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Articles 1 - 30 of 151
Full-Text Articles in Medicine and Health Sciences
Support Systems: The Effect They Have On Domestic Violence Victims, Kimberly Diann Burton
Support Systems: The Effect They Have On Domestic Violence Victims, Kimberly Diann Burton
Doctoral Dissertations and Projects
In the last five years, domestic violence has escalated in the number of episodes reported and in the severity of violence. Researchers attribute this increased frequency and severity to the COVID-19 pandemic. During the lockdown time of the pandemic, victims and their abusers could not escape from arguments, which resulted in tensions rising. This study brings attention to the fact that domestic violence is still a pervasive problem. It gives information to help the abused stay out of violent relationships and/or escape. There was conflicting research on whether support systems help victims of these violent relationships escape or stay in …
A Program Evaluation Of Domestic Violence Screening At A Large Urban Hospital., Taylor L'Heureux
A Program Evaluation Of Domestic Violence Screening At A Large Urban Hospital., Taylor L'Heureux
Doctor of Nursing Practice Papers
Domestic violence has been deemed a direct invasion and violation of human rights by the World Health Organization (2021). Due to the continuous rise in cases of domestic violence, national organizations like the United States Preventative Services Task Force (USPSTF) have recommended that healthcare providers screen patients for this abuse. The purpose of this study was to reinforce the current screening procedure and protocol to ensure that each patient was screened for domestic violence before being discharged from the hospital. This study evaluated a quality improvement project formed to promote the completion of a preexisting domestic violence screening form that …
Housing Is Safety: An Evaluation Of A Transitional Housing (Th), Rapid-Rehousing (Rrh), And Joint Th/Rrh Program For Survivors Of Interpersonal Violence, Bridget L. Claborn
Housing Is Safety: An Evaluation Of A Transitional Housing (Th), Rapid-Rehousing (Rrh), And Joint Th/Rrh Program For Survivors Of Interpersonal Violence, Bridget L. Claborn
Capstone Experience
In this capstone project, I created a program evaluation plan and conducted preliminary analysis for the Mar Parrish Centers (MPC) transitional housing (TH), rapid-rehousing (RRH), and joint TH/RRH programs for survivors of interpersonal violence and their families. The intent of the project is: (1) to better understand the impact of MPC housing programs; (2) to inform strategies for continuous improvement in client outcomes, access, and satisfaction; (3) to further evaluation capacity for the organization; and (4) to generate practice-based evidence to inform the field at large. As a practitioner in the field of interpersonal violence and former MPC staff member, …
Intimate Partner Violence Screening In The Emergency Department, Rebecca Stuerman
Intimate Partner Violence Screening In The Emergency Department, Rebecca Stuerman
Dissertations
Problem: Intimate partner violence [IPV] is a public health concern that affects one in three women worldwide. IPV can be addressed through identification and early intervention with minimal risk to the patient. The emergency department is an important setting for screening given the frequency with which people who experience abuse may present with IPV-related injuries and other related concerns (depression, suicidality, etc.). Successfully implementing a validated tool for screening and providing early access to resources and referrals may help to mitigate the longterm negative impacts of IPV. The need for increased staff education was a major barrier to screening for …
An Exploration Of Intimate Partner Violence In Lgbt Relationships, Amaris Sanvictores, Karen Park
An Exploration Of Intimate Partner Violence In Lgbt Relationships, Amaris Sanvictores, Karen Park
Spring 2023 Virtual OTD Capstone Symposium
Background: Lesbian, gay, bisexual, and transgender (LGBT) individuals experience disproportionate rates of intimate partner violence (IPV) compared to their heterosexual and cisgender counterparts. Findings report rates of IPV among LGBT individuals ranging from 31.1%-61.1%, which is higher compared to 29%-35% with their cisgender peers. There is limited research regarding the impact of IPV in LGBT relationships through an occupational therapy lens. Purpose: This research project intends to identify occupational limitations by addressing the required needs and resources of individuals from LGBT IPV to improve their quality of life. The research acquired can be used to identify problem areas to provide …
