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  1. AU="Clark, Cari Jo"
  2. AU="Barclay, Alfred E."
  3. AU="Evans, Ronald K"
  4. AU="Pemmaraju, Venkata Ranganandha Rao"
  5. AU="Chu, Kimberly"
  6. AU="Finton, Kathryn A K"
  7. AU="Lou Alcaine, María Luz"
  8. AU="Patterson, G Taylor"
  9. AU="Champey, Patrick R" AU="Champey, Patrick R"
  10. AU="Zyriax, Birgit-Christiane"
  11. AU="Kim, Elaine H"
  12. AU="Zhou, Gui-Xiu"
  13. AU="Baer, Rebecca J"
  14. AU="Fleck, Robert J"

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  1. Artikel ; Online: Exploring diagnosis and treatment of premenstrual dysphoric disorder in the U.S. healthcare system: a qualitative investigation.

    Chan, Kiera / Rubtsova, Anna A / Clark, Cari Jo

    BMC women's health

    2023  Band 23, Heft 1, Seite(n) 272

    Abstract: Background: Premenstrual Dysphoric Disorder (PMDD) is a premenstrual condition that affects 3-8% of the US population, yet knowledge on treatment and consistent diagnostic testing is lacking. While research concerning the epidemiology and pharmaceutical ...

    Abstract Background: Premenstrual Dysphoric Disorder (PMDD) is a premenstrual condition that affects 3-8% of the US population, yet knowledge on treatment and consistent diagnostic testing is lacking. While research concerning the epidemiology and pharmaceutical treatments for this condition has increased, there is a lack of qualitative studies on the experiences of patients who live with this condition. The aim of this study was to explore the diagnostic and treatment experiences of PMDD patients in the U.S. healthcare system and identify barriers to diagnosis and treatment.
    Methods: This study uses a feminist framework with qualitative phenomenological methods. We recruited participants who identified as having PMDD, regardless of official diagnosis, through online forums within the U.S. PMDD community. The study conducted 32 in depth interviews with participants on their experiences with PMDD diagnosis and treatment. Thematic analysis methods revealed key barriers within the diagnostic and care process including patient, provider, and societal barriers.
    Results: This study presents a PMDD Care Continuum that represents the timeline of participant experiences beginning from symptom onset towards official diagnosis, treatments, and ongoing management of the condition. Participant experiences demonstrated that much of the diagnostic and treatment processes were burdened on the patient, and that successful navigation within the healthcare system was dependent on high levels of self-advocacy.
    Conclusions: This was the first study to describe the qualitative experiences of patients who identified as having PMDD in the U.S. Further research is needed to refine and operationalize diagnostic criteria and treatment guidelines for PMDD.
    Mesh-Begriff(e) Female ; Humans ; Premenstrual Dysphoric Disorder/diagnosis ; Premenstrual Dysphoric Disorder/therapy ; Premenstrual Syndrome/diagnosis ; Feminism ; Delivery of Health Care
    Sprache Englisch
    Erscheinungsdatum 2023-05-17
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2050444-5
    ISSN 1472-6874 ; 1472-6874
    ISSN (online) 1472-6874
    ISSN 1472-6874
    DOI 10.1186/s12905-023-02334-y
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Commentary on From the War on Terror to the Moral Crusade Against Female Genital Mutilation.

    Abbas, Sarah Mohammedahmed / Shervinskie, Abbie / Clark, Cari Jo

    Violence against women

    2023  Band 29, Heft 10, Seite(n) 1953–1958

    Abstract: This commentary reflects on Dina Bader's article From the War on Terror to the Moral Crusade Against Female Genital Mutilation, in which the author chronicles the rise in state laws prohibiting female genital mutilation/cutting (FGM/C) through a lens of ... ...

