Evidence map›Paper›PMID 30774941›Full record

ArticleJournal of global health2019

Food insecurity and intimate partner violence among married women in Nepal.

Nadia Diamond-Smith, Amy A Conroy, Alexander C Tsai, Manali Nekkanti, Sheri D Weiser

Open access · goldAbstract read
In one paragraph

Article in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
8.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  15. Domestic violence patterns in postpartum women who delivered during the COVID-19 pandemic.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Nadia Diamond-SmithUniversity of California, San Francisco, California, USA.
Amy A ConroyUniversity of California, San Francisco, California, USA.
Alexander C TsaiHarvard University, Cambridge, Massachusetts, USA.
Manali NekkantiUniversity of North Carolina, Chapel Hill, North Carolina, USA.
Sheri D WeiserUniversity of California, San Francisco, California, USA.
University of California, San Francisco · USHarvard University Press · USUniversity of North Carolina at Chapel Hill · US

Funding

Mentoring in Patient Oriented Research on Food Insecurity, HIV and AgingK24AI134326 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHERI Dawn WEISER · 2017 to 2026
$1.4M
Relationship Factors and Engagement in HIV Care in Malawi: A Dyadic InvestigationK01MH107331 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CONROY, AMY ANNE · 2016 to 2019
$773k
Understanding the role of gender inequality and food insecurity on maternal and child healthK01HD086281 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAMOND-SMITH, NADIA GRIFFI · 2016 to 2020
$701k
NIAID NIH HHS K24 AI134326NICHD NIH HHS K01 HD086281NIMH NIH HHS K01 MH107331
6 · The paper itself

Abstract

backgroundIntimate Partner Violence (IPV) is an important public health concern globally, including in Nepal. Food insecurity (being without reliable access to a sufficient quantity of affordable, nutritious food) has been associated with IPV, but no known studies have explored this relationship in South Asia, or Nepal specifically. Women's level of empowerment is an important factor to consider when understanding the relationship between food insecurity and IPV.

methodsUsing data from the 2011 Nepal Demographic and Health Survey, we explore the relationship between different levels of food insecurity (none, mild, moderate, severe) and three types of IPV: physical, sexual and emotional. In a second set of models we adjust for indicators of women's empowerment. We use multi-variable logistic regression to test for an association between these factors, adjusting for individual and household level demographic variables.

findingsAbout half of married women in our sample experience food insecurity and approximately 10% of women experienced each of the three different types of IPV in the past 12 months: emotional, sexual and physical. Food insecurity is significantly associated with increased odds of experiencing emotional (odds ratio OR = 1.75 95% confidence interval CI = 1.06-2.77 for severe food insecurity) or physical (OR = 2.48, 95% CI = 1.52-4.04 for severe food insecurity) IPV, but not sexual IPV, after adjusting for individual and household level demographic variables. After adjusting for empowerment related factors, this relationship still holds, although it is somewhat attenuated. Women's level of household decision-making power is significantly associated with higher odds of emotional, sexual and physical IPV, and whether she lives with her in-laws is protective against emotional IPV.

conclusionsAmong married women in Nepal, being food insecure is associated with higher odds of some types of IPV, specifically emotional and physical IPV. Accounting for women's level of empowerment explains some of the relationship between food insecurity and IPV. It is essential that interventions to prevent IPV address household stressors such as food insecurity among married, Nepalese women, perhaps through cross-sectoral approaches. Such structural interventions are likely to reduce IPV for married women across South Asia who live in a similar levels of gender discrimination and food insecurity.

Indexed as

AdolescentAdultDemographyFemaleFood SupplyHumansMiddle AgedNepalSpouse AbuseYoung Adult

Identifiers

PMID30774941
PMCPMC6359930
OpenAlexW2913929703

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.