Prevalence, Trends, And Predictors Of Domestic Violence Among Nigerian Women; An Analysis Using 2008, 2013 And 2018 Waves Of The Nigeria Demographic Health Survey (Ndhs), Nkemdilim Chukwueme
Prevalence, Trends, And Predictors Of Domestic Violence Among Nigerian Women; An Analysis Using 2008, 2013 And 2018 Waves Of The Nigeria Demographic Health Survey (Ndhs), Nkemdilim Chukwueme
NYMC Student Theses and Dissertations
Domestic violence (abbreviated DV for this study) among women in African settings is often considered a ‘family matter’ and requires limited external interference. This study aims to identify the national and regional prevalence, trend in prevalence rates, influencing factors in predicting domestic violence among Nigerian women, victims’ response in seeking help, and potential victim-centered digital solutions to addressing domestic violence. In Nigeria, little has been done to assess; a nationally representative prevalence of DV among Nigerian women in the last decade to see if there are changing trends in prevalence; extensively investigate the influence of socio-demographic factors in predicting DV …
Why Doesn't She Just Leave? Improving Identification And Response To Victims Of Intimate Partner Violence In The Emergency Room, Elizabeth Berry
Why Doesn't She Just Leave? Improving Identification And Response To Victims Of Intimate Partner Violence In The Emergency Room, Elizabeth Berry
Doctor of Nursing Practice Projects
The purpose of this project was to improve identification and response to victims of intimate partner violence (IPV) presenting to the emergency department. Project participants completed a pre-education questionnaire prior to the project leader providing intimate partner violence educational materials and a presentation entitled Recognizing and Responding to Victims of Intimate Partner Violence in the Emergency Room. The project participants then completed a mirrored post-education questionnaire. Evaluation of the project included a comparison of the participant's responses to the mirrored questionnaires. Project participants reported an increase in the:
• recognition of the prevalence of intimate partner violence among their patients, …
Implementing A Patient Resource Guide On Intimate Partner Violence (Ipv) At A Connecticut Primary Care Practice, Mahima R. Poreddy
Implementing A Patient Resource Guide On Intimate Partner Violence (Ipv) At A Connecticut Primary Care Practice, Mahima R. Poreddy
Family Medicine Clerkship Student Projects
Intimate partner violence is an ongoing public health crisis in the United States. According to the Connecticut Coalition Against Domestic Violence, nearly 39,000 victims were served in 2021, which was a 5% increase from the year prior. As intimate partner violence continues to affect numerous lives in Connecticut and across the nation, the risks of seeking assistance in these situations prevent those experiencing domestic violence from accessing support services. The cost of intimate partner violence can range from an increase in health care utilization to restricted access to safe housing. The Ridgefield Primary Care practice does not currently have educational …
How Cultural Believes Support And Perpetuate Relational Violence: A Delphi Study For Violence Prevention, Alisha D. Guthery
How Cultural Believes Support And Perpetuate Relational Violence: A Delphi Study For Violence Prevention, Alisha D. Guthery
Antioch University Full-Text Dissertations & Theses
This study solicited experts in relational violence across the United States using the Delphi methodology and grounded theory. This research was conducted in two phases and designed to answer two primary questions: (1) What cultural beliefs are involved in relational violence in the United States? And (2) How are the beliefs about relational violence maintained? The findings showed agreement from the experts on the societal beliefs that hold relational violence, the specific beliefs held by the abuser, and the impacts of these beliefs on the survivor. The experts offered ideas for intervention and prevention, which are important contributions to professional …
Behind Closed Doors: A Look Into Access To Supportive Resources And Women Experiencing Intimate Partner Violence (Ipv), Ashley Lauren Holloway
Behind Closed Doors: A Look Into Access To Supportive Resources And Women Experiencing Intimate Partner Violence (Ipv), Ashley Lauren Holloway
Master's Projects and Capstones
Introduction Intimate Partner Violence (IPV) is a preventable health disparity that remains an underrepresented health issue due to survivors' comfortability in reporting violence within their most intimate relationships; in addition to providers' comfortability in addressing intimate partner violence. The high prevalence of IPV-related incidents highlights the importance of early intervention to prevent victims from experiencing violence again and dying.
