Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

1 PhD in Reproductive Health, Assistant Professor, Reproductive Health Research Center, Department of Midwifery, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran

2 PhD in Health Services Management, Associate Professor, Social Determinants of Health Research Center, Department of Health Management, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: Domestic violence is the most common form of violence against women. Negative health outcomes caused by domestic violence have been recognized as a public health problem with extensive effects on society. The main objective of this study was to explore Iranian couples’ experiences of domestic violence. Methods: This study was carried out through a qualitative approach and a conventional content analysis method in 2015 in Mashhad, Iran. Fifteen couples (15 women and 15 men) were selected from five health centers in Mashhad using purposive sampling. Data were collected through individual in-depth semi-structured interviews with the participants about their perceptions and experiences of factors underlying domestic violence. The interviews were transcribed verbatim and analyzed using Graneheim and Lundman's content analysis approach with MAXQDA software. Results: The results of this study revealed three main themes including social factors affecting violence (the family’s economic position, culture and values, and social support), interpersonal relations (the type of marriage and life skills), and personal factors (intrinsic factors and acquired factors). Conclusion: Given that social, interpersonal, and personal factors such as economic problems, social culture, low social support, low education levels, addiction, and the absence of life skills can lead to the outbreak of domestic violence among couples, there is a need to train couples to adopt effective strategies to reduce domestic violence in the family and seek help from support centers.

