Abstract
OBJECTIVE: To examine the contribution of socio-economic position (SEP) in explaining the excess of any abuse and intimate partner violence (IPV) among Aboriginal versus non-Aboriginal women in Canada. This comparison has not been studied before.
METHODS: We conducted logistic regression analysis, using nationwide data from a weighted sample of 57,318 Canadian-born mothers of singletons who participated in the Canadian Maternity Experiences Survey 2006-7.
RESULTS: The unadjusted odds of any abuse and IPV were almost four times higher among Aboriginal compared to non-Aboriginal mothers; OR 3.91 (95% CI 3.12-4.89) and OR 3.78 (2.87-4.97), respectively. Adjustment for SEP reduced the unadjusted OR of any abuse and IPV by almost 40%. However, even with this adjustment, the odds of any abuse and IPV for Aboriginal mothers remained twice that of non-Aboriginal mothers; OR 2.34 (1.82-2.99) and OR 2.19 (1.60-3.00), respectively.
CONCLUSIONS: SEP is a predominant contributor to the excess of abuse against Aboriginal vs. non-Aboriginal women in Canada. Reducing violence against Aboriginal women can be achieved mostly by improving their SEP, and simultaneously be informed by social processes and services that can mitigate abuse. The fact that SEP did not fully explain the excess of abuse among the Aboriginal women might lend support to “colonization or postcolonial theories,” and related contextual factors such as differences in community social resources (e.g., social capital) and services. The effect of these factors on the excess of abuse warrants future research.
Key Words: Violence against women, Intimate Partner Violence (IPV), Aboriginal peoples in Canada, socioeconomic position, colonialization
Résumé
OBJECTIF: Examiner le rôle de la situation socioéconomique (SSE) pour expliquer le surcroît d’abus et de violence entre partenaires intimes (VPI) chez les femmes autochtones au Canada par rapport aux femmes non autochtones. Notre étude est la toute première à effectuer une telle comparaison.
MÉTHODE: Nous avons analysé par régression logistique des données pancanadiennes tirées d’un échantillon pondéré de 57 318 femmes nées au Canada ayant accouché d’un enfant unique et ayant participé à l’Enquête canadienne sur l’expérience de la maternité de 2006-2007.
RÉSULTATS: Les probabilités non ajustées d’abus et de VPI étaient près de quatre fois plus élevées chez les mères autochtones que chez les mères non autochtones: RC 3,91 (IC de 95 % 3,12–4,89) et RC 3,78 (2,87–4,97), respectivement. L’ajustement pour tenir compte de la SSE a réduit de près de 40 % le rapport de cotes non ajusté pour les cas d’abus et de VPI. Cependant, même avec cet ajustement, les probabilités d’abus et de VPI chez les mères autochtones demeurent deux fois plus élevées que chez les mères non autochtones: RC 2,34 (1,82-2,99) et RC 2,19 (1,60- 3,00), respectivement.
CONCLUSIONS: La SSE est l’un des principaux facteurs contribuant au surcroît d’abus chez les femmes autochtones au Canada par rapport aux femmes non autochtones. Réduire la violence envers les femmes autochtones pourrait se faire principalement en améliorant leur SSE, tout en informant ces femmes des processus et des services sociaux qui peuvent atténuer les abus. Le fait que la SSE n’explique pas entièrement le surcroît d’abus que vivent les femmes autochtones pourrait accréditer les « théories » coloniales ou postcoloniales et les facteurs contextuels connexes, comme les différences dans les services et les ressources sociales communautaires (p. ex., le capital social). L’effet de ces facteurs sur le surcroît d’abus mérite d’être étudié plus avant.
Mots Clés: violence envers les femmes, violence entre partenaires intimes (VPI), Autochtones au Canada, situation socioéconomique, colonialisme
Footnotes
Acknowledgements: The authors thank the Maternity Experiences Study Group of the Public Health Agency of Canada’s Canadian Perinatal Surveillance System who developed and implemented the Canadian Maternity Experiences Survey; and the Native Women’s Association of Canada (NWAC) who reviewed the paper to ensure it benefitted from their wisdom and experience. Dr. Smylie is supported by a CIHR New Investigator award in Knowledge Translation.
