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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2007.118976v1 99/4/647    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Yoshihama, M. Articles by Kamano, S. Search for Related Content PubMed PubMed Citation Articles by Yoshihama, M. Articles by Kamano, S. Related Collections Gender Global Health Injury/Emergency Care/Violence Asians Surveys Women's Health

Mieko Yoshihama, PhD, MSW, Julie Horrocks, PhD and Saori Kamano, PhD

Mieko Yoshihama is with the School of Social Work, University of Michigan, Ann Arbor. Julie Horrocks is with the Department of Mathematics and Statistics, University of Guelph, Guelph, Ontario. Saori Kamano is with the National Institute of Population and Social Security Research, Tokyo, Japan.

Correspondence: Requests for reprints should be sent to Mieko Yoshihama, PhD, University of Michigan School of Social Work, 1080 South University, Ann Arbor, MI 48109-1106 (e-mail: miekoy{at}umich.edu).

Objectives. As part of the World Health Organization's cross-national research effort, we investigated the relationship between various health indicators and the experience of intimate partner violence (IPV), which included emotional, physical, and sexual abuse, among women in Yokohama, Japan.

Methods. We used multivariate logistic and negative binomial regression to examine the relationship between health status and IPV in a stratified cluster sample of 1371 women aged 18 to 49 years.

Results. In 9 of 11 health indicators examined, the odds of experiencing health-related problems were significantly higher (P < .05) among those that reported emotional abuse plus physical or sexual violence than among those that reported no IPV, after we controlled for sociodemographic factors, childhood sexual abuse, and adulthood sexual violence perpetrated by someone other than an intimate partner. For most health indicators, there were no significant differences between those that reported emotional abuse only and those that reported emotional abuse plus physical or sexual violence.

Conclusions. The similarity of outcomes among those that reported emotional abuse only and those that reported emotional abuse plus physical or sexual violence suggests the need for increased training of health care providers about the effects of emotional abuse.