Methods A systematic review was conducted to look into intimate partner violence against women. Key words such as intimate partner violence or domestic violence, women, utilization of care services or services, socioecological model were searched through pubmed and other scholarly search …
Determinants Of Domestic Violence Among Women Of Reproductive Age (15-49 Years) In Quetta, Balochistan-A Mixed-Method Protocol, Salman Muhammad Soomar, Sarmad Muhammad Soomar
Determinants Of Domestic Violence Among Women Of Reproductive Age (15-49 Years) In Quetta, Balochistan-A Mixed-Method Protocol, Salman Muhammad Soomar, Sarmad Muhammad Soomar
Department of Emergency Medicine
Background: Worldwide, domestic violence (DV) is a cause of death and disability among women aged 15-49 years. In Pakistan, DV appears in different forms, and only 3.2% of women report any DV. There are various factors associated with DV against women. The data are sparse for the Balochistan province due to the under-reporting and scattered population. This research study aims to determine the factors associated with DV and the types of violence among women of reproductive age. Also, to understand the perspective of community leaders and healthcare workers (HCWs) for developing interventions for DV prevention against women of reproductive age …
Factors Associated With The Lack Of Use Of Contraceptive Methods In Female Adolescent In Peru Endes 2018-2020, Yolanda B. Dulanto-Ramos, Consuelo Luna-Muñoz, Luis Roldan-Arbieto
Factors Associated With The Lack Of Use Of Contraceptive Methods In Female Adolescent In Peru Endes 2018-2020, Yolanda B. Dulanto-Ramos, Consuelo Luna-Muñoz, Luis Roldan-Arbieto
Revista de la Facultad de Medicina Humana
Introduction: In Peru, adolescents tend to use contraceptive methods (CM) less frequently, constituting a subgroup at risk of unwanted pregnancies and sexually transmitted diseases. Methods: Quantitative, observational, analytical-cross-sectional study corresponding to a secondary analysis of data from women aged 15 to 19 from the ENDES 2018-2020. To quantify the association, Poisson regression was used for robust variances, calculating the Prevalence Ratio (PR) in its crude (PRc) and adjusted (PRa) forms, with a 95% con��dence interval. Results: 28.4% did not use MC, there was a signi��cant association for the variables without a partner (Rpa: 2.49 CI: 1.99-3.11) and zero children (Rpa: …
Domestic Violence And Abuse In The Healthcare Setting, Madison Garrett, Michaela Franklin, Tiffany Gragg, Nicholas Stuckwish
Domestic Violence And Abuse In The Healthcare Setting, Madison Garrett, Michaela Franklin, Tiffany Gragg, Nicholas Stuckwish
Epsilon Sigma at-Large Research Conference
Introduction and Background: Domestic violence and abuse (DVA) is a growing global concern that affects patients encountered by nurses. DVA is defined as anything that is used to establish and maintain control over another person. The occurrence of DVA has ongoing negative consequences for patients related to their safety, especially if nurses are not properly trained to detect and control the situation.
Purpose Statement: For all registered nurses, does ongoing training opportunities and implemented universal screening processes on DVA, as compared to inadequate training and generalized screening processes, lead to effectively detecting DVA and providing better emotional, physical, and safety …
Empathy Development Among Undergraduate Nursing Students Through Intimate Partner Violence Simulation, Jennifer Benson, Peggy H. Anderson, Gaye L. Ray, Denise Cummins, Michael Thomas
Empathy Development Among Undergraduate Nursing Students Through Intimate Partner Violence Simulation, Jennifer Benson, Peggy H. Anderson, Gaye L. Ray, Denise Cummins, Michael Thomas
Student Works
The purpose of this Intimate Partner Violence (IPV) education quality improvement project was to evaluate the effectiveness of an undergraduate Community Health Nursing course, IPV simulation and learning activities. This experiential learning activity offered participants an opportunity to temporarily view life from the perspective of actual IPV victims/survivors, and review and discuss IPV statistics, at-risk populations, and warning signs.
The quality improvement project was developed using a mixed-methods quality improvement design. A convenience sample of 35 participants allowed matched-sample statistical analysis of the Jefferson Scale of Empathy Health Professions student version (JSE-HPS version) scores. Pre-to-post JSE-HPS version empathy survey scores …
Supporting And Creating Strong Women, Danielle Chee
Supporting And Creating Strong Women, Danielle Chee
Student Research Poster Presentations 2022
No abstract provided.
