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Article: Intimate partner sexual aggression against Chinese women: a mixed methods study

TitleIntimate partner sexual aggression against Chinese women: a mixed methods study
Authors
Issue Date2014
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcwomenshealth/
Citation
BMC Women's Health, 2014, v. 14, article no. 70 How to Cite?
AbstractAbstract Background: Although intimate partner sexual aggression has been shown to be associated with adverse mental health outcomes, there is scant information about sexual aggression in Chinese intimate relationships in general and about its mental health impact in particular. This article aimed to investigate sexual aggression in Chinese intimate relationships, including the use of force or threat of force and non-physical coercive tactics in unwanted sex. Methods: The quantitative and qualitative data used in this paper were drawn from a prospective cohort study conducted in Hong Kong between September 2010 and September 2012. A total of 745 Chinese women aged 18 or older who had been in an intimate relationship in the preceding 12 months were recruited from sites in all districts of Hong Kong. Multiple logistic regression analysis, ordinary linear regression, and t-tests were used in quantitative analysis. Directed content analysis was used to analyze the transcripts of 59 women who revealed experiences of intimate partner sexual aggression in individual in-depth interviews. Results: Of the 745 Chinese women in the study, 348 (46.7%) had experienced intimate partner physical violence in the past year, and 179 (24%) had experienced intimate partner physical violence and sexual aggression in the past year. Intimate partner sexual aggression significantly predicted PTSD and depressive symptoms after controlling for intimate partner physical violence. Among the 179 women reporting intimate partner physical violence and sexual coercion in the past year, 75 indicated that their partners used force or threat of force to make them have sex, and 104 of them reported that they gave in to sex because of non-physical coercive tactics used by their partners. Qualitative data revealed a variety of non-physical coercive tactics with different degrees of subtlety used to coerce women into unwanted sex with their partners. Chinese women experiencing physically forced sex had significantly more depressive symptoms and PTSD symptoms. Conclusions: Our findings indicate that sexual aggression in Chinese intimate relationships has specific mental health consequences over and above those associated with physical violence. Assessment of partner violence in Chinese relationships should include screening for sexual aggression in order to provide appropriate interventions. Trial registration: ClinicalTrials gov NCT01206192 Keywords: Intimate partner, Sexual aggression, Mental health, Women, Chinese
Persistent Identifierhttp://hdl.handle.net/10722/199224
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorTiwari, AFYen_US
dc.contributor.authorCheung, STen_US
dc.contributor.authorChan, EKLen_US
dc.contributor.authorFong, DYTen_US
dc.contributor.authorYan, ECWen_US
dc.contributor.authorLam, GLLen_US
dc.contributor.authorTang, DHMen_US
dc.date.accessioned2014-07-22T01:09:05Z-
dc.date.available2014-07-22T01:09:05Z-
dc.date.issued2014en_US
dc.identifier.citationBMC Women's Health, 2014, v. 14, article no. 70en_US
dc.identifier.urihttp://hdl.handle.net/10722/199224-
dc.description.abstractAbstract Background: Although intimate partner sexual aggression has been shown to be associated with adverse mental health outcomes, there is scant information about sexual aggression in Chinese intimate relationships in general and about its mental health impact in particular. This article aimed to investigate sexual aggression in Chinese intimate relationships, including the use of force or threat of force and non-physical coercive tactics in unwanted sex. Methods: The quantitative and qualitative data used in this paper were drawn from a prospective cohort study conducted in Hong Kong between September 2010 and September 2012. A total of 745 Chinese women aged 18 or older who had been in an intimate relationship in the preceding 12 months were recruited from sites in all districts of Hong Kong. Multiple logistic regression analysis, ordinary linear regression, and t-tests were used in quantitative analysis. Directed content analysis was used to analyze the transcripts of 59 women who revealed experiences of intimate partner sexual aggression in individual in-depth interviews. Results: Of the 745 Chinese women in the study, 348 (46.7%) had experienced intimate partner physical violence in the past year, and 179 (24%) had experienced intimate partner physical violence and sexual aggression in the past year. Intimate partner sexual aggression significantly predicted PTSD and depressive symptoms after controlling for intimate partner physical violence. Among the 179 women reporting intimate partner physical violence and sexual coercion in the past year, 75 indicated that their partners used force or threat of force to make them have sex, and 104 of them reported that they gave in to sex because of non-physical coercive tactics used by their partners. Qualitative data revealed a variety of non-physical coercive tactics with different degrees of subtlety used to coerce women into unwanted sex with their partners. Chinese women experiencing physically forced sex had significantly more depressive symptoms and PTSD symptoms. Conclusions: Our findings indicate that sexual aggression in Chinese intimate relationships has specific mental health consequences over and above those associated with physical violence. Assessment of partner violence in Chinese relationships should include screening for sexual aggression in order to provide appropriate interventions. Trial registration: ClinicalTrials gov NCT01206192 Keywords: Intimate partner, Sexual aggression, Mental health, Women, Chineseen_US
dc.languageengen_US
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcwomenshealth/-
dc.relation.ispartofBMC Women's Healthen_US
dc.rightsBMC Women's Health. Copyright © BioMed Central Ltd-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleIntimate partner sexual aggression against Chinese women: a mixed methods studyen_US
dc.typeArticleen_US
dc.identifier.emailTiwari, AFY: tiwari@hku.hken_US
dc.identifier.emailCheung, ST: denisest@hku.hken_US
dc.identifier.emailChan, EKL: eklchan@hku.hken_US
dc.identifier.emailFong, DYT: dytfong@hku.hken_US
dc.identifier.emailYan, ECW: elsieyan@hku.hken_US
dc.identifier.authorityTiwari, AFY=rp00441en_US
dc.identifier.authorityChan, EKL=rp00572en_US
dc.identifier.authorityFong, DYT=rp00253en_US
dc.identifier.authorityYan, ECW=rp00600en_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/1472-6874-14-70-
dc.identifier.pmid24886374-
dc.identifier.pmcidPMC4039065-
dc.identifier.hkuros231689en_US
dc.identifier.volume14en_US

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