    Abstract This commentary reflects on Dina Bader's article From the War on Terror to the Moral Crusade Against Female Genital Mutilation, in which the author chronicles the rise in state laws prohibiting female genital mutilation/cutting (FGM/C) through a lens of femonationalism. Expanding upon Bader's thought-provoking article, this commentary adds additional reflection on the content of current state legislation and the need for more comprehensive laws to protect women and girls. Future legislation must be evidence-based and must be accompanied by a multisectoral approach to prevention and response in order to create an enabling environment for the elimination of FGM/C.
    Mesh-Begriff(e) Female ; Humans ; Circumcision, Female/adverse effects ; Morals
    Sprache Englisch
    Erscheinungsdatum 2023-04-12
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2031375-5
    ISSN 1552-8448 ; 1077-8012
    ISSN (online) 1552-8448
    ISSN 1077-8012
    DOI 10.1177/10778012231168629
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Addressing the Community Resource and Social Service Needs of Families During the COVID-19 Pandemic: Perspectives of Home Visiting Staff and Clients in Georgia.

    Maglaque, Dianne / Master, Margaret / von Esenwein, Silke / Gazmararian, Julie / Clark, Cari Jo / Blake, Sarah C

    Maternal and child health journal

    2024  Band 28, Heft 5, Seite(n) 804–811

    Abstract: Introduction: Home visiting programs provide support services to families and their children to promote positive health outcomes. This study sought to describe strategies employed by home visiting programs during the early phase of the COVID-19 pandemic ...

    Abstract Introduction: Home visiting programs provide support services to families and their children to promote positive health outcomes. This study sought to describe strategies employed by home visiting programs during the early phase of the COVID-19 pandemic to address the community resource and social service needs of home visiting clients in Georgia.
    Methods: We conducted a mixed methods study between December 2020 and April 2021 using online surveys and key informant interviews of home visiting staff and clients from 21 program sites. Structured content analysis was conducted of the triangulated data to elicit thematic findings.
    Results: Due to the pandemic-induced economic conditions, clients expressed increased demand for housing, employment, and childcare support services. Staff experienced challenges with client referrals to these services because of interruptions in social service availability and transitions to virtual services. In response to these challenges, home visiting programs strengthened existing community partnerships and created new collaborations with local agencies to fill any gaps in services.
    Discussion: Home visiting programs in Georgia provided critical linkages to community resources for families during the early phase of the pandemic. Preserving this essential home visiting service in future national emergencies will require improved coordination of community resources and social services.
    Mesh-Begriff(e) Child ; Humans ; COVID-19/epidemiology ; Community Resources ; Pandemics ; Georgia/epidemiology ; Social Work
    Sprache Englisch
    Erscheinungsdatum 2024-01-23
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1339905-6
    ISSN 1573-6628 ; 1092-7875
    ISSN (online) 1573-6628
    ISSN 1092-7875
    DOI 10.1007/s10995-023-03866-3
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Validity of a Common Measure of Intimate Partner Violence Perpetration: Impact on Study Inference in Trials in Low- and Middle-Income Countries.

    Clark, Cari Jo / Bergenfeld, Irina / Shervinskie, Abbie / Johnson, Erin R / Cheong, Yuk Fai / Kaslow, Nadine J / Yount, Kathryn M

    medRxiv : the preprint server for health sciences

    2024  

    Abstract: Background: In lower-and middle-income countries (LMICs), studies of interventions to reduce intimate partner violence (IPV) perpetration are expanding, yet measurement equivalence of the IPV perpetration construct that is the primary outcome in these ... ...

