's health and domestic violence data, random intercept models were created to assess the effect of crime on women's probability of experiencing IPV. The association between IPV and male aggression (measured by women's reports of their partner's fights with other men) was examined using logistic regression models. We found little variation in the likelihood of male IPV perpetration related to neighborhood crime level but did find an increased likelihood of IPV experiences among women whose partners were involved in male-to-male violence. Emerging evidence on violence prevention has suggested some promising avenues for primary prevention that address common risk factors for both perpetration of IPV and male interpersonal violence. Strategies such as early identification and effective treatment of emotional disorders, alcohol abuse prevention and treatment, complex community-based interventions to change gender social norms and social marketing campaigns designed to modify social and cultural norms that support violence may work to prevent simultaneously male-on-male aggression and IPV. Future evaluations of these prevention strategies should simultaneously assess the impact of interventions on IPV and male interpersonal aggression

Trends of Chlorinated Organic Contaminants in Great Lakes Trout and Walleye from 1970 to 1998

Levels of chlorinated organic contaminants in predator fish have been monitored annually in each of the Great Lakes since the 1970s. This article updates earlier reports with data from 1991 to 1998 for lake trout ( Salvelinus namaycush ) and (Lake Erie only) walleye ( Sander vitreus ) to provide a record that now extends nearly 30 years. Whole fish were analyzed for a number of industrial contaminants and pesticides, including polychlorinated biphenyls (PCBs), dichloro-diphenyl-trichloroethane (DDT), dieldrin, toxaphene, and mirex, and contaminant trends were quantified using multicompartment models. As in the past, fish from Lakes Michigan, Ontario, and Huron have the highest levels of PCBs, DDT, and dieldrin; Superior has the highest levels of toxaphene; and Ontario has the highest levels of mirex. In the period after curtailment of chemical use, concentrations rapidly decreased, represented by relatively short half-lives from approximately 1 to 9 years. Although trends depend on both the contaminant and the lake, in many cases the rate of decline has been decreasing, and concentrations are gradually approaching an irreducible concentration. For dioxin-like PCBs, levels have not been decreasing during the most recent 5-year period (1994 to 1998). In some cases, the year-to-year variation in contaminant levels is large, mainly because of food-web dynamics. Although this variation sometimes obscures long-term trends, the general pattern of a rapid decrease followed by slowing or leveling-off of the downward trend seems consistent across the Great Lakes, and future improvements of the magnitude seen in the 1970s and early 1980s likely will take much longer.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/48086/1/244_2005_Article_1007.pd