What We Think When We Think About (Interpersonal) Violence: Understanding Knowledge Production.

Amid growing consensus that violence against women is structurally produced, neoliberalism produces an individualist understanding of violence that blames women while simultaneously framing it as personal failings of men, obscuring the link between the structural and the personal. Using examples from federal grant funding opportunities in the United States, activism in Bangladesh, and data from qualitative research, I analyze how such individual readings of violence get produced-reproduced. I call for radical responsibility to produce equitable and just research that serves the communities that we study, not just the interests of grant funders and the neoliberal university.

"Innovations" During COVID-19: Microfinance in Bangladesh.

In this study of microfinance institutions (MFIs) and their participants, we show how certain innovations made by MFIs during the COVID-19 pandemic enable further consolidation of NGOs in Bangladeshi society. The study is based on interviews conducted in 2020 with key personnel from three major NGOs in Bangladesh: Grameen, Sajida Foundation, and Brac (which is also the largest NGO in the world), as well as 20 interviews conducted in 2018 (before the pandemic) with microcredit recipients who use financial services. We observed that MFIs scaled up by taking on the function of relief provision, financial services became more entrenched, and NGO governance was bolstered as MFIs served as intermediaries between the state and people, even though, as the 2018 interviews reveal, microfinance participants were reticent about technology uptake.

Empowerment and Intimate Partner Violence in Pakistan: Results From a Nationally Representative Survey.

Using empowerment theory, the current study examines antecedents of lifetime experience of intimate partner violence, intimate partner violence experienced in the last 12 months, emotional violence, and husbands' controlling behaviors toward their wives in Pakistan. Using data from a subsample of 658 women from the nationally representative Pakistan Demographic and Health Survey 2012-2013, this study examined whether empowerment variables, such as household decision-making power, economic decision-making power, and adherence to patriarchy, operationalized as justification of wife beating, contribute to intimate partner violence using logistic regression analyses. Results indicate that adherence to patriarchal norms, household decision-making power, and higher education was found to be associated with lifetime prevalence of intimate partner violence. Adherence to patriarchal norms, economic decision-making power, and higher education was found significantly associated with intimate partner violence in the past 12 months. Adherence to patriarchal norms was significantly associated with experiencing emotional violence as well as controlling behaviors by husbands. In conclusion, women's adherence to patriarchal norms is a reflection of the patriarchal society in which they live; indeed, this was found to be the most important predictor of women's experience of intimate partner violence, when different types of violence were assessed. Implications for social work practice are discussed.

Reproductive Health Outcomes in African Refugee Women: A Comparative Study.

Background: African refugee women in the United States are at risk of poor reproductive health outcomes; however, examination of reproductive health outcomes in this population remains inadequate. We compared: (1) prepregnancy health and prenatal behavior; (2) prenatal history and prenatal care utilization; and (3) labor and birth outcomes between African refugee women and U.S.-born Black and White women. Methods: A secondary data analysis of enhanced electronic birth certificate data was used. Univariate comparisons using chi-squared tests for dichotomous variables and analysis of variance and/or Kruskal-Wallis tests for continuous variables were conducted for Refugee versus Black versus White women. A p-value <0.05 was considered statistically significant. Results: From 2007 to 2016, 789 African refugee, 17,487 Black, and 59,615 White women in our population gave birth. African refugees experienced more favorable health outcomes than U.S.-born groups on variables examined. Compared to U.S.-born women, African refugee women had fewer prepregnancy health risks (p < 0.001), fewer preterm births (p < 0.001), fewer low birth weight infants (p < 0.001), and higher rates of vaginal deliveries (p < 0.001). These favorable outcomes occurred despite later initiation of prenatal care (p < 0.001) and lower scores of prenatal care adequacy among refugee women compared to U.S.-born groups (p < 0.001). Conclusions: The healthy immigrant effect appears to extend to reproductive health outcomes in our studied population of African refugee women. However, based on our data, targeted, culturally-congruent education surrounding family planning and prenatal care is recommended. Insight from reproductive health care experiences of African refugee women can provide understanding of the protective factors contributing to the healthy immigrant effect in reproductive health outcomes, and knowledge gained can be utilized to improve outcomes in other at-risk groups.

