Skip Navigation LinksHome > January 2012 - Volume 19 - Issue 1 > Construction and validation of an instrument that breaks the...
Menopause:
doi: 10.1097/gme.0b013e3182214e12
Original Articles

Construction and validation of an instrument that breaks the silence: the impact of domestic and/or sexual violence on women’s health, as shown during climacterium

Teixeira de Araújo Moraes, Sandra D. MD, PhD; da Fonseca, Ângela Maggio MD, PhD; Soares, José M. Jr MD, PhD; Bagnoli, Vicente R. MD, PhD; Souza, Marilena A. MD; Ariê, Wilson Maça Yuki MD, PhD; Baracat, Edmund Chada MD, PhD

Supplemental Author Material
Editorial
Collapse Box

Abstract

Objective: The aim of this study was to construct and to validate a measure of the consequences of domestic violence on women’s health during climacterium.

Methods: A questionnaire was administered at the Outpatient Climacterium Clinic to 124 women aged 40 to 65 years who were the victims of domestic and/or sexual violence (experimental group). They were divided into three groups: (1) those who were victims of violence exclusively during childhood/adolescence, (2) those who were victims of violence exclusively during adulthood, and (3) those who were victims of violence throughout their lives. The instrument included 34 items evaluating the beginning, frequency, and type of violence; the search for health assistance and reporting of the violence; the violence and the number of comorbidities; and violence and the Kupperman Menopausal Index. We also included a control group composed of perimenopausal and postmenopausal women who did not experience any violence (n = 120).

Results: The instrument presented a Cronbach α = 0.82, good reliability among the examiners (+0.80), and a good possibility of reproducibility. The mean age of menopause was 45.4 years, and the mean age in the control group was 48.1 years. Group 1 showed a mean of 5.1 comorbidities, Group 2 had 4.6, and Group 3 had 4.4. Sexual violence (43.5%) and other types of violence both presented average comorbidities (4.60) but represented a significant impairment in the victim’s sexual life. There were significant associations in group 3 and a high Kupperman Menopausal Index score. In the experimental group, 80.6% did not seek health services for the violence they experienced.

Conclusions: The questionnaire presented good internal consistency and a validated construction. It can be easily reproduced and is indicated to evaluate the consequences of domestic and/or sexual violence on women’s health during climacterium.

©2012The North American Menopause Society

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.