Intimate partner violence and childhood health outcomes in 37 sub-Saharan African countries: an analysis of demographic health survey data from 2011 to 2022

Dadi, AF; Ahmed, KY; Berhane, Y; Bizuayehu, HM; Tesema, GA; Hassen, TA; Kibret, GD; Ketema, DB; Bore, MG; Belachew, SA; Amsalu, E; Nhassengo, S; Shifti, DM; Seid, A; Mesfin, YM; Tegegne, TK; Odo, DB

Intimate partner violence and childhood health outcomes in 37 sub-Saharan African countries: an analysis of demographic health survey data from 2011 to 2022

Dadi, AF Ahmed, KY Berhane, Y Bizuayehu, HM Tesema, GA Hassen, TA Kibret, GD Ketema, DB Bore, MG Belachew, SA Amsalu, E Nhassengo, S Shifti, DM Seid, A Mesfin, YM Tegegne, TK Odo, DB

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: The Lancet Global Health, 2024, 12, (11), pp. e1785-e1793
Issue Date:: 2024-11

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Field	Value	Language
dc.contributor.author	Dadi, AF
dc.contributor.author	Ahmed, KY
dc.contributor.author	Berhane, Y
dc.contributor.author	Bizuayehu, HM
dc.contributor.author	Tesema, GA
dc.contributor.author	Hassen, TA
dc.contributor.author	Kibret, GD
dc.contributor.author	Ketema, DB
dc.contributor.author	Bore, MG
dc.contributor.author	Belachew, SA
dc.contributor.author	Amsalu, E
dc.contributor.author	Nhassengo, S
dc.contributor.author	Shifti, DM
dc.contributor.author	Seid, A
dc.contributor.author	Mesfin, YM
dc.contributor.author	Tegegne, TK
dc.contributor.author	Odo, DB
dc.date.accessioned	2025-05-07T05:18:02Z
dc.date.available	2024-07-12
dc.date.available	2025-05-07T05:18:02Z
dc.date.issued	2024-11
dc.identifier.citation	The Lancet Global Health, 2024, 12, (11), pp. e1785-e1793
dc.identifier.issn	2572-116X
dc.identifier.issn	2214-109X
dc.identifier.uri	http://hdl.handle.net/10453/187223
dc.description.abstract	BACKGROUND Understanding the contribution of intimate partner violence (IPV) to childhood health outcomes (eg, morbidity and mortality) is crucial for improving child survival in sub-Saharan Africa. This comprehensive study aimed to explore the associations between maternal exposure to physical, sexual, or emotional violence and adverse childhood health outcomes in sub-Saharan Africa. METHODS We analysed Demographic Health Survey datasets from 37 sub-Saharan African countries from 2011 to 2022. A generalised linear mixed model was used to examine the associations between maternal physical violence, sexual violence, or emotional violence, and early childhood health outcomes (eg, acute respiratory infection, diarrhoea, undernutrition, and child mortality). A random effects meta-analysis was used to calculate pooled odds ratios (ORs) for adverse childhood health outcomes. The odds of undernutrition and mortality were 55 and 58 higher among children younger than 5 years born to mothers who were exposed to physical and sexual violence, respectively. FINDINGS 238 060 children younger than 5 years were included. Children whose mothers experienced physical violence (adjusted OR 1 33, 95 CI 1 29-1 42), sexual violence (1 47, 1 34-1 62), emotional violence (1 39, 1 32-1 47), or a combination of emotional and sexual violence (1 64, 1 20-2 22), or a combination of all the three forms of violence (1 88, 1 62-2 18) were associated with an increased odds of developing diarrhoeal disease. Similarly, children whose mothers experienced physical violence (1 43, 1 28-1 59), sexual violence (1 47, 1 34-1 62), emotional violence (1 39, 1 32-1 47), or a combination of emotional and sexual violence (1 48, 1 16-1 89), or a combination of all three forms of violence (1 66, 1 47-1 88) were positively associated with symptoms of acute respiratory infection. INTERPRETATION We found a strong link between maternal exposure to IPV and health outcomes for children younger than 5 years in sub-Sahara
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	The Lancet Global Health
dc.relation.isbasedon	10.1016/s2214-109x(24)00313-9
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	0605 Microbiology, 1117 Public Health and Health Services
dc.subject.classification	4202 Epidemiology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4206 Public health
dc.subject.mesh	Humans
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Female
dc.subject.mesh	Intimate Partner Violence
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Adult
dc.subject.mesh	Male
dc.subject.mesh	Health Surveys
dc.subject.mesh	Child Health
dc.subject.mesh	Child Mortality
dc.subject.mesh	Adolescent
dc.subject.mesh	Young Adult
dc.subject.mesh	Mothers
dc.subject.mesh	Humans
dc.subject.mesh	Health Surveys
dc.subject.mesh	Child Mortality
dc.subject.mesh	Mothers
dc.subject.mesh	Adolescent
dc.subject.mesh	Adult
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Young Adult
dc.subject.mesh	Child Health
dc.subject.mesh	Intimate Partner Violence
dc.subject.mesh	Humans
dc.subject.mesh	Africa South of the Sahara
dc.subject.mesh	Female
dc.subject.mesh	Intimate Partner Violence
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Infant
dc.subject.mesh	Adult
dc.subject.mesh	Male
dc.subject.mesh	Health Surveys
dc.subject.mesh	Child Health
dc.subject.mesh	Child Mortality
dc.subject.mesh	Adolescent
dc.subject.mesh	Young Adult
dc.subject.mesh	Mothers
dc.title	Intimate partner violence and childhood health outcomes in 37 sub-Saharan African countries: an analysis of demographic health survey data from 2011 to 2022
dc.type	Journal Article
utslib.citation.volume	12
utslib.location.activity	England
utslib.for	0605 Microbiology
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2025-05-07T05:18:00Z
pubs.issue	11
pubs.publication-status	Published
pubs.volume	12
utslib.citation.issue	11