Keywords

1. United Nations (UN). Elimination of
violence against women. New York: General Assembly Resolution. 2015. [cited 2015 December 11]. Available from: http://www.un.org/documents/ga/res /48/a48r104.htm.
2. Ostadhashemi L, Khalvati M, Seyedsalehi M, Emamhadi MA. A study of domestic violence against women: a qualitative meta- synthesis. IJMTFM. 2015; 5(3):155-63. doi:10.22037/ijmtfm.v5i3(Summer).7690.
3. Hasan M, Kashaniyan M, Roohi M, Vizhe M. Domestic violence against pregnant women: Prevalence and associated factors. J Woman and Society. 2011; 1(4):61-77. [In Persian]
4. Ellsberg M, Jansen HA, Heise L, Watts CH, Garcia-Moreno C. WHO Multi-country Study on Women's Health and Domestic Violence against Women Study Team. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet. 2008; 371(9619):1165-1172. doi: 10.1016/S0140-6736(08)60522-X.
5. Hasanpoor Azghadi B, Simbar M, Kermani M. Domestic violence against women: review of theories, prevalence, and its relative factors. Advances in Nursing and Midwifery. 2011; 20(73):45-52. [In Persian]. doi: 10.22037/anm.v21i73.2825.
6. Setayesh N, Ezoji K, Bakhshizade M, Nojomi M. Domestic violence and physical and mental state of women. RJMS. 2017; 24(154):20-26. [In Persian]
7. Ahmadi M, Rahnavardi M, Kiyani M, Purhoseingholi A, Moafi F, Asadzadeh F. Study of predisposing factors for domestic violence among women. JHC. 2015; 17(1):70-81. [In Persian]
8. Ghazizadeh H, Zahrakar K, Kiamanesh
The Factors Contributing to Domestic… Bayrami & Vafaee Najar
Journal of Qualitative Research in Health Sciences 2020; 9(2):133-144 143
A, Mohsenzadeh F. Conceptual model of underlying factors in women domestic violence against men. IJPN. 2018; 6(4):35-48. [In Persian]
9. Ghazanfari F. Correlation of family relationship patterns and domestic violence against women in Lorestan province. Fundamentals of Mental Health. 2010; 12(46):488-495. 10.22038/jfmh.2010.1088. [In Persian]
10. Taherkhani S, Mirmohamadali M, Kazemnezhad A, Arbabi M. Evaluation of domestic violence and its association with depression in women. Journal of Forensic Medicine. 2010; 16(2):95-106. [In Persian]
11. Turner J Chavigny K. Community health nursing. Philadelphia: Lippincott Company; 1998.
12. Iranian Students News Agency. Results of a national study on domestic violence in 28 provinces. 2004. [cited 2004 October 9]. Available from: http://www.isna.ir/news/8307-07024/.
13. Kiani M. Women experiencing domestic violence: a qualitative study. J Qual Res Health Sci. 2014; 3(1):14-26. [In Persian]
14. Razzaghi N, Parvizi S, Ramezani F, Tbatabaee Nejad SM. The consequences of violence against women in the family: a qualitative study. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013; 16(44): 11-20. [In Persian]
15. Creswell JW. Qualitative inquiry & research design, choosing among five approaches. (2nd ed). Thousand Oaks: Sage Publications; 2007.
16. Grove SK, Burns N, Gray J. The practice of nursing research: appraisal, synthesis, and generation of evidence. 6 ed. Philadelphia: Saunders Publications; 2009.
17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105-112. doi: 10.1016/j.nedt.2003.10.001.
18. Lincoln YS, Guba EG. Naturalistic inquiry. New York: Sage Publications; 1985.
19. Salarifar M. Domestic violence against women. Tehran: Golbarg Publications; 2010. P. 179-180. [In Persian]
20. Hasheminasab L. Assessment of prevalence, outcome and factors related to domestic physical violence in pregnant women referring to delivery departments of Sanandaj hospitals. SJKU. 2007; 11(4):32-41. [In Persian]
21. Nohja S, Latifi SM, Etesami H, Farrokhnia F. The prevalence of domestic violence against women and associated factors in Khuzestan province. Journal of Kermanshah University of Medical Sciences. 2010; 15(4):278-286. [In Persian]
22. Babu BV, Kar SK. Domestic violence against women in eastern India: a population-based study on prevalence and related issues. BMC Public Health, 2009; 9:129. doi: 10.1186/1471-2458-9-129.
23. Mohamadkhani P, Rezaei dogane E, Mohamadi M, Azadmehr H. Family violence pattern prevalence, enacting or experiencing violence in men or women. REFAHJ. 2006; 5(21) 205-223. [In Persian]
24. Taherkhani S, Mirmohammadali M, Kazemnejad A, Arbabi M. Association experience time and fear of domestic violence with the occurrence of depression in women. Sci J Forensic Med. 2010; 16(2):95-106. [In Persian]
The Factors Contributing to Domestic… Bayrami & Vafaee Najar
144 Journal of Qualitative Research in Health Sciences 2020; 9(2):133-144
25. Debowale, AS. Spousal age difference and associated predictors of intimate partner violence in Nigeria. BMC Public Health. 2018; 18(1):212. doi: 10.1186/s12889-018-5118-1.
26. Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM., Spong CY. Williams obstetrics. In Ghazi Jahani B. (Eds.). Tehran: Golban Medical Publications; 2018.
27. Pathak N, Dhairyawan R, Tariq S. The experience of intimate partner violence among older women: a narrative review. Maturitas. 2019; 121, 63-75. doi. 10:1016/j.maturitas.2018.12.011.
28. Sanz-Barbero B, Baron N, Vives-Cases C. Prevalence, associated factors and health impact of intimate partner violence against women in different life stages. PLoS One. 2019; 14(10):e0221049. doi: 10.1371/journal.pone.0221049.
29. Kargar Jahromi M, Jamali S, Rahmanian Koshkaki A, Javadpour Sh. Prevalence and risk factors of domestic violence against women by their husbands in Iran. Glob J Health Sci. 2015; 8(5):175-83. doi: 10.5539/gjhs.v8n5p175.
30. Abramsky T, Watts CH, Garcia-Moreno C, Devries K, Kiss L, Ellsberg M, et al. What factors are associated with recent intimate partner violence? Findings from the WHO multi-country study on women s health and domestic violence. BMC Public Health. 2011; 11(109):2-17. doi: 10.1186/1471-2458-11-109.
31. Devries K, Watts CH, Yoshihama M, Kiss L, Blima Schraiber L, Deyessa N, et al. Violence against women is strongly associated with suicide attempts: evidence from the WHO multi-country study on women s health and domestic violence against women. Soc Sci Med. 2011; 73(1): 79-86. doi: 10.1016/j.socscimed.2011.05.006.
32. Abbaspoor Z, Momtazpour M. Domestic violence and its related factors based a prevalence study in Iran. Global Journal of Health Science. 2016; 8(12):1-7. doi: 10.5539/gjhs.v8n12p1.