Evidence map›Paper›PMID 33933060›Full record

ArticleBMC public health2021

Economic abuse and its associations with symptoms of common mental disorders among women in a cross-sectional survey in informal settlements in Mumbai, India.

Suman Kanougiya, Nayreen Daruwalla, Lu Gram, Apoorwa Deepak Gupta, Muthusamy Sivakami, David Osrin

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Suman KanougiyaProgram on Prevention of Violence Against Women and Children, SNEHA, Mumbai, Maharashtra, 400017, India.
Nayreen DaruwallaProgram on Prevention of Violence Against Women and Children, SNEHA, Mumbai, Maharashtra, 400017, India.
Lu GramInstitute for Global Health, University College London, London, WC1N IEH, UK.
Apoorwa Deepak GuptaProgram on Prevention of Violence Against Women and Children, SNEHA, Mumbai, Maharashtra, 400017, India.
Muthusamy SivakamiSchool of Health Systems Studies (SHSS), Tata Institute of Social Sciences (TISS), Mumbai, Maharashtra, India.
David OsrinInstitute for Global Health, University College London, London, WC1N IEH, UK. d.osrin@ucl.ac.uk.
Society for Nutrition Education and Health Action · INUniversity College London · GBTata Institute of Social Sciences · IN

Funding

Wellcome Trust 206417/Z/17/Z
6 · The paper itself

Abstract

backgroundDomestic violence takes a range of interconnected forms, of which economic abuse is common, but less studied than others. We examine the prevalence of economic abuse, its determinants, and its association with symptoms of depression, anxiety, and suicidal ideation.

methodsOur cross-sectional survey in informal settlement areas in Mumbai, India, asked women aged 18-49 years 15 questions about acquisition, use, and maintenance of economic resources, demographic and socioeconomic factors, and physical, sexual, and emotional violence. We administered the Patient Health Questionnaire 9 (PHQ-9) and Generalised Anxiety Disorder 7 (GAD-7) scales and asked about suicidal thinking. Determinants of economic abuse and its associations with positive screens for depression and anxiety were explored in univariable and multivariable logistic regression models.

resultsOf 4906 ever-married women respondents, 23% reported at least one form of economic abuse by either an intimate partner or another family member. The commonest were denial of property rights (10%), not being trusted with money (8%), and coercive appropriation of belongings (7%). Economic abuse was more commonly reported by widowed, separated, or divorced women than by married women (aOR 12.4; 95% CI 6.4, 24.1), and when their partners used alcohol or drugs (aOR 1.4; 95% CI 1.2-1.7). Women had greater odds of reporting economic abuse if they had suffered emotional (aOR 6.3; 95% CI 5.0-7.9), physical (aOR 1.9; 95% CI 1.4-2.6), or sexual violence (aOR 5.4; 95% CI 3.6-8.1) in the preceding 12 months. Economic abuse was independently associated with positive screens for moderate-severe depression (aOR 2.6; 95% CI 2.0-3.4), anxiety (aOR 2.7; 95% CI 1.9-3.8), and suicidal ideation (aOR 2.2; 95% CI 1.5-3.1). The odds of anxiety and depression increased with each additional form of economic abuse. DISCUSSION: To our knowledge, this is the first community-based study in India of the prevalence of economic abuse and its associations with symptoms of common mental disorders. It provides empirical support for the idea that economic abuse is at least as harmful to women's mental health as physical violence. Surveys should include questions on economic abuse and prevention and intervention strategies need to help survivors to understand its forms.

Indexed as

Domestic ViolenceAdolescentAdultCross-Sectional StudiesFemaleHumansIndiaMiddle AgedPrevalenceRisk FactorsSexual PartnersYoung AdultAnxietyCommon mental disordersDepressionDomestic violenceEconomic abuseIndiaSuicidal ideation

Identifiers

PMID33933060
PMCPMC8088652
OpenAlexW3158430357

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.