Bruised and Betrayed: Women and Domestic Violence

By: Jennifer Wider, MD
April 14, 2011

Domestic violence knows no boundaries: cultural, socio-economic, religious, level of education, gender or age. It can occur in any relationship and to anyone, but especially to women. In fact, roughly 25 percent of women will become a victim at one time or another during her lifetime.

Abuse is defined as any act used to gain power and control over another person, which can take on many forms. It can include physical, sexual, emotional, economic, coercion, threats, isolation and/or intimidation.

Domestic violence is abuse that occurs within interpersonal relationships and has become one of the top public health issues facing women in the United States. It is a leading cause of injury to women between the ages of 14 and 44 in this country.

There are risk factors that may increase the likelihood that a person becomes a victim to domestic violence. These can include: history of violence or abuse in a past relationship, physical or mental disability, unemployment, poor living situation, substance abuse, unplanned pregnancy, recently separated or divorced, social isolation and witnessed abuse as a child.

Men are not immune to victimization in relationships, but the patterns are different. “In many American surveys, roughly equal numbers of men and women report ever experiencing a violent act by their partner,” said Keera Allendorf, PhD, Assistant Professor, Department of Sociology, University of Illinois at Urbana-Champaign. “However, women experience more severe and more frequent violence than men.”

Marital status and the amount of time couples have been together seem to play a role as well. “Cohabiters have greater violence than married people,” reported Allendorf. “And there is a higher risk for violence earlier on in a relationship than later.”

Some victims report that they have difficulty recognizing the signs of domestic violence, especially if the abuse is not physical in nature. One woman reported to a worker at a local domestic violence crisis center, “Everyone has disagreements.” But domestic violence is not a disagreement; it is a pattern of behavior used by one partner to exercise power and control over the other. Oftentimes, the behavior may begin subtly and then quickly escalate in intensity and frequency over time.

There are serious and harmful long-term effects associated with domestic violence. Victims may experience physical injuries which range from bruises and broken bones to head injuries and internal bleeding. Women who are victims of sexual violence may contract sexually transmitted diseases and experience unwanted pregnancies. Studies show that pregnant women who are physically and emotionally abused are at higher risk for low-birth-weight infants, pre-term labor and miscarriage.

Not just physical, domestic violence takes an emotional toll as well. Women who are in abusive relationships are more likely to be depressed, anxious, experience post-traumatic stress disorder (PTSD), engage in substance abuse and attempt suicide. One study revealed that female victims of domestic violence have a 40% increased risk of developing postpartum depression.

Domestic violence touches the lives of thousands of people each year. In order to take meaningful steps to lower the number of victims, we need to make sure that people realize that domestic violence is not a private matter.

If you or someone you know is in immediate danger, the National Domestic Violence Hotline offers crisis intervention and provides information and referrals for victims of domestic violence. Call the hotline at (800) 799-SAFE or (800) 787-3224 TTY, or visit


Family Violence Prevention Fund (2004). National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings.

Fact sheets, Domestic Violence Crisis Centers (DVCC), 2007-11.

Garabedian M, et al "Intimate partner violence and postpartum depression" SMFM 2009; Abstract 194.


For more information on the Society for Women’s Health Research please contact Rachel Griffith at 202-496-5001 or

Jennifer Wider, M.D.Jennifer Wider, M.D., is a medical advisor for the Society for Women’s Health Research (SWHR), a national non-profit organization based in Washington D.C., widely recognized as the thought leader in research on sex differences and dedicated to improving women’s health through advocacy, education, and research.

Dr. Wider is a graduate of Princeton University and received her medical degree in 1999 from the Mount Sinai School of Medicine in New York City. She is frequently published in newspapers, magazines, and websites and has been a guest on the Today Show, CBS News, Fox News, Good Day New York, and a variety of cable channels. Dr. Wider hosts “Paging Dr. Wider,” a weekly segment on Sirius satellite radio for the Cosmopolitan magazine channel.

Dr. Wider is a past managing editor of the health channel at She writes a monthly news service article for SWHR and is the author of the consumer health booklet “Just the Facts: What Women Need to Know about Sex Differences in Health” and the book “The Doctor’s Complete College Girls’ Health Guide: From Sex to Drugs to the Freshman Fifteen.”


SWHR Sponsors Dana-Farber Cancer Institute, Yale University, and Brigham and Women’s Hospital Study on Exercise and Breast Cancer

Washington, DC (April 5, 2011) - The Society for Women's Health Research (SWHR) is partnering with Susan G. Komen for the Cure® to sponsor research to study the link between exercise and breast cancer.

"I'm pleased to announce SWHR's $1,000,000 award from Susan G. Komen for the Cure® that will fund Dr. Jennifer Ligibel of the Dana-Farber Cancer Institute, Dr. Melinda Irwin of Yale University, and Dr. Deborah Dillon of Brigham and Women's Hospital to study the benefit of exercise on breast cancer," said Phyllis Greenberger, MSW, President and CEO of SWHR. "It is our hope that this research will provide women with helpful measures to increase their chance of survival if diagnosed with this devastating disease."

Earlier studies have consistently shown that moderate amounts of exercise lowers breast cancer incidence in women. "Observational evidence suggests that women who exercise are less likely to develop breast cancer, and several recent reports also demonstrate lower rates of breast cancer recurrence in women who exercise after diagnosis," said Dana-Farber investigator Jennifer Ligibel, MD. "Little is known, however, about the biological mechanisms through which exercise could lower breast cancer risk and improve outcomes. With this project, we hope to shed some light upon the pathways through which exercise could influence breast cancer."

To understand the effect of exercise on biological mechanisms will require use of interdisciplinary approaches and methods from both basic and clinical research. "We are thrilled to bring together a network of experts in the field that will include medical oncologists, surgeons, pathologists, epidemiologists and behavioral scientists. By forming a transdisciplinary team of scientists, we will use an innovative design and methods to examine how exercise impacts breast cancer risk and recurrence," said Yale University's Melinda Irwin, PhD.

Breast cancer is still the most common cancer among women in the United States and accounts for approximately 40,000 deaths every year despite decreases in incidence rates due to early detection and existing therapies. Exercise promises to offer an alternate cost-effective, non-medical treatment option for women newly diagnosed with breast cancer, leading to improved quality of life.

"If this research can demonstrate that physical activity leads to alterations in these or other biological pathways, this would help provide important basic information that links exercise to breast cancer," said Komen President Elizabeth Thompson. "That information could then be used to both direct future research and to develop guidelines for millions of breast cancer survivors and women at risk of developing the disease."

Click here to learn more about SWHR's Interdisciplinary Networks.


For more information on the Society for Women’s Health Research, please contact Rachel Griffith at 202-496-5001 or

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