    Abstract Background: In lower-and middle-income countries (LMICs), studies of interventions to reduce intimate partner violence (IPV) perpetration are expanding, yet measurement equivalence of the IPV perpetration construct that is the primary outcome in these investigations has not been established. We assessed the measurement equivalence of physical and sexual IPV perpetration item sets used in recent trials in LMICs and tested the impact of non-invariance on trial inference.
    Methods: With data from three intervention trials among men (sample size 505-1537 across studies) completed in 2019, we calculated tetrachoric correlations among items and used multiple-group confirmatory factor analysis to assess invariance across arms and over time. We also assessed treatment effects adjusting for covariate imbalance and using inverse probability to treatment weights to assess concordance of invariant measures with published results, where warranted.
    Findings: The average correlation among items measuring IPV perpetration was high and increased by 0.03 to 0.15 for physical IPV and 0.07 to 0.17 for sexual IPV over time with several items in two studies showing correlations ≥ 0.85 at endline. Increases in the degree of correlation for physical IPV were concentrated in the treatment arm in two of the studies. The increase in correlation in sexual IPV differed by arm across studies. Across all studies, a correlated two-factor solution was the best fitting model according to the EFAs and CFAs. One study demonstrated measurement invariance across arms and over time. In two of the studies, longitudinal measurement non-invariance was detected in the intervention arms. In post hoc testing, one study attained invariance with a one-factor model and study inference was concordant with published findings. The other study did not attain even partial invariance.
    Conclusion: Common measures of physical and sexual IPV perpetration cannot be used validly for comparisons across treatment versus control groups over time without further refinement. The study highlights the need for an expanded item set, content validity assessments, further measurement invariance testing, and then consistent use of the item sets in future intervention trials to ensure valid inferences regarding the effectiveness of IPV perpetration prevention interventions within and across trials.
    Sprache Englisch
    Erscheinungsdatum 2024-01-29
    Erscheinungsland United States
    Dokumenttyp Preprint
    DOI 10.1101/2024.01.28.24301897
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Infertile Jordanian Women's Self-Perception About Societal Violence: An Interpretative Phenomenological Study.

    Bawadi, Hala / Al-Hamdan, Zaid M / Clark, Cari Jo / Hall-Clifford, Rachel / Hamadneh, Jehan Mahmoud / Al-Sharu, Emad Elddeen

    International journal of women's health

    2024  Band 16, Seite(n) 593–603

    Abstract: Background: Infertility affects one in six couples globally and is compounded by stigma and violence, particularly for women, in Jordan's culture. While existing research has illuminated societal pressures faced by infertile women, there is, yet no ... ...

    Abstract Background: Infertility affects one in six couples globally and is compounded by stigma and violence, particularly for women, in Jordan's culture. While existing research has illuminated societal pressures faced by infertile women, there is, yet no comprehensive understanding of the violence they encounter in their daily lives.
    Objective: This Interpretative Phenomenological study seeks to unravel the experiences of infertile women regarding societal violence in Jordan. By focusing on different types of community violence - physical, psychological, and emotional - The study aims to provide nuanced insights into the challenges these women confront. It also endeavors to identify contributing factors, including societal attitudes, cultural beliefs, and individual encounters, while informing policy and practice to mitigate this issue.
    Methods: Employing a qualitative approach, this study conducted semi-structured interviews with purposively sampled infertile women. Thematic analysis was utilized to uncover recurring patterns and themes, facilitating a comprehensive exploration of their experiences.
    Results: Five main themes were identified: How the surrounding people view me as an infertile woman; I am suffocated by their questions; they interfere in the smallest details; I got burned and turned to ashes, and I have no right to complain; The problem of childbearing and the treatment plan is a matter for me and my husband only; and who supports me and what do I want from those around me?
    Implications: This study's implications are significant for policy and practice. By foregrounding the prevalent violence faced by infertile women, it underscores the urgency of interventions. Raising awareness, providing education, and extending support can counteract societal stigma and violence. Creating a more compassionate societal fabric can ensure a safer, more inclusive environment for these women.
    Sprache Englisch
    Erscheinungsdatum 2024-04-13
    Erscheinungsland New Zealand
    Dokumenttyp Journal Article
    ZDB-ID 2508161-5
    ISSN 1179-1411
    ISSN 1179-1411
    DOI 10.2147/IJWH.S451950
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Global measurement of intimate partner violence to monitor Sustainable Development Goal 5.

