To determine the effect of two kinds of intimate partner violence (IPV) (physical and psychological) in the previous 12 months (current) and before the previous 12 months (past) on psychological well-being among women aged 18 to 70 years who attend primary healthcare centers in Spain; and to analyze the effect of the duration of lifetime IPV and social support on psychological well-being.
A cross-sectional survey was carried out among 10,322 women randomly recruited in primary healthcare centers in Spain. Outcome variables were three indicators of psychological well-being (psychological distress, psychotropic drug use, and self-perceived health). Predictor variables were the different types of IPV, IPV timing (current and past), duration of lifetime IPV, and social support. Logistic regression models were fitted.
Both types of IPV increased the probability of worse psychological well-being in both IPV timings (current and past). Longer duration of lifetime IPV, friends network size, and tangible support were independently associated with worse psychological well-being. However, an interaction between current IPV and family network size was found. The probability of poor self-perceived health status was reduced by 29% among women exposed to current IPV who had a large family network (odds ratio, 0.71; 95% confidence interval, 0.54-0.94).
Psychological well-being was independently affected by IPV (types and duration) and social support (friends network size, tangible support). Only family network size mitigates the negative consequences of IPV on self-perceived health status.
IPV = intimate partner violence; ISA = Index of Spouse Abuse.
From the Centre for Public Health Research (V.E.-A.), Valencia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP) (V.E.-A., I.R.-P., M.I.M.-P., D.M.-B.), Barcelona, Spain; Andalusian School of Public Health (I.R.-P., J.P.-C.), Granada, Spain; Department of Medicine (Psychiatry) (M.I.M.-P.), University of Valencia, Valencia, Spain; Department of Preventive Medicine and Public Health (C.V.-C.), University of Alicante, Alicante, Spain.
Address correspondence and reprint requests to Vicenta Escribà-Agüir, Centre for Public Health Research, Avda. Catalunya, 21, 46020 Valencia, Spain. E-mail: firstname.lastname@example.org
Received for publication June 12, 2009; revision received December 14, 2009.
This study was supported, in part, by Grants PI050676 (I.R.-P., M.I.M.-P., C.V.-C.) and PI061565 (V.E.-A.) from “Fondo de Investigaciones Sanitarias” (Ministry of Health) and Grant PD08_010 (V.E.-A.) from CIBERESP.
The authors have no potential conflict of interest.