{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T23:26:35Z","timestamp":1789687595323,"version":"4.0.1"},"reference-count":69,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2019,3,16]],"date-time":"2019-03-16T00:00:00Z","timestamp":1552694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Violence against women with disabilities is pervasive, yet a paucity of research examines intimate partner violence (IPV) experienced by women with disabilities in low- and middle-income countries. The purpose of this study is to document the prevalence and consequences of IPV exposure among Ugandan women with disabilities. Cross sectional data from the 2011 and 2016 Uganda Demographic and Health Surveys (UDHS) were used to study married and\/or partnered women aged 15\u201349 who answered specific questions about lifetime intimate partner violence (N = 8592). Univariate and multivariate logistic regression models were used to investigate the relationship between disability, IPV, and indicators of maternal and child health. Compared to women without disabilities, women with disabilities were more likely to experience lifetime physical violence (odds ratio (OR) 1.4, p &lt; 0.01), sexual violence (OR = 1.7, p &lt; 0.01), and emotional abuse (1.4, p &lt; 0.01) after controlling for sociodemographic and household characteristics. Study findings suggest that women with disabilities in Uganda may experience increased risk for IPV compared to women without disabilities, with concomitant risks to their health and the survival of their infants. Further research examining the prevalence and correlates of IPV in low- and middle-income countries is needed to address the needs and rights of women with disabilities.<\/jats:p>","DOI":"10.3390\/ijerph16060947","type":"journal-article","created":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T12:18:53Z","timestamp":1552911533000},"page":"947","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Intimate Partner Violence among Women with Disabilities in Uganda"],"prefix":"10.3390","volume":"16","author":[{"given":"Anne","family":"Valentine","sequence":"first","affiliation":[{"name":"The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02453, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0680-5101","authenticated-orcid":false,"given":"Ilhom","family":"Akobirshoev","sequence":"additional","affiliation":[{"name":"The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02453, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Mitra","sequence":"additional","affiliation":[{"name":"The Lurie Institute for Disability Policy, The Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02453, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,3,16]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2013). Global and Regional Estimates of Violence Against Women: Prevalence and Health Effects of Intimate Partner Violence and Non-Partner Sexual Violence, World Health Organization."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1126\/science.1240937","article-title":"The global prevalence of intimate partner violence against women","volume":"340","author":"Devries","year":"2013","journal-title":"Science"},{"key":"ref_3","unstructured":"(2018, December 30). CDC Definitions\/Intimate Partner Violence\/Violence Prevention\/Injury Center\/CDC, Available online: https:\/\/www.cdc.gov\/violenceprevention\/intimatepartnerviolence\/definitions.html."},{"key":"ref_4","first-page":"501","article-title":"Understanding women\u2019s attitudes towards wife beating in Zimbabwe","volume":"81","author":"Hindin","year":"2003","journal-title":"Bull. World Health Organ."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"116","DOI":"10.2307\/3583398","article-title":"An empirical investigation of attitudes towards wife-beating among men and women in seven sub-Saharan African countries","volume":"8","author":"Rani","year":"2004","journal-title":"Afr. J. Reprod. Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1177\/0886260509340550","article-title":"Intimate partner violence attitudes and experience among women and men in Uganda","volume":"25","author":"Speizer","year":"2009","journal-title":"J. Interpers. Violence"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.1016\/S0140-6736(02)08357-5","article-title":"Intimate partner violence: Causes and prevention","volume":"359","author":"Jewkes","year":"2002","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"True, J. (2012). Who Suffers Most? The Political Economy of Violence against Women, Oxford University Press.","DOI":"10.1093\/acprof:oso\/9780199755929.001.0001"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"112","DOI":"10.2307\/4065432","article-title":"Responding to violence against women: who\u2019s multicountry study on women\u2019s health and domestic violence","volume":"6","author":"Watts","year":"2003","journal-title":"Health Hum. Rights"},{"key":"ref_10","unstructured":"Uganda Bureau of Statistics (UBOS), and ICF (2018). Uganda Demographic and Health Survey 2016, ICF International Inc."