    Yount, Kathryn M / Cheong, Yuk Fai / Khan, Zara / Bergenfeld, Irina / Kaslow, Nadine / Clark, Cari Jo

    BMC public health

    2022  Band 22, Heft 1, Seite(n) 465

    Abstract: Background: One third of women experience intimate partner violence (IPV) and potential sequelae. Sustainable Development Goal (SDG) 5.2-to eliminate violence against women, including IPV-compels states to monitor such violence. We conducted the first ... ...

    Abstract Background: One third of women experience intimate partner violence (IPV) and potential sequelae. Sustainable Development Goal (SDG) 5.2-to eliminate violence against women, including IPV-compels states to monitor such violence. We conducted the first global measurement-invariance assessment of standardised item sets for IPV.
    Methods: Demographic and Health Surveys (DHS) from 36 Lower-/Middle-Income Countries (LMICs) administering 18 IPV items during 2012-2018 were included. Analyses were performed separately for two items sets: lifetime physical IPV (seven items) and controlling behaviours (five items). We performed country-specific exploratory and confirmatory factor analyses (EFA/CFA). Datasets meeting benchmarks for acceptable item loadings and model-fit statistics were included in multiple-group CFA (MGCFA) to test for exact measurement invariance. Based on findings, alignment optimization (AO) was performed to assess approximate measurement invariance (< 25% of model parameters non-invariant). For each item set, national rankings based on AO-derived scores and on prevalence estimates were compared. AO-derived scores were correlated with type-specific IPV prevalences to assess correspondence.
    Results: National rates of physical IPV (5.6-50.5%) and controlling behavior (25.9-84.7%) varied. For each item set, item loadings and model-fit statistics were adequate in country-specific, unidimensional EFAs and CFAs. Both unidimensional constructs lacked exact invariance in MGCFA but achieved approximate invariance in AO analysis (12.3% of model parameters for physical IPV and 6.7% for controlling behaviour non-invariant). For both item sets, national rankings based on AO-derived scores were distributed similarly to rankings based on prevalence. However, estimates often were not significantly different cross-nationally, precluding national-level comparisons regardless of estimation strategy. Three physical-IPV items (slap, twist, choke) and two controlling-behaviour items (meet female friends; contact with family) warrant cognitive testing to improve their psychometric properties. Correlations of AO-derived scores for physical IPV (0.48-0.66) and controlling behaviours (0.49-0.87) with prevalences of lifetime physical, sexual, psychological IPV as well as controlling behaviour varied.
    Conclusions: Seven DHS lifetime physical-IPV items and five DHS controlling-behaviour items were approximately invariant across 36 LMICs spanning five world regions, such that cross-national comparisons of factor means are reasonable. Measurement-invariance testing over time will inform their utility to monitor SDG5.2.1; cross-national, cross-time measurement-invariance testing of improved sexual and psychological IPV item-sets is needed.
    Mesh-Begriff(e) Female ; Humans ; Intimate Partner Violence ; Prevalence ; Risk Factors ; Sexual Behavior ; Sexual Partners/psychology ; Sustainable Development ; Violence
    Sprache Englisch
    Erscheinungsdatum 2022-03-08
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-022-12822-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel ; Online: Monitoring sustainable development goal 5.2: Cross-country cross-time invariance of measures for intimate partner violence.

    Yount, Kathryn M / Bergenfeld, Irina / Mhamud, Nishat / Clark, Cari Jo / Kaslow, Nadine J / Cheong, Yuk Fai

    PloS one

    2022  Band 17, Heft 6, Seite(n) e0267373

    Abstract: Background: The persistence and impacts of violence against women motivated Sustainable Development Goal (SDG) 5.2 to end such violence. Global psychometric assessment of cross-country, cross-time invariance of items measuring intimate partner violence ( ...

