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      Disclosure and help seeking behavior of women exposed to physical spousal violence in Dhaka slums

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          Abstract

          Background

          Despite high prevalence of intimate partner violence (IPV) and its adverse social and health consequences, the rate of help seeking for IPV is generally low. Although the level of IPV is much higher in urban slums of Bangladesh, the level and nature of help seeking of the victims are unknown. This paper aims to address this gap in the literature.

          Methods

          Using a cross-sectional survey conducted between August 2011-February 2012, we explored disclosure of violence, help seeking behavior, and their correlates among randomly selected currently married women aged 15–29 in Dhaka slums ( n = 2604).

          Results

          About 60 % of the currently married women reported past year spousal physical violence, but only 21 % disclosed and 19 % sought any help. High acceptance of violence was the main reason for not seeking help. Help was most commonly sought from informal sources (89 %). Any education, frequent and severe physical abuse, and presence of children increased the likelihood of disclosure and help seeking. Most survivors from slum who disclosed also sought help.

          Conclusions

          Despite widespread physical abuse, many survivors never sought help. Wide acceptance of violence hampering help seeking needs to be challenged. Increasing disclosure would also enhance help seeking. Awareness rising regarding rights of women to live a violence free life is essential. Although many services are available in the urban area, information about these services needs to be available to women. Promoting education is important in increasing both disclosure and service uptake.

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          Most cited references47

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          A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010

          The Lancet, 380(9859), 2224-2260
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            Health consequences of intimate partner violence.

            Intimate partner violence, which describes physical or sexual assault, or both, of a spouse or sexual intimate, is a common health-care issue. In this article, I have reviewed research on the mental and physical health sequelae of such violence. Increased health problems such as injury, chronic pain, gastrointestinal, and gynaecological signs including sexually-transmitted diseases, depression, and post-traumatic stress disorder are well documented by controlled research in abused women in various settings. Intimate partner violence has been noted in 3-13% of pregnancies in many studies from around the world, and is associated with detrimental outcomes to mothers and infants. I recommend increased assessment and interventions for intimate partner violence in health-care settings.
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              Global health. The global prevalence of intimate partner violence against women.

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                Author and article information

                Contributors
                +8801819122150 , kparvin@icddrb.org
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                10 May 2016
                10 May 2016
                2016
                : 16
                : 383
                Affiliations
                [ ]Universal Health Coverage, Health Systems and Population Studies Division, icddr,b, 68 Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka, Bangladesh
                [ ]Statistics Department, Head office, Bangladesh Bank, Dhaka, Bangladesh
                Article
                3060
                10.1186/s12889-016-3060-7
                4862137
                27165579
                2412d489-2bf7-4170-8837-9df8609da76f
                © Parvin et al. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 5 November 2015
                : 27 April 2016
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Public health
                physical spousal violence,disclosure,help seeking behavior,slum
                Public health
                physical spousal violence, disclosure, help seeking behavior, slum

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