Evidence map›Paper›PMID 41310631›Full record

ArticleInternational journal for equity in health2025

The contribution of intimate partner violence in exacerbating health inequalities between Palestinian and Jewish women in Israel.

Nihaya Daoud, Beatris Agronsky, Neveen Ali-Saleh Darawshy, Hadel Alsana, Samira Alfayumi-Zeadna

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Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nihaya DaoudDepartment of Epidemiology, Biostatistics, and Community Health Sciences, School of Public Health, Faculty of Health Science, Ben Gurion University of the Negev, Beer Sheva, 84015I, Israel. daoud@bgu.ac.il.ORCID 0000-0003-4542-8978
Beatris AgronskyDepartment of Epidemiology, Biostatistics, and Community Health Sciences, School of Public Health, Faculty of Health Science, Ben Gurion University of the Negev, Beer Sheva, 84015I, Israel.
Neveen Ali-Saleh DarawshyThe Louis & Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan, 529000, Israel.
Hadel AlsanaDepartment of Epidemiology, Biostatistics, and Community Health Sciences, School of Public Health, Faculty of Health Science, Ben Gurion University of the Negev, Beer Sheva, 84015I, Israel.
Samira Alfayumi-ZeadnaNursing Department, School of Health Sciences, Ashkelon Academic College, Ashkelon, 78211, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcross the globe, Indigenous women in subordinate social positions (minoritized, racialized, facing discrimination) experience poorer health outcomes and greater social inequalities than non-Indigenous women. Although intimate partner violence (IPV) may significantly exacerbate these disparities, the extent of IPVs contribution to the excess of health inequality has not been systematically quantified.

methodsWe estimated IPVs relative contribution to the excess of health inequalities between Indigenous Palestinian (N = 436) and Jewish women (N = 965) citizens in Israel, aged 18-50. We calculated adjusted odds ratios (AORs) and 95% confidence intervals for 10 mental and physical health conditions, considering socioeconomic and demographic factors. Mental health outcomes included: postpartum depression (PPD; EPDS ≥ 10), depressive symptoms (CES > 0.9), anxiety (STAI ≥14), self-rated health (SRH). Physical health included: abortions, miscarriages, preterm birth, unplanned pregnancy, chronic illness. Multimorbidity included: two-plus above conditions. IPVs specific contribution to health inequalities was calculated by % change (Δ) in AORs from adjusted model (socioeconomics and demographics) to a model that also considered IPV.

resultsPalestinian women had significantly poorer health than Jewish women for 7 of 10 conditions: OR (95%CI): PPD = 3.57 (2.41-5.31); depression = 3.46 (2.40-4.99); anxiety = 2.06 (1.63-2.60); unplanned pregnancy = 4.83 (3.18-7.34); miscarriages = 1.89 (1.47-2.71); preterm birth = 1.97 (1.51-2.57); multimorbidity = 1.48 (1.10-1.99). OR for chronic illness was significantly lower among Palestinian women (0.11, 0.05-0.23). Abortions and SRH were non-significant. Adjusting for IPV above socioeconomic and demographic factors, AORs for ethnonational inequalities were attenuated: physical health, 0.09% to 50.4%; mental health, 23.3% to 57.8%; multimorbidity, 29.7% (non-significant). The net contribution of IPV to the excess of ethnonational health inequalities was as follows: depression = 16.76%, anxiety = 20.39%, PPD = 20.19%, SRH = 14.65%, chronic illness = no contribution, abortions = 2.60%, miscarriages = 3.17%, preterm birth = 4.09, planned pregnancy = 24.43%, and multimorbidity = 24.33%.

conclusionsIntimate partner violence (IPV) is a structural phenomenon shaped by intersecting social, economic, and systemic determinants that intensify health disparities between Palestinian and Jewish women during pregnancy and the postpartum period, and beyond what can be explained by socioeconomic or sociodemographic factors alone. Effectively addressing IPV and its underlying structural and social causes is essential for mitigating these persistent health inequalities.

Indexed as

ArabsHealth Status DisparitiesIntimate Partner ViolenceJewsAdolescentAdultFemaleHumansIsraelMiddle AgedPregnancySocioeconomic FactorsYoung Adult

Identifiers

PMID41310631
PMCPMC12661721

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