},{"key":"ref_11","unstructured":"Uganda Bureau of Statistics (UBOS), and ICF (2012). Uganda Demographic and Health Survey 2011, ICF International Inc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1093\/aje\/kwt295","article-title":"Tip of the iceberg: Reporting and gender-based violence in developing countries","volume":"179","author":"Palermo","year":"2013","journal-title":"Am. J. Epidemiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1016\/S2214-109X(14)70343-2","article-title":"Intimate partner violence and HIV in ten sub-Saharan African countries: What do the demographic and health surveys tell us?","volume":"3","author":"Durevall","year":"2015","journal-title":"Lancet Glob. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1080\/09540121.2014.936820","article-title":"Disability and HIV: A systematic review and a meta-analysis of the risk of HIV infection among adults with disabilities in Sub-Saharan Africa","volume":"26","author":"Pasquier","year":"2014","journal-title":"AIDS Care"},{"key":"ref_15","unstructured":"World Health Organization, W.H. (2010). Preventing Intimate Partner and Sexual Violence Against Women: Taking Action and Generating Evidence, World Health Organization."},{"key":"ref_16","unstructured":"Heise, L. (2012). Determinants of Partner Violence in Low and Middle-Income Countries: Exlploring Variation in Individual and Population Level Risk. [Ph.D. Thesis, London School of Hygiene & Tropical Medicine]."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1891\/1946-6560.3.2.231","article-title":"A Systematic review of risk factors for intimate partner violence","volume":"3","author":"Capaldi","year":"2012","journal-title":"Partn. Abuse"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/j.annepidem.2008.02.005","article-title":"Chronic disease and health risk behaviors associated with intimate partner violence\u201418 U.S. states\/territories, 2005","volume":"18","author":"Breiding","year":"2008","journal-title":"Ann. Epidemiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1016\/0277-9536(94)90349-2","article-title":"Violence against women: A neglected public health issue in less developed countries","volume":"39","author":"Heise","year":"1994","journal-title":"Soc. Sci. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1177\/1077801206292681","article-title":"Partner violence against women with disabilities","volume":"12","author":"Brownridge","year":"2006","journal-title":"Violence Against Women"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1177\/1077801209340309","article-title":"Interpersonal Violence and Women with Disabilities","volume":"15","author":"Powers","year":"2009","journal-title":"Violence Against Women"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"S34","DOI":"10.1016\/S0003-9993(97)90219-7","article-title":"Prevalence of abuse of women with physical disabilities","volume":"78","author":"Young","year":"1997","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1023\/A:1010716820677","article-title":"National study of women with physical disabilities: final report","volume":"19","author":"Nosek","year":"2001","journal-title":"Sex. Disabil."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/15367100802009715","article-title":"Double jeopardy: A comparison of persons with and without disabilities who were victims of sexual abuse and\/or sexual assault","volume":"7","author":"Grossman","year":"2008","journal-title":"J. Soc. Work Disabil. Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1177\/1524838011426014","article-title":"Women with disabilities\u2019 experience with physical and sexual abuse","volume":"13","author":"Plummer","year":"2011","journal-title":"Trauma Violence Abuse"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1352\/1934-9556-47.4.249","article-title":"Sexual assault prevention for women with intellectual disabilities: a critical review of the evidence","volume":"47","author":"Barger","year":"2009","journal-title":"Intellect. Dev. Disabil."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1177\/1077801206292672","article-title":"Physical and sexual assault of women with disabilities","volume":"12","author":"Martin","year":"2006","journal-title":"Violence Against Women"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Balderston, S. (2013). Victimized again? Intersectionality and injustice in disabled women\u2019s lives after hate crime and rape. Gendered Perspectives on Conflict and Violence: Part A, Emerald Group Publishing Limited.","DOI":"10.1108\/S1529-2126(2013)000018A005"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1111\/j.1744-6163.2006.00059.x","article-title":"Partner Abuse in physically disabled women: A proposed model for understanding intimate partner violence","volume":"42","author":"Copel","year":"2006","journal-title":"Perspect. Psychiatr. Care"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/S0140-6736(11)61851-5","article-title":"Prevalence and risk of violence against adults with disabilities: A systematic review and meta-analysis of observational studies","volume":"379","author":"Shakespeare","year":"2012","journal-title":"Lancet"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1023\/A:1013152530758","article-title":"Vulnerabilities for abuse among women with disabilities","volume":"19","author":"Nosek","year":"2001","journal-title":"Sex. Disabil."