uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Violence against women and the risk of under-five mortality: analysis of community-based data from rural Bangladesh
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2008 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 2, 226-232 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To assess whether violence against women was associated with increased mortality risks for their daughters and sons before the age of 5. METHODS: Secondary analysis of longitudinal data from rural Bangladesh of 2691 live-born children in relation to their mother's experience of physical, sexual and emotional partner violence and level of controlling behaviour in marriage. Analyses were adjusted for potential confounders and stratified by gender. RESULT: Under five-mortality was 88 per 1000 in this cohort. Overall, there was no association between different forms of violence against women and under-five mortality. However, more educated women had an increased risk of under-five deaths of their female offspring if ever exposed to severe physical violence (adjusted hazard ratio 2.2, 95% CI 1.06-4.50) or to a high level of controlling behaviour in marriage (adjusted hazard ratio 2.5, 95% CI 1.30-4.90). Controlling behaviour in marriage increased the hazard ratios in a dose-response manner. Increased mortality risks were neither shown for offspring of women with low or no education nor for boys in any educational group. CONCLUSION: Severe physical violence and controlling behaviour in marriage were associated with higher under-five mortality among daughters of educated mothers in rural Bangladesh, indicating gender-biased consequences of partner violence for child mortality.

Place, publisher, year, edition, pages
2008. Vol. 97, no 2, 226-232 p.
Keyword [en]
Controlling behaviour, Female child discrimination, Partner violence, Violence against women, Under-five mortality
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-97416DOI: 10.1111/j.1651-2227.2007.00597.xISI: 000253311300019PubMedID: 18254912OAI: oai:DiVA.org:uu-97416DiVA: diva2:172359
Available from: 2008-08-27 Created: 2008-08-27 Last updated: 2011-01-12Bibliographically approved
In thesis
1. The Impact of Violence Against Women on Child Growth, Morbidity and Survival: Studies in Bangladesh and Nicaragua
Open this publication in new window or tab >>The Impact of Violence Against Women on Child Growth, Morbidity and Survival: Studies in Bangladesh and Nicaragua
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to explore the impact of physical, sexual and emotional violence against women of reproductive age and the level of controlling behaviour in marriage on child health and survival in two different cultural settings: Bangladesh and Nicaragua.

Data were acquired from four quantitative community-based studies. In two studies, a cohort including a prospective two year follow-up of 3164 mother-infant pairs in rural Bangladesh was investigated. A third study was a case-referent study in Nicaragua including mothers of 110 cases of under-five deaths and 203 referents, and in a forth study an other cohort of 1048 rural Bangladeshi women and their 2691 children was followed until 5 years of age.

Maternal exposure to any form of violence, including physical, sexual, emotional, and controlling behaviour was independently associated with lower body size at birth, increased risk of stunting and under-weight at 24 months of age, slower growth velocity during the first two years of life and a higher incidence of diarrhoeal episodes and respiratory tract infections. In the Nicaraguan setting, the children of women who experienced any history of physical violence had a two-fold increase in risk of death before the age of 5 years, and those whose mothers experienced both physical and sexual violence had a six-fold increase in risk of death. In Bangladesh, an association between violence against women and under-five mortality was found among daughters of educated mothers who were exposed to severe physical violence or a high level of controlling behaviour in marriage. In all four studies, lifetime violence experience among participating mothers was high (37-69%), and the timing was less relevant than the exposure to violence per se.

In conclusion, this investigation revealed that violence against women severely affects child health and survival. The findings are especially relevant in a context of high level of child under-nutrition, morbidity and under-five mortality. Efforts for protecting women from all forms of violence are needed as part of the interventions for improved child health.

Place, publisher, year, edition, pages
Uppsala: Universitetsbiblioteket, 2008. 88 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 366
Keyword
Violence against women, Birth-weight, Child growth, Under-nutrition, Infant morbidity, Under-five mortality, Bangladesh, Nicaragua
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-9197 (URN)978-91-554-7253-5 (ISBN)
Public defence
2008-09-17, Rosénsalen, Akademiska sjukhuset, Ing.95/96, Uppsala, 09:15
Opponent
Supervisors
Available from: 2008-08-27 Created: 2008-08-27Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed
By organisation
International Maternal and Child Health (IMCH)
In the same journal
Acta Paediatrica
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 655 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf