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Violence appears to be a universal human behavior, appearing in all societies in some form. Some types of violence are so common that throughout history (and continuing into the present) they have been sanctioned by society and government. Violence against women falls into this category. Laws have permitted it, society has looked away, and militaries have continued to use rape as a weapon of war. Battered women are those who experience intimate partner violence at the hands of a boyfriend, girlfriend, or spouse. Intimate partner violence encompasses emotional, physical, and sexual abuse. This entry (a) reviews the basis of violence of women in gender inequality, (b) surveys the prevalence of battering internationally as reported in studies by the World Health Organization and in the United States by the Centers for Disease Control and Prevention, (c) traces the cycle of violence in intimate relationships between men and women and between lesbian partners, and (d) notes the impact of battering on physical and mental health. A brief section on the clinical entity identified as battered woman syndrome is followed by a review of various forms of political and social action in recent decades by and on behalf of battered women; the entry concludes with a discussion of primary and secondary prevention strategies for dealing with violence against women.

Gender Inequality

The use of violence against women has historically been a way to maintain the power imbalance between women and men, both on a large scale (rape as a weapon of war) and on a domestic level (intimate partner violence). Through the late 1800s in the United States, it was acceptable by common law for a husband to beat his wife. Thus, the battering of women was legally sanctioned, and the patriarchal power structure was maintained.

The United Nations (UN), in a 1993 Declaration on the Elimination of Violence Against Women, recognized violence against women as a tool used to keep them in a subordinate power position, and the World Health Organization (WHO) recognizes it as a major cause of health problems among women and a violation of their human rights.

An established theory is that intimate partner violence, including physical, sexual, and emotional abuse is based in a coercive pattern of taking and maintaining power and control from one's partner.

International Prevalence and Risk Factors

In 2005 the WHO released a 10-country study, which looked at both urban and rural settings, and found a wide range of lifetime intimate partner violence (IPV) prevalence among women: 15% to 71%. The lowest lifetime prevalence for ever-partnered women was found in Japan, with 15% of ever-partnered women reporting an experience of physical or sexual violence or both from a male-relationship partner. The highest prevalence in this multicountry study came from rural areas, with provincial Ethiopia peaking at 71% lifetime prevalence for ever-partnered women.

Physical and sexual violence run the gamut of abusive acts. The WHO study found that being slapped was the most prevalent act of violence (ranked as “moderate”) and being hit by a fist the second most common physical act of violence (ranked as “severe”). If one were to look only at severe violence in this study, the lifetime prevalence range shifts to 4% to 49%, with women living in provincial/rural settings continuing to experience violence at the higher end of the range. Sexual violence ranged from 6% to 59%, and may be concurrent with physical violence or may be coerced through fear while putting battered women at risk for significant medical and psychological sequelae. For some women, this risk has meant acquiring HIV or other sexually transmitted infections, physical damage to their sexual organs, and developing mental health problems such as posttraumatic stress disorder or depression. Overlap between sexual and physical violence was common in the countries studied (Japan, Peru, Brazil, Thailand, United Republic of Tanzania, Serbia and Montenegro, Namibia, Bangladesh, Samoa, and Ethiopia).

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