},{"key":"ref_32","first-page":"581","article-title":"Violence against women with physical disabilities","volume":"18","author":"Milberger","year":"2003","journal-title":"Violence Vict."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1177\/1077801206292671","article-title":"Disability, psychosocial, and demographic characteristics of abused women with physical disabilities","volume":"12","author":"Nosek","year":"2006","journal-title":"Violence Against Women"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1080\/09637480701539542","article-title":"Examining the impact of physical and sexual abuse on the employment of women with disabilities in the United States: An exploratory analysis","volume":"30","author":"Smith","year":"2008","journal-title":"Disabil. Rehabil."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Lombard, N. (2018). The relationship between disability and domestic abuse. The Routledge Handbook of Gender and Violence, Routlege.","DOI":"10.4324\/9781315612997"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1177\/1077801212461430","article-title":"Self-defense among women with disabilities","volume":"18","author":"Ballan","year":"2012","journal-title":"Violence Against Women"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"3127","DOI":"10.1177\/0886260514534528","article-title":"The prevalence and psychological costs of household violence by family members against women with disabilities in Cambodia","volume":"29","author":"Astbury","year":"2014","journal-title":"J. Interpers. Violence"},{"key":"ref_38","unstructured":"Mohapartra, S., and Mohanty, M. (2005). Abuse and Activity Limitation: A Study on Domestic Violence against Disabled Women in Orissa, India, Oxfam (Inida) Trust."},{"key":"ref_39","unstructured":"Human Rights Watch (2010). \u201cAs If We Weren\u2019t Human\u201d: Discrimination and Violence Against Women with Disabilities in Northern Uganda, Human Rights Watch."},{"key":"ref_40","unstructured":"Washington Group (2016). Washington Group on Disability Statistics, Washington Group on Disability Statistics."},{"key":"ref_41","unstructured":"Washington Group on Disability Statistics (2017). Analytic Guidelines: Creating Disability Identifiers Using the Washington Group Short Set (WG-SS) SPSS Syntax, Washington Group on Disability Statistics."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1177\/019251396017003001","article-title":"The revised conflict tactics scales (CTS2)","volume":"17","author":"Straus","year":"1996","journal-title":"J. Fam. Issues"},{"key":"ref_43","unstructured":"Kishor, S. (2005). Domestic Violence Measurement in the Demographic and Health Surveys: The History and the Challenges, Division for the Advancement of Women."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1177\/0886260512454722","article-title":"Effect of type and severity of intimate partner violence on women\u2019s health and service use","volume":"28","author":"Hegarty","year":"2012","journal-title":"J. Interpers. Violence"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.contraception.2015.08.008","article-title":"A definition of modern contraceptive methods","volume":"92","author":"Hubacher","year":"2015","journal-title":"Contraception"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v045.i04","article-title":"Multiple imputation by chained equations (MICE): Implementation in Stata","volume":"45","author":"Royston","year":"2011","journal-title":"J. Stat. Softw."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1198\/016214505000001375","article-title":"Multiple imputation of missing income data in the National Health Interview Survey","volume":"101","author":"Schenker","year":"2006","journal-title":"J. Am. Stat. Assoc."},{"key":"ref_48","unstructured":"Station, S.C., and StataCorp, L.P. (2015). Stata Statistical Software, Release 14, StataCorp LP."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1080\/09687590500498077","article-title":"Feminist disability theory: Domestic violence against women with a disability","volume":"21","author":"Mays","year":"2006","journal-title":"Disabil. Soc."},{"key":"ref_50","first-page":"1","article-title":"Intimate partner violence against disabled persons: Clinical and health impact, intersections, issues and intervention strategies","volume":"20","author":"Iudici","year":"2018","journal-title":"Sex. Cult."},{"key":"ref_51","first-page":"77","article-title":"Barriers in reporting of sexual violence against women with disabilities in Ashanti region of Ghana","volume":"1","author":"Opoku","year":"2016","journal-title":"J. Disabil. Stud."