Abstract:

BACKGROUND Understanding the contribution of intimate partner violence (IPV) to childhood health outcomes (eg, morbidity and mortality) is crucial for improving child survival in sub-Saharan Africa. This comprehensive study aimed to explore the associations between maternal exposure to physical, sexual, or emotional violence and adverse childhood health outcomes in sub-Saharan Africa. METHODS We analysed Demographic Health Survey datasets from 37 sub-Saharan African countries from 2011 to 2022. A generalised linear mixed model was used to examine the associations between maternal physical violence, sexual violence, or emotional violence, and early childhood health outcomes (eg, acute respiratory infection, diarrhoea, undernutrition, and child mortality). A random effects meta-analysis was used to calculate pooled odds ratios (ORs) for adverse childhood health outcomes. The odds of undernutrition and mortality were 55 and 58 higher among children younger than 5 years born to mothers who were exposed to physical and sexual violence, respectively. FINDINGS 238 060 children younger than 5 years were included. Children whose mothers experienced physical violence (adjusted OR 1 33, 95 CI 1 29-1 42), sexual violence (1 47, 1 34-1 62), emotional violence (1 39, 1 32-1 47), or a combination of emotional and sexual violence (1 64, 1 20-2 22), or a combination of all the three forms of violence (1 88, 1 62-2 18) were associated with an increased odds of developing diarrhoeal disease. Similarly, children whose mothers experienced physical violence (1 43, 1 28-1 59), sexual violence (1 47, 1 34-1 62), emotional violence (1 39, 1 32-1 47), or a combination of emotional and sexual violence (1 48, 1 16-1 89), or a combination of all three forms of violence (1 66, 1 47-1 88) were positively associated with symptoms of acute respiratory infection. INTERPRETATION We found a strong link between maternal exposure to IPV and health outcomes for children younger than 5 years in sub-Sahara

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