Exploring Barriers To Domestic Violence Screening Among Culturally And Linguistically Diverse And Migrant Women In A Regional Midwifery Setting, Priscilla Peters, Catherine Harding, Sandra Forde, Narelle Heckendorf, Alexa Seal
Exploring Barriers To Domestic Violence Screening Among Culturally And Linguistically Diverse And Migrant Women In A Regional Midwifery Setting, Priscilla Peters, Catherine Harding, Sandra Forde, Narelle Heckendorf, Alexa Seal
Nursing Papers and Journal Articles
Background: Women are at an increased risk of experiencing domestic violence (DV) from an intimate partner during the antenatal and post-partum period, contributing to poorer health outcomes for mother and baby. The antenatal period presents a critical window of opportunity for screening and intervention. In Australia, screening guidelines vary across state and territory health departments. NSW Health has introduced compulsory antenatal DV screening, however, screening appears to be more commonly deferred for women of CALD and non-English speaking backgrounds suggesting barriers to screening.
Aim: To identify barriers to undertaking DV screening of culturally and linguistically diverse (CALD) and migrant women …
Responding To Domestic Violence With Transformative Justice And Community Accountability, Anaiis Nysether
Responding To Domestic Violence With Transformative Justice And Community Accountability, Anaiis Nysether
Capstone Projects and Master's Theses
Walnut Avenue Family & Women’s Center (WAFWC) wanted to create a survivor-driven transformative justice program for survivors of domestic violence and the people who caused them harm. The program needed to be customizable enough to suit the specific needs and individual safety considerations of the participants, but also needed enough structure that it could be reproducible from case to case. In order to design a program that was based on these ideas and able to be used in the context of a non-profit organization, WAFWC researched ways other communities had been using transformative justice and community accountability to address issues …
A Quality Improvement Project To Increase Intimate Partner Violence Screening On College Campuses, Becky Murck
A Quality Improvement Project To Increase Intimate Partner Violence Screening On College Campuses, Becky Murck
Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects
Background: Sexual assault on college campuses can be a life-changing event and goes unreported 80% of the time. Women are not screened for intimate partner violence (IPV) regularly when seen in university student health settings. Student health settings on college campuses can fill this gap by routine screening for intimate partner violence.
Purpose: This quality improvement project aimed to increase intimate partner violence screening rates with the implementation of an evidence-based intimate partner violence screening tool and healthcare provider training.
Project method: A retrospective chart view was conducted before and after implementing the Humiliation, Rape, Anger, and Kick (HARK) evidenced-based …
Relationships Between Intimate Partner Violence, Pregnancy, Maternal Mental Health And Infant Care Behaviors, Brooke Ambrose
Relationships Between Intimate Partner Violence, Pregnancy, Maternal Mental Health And Infant Care Behaviors, Brooke Ambrose
Boise State University Theses and Dissertations
Background: Intimate Partner Violence (IPV) is a public health issue that is known to have deleterious health effects for pregnant women and their babies. Women who experience IPV during pregnancy are also likely to develop and exacerbate already existing mental health conditions. Experiences with IPV are thought to impact health behaviors, particularly how a mother copes or cares for her baby. The objective of this study is to explore the potential relationships between experiencing IPV (before and/or during pregnancy), maternal mental health, and health-related infant care behaviors (i.e., breastfeeding initiation, breastfeeding duration, well-child visits).
