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AJPH First Look, published online ahead of print Aug 13, 2008
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March 2009, Vol 99, No. 3 | American Journal of Public Health 462-469
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.120634

RESEARCH AND PRACTICE

Premigration Exposure to Political Violence and Perpetration of Intimate Partner Violence Among Immigrant Men in Boston

Jhumka Gupta, ScD, MPH, Dolores Acevedo-Garcia, PhD, David Hemenway, PhD, Michele R. Decker, ScD, MPH, Anita Raj, PhD and Jay G. Silverman, PhD

Jhumka Gupta is with the Yale University Center for Interdisciplinary Research on AIDS, New Haven, CT, and the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA. Dolores Acevedo-Garcia, Michele R. Decker, and Jay G. Silverman are with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston. David Hemenway is with the Department of Health Policy and Management, Harvard School of Public Health, Boston. Anita Raj is with Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, MA.

Correspondence: Request for reprints should be sent to Jhumka Gupta, ScD, Harvard School of Public Health, 677 Huntington Ave, Room 705, Boston, MA 02115 (e-mail: jgupta{at}hsph.harvard.edu).

Objectives. We examined associations between premigration political violence exposure and past-year intimate partner violence (IPV) perpetration among immigrant men attending community health centers in Boston.

Methods. A convenience sample of immigrant men (N = 379; aged 18–35 years), largely from the Caribbean and Cape Verde, who attend community health centers, completed an anonymous, cross-sectional survey on risk and protective factors for male-perpetrated IPV and respondents’ exposure to political violence.

Results. One in 5 (20.1%) immigrant men reported that they were exposed to political violence before arrival in the United States. Men reporting political violence exposure were significantly more likely to report IPV perpetration than were men not reporting such exposure (adjusted odds ratio [AOR] = 2.84; 95% confidence interval [CI] = 1.41, 5.74). Significant associations with political violence exposure were observed for both physical (AOR = 2.69; 95% CI = 1.11, 6.54) and sexual (AOR = 2.37; 95% CI = 1.04, 5.44) IPV perpetration.

Conclusions. To our knowledge, our findings document for the first time the significant association between premigration political violence exposure and recent IPV perpetration among immigrant men. Additional work is needed to examine underlying mechanisms to inform culturally appropriate programs.






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