    Abstract Background: The persistence and impacts of violence against women motivated Sustainable Development Goal (SDG) 5.2 to end such violence. Global psychometric assessment of cross-country, cross-time invariance of items measuring intimate partner violence (IPV) is needed to confirm their utility for comparing and monitoring national trends.
    Methods: Analyses of seven physical-IPV items included 377,500 ever-partnered women across 20 countries (44 Demographic and Health Surveys (DHS)). Analyses of five controlling-behaviors items included 371,846 women across 19 countries (42 DHS). We performed multiple-group confirmatory factor analysis (MGCFA) to assess within-country, cross-time invariance of each item set. Pooled analyses tested cross-country, cross-time invariance using DHSs that showed configural invariance in country-level multiple-group confirmatory factor analysis (MGCFAs). Alignment optimization tested approximate invariance of each item set in the pooled sample of all datasets, and in the subset of countries showing metric invariance over at least two repeated cross-sectional surveys in country-level MGCFAs.
    Results: In country-level MGCFAs, physical-IPV items and controlling-behaviors items functioned equivalently in repeated survey administrations in 12 and 11 countries, respectively. In MGCFA testing cross-country, cross-time invariance in pooled samples, neither item set was strictly equivalent; however, the physical-IPV items were approximately invariant. Controlling-behaviors items did not show approximate cross-country and cross-time invariance in the full sample or the sub-sample showing country-level metric invariance.
    Conclusion: Physical-IPV items approached approximate invariance across 20 countries and were approximately invariant in 11 countries with repeated cross-sectional surveys. Controlling-behaviors items were cross-time invariant within 11 countries but did not show cross-country, cross-time approximate invariance. Currently, the physical-IPV item set is more robust for monitoring progress toward SDG5.2.1, to end IPV against women.
    Mesh-Begriff(e) Cross-Sectional Studies ; Female ; Humans ; Intimate Partner Violence ; Prevalence ; Risk Factors ; Sexual Partners ; Sustainable Development
    Sprache Englisch
    Erscheinungsdatum 2022-06-17
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0267373
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: Impact of Measurement Variability on Study Inference in Partner Violence Prevention Trials in Low- and Middle-Income Countries.

    Clark, Cari Jo / Bergenfeld, Irina / Cheong, Yuk Fai / Kaslow, Nadine J / Yount, Kathryn M

    Assessment

    2022  Band 30, Heft 5, Seite(n) 1339–1353

    Abstract: In lower- and middle-income countries (LMICs), studies of interventions to reduce intimate partner violence (IPV) are expanding, yet measurement equivalence of the IPV construct-the primary outcome in these investigations-has not been established. We ... ...

    Abstract In lower- and middle-income countries (LMICs), studies of interventions to reduce intimate partner violence (IPV) are expanding, yet measurement equivalence of the IPV construct-the primary outcome in these investigations-has not been established. We assessed the measurement equivalence of physical and sexual IPV item sets used in recent trials in LMICs and tested the impact of noninvariance on study inference. With data from four intervention trials (
    Mesh-Begriff(e) Humans ; Developing Countries ; Intimate Partner Violence/prevention & control
    Sprache Englisch
    Erscheinungsdatum 2022-05-16
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1362144-0
    ISSN 1552-3489 ; 1073-1911
    ISSN (online) 1552-3489
    ISSN 1073-1911
    DOI 10.1177/10731911221095599
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  9. Artikel ; Online: Measurement invariance of the Center for Epidemiologic Studies Scale-Depression within and across six diverse intervention trials.

    Bergenfeld, Irina / Kaslow, Nadine J / Yount, Kathryn M / Cheong, Yuk Fai / Johnson, Erin R / Clark, Cari Jo

    Psychological assessment

    2023  Band 35, Heft 10, Seite(n) 805–820

    Abstract: Depression, a major contributor to the global burden of disease, is an outcome of interest in clinical trials. Researchers and clinicians note that depression often presents differently across cultures, posing challenges in the accurate measurement of ... ...

