Population Reports

CONTENTS

         Chapters
  1. The World Takes Notice
  2. Intimate Partner Abuse
  3. Sexual Coercion
  4. Impact on Reproductive Health
  5. Threats to Health and Development
  6. Health Providers Play a Key Role
  7. An Agenda for Change

HIGHLIGHTS

Population Reports is published by the Population Information Program, Center for Communication Programs, The Johns Hopkins School of Public Health, 111 Market Place, Suite 310, Baltimore, Maryland 21202-4012, USA

Published in collaboration with:
CHANGE 6930 Carroll Avenue
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The Center for Health and Gender Equity (CHANGE) is a research and advocacy organization that seeks to integrate concern for gender equity and social justice into international health policy and practice. CHANGE staff can be reached by e-mail at change@genderhealth.org or at http://www.genderhealth.org.


Volume XXVII, Number 4
December, 1999

Series L, Number 11
Issues in World Health

Women's Response to Abuse

Most abused women are not passive victims but use active strategies to maximize their safety and that of their children (62, 119, 202, 258). Some women resist, others flee, and still others attempt to keep the peace by capitulating to their husbands' demands. What may seem to an observer to be lack of response to living with violence may in fact be strategic assessment of what it takes for the woman to survive in the marriage and to protect herself and her children.

A woman's response to abuse is often limited by the options available to her (119). Women consistently cite similar reasons that they remain in abusive relationships: fear of retribution, lack of other means of economic support, concern for the children, emotional dependence, lack of support from family and friends, and an abiding hope that “he will change” (10, 131, 330, 413, 488). In developing countries women cite the unacceptability of being single or unmarried as an additional barrier that keeps them in destructive marriages (169, 368, 488).

At the same time, denial and fear of social stigma often prevent women from reaching out for help. In surveys, for example, from 22% to almost 70% of abused women say that they have never told anyone about their abuse before being asked in the interview (see Table 3). Those who reach out do so primarily to family members and friends. Few have ever contacted the police.

Despite the obstacles, many women eventually do leave violent partners—even if after many years, once the children are grown (129, 227). In León, Nicaragua, for example, the likelihood that an abused woman will eventually leave her abuser is 70%. The median time that women spend in a violent relationship is five years. Younger women are more likely to leave sooner (131).

Studies suggest a consistent set of factors that propel women to leave an abusive relationship: The violence gets more severe and triggers a realization that “he” is not going to change, or the violence begins to take a toll on the children. Women also cite emotional and logistical support from family or friends as pivotal in their decisions to leave (52, 62, 65, 69, 202, 413).

Leaving an abusive relationship is a process. The process often includes periods of denial, self-blame, and endurance before women come to recognize the abuse as a pattern and to identify with other women in the same situation. This is the beginning of disengagement and recovery. Most women leave and return several times before they finally leave once and for all (264).

Regrettably, leaving does not necessarily guarantee a woman's safety. Violence sometimes continues and may even escalate after a woman leaves her partner (227). In fact, a woman's risk of being murdered is greatest immediately after separation (60).


Hesperian Foundation (54)
A women's response to abuse is often limited by the options available to her.


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