Methods: Data from phases 6 (years …
A Quality Improvement Project To Increase Intimate Partner Violence Screening On College Campuses, Becky Murck
A Quality Improvement Project To Increase Intimate Partner Violence Screening On College Campuses, Becky Murck
Graduate Research Showcase
Abstract
A Quality Improvement Project to Increase Intimate Partner Violence Screening on College Campuses
Background: Sexual assault or rape on college campuses can be a life-changing event and goes unreported 80% of the time. Women are not screened for intimate partner violence (IPV) regularly when being seen in university student health settings, even though females ages 18 to 24 have the highest rape and sexual assault rates compared to females in all other age groups. Students that are victims of IPV may not report because of fear, embarrassment, or being unsure who to or where to report. Student health settings …
Perspectives Of Key Court Personnel On The Prosecution Of Domestic Violence Cases, Crystal M. Schoeder
Perspectives Of Key Court Personnel On The Prosecution Of Domestic Violence Cases, Crystal M. Schoeder
Walden Dissertations and Doctoral Studies
Domestic violence (DV) continues to be a public health and criminal justice problem. Several criminal justice system changes have been made to combat DV, such as mandatory arrest policies, no-drop prosecution policies, and specialized DV courts. Perspectives on these policies, DV, and the criminal justice system have been obtained from the victims, police officers, and victim advocates. However, perspectives from those within the criminal justice court system are missing. The purpose of this qualitative phenomenological study was to obtain the perspectives of key court personnel in small rural communities regarding the prosecution of DV cases. Narrative policy framework was used …
Adverse Childhood Experiences As Predictors Of Perceived Health: Assessing The Ace Pyramid Model Using Multiple-Mediation, Phillip Hughes, Tabitha L. Ostrout
Adverse Childhood Experiences As Predictors Of Perceived Health: Assessing The Ace Pyramid Model Using Multiple-Mediation, Phillip Hughes, Tabitha L. Ostrout
HCA Healthcare Journal of Medicine
Background: Adverse Childhood Experiences (ACEs) have been shown to contribute to a litany of mental and physical health problems, including several chronic diseases and death, via a model known as the ACE pyramid. Many of the results of ACEs in the ACE pyramid are known contributors to poor perceived health, which has significant health implications. Despite these results, a possible link between ACEs and perceived health has not been examined to date. Based on the temporal order of the ACE pyramid, we believe any relationship between ACEs and perceived health will be mediated by other components of the model.
Methods: …
Restoring The Body's Ability To Connect: Using Principles Of Contact Improvisation In Dance/Movement Therapy To Process Interpersonal Trauma, Meredith Yuhas
Restoring The Body's Ability To Connect: Using Principles Of Contact Improvisation In Dance/Movement Therapy To Process Interpersonal Trauma, Meredith Yuhas
Dance/Movement Therapy Theses
Survivors of interpersonal trauma face unique and pervasive challenges following repetitive emotional, physical, and sexual abuse that misuses the social contract of trust in human relationship. The impact of abuse is revealed through the vehicle of trauma, the body, seen through lasting effects such as disassociation, hypervigilance, and difficulty expressing oneself. In an abusive relationship, control is monopolized, and the survivor’s agency is diminished. To restore a survivor’s trust in their body, the relational dance form of contact improvisation is proposed as a relevant tool to be examined in dance/movement therapy. A theoretical analysis of contact improvisation principles and dance/movement …
Intimate Partner Violence Against Women In Pakistan: A Review Of Qualitative Research, Tazeen S. Ali, Rida Farhan, Michelle Ayub
Intimate Partner Violence Against Women In Pakistan: A Review Of Qualitative Research, Tazeen S. Ali, Rida Farhan, Michelle Ayub
Community Health Sciences
Objective: To consolidate research data and provide an insight into areas that need further research regarding intimate partner violence.
Methods: The review targeted qualitative research-based studies done in the English language and conducted in Pakistan from 2008 to 2018 regarding intimate partner violence against women. A thorough search of Google Scholar and PubMed databases was done. Data from each selected article was extracted using a data-extraction template.
