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Doctoral
Thesis:
Domestic
abuse and health:
Quantitative and qualitative investigations among mid-aged
Australian women
Supervisor: Associate
Professor Margot Schofield, Dr Rafat Hussain, &
Professor Victor Minichiello
University: University
of New England
This thesis aimed to examine the relationships between
a history of domestic violence and women’s health
service use, and physical and psychological health in
mid-life; to determine factors that mediate the relationship
between domestic violence and mid-life health; and to
elaborate on these quantitative findings with information
from qualitative interviews.
Multiple
regression analyses were conducted using data from the
Mid-age cohort of the ALSWH. The analyses used data
from Survey 1 (1996; N = 14,100; 45-50 years) for health
service use, physical health, and mediation analyses,
and Survey 2 (1998; N = 11,648; 47-52 years) for psychological
health analyses. Qualitative telephone interviews were
conducted with a subset of the Mid-age sample (2001;
N = 26; 50-55 years).
Associations were found between domestic violence and
increased health service use; decreased physical health,
physical symptoms, and diagnosed illnesses; and diagnoses
of psychological disorders and symptoms, and psychoactive
medication use. The relationship between domestic violence
and physical health was partially mediated by stress,
life events, education, income management, and smoking;
and the relationship between domestic violence and psychological
health was mediated by stress, life events, and social
support. In-depth qualitative interviews indicated that
domestic abuse affected women’s ability to seek
health services; directly and adversely affected their
physical and psychological health in the short- and
long-term; and that mediating factors occurred subsequent
to domestic abuse, and adversely affected health. Additional
factors (eg. coping strategies) may also mediate the
relationship between domestic abuse and health.
This
thesis concludes that domestic abuse leads to an increased
need for health services; and that domestic abuse has
direct adverse and long-term consequences for physical
and psychological health. Furthermore, domestic abuse
affects lifestyle, and causes coping responses that
influence physical and psychological health.
To
cotact Deborah:
Deborah Loxton
Womens Health Australia
Research Centre for Gender Health and Ageing
University of Newcastle
University Drive
Callaghan NSW 2308
Australia
Email:
Deborah.loxton@newcastle.edu.au
Click
here for more information
about Deborah Loxton.
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