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https://doi.org/10.1007/s10896-022-00363-z
ORIGINAL ARTICLE
Examining theLongitudinal Relationship betweenIntimate Partner
Violence andCouples’ Marital Quality inRural India
SangeetaChatterji1 · NicoleJohns1· MohanGhule1· ShahinaBegum2· SarahAverbach1,3· MadhusudanBattala4·
AnitaRaj1
Accepted: 14 January 2022
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022
Abstract
Much of the research on intimate partner violence (IPV) documents the negative impacts of violence on women, which are
substantial. Less attention has been given to perceptions of the marital relationship given these experiences of violence.
However, evidence suggests that many women affected by IPV within marriage remain in their relationships, particularly in
contexts such as India, where divorce remains highly stigmatized. Understanding and supporting marital quality may need
greater prioritization to support women who remain in relationships affected by violence. This study examines the associa-
tion between IPV and marital quality among young married couples in rural India. We interviewed 1084 women and 1084
men at two time points (baseline, 18months) in a western state in India and used multilevel mixed effects models to test the
association between IPV and marital quality. We found that women’s experience of physical and sexual IPV was associated
with poor marital quality at 18months. Women’s experience of sexual IPV was also negatively associated with men’s self-
reported marital quality at 18months. Among men, spouse’s marital quality was positively associated with their own rating of
marital quality. We also examined the reciprocal relationship between IPV and marital quality and found that women’s report
of poor marital quality was associated with their future experience of physical IPV, sexual IPV, and emotional IPV. Taken
together, these findings suggest that IPV interventions need to target marital quality to be effective. To do this, we would
need to shift our lens from empowering individuals to empowering couples to work together to improve their relationships.
Keywords Intimate partner violence· Marital quality· Violence prevention· India· Couples
Introduction
Intimate partner violence (IPV) is a global public health
issue. One-third of women worldwide have experienced
at least one form of physical or sexual violence from their
intimate partners in their lifetime (Devries etal., 2013b).
IPV has negative consequences on women’s health includ-
ing injury, chronic pain, pregnancy loss, and substance use
(Campbell, 2002; Devries etal., 2013a; Stockman etal.,
2014; Wu etal., 2010). Much of the research on IPV docu-
ments these negative socio-economic and health impacts of
abuse on women, which are substantial. Less attention has
been given to perceptions of the marital relationship given
the experiences of violence, likely because of researcher rec-
ognition that such relationships are harmful and are thus of
poor quality. However, evidence suggests that many women
affected by IPV within marriage remain in their relation-
ships, particularly in contexts such as India, where divorce
remains highly stigmatized (Decker etal., 2013; Ragavan
etal., 2015). Thus, understanding and supporting marital
quality may need greater prioritization to support women
who remain in relationships affected by violence. Given evi-
dence that violence in marital relationships decline over the
life course, such understanding can be particularly useful
over time. To advance this area of research and practice,
this study seeks to examine the association between IPV and
marital quality among young married couples in rural India.
* Sangeeta Chatterji
schatterji@health.ucsd.edu
1 Center onGender Equity andHealth, School ofMedicine,
University ofCalifornia San Diego, LaJolla, CA, USA
2 National Institute forResearch inReproductive andChild
Health, Mumbai, India
3 Department ofObstetrics, Gynecology andReproductive
Sciences, School ofMedicine, University ofCalifornia San
Diego, LaJolla, CA, USA
4 Population Council, Delhi, India
/ Published online: 18 January 2022
Journal of Family Violence (2023) 38:139–148
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