Conflict of Interest: None to declare.
References
- 1.Andersson N, Nahwegahbow A. Family violence and the need for prevention research in First Nations, Inuit, and Métis Communities. Pimatisiwin. 2010;8(2):9–33. [PMC free article] [PubMed] [Google Scholar]
- 2.Brownridge D. Male partner violence against Aboriginal women in Canada: An empirical analysis. J Interpers Violence. 2003;18:65–83. doi: 10.1177/0886260502238541. [DOI] [Google Scholar]
- 3.Ontario Native Women’s Association ONWA. Breaking Free: A Proposal for Change to Aboriginal Family Violence. Thunder Bay, ON: Ontario Native Women’s Association; 1989. [Google Scholar]
- 4.Bopp M, Bopp J, Lane P. Aboriginal Domestic Violence in Canada. 2011. [Google Scholar]
- 5.Trainor C, Mihorean K. Family violence in Canada: A statistical profile 2001. Ottawa, ON: Minister of Industry; 2001. [Google Scholar]
- 6.Heaman M. Relationships between physical abuse during pregnancy and risk factors for preterm birth among women in Manitoba. J Obstet Gynecol Neonatal Nurs. 2005;34(6):721–31. doi: 10.1177/0884217505281906. [DOI] [PubMed] [Google Scholar]
- 7.Stevenson W. Colonialism and First Nation women in Canada. In: Cannon MJ, Sunseri L, editors. Racism, Colonialism and Indigeneity in Canada: A Reader. Oxford, UK: Oxford University Press; 2011. pp. 44–52. [Google Scholar]
- 8.Anderson K. Marriage, divorce and the family life. In: Cannon MJ, Sunseri L, editors. Racism, Colonialism and Indigeneity in Canada: A Reader. Oxford, UK: Oxford University Press; 2011. pp. 113–19. [Google Scholar]
- 9.Razack S. What is to be gained by looking White people in the eye? Culture, race, and gender in cases of sexual violence. Signs. 1994;19(4):894–923. doi: 10.1086/494944. [DOI] [Google Scholar]
- 10.Ing R. Canadian’s Indian residential schools and thier impacts on mothering. In: Cannon MJ, Sunseri L, editors. Racism, Colonialism and Indigeneity in Canada: A Reader. Oxford, UK: Oxford University Press; 2011. pp. 113–19. [Google Scholar]
- 11.O’Campo P, Gielen AC, Faden RR, Kass N. Verbal abuse and physical violence among a cohort of low-income pregnant women. Women’s Health Issues. 1994;4(1):29–37. doi: 10.1016/S1049-3867(05)80107-0. [DOI] [PubMed] [Google Scholar]
- 12.Malcoe LH, Duran BM, Montgomery JM. Socioeconomic disparities in intimate partner violence against Native American women: A cross-sectional study. BMC Med. 2004;2:20. doi: 10.1186/1741-7015-2-20. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Evans-Campbell T, Lindhorst T, Huang B, Walters KL. Interpersonal violence in the lives of urban American Indian and Alaska Native women: Implications for health, mental health, and help seeking. Am J Public Health. 2006;96(8):1416–22. doi: 10.2105/AJPH.2004.054213. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Daoud N, O’Campo P, Urquia M, Heaman M. Neighborhood context and abuse among immigrant and non-immigrant women in Canada: Findings from the Maternity Experiences Survey. Int J Public Health. 2012;57:679–89. doi: 10.1007/s00038-012-0367-8. [DOI] [PubMed] [Google Scholar]
- 15.Browning C. The span of collective efficacy: Extending social disorganization theory to partner violence. J Marriage Fam. 2002;64(4):833–50. doi: 10.1111/j.1741-3737.2002.00833.x. [DOI] [Google Scholar]
