UNDERSTANDING DOMESTIC VIOLENCE AGAINST WOMEN: INSIGHTS FROM A MIXED-METHODS APPROACH
Main Article Content
Keywords
Domestic violence, Mixed-methods research, Cross-sectional study, Qualitative analysis, Women’s health
Abstract
Background
Violence against women remains one of the most widespread, persistent, and damaging violations of human rights. Despite greater awareness in the era of social communication, many cases remain unreported due to stigma, silence, and fear. Domestic violence not only impacts women directly but also harms families and society at large. The present study aimed to examine the prevalence, related factors, and lived experiences of domestic violence against women.
Study design: Mixed-method design
Duration and place of study: This study was conducted in Karachi Medical and Dental College Karachi from July 2024 to July 2025
Methods
A mixed-methods design was used, integrating a cross-sectional descriptive approach with qualitative phenomenology. In the quantitative phase, 50 married women were recruited through cluster sampling and assessed using a structured domestic violence questionnaire. Data were analyzed with descriptive and inferential statistics. In the qualitative phase, purposive sampling identified women who had experienced domestic violence. In-depth, semi-structured interviews were conducted until data saturation, and findings were analyzed using Colaizzi’s seven-step framework.
Results
The qualitative analysis revealed seven core themes: “Facilitators,” “Role failure,” “Repressors,” “Efforts to preserve the family,” “Inappropriate conflict resolution,” “Consequences,” and “Inefficient support systems.” Quantitative results showed significant positive associations between violence and factors such as age, age difference between spouses, and duration of marriage, while the number of children was inversely related to violence scores (p < 0.05). Higher levels of female education and income were independently linked to increased reporting of violence.
Conclusions
Domestic violence against women is influenced by identifiable demographic and social factors, and its consequences extend beyond the individual to families and communities. Preventive interventions, early action plans, and effective support mechanisms that challenge cultural taboos are urgently needed to mitigate harm and promote resilience among affected women.
References
2. United Nations. Declaration on the elimination of violence against women. New York: UN General Assembly; 1993.
3. World Health Organization. Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Geneva: WHO; 2021.
4. Ellsberg M, Heise L. Researching violence against women: a practical guide for researchers and activists. Washington DC: World Health Organization, PATH; 2005.
5. Campbell JC. Health consequences of intimate partner violence. Lancet. 2002;359(9314):1331–6.
6. Dillon G, Hussain R, Loxton D, Rahman S. Mental and physical health and intimate partner violence against women: a review of the literature. Int J Family Med. 2013;2013:313909.
7. Devries KM, Mak JY, Bacchus LJ, Child JC, Falder G, Petzold M, et al. Intimate partner violence and incident depressive symptoms and suicide attempts: a systematic review of longitudinal studies. PLoS Med. 2013;10(5):e1001439.
8. Evans SE, Davies C, DiLillo D. Exposure to domestic violence: a meta-analysis of child and adolescent outcomes. Aggress Violent Behav. 2008;13(2):131–40.
9. 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.
10. Fawole OI. Economic violence to women and girls: is it receiving the necessary attention? Trauma Violence Abuse. 2008;9(3):167–77.
11. Hindin MJ, Kishor S, Ansara DL. Intimate partner violence among couples in 10 DHS countries: predictors and health outcomes. Calverton, Maryland: Macro International Inc; 2008.
12. Jewkes R. Intimate partner violence: causes and prevention. Lancet. 2002;359(9315):1423–9.
13. Vyas S, Watts C. How does economic empowerment affect women’s risk of intimate partner violence in low and middle income countries? A systematic review of published evidence. J Int Dev. 2009;21(5):577–602.
14. Kishor S, Johnson K. Profiling domestic violence: a multi-country study. Calverton, Maryland: ORC Macro; 2004.
15. Haj-Yahia MM. Beliefs about wife beating among Palestinian women: the influence of their patriarchal ideology. Violence Against Women. 2003;9(5):532–58.
16. Ali TS, Krantz G, Gul R, Asad N, Johansson E, Mogren I. Gender roles and their influence on life prospects for women in urban Karachi, Pakistan: a qualitative study. Glob Health Action. 2011;4:7448.
17. Overstreet NM, Quinn DM. The intimate partner violence stigmatization model and barriers to help seeking. Basic Appl Soc Psych. 2013;35(1):109–22.
18. Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks, CA: Sage Publications; 2011.
19. Johnson RB, Onwuegbuzie AJ, Turner LA. Toward a definition of mixed methods research. J Mix Methods Res. 2007;1(2):112–33.
20. O’Campo P, Kirst M, Tsamis C, Chambers C, Ahmad F. Implementing successful intimate partner violence screening programs in health care settings: evidence generated from a realist-informed systematic review. Soc Sci Med. 2011;72(6):855–66.
21. García-Moreno C, Jansen HAFM, Ellsberg M, Heise L, Watts CH. Prevalence of intimate partner violence: findings from the WHO multi-country study on women’s health and domestic violence. Lancet. 2006;368(9543):1260–9.
22. García-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts C. WHO multi-country study on women’s health and domestic violence against women. Geneva: World Health Organization; 2005.
23. 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.
24. Kishor S, Johnson K. Profiling domestic violence: A multi-country study. Calverton: ORC Macro; 2004.
25. Heise L, Ellsberg M, Gottmoeller M. A global overview of gender-based violence. Int J Gynecol Obstet. 2002;78 Suppl 1:S5–14.
26. Ellsberg M, Heise L. Researching violence against women: A practical guide for researchers and activists. Washington DC: World Health Organization, PATH; 2005.
27. Campbell JC. Health consequences of intimate partner violence. Lancet. 2002;359(9314):1331–6.
28. World Health Organization. Violence against women: Key facts. Geneva: WHO; 2021.
29. Devries KM, Mak JY, García-Moreno C, Petzold M, Child JC, Falder G, et al. The global prevalence of intimate partner violence against women. Science. 2013;340(6140):1527–8.