Evidence map›Paper›PMID 38245010›Full record

ArticleBMJ open2024

Association between maternal experiences of intimate partner violence and child stunting: a secondary analysis of the Demographic Health Surveys of four South Asian countries.

Maryam Pyar Ali Lakhdir, Sobia Ambreen, Sonia Sameen, Muhammad Asim, Saila Batool, Iqbal Azam, Bilal Ahmed Usmani, Romaina Iqbal

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 1 institution in 2 countries.

Maryam Pyar Ali LakhdirDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.ORCID 0000-0003-3053-2887
Sobia AmbreenDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Sonia SameenDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Muhammad AsimDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.ORCID 0000-0002-8193-124X
Saila BatoolDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Iqbal AzamDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Bilal Ahmed UsmaniDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan.
Romaina IqbalDepartment of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan romaina.iqbal@aku.edu.ORCID 0000-0002-5364-4366
Aga Khan University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the association between maternal exposure to intimate partner violence (IPV) and child stunting using the Demographic Health Survey (DHS) data comparing four South Asian countries.

designA secondary analysis.

settingData from the seventh round of the DHS data of four South Asian countries; Pakistan, Nepal, India and Maldives.

participantsMarried women of reproductive age (15-49 years) from each household were randomly selected, having at least one child less than 5 years of age for whom all anthropometric measures were available. OUTCOME MEASURE: The exposure variable was maternal IPV including, sexual violence, physical violence or both. The outcome variable was moderate or severe stunting, measured based on the height-for-age Z-score of children aged 6-59 months old . Multiple Cox proportional regression analyses were used separately on each country's data to determine the association between maternal IPV and child stunting.

resultsThe prevalence of IPV among women ranged from 10.17% in the Maldives to 31% in India. The burden of child stunting was the lowest in the Maldives at 14.04% and the highest in Pakistan at 35.86%. The number of severely stunted children was the highest in Pakistan (16.60%), followed by India (14.79%). In India, children whose mothers were exposed to IPV showed a 7% increase in the prevalence of moderate to severe child stunting (OR 1.07; 95% CI 1.01 to 1.14). Additionally, in Nepal, severe stunting was strongly associated with the prevalence of physical IPV (OR 1.66; 95% CI 1.01 to 2.87).

conclusionOur study findings suggest that maternal exposure to IPV is associated with child stunting. Further research investigating the relationship between IPV and child outcomes using improved and advanced statistical analyses can provide substantial evidence to enhance public awareness and potentially reduce the burden of child stunting in South Asian countries.

Indexed as

Intimate Partner ViolenceSex OffensesAdolescentAdultChild, PreschoolDemographyFemaleGrowth DisordersHealth SurveysHumansInfantMiddle AgedPrevalenceRisk FactorsYoung AdultCommunity child healthEPIDEMIOLOGYNUTRITION & DIETETICSPUBLIC HEALTHSTATISTICS & RESEARCH METHODS

Identifiers

PMID38245010
PMCPMC10806751
OpenAlexW4391053814

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.