- 16.Noël A, Larocque F. Paper prepared for the Annual Meeting of the International Sociological Association’s Research Committee 19 (RC19), Montréal, QC, August 20, 2009. 2009. Aboriginal Peoples and Poverty in Canada: Can Provincial Governments Make a Difference? [Google Scholar]
- 17.Statistics Canada. Census of Population Statistics Canada. 2006. [Google Scholar]
- 18.Chalmers B, Dzakpasu S, Heaman M, Kaczorowski J, for the Maternity Experiences Study Group of the Canadian Perinatal Surveillance System, Public Health Agency of Canada. The Canadian Maternity Experiences Survey: An overview of findings J Obstet Gynaecol Can. 2008;30(3):217–28. doi: 10.1016/S1701-2163(16)32758-X. [DOI] [PubMed] [Google Scholar]
- 19.Dzakpasu S, Kaczorowski J, Chalmers B, Heaman M, Duggan J, Neusy E, for the Maternity Experiences Study Group of the Canadian Perinatal Surveillance System, Public Health Agency of Canada The Canadian Maternity Experiences Survey: Design and methods. J Obstet Gynaecol Can. 2008;30(3):207–16. doi: 10.1016/S1701-2163(16)32757-8. [DOI] [PubMed] [Google Scholar]
- 20.CIHR Guidelines for Health Research Involving Aboriginal Peoples. Available at: http://www.cihr-irsc.gc.ca/e/documents/ethics_aboriginal_guidelines_e.pdf (Accessed June 8, 2007). Ottawa: CIHR, 2007.
- 21.Statistics Canada. Public Health Agency of Canada. Violence Against Women Survey. Ottawa: Statistics Canada; 1993. [Google Scholar]
- 22.Statistics Canada. Public Health Agency of Canada. Maternity Experiences Survey, 2006 Questionnaire. Ottawa: Statistics Canada; 2006. [Google Scholar]
- 23.Statistics Canada. Public Health Agency of Canada. Maternity Experiences Survey, share file. Ottawa: Statistics Canada; 2006. [Google Scholar]
- 24.SAS Institute Inc. SAS/STAT® 9.2 User’s Guide. Cary, NC: SAS Institute Inc.; 2008. [Google Scholar]
- 25.Loppie-Reading C, Wien F. Health Inequalities and Social Determinants of Aboriginal Peoples’ Health. 2013. [Google Scholar]
- 26.Saltzman LE, Johnson CH, Gilbert BC, Goodwin MM. Physical abuse around the time of pregnancy: An examination of prevalence and risk factors in 16 states. Maternal and Child Health Journal. 2003;7(1):31–43. doi: 10.1023/A:1022589501039. [DOI] [PubMed] [Google Scholar]
- 27.Daoud N, Urquia M, O’Campo P, Heaman M, Janssen PA, Smylie J, Thiessen K. Prevalence of abuse and violence before, during, and after pregnancy in a national sample of Canadian women. Am J Public Health. 2012;102:1893–901. doi: 10.2105/AJPH.2012.300843. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Mignone J, O’Neil J. Conceptual understanding of social capital in First Nations communities: An illustrative description. Pimatisiwin: A Journal of Aboriginal and Indigenous Community Health. 2005;3(2):7–44. [Google Scholar]
- 29.Lavoie JG, Forget EL, Prakash T, Dahl M, Martens P, O’Neil JD. Have investments in on-reserve health services and initiatives promoting community control improved First Nations’ health in Manitoba? Soc Sci Med. 2010;71(4):717–24. doi: 10.1016/j.socscimed.2010.04.037. [DOI] [PubMed] [Google Scholar]
- 30.Mignone J. Journal de la santé autochtone. 2009. Social capital and Aboriginal communities: A critical assessment. Synthesis and assessment of the body of knowledge on social capital with emphasis on Aboriginal communities; pp. 100–47. [Google Scholar]