Evidence map›Paper›PMID 35487735›Full record

Trial reportBMJ open2022

Does experiencing a traumatic life event increase the risk of intimate partner violence for young women? A cross-sectional analysis and structural equation model of data from the

Jenevieve Mannell, Nicole Minckas, Rochelle Burgess, Esnat D Chirwa, Rachel Jewkes, Andrew Gibbs

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03022370 (Stepping Stones and Creating Futures Intervention Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03022370 phase3completednot on this map

Stepping Stones and Creating Futures Intervention Trial

TypeinterventionalSponsorUniversity of KwaZuluRan2015 to 2018Enrolled1,351ConditionsIPV, Sexual ViolenceArmsStepping Stones and Creating Futures
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Jenevieve MannellInstitute for Global Health, UCL, London, UK j.mannell@ucl.ac.uk.ORCID 0000-0002-7456-3194
Nicole MinckasInstitute for Global Health, UCL, London, UK.
Rochelle BurgessInstitute for Global Health, UCL, London, UK.
Esnat D ChirwaGender and Health Division, South African Medical Research Council, Pretoria, South Africa.
Rachel JewkesGender and Health Division, South African Medical Research Council, Pretoria, South Africa.
Andrew GibbsGender and Health Division, South African Medical Research Council, Pretoria, South Africa.ORCID 0000-0003-2812-5377

Funding

Medical Research Council MR/S033629/1Medical Research Council MR/T029803/1
6 · The paper itself

Abstract

objectivesTo investigate associations and potential pathways between women's lifetime exposure to traumatic events and their recent experiences of intimate partner violence (IPV).

settingSouth African informal settlements near Durban.

participants677 women, living in informal settlements, aged 18-30 years, currently out of school or formal employment. PRIMARY AND SECONDARY OUTCOME MEASURES: Self-reported experiences of IPV in the past 12 months and exposure to traumatic neighbourhood events (including witnessing murder, being robbed or kidnapped, witnessing and experiencing rape).

resultsExposure to traumatic events was common among the 677 women surveyed. Over 70% had experienced at least one in their lifetime; one quarter (24%) had experienced 3 or more different events. Women exposed to any traumatic event had a 43% increase in the odds of experiencing IPV in comparison to those with no exposure (aOR 1.43, p≤0.000). Exposure to non-partner rape is more strongly associated with IPV than any other traumatic experience. Pathways from exposure to traumatic events and non-partner rape to recent IPV experience are mediated by a latent variable of poor mental health. Food insecurity is associated with all forms of traumatic experience, and is also indirectly associated with IPV through views by women that are unsupportive of gender equality.

conclusionsWomen living in South African informal settlements who witness or experience traumatic events were likely to experience IPV, and this increases when women were exposed to multiple types of events. Our model suggests that experiencing traumatic events, and non-partner rape in particular, has negative effects on women's mental health in ways that may increase their vulnerability to IPV. IPV prevention interventions should consider the broader impacts of women's exposure to neighbourhood violence and severe poverty on IPV risk in settings where these are endemic. TRIAL REGISTRATION NUMBER: NCT03022370; post-results.

Indexed as

Intimate Partner ViolenceRapeAdolescentAdultCross-Sectional StudiesFemaleHumansMental HealthSouth AfricaYoung AdultAnxiety disordersEpidemiologyPublic healthSubstance misuse

Identifiers

PMID35487735
PMCPMC9058688

What OpenQuestion holds

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Registered trials

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.