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      Spanish adaptation and validation of the World Health Organization's violence against women instrument Translated title: Adaptación y validación española del instrumento de violencia contra las mujeres de la Organización Mundial de la Salud

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          Abstract

          Abstract: Background: The World Health Organization (WHO) developed an instrument to detect violence against women that has been widely used in several countries. Despite this instrument's importance in identifying intimate partner violence against women (IPVAW), it has not been adapted for the Spanish population. The aim of this study was to adapt and validate the WHO violence against women instrument in a sample in Spain, facilitating the detection of IPVAW in this context and comparisons between countries. Method: After the instrument was translated and adapted into Spanish, 532 women from the general population in Spain completed it. The initial instrument consisted of 28 items. We deleted three items due to low internal consistency, resulting in 25 items in the final version. Results: Suitable internal consistency was obtained through Confirmatory Factorial Analysis for physical (α = .92), psychological (α = .91), sexual (α = .86), and control behaviors subscales (α = .91) as well as for the total scale (α = .95). The instrument revealed highly prevalent IPVAW in our sample (79.7%). Conclusions: The use of the Spanish version of the WHO violence against women instrument in Spain seems justified.

          Translated abstract

          Resumen: Antecedentes: La Organización Mundial de la Salud (OMS) desarrolló un instrumento para detectar la violencia de género (VG) que ha sido ampliamente utilizado en varios países. A pesar de la importancia del instrumento para identificar la VG, éste no ha sido adaptado en población española. El objetivo de este estudio fue adaptar y validar el instrumento de VG de la OMS en España, facilitando la detección de la VG en este contexto y la comparación entre países. Método: 532 mujeres de la población general en España completaron el instrumento tras su traducción y adaptación al español. El instrumento inicial constaba de 28 ítems. Se eliminaron tres ítems debido a su baja consistencia interna, resultando un total de 25 ítems en la versión final. Resultados: Se obtuvo una adecuada consistencia interna mediante el análisis factorial confirmatorio para las subescalas de violencia física (α = .92), psicológica (α = .91), sexual (α = .86) y en conductas de control (α = .91), así como en la escala total (α = .95). El instrumento reveló alta prevalencia de VG (79,7%). Conclusiones: El uso de la versión española del instrumento de VG contra las mujeres de la OMS, justifican su uso en España.

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          Health consequences of intimate partner violence.

          Intimate partner violence, which describes physical or sexual assault, or both, of a spouse or sexual intimate, is a common health-care issue. In this article, I have reviewed research on the mental and physical health sequelae of such violence. Increased health problems such as injury, chronic pain, gastrointestinal, and gynaecological signs including sexually-transmitted diseases, depression, and post-traumatic stress disorder are well documented by controlled research in abused women in various settings. Intimate partner violence has been noted in 3-13% of pregnancies in many studies from around the world, and is associated with detrimental outcomes to mothers and infants. I recommend increased assessment and interventions for intimate partner violence in health-care settings.
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            Global, regional, and national prevalence estimates of physical or sexual, or both, intimate partner violence against women in 2018

            Background Intimate partner violence against women is a global public health problem with many short-term and long-term effects on the physical and mental health of women and their children. The Sustainable Development Goals (SDGs) call for its elimination in target 5.2. To monitor governments' progress towards SDG target 5.2, this study aimed to provide global, regional, and country baseline estimates of physical or sexual, or both, violence against women by male intimate partners. Methods This study developed global, regional, and country estimates, based on data from the WHO Global Database on Prevalence of Violence Against Women. These data were identified through a systematic literature review searching MEDLINE, Global Health, Embase, Social Policy, and Web of Science, and comprehensive searches of national statistics and other websites. A country consultation process identified additional studies. Included studies were conducted between 2000 and 2018, representative at the national or sub-national level, included women aged 15 years or older, and used act-based measures of physical or sexual, or both, intimate partner violence. Non-population-based data, including administrative data, studies not generalisable to the whole population, studies with outcomes that only provided the combined prevalence of physical or sexual, or both, intimate partner violence with other forms of violence, and studies with insufficient data to allow extrapolation or imputation were excluded. We developed a Bayesian multilevel model to jointly estimate lifetime and past year intimate partner violence by age, year, and country. This framework adjusted for heterogeneous age groups and differences in outcome definition, and weighted surveys depending on whether they were nationally or sub-nationally representative. This study is registered with PROSPERO (number CRD42017054100). Findings The database comprises 366 eligible studies, capturing the responses of 2 million women. Data were obtained from 161 countries and areas, covering 90% of the global population of women and girls (15 years or older). Globally, 27% (uncertainty interval [UI] 23–31%) of ever-partnered women aged 15–49 years are estimated to have experienced physical or sexual, or both, intimate partner violence in their lifetime, with 13% (10–16%) experiencing it in the past year before they were surveyed. This violence starts early, affecting adolescent girls and young women, with 24% (UI 21–28%) of women aged 15–19 years and 26% (23–30%) of women aged 19–24 years having already experienced this violence at least once since the age of 15 years. Regional variations exist, with low-income countries reporting higher lifetime and, even more pronouncedly, higher past year prevalence compared with high-income countries. Interpretation These findings show that intimate partner violence against women was already highly prevalent across the globe before the COVID-19 pandemic. Governments are not on track to meet the SDG targets on the elimination of violence against women and girls, despite robust evidence that intimate partner violence can be prevented. There is an urgent need to invest in effective multisectoral interventions, strengthen the public health response to intimate partner violence, and ensure it is addressed in post-COVID-19 reconstruction efforts. Funding UK Department for International Development through the UN Women–WHO Joint Programme on Strengthening Violence against Women Data, and UNDP-UN Population Fund-UNICEF-WHO-World Bank Special Programme of Research, Development, and Research Training in Human Reproduction, a cosponsored programme executed by WHO.
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              Principles and practice for structural equation modeling

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                Author and article information

                Journal
                psicothema
                Psicothema
                Psicothema
                Colegio Oficial de Psicólogos del Principado de Asturias (Oviedo, Asturias, Spain )
                0214-9915
                1886-144X
                2023
                : 35
                : 2
                : 202-210
                Affiliations
                [1] Andalucía orgnameUniversidad de Granada Spain
                [2] Valencia orgnameUniversitat Jaume I Spain
                Article
                S1886-144X2023000200010 S1886-144X(23)03500200010
                10.7334/psicothema2022.197
                d256d1ea-27be-4522-abef-28dcd3798503

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 29 July 2022
                : 21 April 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 9
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                SciELO Spain

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                Articles

                intimate partner violence against women,prevalencia,propiedades psicométricas,estudio instrumental,violencia de pareja contra las mujeres,instrumental study,psychometric proprieties,prevalence

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