    Abstract Depression, a major contributor to the global burden of disease, is an outcome of interest in clinical trials. Researchers and clinicians note that depression often presents differently across cultures, posing challenges in the accurate measurement of depressive symptoms across populations. A commonly used self-administered screening tool to measure depressive symptoms, the Center for Epidemiologic Studies Scale-Depression (CES-D), has been translated into dozens of languages and used in thousands of studies, yet gaps remain in our understanding of its factor structure and invariance across studies and over time in the context of interventions. In this secondary analysis, we sampled six recent trials from lower- and middle-income countries to (a) establish the factor structure of the CES-D, (b) assess measurement invariance of the CES-D across treatment versus control arms and over time, (c) examine cross-study invariance, and (d) identify items that may be driving potential noninvariance. We performed exploratory/confirmatory factor analysis to establish the factor structure of the CES-D within each trial and used multiple group confirmatory analysis to assess within-study cross-arm/cross-time and cross-study invariance. After removal of positive affect items, a unidimensional model performed equivalently over time and across arms within trials, but exhibited noninvariance across trials, supporting prior literature describing differences in factor structure of the scale across populations. While our findings suggest that the CES-D without positive affect items is a valid measure of depressive symptoms within trials in our sample, caution is warranted in interpreting the findings of meta-analyses and multisite/multicountry studies using the CES-D as an outcome measure. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
    Mesh-Begriff(e) Humans ; Depression/diagnosis ; Depression/epidemiology ; Databases, Factual ; Epidemiologic Studies ; Factor Analysis, Statistical ; Language
    Sprache Englisch
    Erscheinungsdatum 2023-08-24
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 1000939-5
    ISSN 1939-134X ; 1040-3590
    ISSN (online) 1939-134X
    ISSN 1040-3590
    DOI 10.1037/pas0001262
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel: Does domestic violence legislation reduce permissive attitudes about intimate partner violence? Longitudinal evidence from men and women from 61 countries.

    Richardson, Robin A / Hadd, Alexandria R / Rodriguez-Planas, Nuria / Wiederkehr, Katjana / Jamshed, Farheen / Benmarhnia, Tarik / Clark, Cari Jo

    medRxiv : the preprint server for health sciences

    2023  

    Abstract: Background: Intimate partner violence (IPV) is highly prevalent and has substantial implications for women's health. Changing IPV attitudes is one pathway to reduce IPV. While evidence suggests that interventions targeting individuals may change IPV ... ...

    Abstract Background: Intimate partner violence (IPV) is highly prevalent and has substantial implications for women's health. Changing IPV attitudes is one pathway to reduce IPV. While evidence suggests that interventions targeting individuals may change IPV attitudes, the effect of wider-scale interventions, such as legislation, remain unknown.
    Methods: We used individual-level IPV attitudes information collected between 1997 and 2020 by the Demographic and Health Surveys (DHS) and the Multiple Indicator Cluster Surveys (MICS), which we linked with national-level domestic violence (DV) legislation information. We evaluated the effect of adoption of DV legislation on changes in IPV attitudes using a difference-in-differences study design that controlled for time-varying country-level confounding and accounted for staggered timing of legislation adoption.
    Findings: Our sample included 2,184,047 women from 60 countries and 390,877 men from 40 countries. After controlling for country-level confounders, adoption of DV legislation reduced IPV acceptability among women (average treatment effect among treated (ATT) = -0.07, 95% CI: -0.16, 0.06) and men (ATT = -0.11, 95% CI: -0.22, 0.03) although estimates were imprecise and included the null.
    Interpretation: DV legislation may reduce permissive IPV attitudes, especially among men, although conclusions should be interpreted cautiously due to imprecise estimates.
    Funding: Eunice Kennedy Shriver National Institute of Child Health and Human Development (5R00HD104896).
    Sprache Englisch
    Erscheinungsdatum 2023-10-24
    Erscheinungsland United States
    Dokumenttyp Preprint
    DOI 10.1101/2023.10.23.23297413
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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