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1177\/003435520204500204","article-title":"Abuse of women with disabilities: State of the science","volume":"45","author":"Curry","year":"2002","journal-title":"Rehabil. Couns. Bull."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.avb.2016.06.008","article-title":"A literature review of intimate partner violence and its classifications","volume":"31","author":"Ali","year":"2016","journal-title":"Aggress. Viol. Behav."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Wandera, S.O., Kwagala, B., Ndugga, P., and Kabagenyi, A. (2015). Partners\u2019 controlling behaviors and intimate partner sexual violence among married women in Uganda. BMC Publ. Health, 15.","DOI":"10.1186\/s12889-015-1564-1"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1177\/1077801212474874","article-title":"A public health approach to intimate partner violence prevention in Uganda: The SHARE Project","volume":"18","author":"Wagman","year":"2012","journal-title":"Violence Against Women"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.ijgo.2012.07.003","article-title":"Intimate partner violence, abortion, and unintended pregnancy: Results from the WHO Multi-country Study on Women\u2019s Health and Domestic Violence","volume":"120","author":"Pallitto","year":"2013","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1111\/j.1471-0528.2007.01481.x","article-title":"Intimate partner violence and unwanted pregnancy, miscarriage, induced abortion, and stillbirth among a national sample of Bangladeshi women","volume":"114","author":"Silverman","year":"2007","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1111\/1753-6405.12339","article-title":"The impact of violence against women on reproductive health and child mortality in Timor-Leste","volume":"39","author":"Taft","year":"2015","journal-title":"Aust. N. Z. J. Publ. Health"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1097\/MLR.0000000000000427","article-title":"Maternal characteristics, pregnancy complications and adverse birth outcomes among women with disabilities","volume":"53","author":"Mitra","year":"2015","journal-title":"Med. Care"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.amepre.2014.09.032","article-title":"Pregnancy outcomes among women with intellectual and developmental disabilities","volume":"48","author":"Mitra","year":"2015","journal-title":"Am. J. Prev. Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1352\/1944-7558-120.5.433","article-title":"Pregnancy outcomes among US women with intellectual and developmental disabilities","volume":"120","author":"Parish","year":"2015","journal-title":"Am. J. Intellect. Dev. Disabil."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.jogc.2015.10.004","article-title":"Pregnancy in women with intellectual and developmental disabilities","volume":"38","author":"Brown","year":"2016","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.dhjo.2017.02.010","article-title":"Birth outcomes among US women with intellectual and developmental disabilities","volume":"10","author":"Akobirshoev","year":"2017","journal-title":"Disabil. Health J."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/1742-4755-11-59","article-title":"Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda","volume":"11","author":"Ahumuza","year":"2014","journal-title":"Reprod. Health"},{"key":"ref_65","unstructured":"(2018, December 30). United Nations Convention on the Rights of Persons with Disabilities (CRPD)\/United Nations Enable. Available online: https:\/\/www.un.org\/development\/desa\/disabilities\/convention-on-the-rights-of-persons-with-disabilities.html."},{"key":"ref_66","first-page":"1","article-title":"Uganda\u2019s disability journey: Progress and challenges","volume":"3","author":"Mannan","year":"2014","journal-title":"Afr. J. Disabil."},{"key":"ref_67","unstructured":"(2019, February 25). Uganda: Violence Against Women Unabated Despite Laws and Policies\/Africa Renewal Online. Available online: https:\/\/www.un.org\/africarenewal\/news\/uganda-violence-against-women-unabated-despite-laws-and-policies."},{"key":"ref_68","unstructured":"(2018, December 30). United Nations Spotlight on Sustainable Development Goal 5: Achieve Gender Equality and Empower All Women and Girls. Available online: http:\/\/www.unwomen.org\/en\/digital-library\/multimedia\/2017\/7\/infographic-spotlight-on-sdg-5."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1016\/S0140-6736(14)61830-4","article-title":"Addressing violence against women: A call to action","volume":"385","author":"Zimmerman","year":"2015","journal-title":"Lancet"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/6\/947\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:38:20Z","timestamp":1760186300000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/6\/947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,16]]},"references-count":69,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2019,3]]}},"alternative-id":["ijerph16060947"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16060947","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,16]]}}}