Microfinance Participation, Control Over Resources, and Justification of IPV: Results From a Nationally Representative Sample of Women.

A high percentage of men and women are purported to justify intimate partner violence (IPV) in countries that are steeped in patriarchy even in the presence of programs such as microfinance that aim to address gender equity. This article examines two assertions that emerge from the literature on microfinance and its potential for positive outcomes for women who participate in it: (a) Microfinance participation is associated with reduced justification of IPV, and (b) microfinance participants with control over their own resources are less likely to justify IPV when compared with microfinance participants who do not have control over their resources. Couples data from a nationally representative survey, the Bangladesh Demographic and Health Survey, were used in the present study. Propensity score matching and logistic regression analyses were conducted to reveal that (a) microfinance participation was not associated with justification of IPV and that (b) women who participated in microfinance were less likely to justify IPV when they had no control over their resources. Implications for practitioners and policymakers are discussed.

Associations of intimate partner violence with screening for mental health disorders among women in urban Bangladesh.

OBJECTIVES: We examined the association between intimate partner violence (IPV) and screening for depression in Bangladesh, a country with high prevalence of IPV and lack of data, awareness and provider infrastructure for mental illness. METHODS: We used data from a representative sample of 11,202 women from the 2006 Bangladesh Urban Health Survey. Elements of social learning theory were used to examine the association. Additionally, we examined the interaction effect of experiencing IPV and justification of IPV on screening for mental health disorders. RESULTS: Results indicate that women who experienced IPV were significantly more likely to be screened for mental health disorders (AOR = 2.09; 95% CI = 1.86-2.34). However, the direction of this association is reversed for women who justify various forms of IPV to varying degrees. CONCLUSIONS: These findings reflect the importance of how women's perception of violence may influence their mental health. Our results indicate a counter-intuitive association, given that we found that women's justification of IPV is adaptive for them in terms of preventing symptoms of mental health problems and have potential to inform future public health policy and research.

A Trauma-Informed Analysis of the Violence Against Women Act's Provisions for Undocumented Immigrant Women.

Immigrant women in the United States are among the groups disproportionately affected by intimate partner violence (IPV). Undocumented immigrants generally have fewer resources for coping with violence and may experience a range of personal, cultural, and immigration status-related barriers to reporting violence and accessing help. Thus, undocumented immigrant victims of IPV could benefit significantly from policies that promote access to trauma-informed services and legal options. This article applies a trauma-informed policy analysis framework to the Violence Against Women Act's immigration protections to demonstrate how the Act's U-Visa provisions and implementation practices could be improved by incorporating trauma-informed principles of trustworthiness and transparency, empowerment, choice, safety, collaboration, and intersectionality.

Intergenerational Transmission of Marital Violence: Results From a Nationally Representative Sample of Men.

The present study assesses the association between childhood exposure to parental violence and perpetration of marital violence as adults among a representative sample of 3,396 men in Bangladesh. We used secondary analysis of survey data from the nationally representative Bangladesh Demographic and Health Survey 2007 to examine factors associated with perpetration of martial violence among 3,396 ever-married men between the ages of 16 and 50 years. Outcome measure, marital violence perpetration, was measured using a modified Conflict Tactics Scale, and predictor variables included childhood exposure to parental violence, justification of marital violence, marital duration, religion, and demographic variables. Results indicate that marital violence perpetration is significantly associated with childhood exposure to marital violence, suggesting a cycle of violence that is maintained across generations. Implications for policy and practice are discussed.

Men's Report of Domestic Violence Perpetration in Bangladesh: Correlates From a Nationally Representative Survey.