Results: Of the 2,479 results, 21(0.8%) articles were selected along with 4(0.16%) texts from grey literature. An in-depth analysis led to six broad categories: experiences/perspectives of married women facing intimate partner violence; perspectives …
Evaluating The Use Of Narrative Therapy And Art Therapy Among Women Who Have Experienced The Trauma Of Domestic Violence, Cindy G. Bryant
Evaluating The Use Of Narrative Therapy And Art Therapy Among Women Who Have Experienced The Trauma Of Domestic Violence, Cindy G. Bryant
LMU/LLS Theses and Dissertations
This research study is aimed at evaluating the artwork created by a woman who has experienced the trauma of domestic violence. A qualitative research approach was used to capture the phenomenological outcomes in the art created during art therapy sessions using the theoretical lens of narrative therapy to analyze the art. For this study the subject was a young woman from Central America who had come into therapy per court mandate to address the issues of domestic violence at a community-based mental health center where the researcher was conducting her second- year practicum. The data (art) was gathered after each …
Factors Contributing To Domestic Violence Among Hindu Asian Indian Immigrant Women In Allegheny County, Pennsylvania: A Feasibility Study, Chelsea Pallatino, Todd Bear, Martha A. Terry
Factors Contributing To Domestic Violence Among Hindu Asian Indian Immigrant Women In Allegheny County, Pennsylvania: A Feasibility Study, Chelsea Pallatino, Todd Bear, Martha A. Terry
Journal of Health Disparities Research and Practice
While there is research on survivors of domestic violence in India and the United States (U.S.), little is known about the sociocultural factors related to domestic violence among Hindu Asian Indian immigrant women (AIIW) in the U.S. The objectives of this study were to a) test the feasibility of conducting domestic violence research among Hindu AIIW; b) investigate domestic violence prevalence and correlations with other characteristics; and c) test the cultural appropriateness of completed measures on social support, acculturation status, and domestic violence. Over 50% of respondents had experienced abuse, often perpetrated by family. Participants had high levels of social …
Is Intimate Partner Violence More Common In Pregnant Women With Severe Mental Illness? A Retrospective Study, Liana Suparare, Stuart J. Watson, Ray Binns, Jacqueline Frayne, Megan Galbally
Is Intimate Partner Violence More Common In Pregnant Women With Severe Mental Illness? A Retrospective Study, Liana Suparare, Stuart J. Watson, Ray Binns, Jacqueline Frayne, Megan Galbally
Medical Papers and Journal Articles
Objective: To examine the risk of past and current experiences of intimate partner violence (IPV) in women with severe mental illness (SMI) in pregnancy.
Methods: We examined past and current experiences of IPV in women with SMI in pregnancy. The data of 304 women with SMI including schizophrenia and related psychotic disorders and Bipolar Disorder meeting International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) criteria were extracted from hospital records at King Edward Memorial Hospital, Western Australia. Comparisons were made between our study data and the Australian population data reported by the Australian Bureau …
The Effectiveness And Effects Of Alcohol Regulation: Evidence From India, Dara Lee Luca, Emily Owens, Gunjan Sharma
The Effectiveness And Effects Of Alcohol Regulation: Evidence From India, Dara Lee Luca, Emily Owens, Gunjan Sharma
WCBT Faculty Publications
We provide quasi-experimental evidence on the effects of alcohol regulation on alcohol consumption and associated public health outcomes using detailed individual level and aggregate data from India, where state-level laws regulating the minimum legal drinking age generate substantial variation in the availability of commercially produced alcohol across people of different ages. We find that despite significant law evasion, men who are legally allowed to drink are substantially more likely to consume alcohol. Further, men who are legally allowed to drink are significantly more likely to commit violence against their partners, suggesting a causal channel between alcohol consumption and domestic violence. …
Disrupting The Intergenerational Transmission Of Trauma Among Alaska Native People: A Conceptual Model For The Family Wellness Warriors Initiative, Lily Ray, Bobbi Outten, Polly Andrews, Katherine Gottlieb
Disrupting The Intergenerational Transmission Of Trauma Among Alaska Native People: A Conceptual Model For The Family Wellness Warriors Initiative, Lily Ray, Bobbi Outten, Polly Andrews, Katherine Gottlieb
Journal of Health Disparities Research and Practice
Background: Increasing evidence demonstrates the life-long physical, emotional, and social effects of traumatic experiences. In recognition that many health disparities are driven by high rates of traumatic experiences, Alaska Native and American Indian people have created wellness programs that build health by first healing historical and lifetime trauma. Yet, many of these promising community-based interventions are not described in the health sciences literature. Southcentral Foundation’s Family Wellness Warriors Initiative (FWWI) was created by Alaska Native people, addresses traumatic experiences as the root cause of family violence, and builds on cultural strengths. The goal of this study was to build a …
Domestic Violence Shelters For Survivors- A Needs Assessment, Tanushree Ojha
Domestic Violence Shelters For Survivors- A Needs Assessment, Tanushree Ojha
Capstone Experience
Background: Domestic violence (DV) is a serious public health issue in the United States, and globally. It includes physical violence, sexual violence, threats, emotional abuse, stalking, and psychological aggression (including coercive acts) by a current or former intimate partner. It is a serious, preventable public health problem that affects millions of Americans (CDC, 2017b). There is an alarming number of domestic violence cases encountered each year. Globally, 1 in 3 women has experienced some domestic violence in their lifetime. Globally, as many as 38% of women are murdered by an intimate male partner because of violence against an intimate female …