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Lifetime Prevalence of Gender-Based Violence in Women and the Relationship With Mental Disorders and Psychosocial Function
Abstract
Context Intimate partner physical violence, rape, sexual assault, and stalking are pervasive and co-occurring forms of gender-based violence (GBV). An association between these forms of abuse and lifetime mental disorder and psychosocial disability among women needs to be examined. Objectives To assess the association of GBV and mental disorder, its severity and comorbidity, and psychosocial functioning among women. Design, setting, and participants A cross-sectional study based on the Australian National Mental Health and Well-being Survey in 2007, of 4451 women (65% response rate) aged 16 to 85 years. Main outcome measures The Composite International Diagnostic Interview version 3.0 of the World Health Organization's World Mental Health Survey Initiative was used to assess lifetime prevalence of any mental disorder, anxiety, mood disorder, substance use disorder, and posttraumatic stress disorder (PTSD). Also included were indices of lifetime trauma exposure, including GBV, sociodemographic characteristics, economic status, family history of mental disorder, social supports, general mental and physical functioning, quality of life, and overall disability. Results A total of 1218 women (27.4%) reported experiencing at least 1 type of GBV. For women exposed to 3 or 4 types of GBV (n = 139), the rates of mental disorders were 77.3% (odds ratio [OR], 10.06; 95% confidence interval [CI], 5.85-17.30) for anxiety disorders, 52.5% (OR, 3.59; 95% CI, 2.31-5.60) for mood disorder, 47…
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“Thus, comorbid disorders may favor the chronicity of anxiety and mediate throughout its prognosis. 53”
From Factors associated with gender and sex differences in anxiety prevalence and comorbidity: A systematic review (2022) · cites this paper as [53]
In the citing paper
“GBV survivors also experience higher rates of mental disorders such as depression [2], post-traumatic stress (PTS) [3], and anxiety disorders [4]”
In the citing paper
“Where mental ill health intersects with its known drivers (such as poverty and poor living standards, gender-based violence, discrimination based on sexuality, gender identity, and ethnicity), and where there is trauma from colonisation, displacement, and violations of human rights, 491-496 opportunities for power are even more diminished.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [491]
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“Thus, comorbid disorders may favor the chronicity of anxiety and mediate throughout its prognosis.(53) In summary, it can be concluded that psychosocial factors related to gender are not only responsible, at least partially, for the difference in the prevalence of anxiety in men and women but also influence its comorb…”
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Metadata
- Authors
- Rees, S., Silove, D., Chey, T., Ivancic, L., Steel, Z., Creamer, M., Teesson, M., Bryant, R., McFarlane, A. C., Mills, K. L., Slade, T., Carragher, N., O'Donnell, M., & Forbes, D.
- Affiliations
- Sydney South West Area Health Service (AU)
- Corresponding author
- Rees, Susan
- ORCID
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2011-08-03
- Volume
- 306
- Issue
- 5
- Pages
- 513-21
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2092935444
- Cited by
- 440
- References
- 28
- Citations by year
- 2026: 22 · 2025: 20 · 2024: 27 · 2023: 30 · 2022: 36 · 2021: 42 · 2020: 30 · 2019: 23 · 2018: 29 · 2017: 20 · 2016: 37 · 2015: 32 · 2014: 20 · 2013: 43 · 2012: 23
- FWCI
- 29.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- gender-based violence, intimate partner violence, sexual assault, stalking, lifetime prevalence, mental illness, post-traumatic stress disorder, anxiety disorders, mood disorders, substance use disorders, suicide attempts, psychosocial functioning, quality of life, disability, trauma exposure, women's mental health, comorbidities, social support, family history of mental illness, economic status, Australia
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Australia, Mental Disorders, Cross-Sectional Studies, Female, Persons with Disabilities, Health Status, Humans, Mental Health, Middle Aged, Quality of Life, Sex Factors, Prevalence, Domestic Violence, Young Adult
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