Predicting Domestic Violence among Infertile Women Based on the Cognitive Self-assessment, Sexual Assertiveness, and Perceived Social Support

Document Type : Original Research Article

Authors

1 Assistant Professor, Department of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Professor, Department of Public Health, Faculty of Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Assistant Professor, Department of Health Education and Public Health, School of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran

4 Assistant Professor, Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

10.22038/jmrh.2024.74712.2195

Abstract

Background & aim: Infertility is a challenging condition that increases particularly the risk of violence against women. This issue highlights the need to identify and understand predictors of violence against infertile women. Therefore, the current research was designed and implemented to predict domestic violence in infertile women based on cognitive self-assessment, sexual assertiveness, and perceived social support.
Methods: This predictive descriptive study was conducted on 248 infertile women in Urmia City for six months in 2022. The convenience sampling method was employed to select samples.  Data were collected using spousal abuse experience, self-efficacy, self-esteem, sexual assertiveness, and multidimensional perceived social support questionnaires. Data analysis was performed using SPSS software (2020) with descriptive and analytical tests such as Pearson correlation and multivariate regression analysis.
Results: The overall prevalence of domestic violence was 36.06% ± 10.51% among infertile women. There was a significant negative correlation between all predictor variables and domestic violence (P < 0.05). The adjusted coefficient of determination was 0.607, indicating that the predictor variables could account for approximately 60% of the changes in domestic violence among infertile women. Self-esteem showed the highest regression coefficient (beta = 0.623) and predictive ability among the predictor variables.
Conclusion: Self-esteem, self-efficacy, and sexual self-expression, along with strong family support, are essential factors in predicting the risk of violence in infertile women. Addressing these factors and fostering supportive environments can help mitigate violence and improve the well-being of infertile women.

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