This study provides an examination of the antecedents of domestic violence perpetration among a nationally representative sample of men in Bangladesh using an ecological model. Secondary analysis of survey data from nationally representative Bangladesh Demographic and Health Survey is used to examine potential antecedents of perpetration of domestic violence in a sample of 3,371 ever-married men between the ages of 15 and 54 years. Outcome measure is perpetration of domestic violence as measured by a modified Conflict Tactics Scale (CTS), and predictor variables include maternal domestic violence, egalitarianism, marital age, number of household members, wealth index, marital duration, and demographic variables. Men who reported maternal domestic violence had 0.13 greater probability of perpetrating domestic violence compared with men who did not report maternal domestic violence, men who were egalitarian had 0.04 greater probability of perpetrating domestic violence compared with men who were not egalitarian, men in larger households were less likely to report domestic violence. At the same time, the probability of domestic violence perpetration was 0.07 smaller for men who were married at age 36 years and older, as compared with men who were married between the ages of 16 and 20 years, as well as men who were married for more than 5 years when compared with men married for 0 to 4 years. Finally, the probability of domestic violence perpetration was 0.17 smaller for men who were married between the ages of 21 and 25 years and 0.10 smaller for men married between the ages of 26 and 35 years, compared with men who married below the legal marital age of 21. This study provides support for the use of an ecological model to explain domestic violence perpetration in the context of Bangladesh to suggest a multipronged holistic effort to address this insidious social problem and prevent its intergenerational transmission.

Microfinance participation and contraceptive use: does control over resources matter?

Background: The purpose of the present study was to assess the association between microfinance and contraceptive use. A secondary purpose of the study was to assess the role of control over resources between microfinance participation and contraceptive use. Method: Using secondary data from Bangladesh Demographic and Health Survey 2011 the present study conducted logistic regression analysis to estimate the interaction effect of microfinance participation and control over resources on reported contraceptive use. Results: Findings indicate that microfinance participants are 1.69 times more likely to use contraceptive (P < 0.001), and women with control over resources are 4.28 times more likely to use contraceptive (P < 0.001). However, the interaction effect of microfinance participation and control over resources suggest that microfinance participants with control over resources are less likely to use contraceptive, but that finding is not significant. Conclusion: While control over resources matter the most in terms of women's use of contraceptive, this does not hold true for microfinance participants with control over resources.

Microfinance Participation and Marital Violence in Bangladesh: A Qualitative Inquiry.

This study explores the experiences of marital violence within the context of microfinance participation among a sample of women living in poverty in Bangladesh. Status inconsistency theory suggests that the higher incomes and female independence that may occur with microfinance participation may threaten or destabilize marital norms in Bangladesh, and have implications in terms of increased violence. We use qualitative data from in-depth interviews with 30 women residing in a slum in Dhaka, Bangladesh, to assess the circumstances in which there may be an association between microfinance participation and marital violence and elucidate the context in which this interaction occurs.

Microfinance Participation and Domestic Violence in Bangladesh: Results From a Nationally Representative Survey.

This article examines domestic violence among women who participate in microfinance in Bangladesh. Secondary analysis of survey data from nationally representative Bangladesh Demographic and Health Survey was used to investigate the association between microfinance participation and domestic violence of 4,163 ever-married women between the ages of 18 and 49 years. Outcome measure is experience of domestic violence as measured by a modified Conflict Tactics Scale (CTS) and predictor variables include microfinance, binary indicator of relatively better economic status, autonomy, decision-making power, and demographic variables. The likelihood of experiencing domestic violence was not found to vary with microfinance participation. However, the interaction effect of microfinance and better economic status was found to be significantly associated with domestic violence (9% increased probability). Experience of domestic violence was negatively associated with older age, higher education of the husband, and autonomy. In Bangladesh, microfinance participation may be associated with a higher probability of experiencing domestic violence for women with relatively better economic status, but not for the poorest of the poor.

Trauma-Informed Social Policy: A Conceptual Framework for Policy Analysis and Advocacy.

Trauma-informed care is a service provision model used across a range of practice settings. Drawing on an extensive body of research on trauma (broadly defined as experiences that produce enduring emotional pain and distress) and health outcomes, we have argued that the principles of trauma-informed care can be extended to social policy. Citing a variety of health-related policy examples, we have described how policy can better reflect 6 core principles of trauma-informed care: safety, trustworthiness and transparency, collaboration, empowerment, choice, and intersectionality. This framework conveys a politicized understanding of trauma, reflecting the reality that trauma and its effects are not equally distributed, and offers a pathway for public health professionals to disrupt trauma-driven health disparities through policy action.