Associations between bride price obligations and women's anger, symptoms of mental distress, poverty, spouse and family conflict and preoccupations with injustice in conflict-affected Timor-Leste
Identifieur interne : 002250 ( Pmc/Curation ); précédent : 002249; suivant : 002251Associations between bride price obligations and women's anger, symptoms of mental distress, poverty, spouse and family conflict and preoccupations with injustice in conflict-affected Timor-Leste
Auteurs : Susan Rees [Australie] ; Mohammed Mohsin [Australie] ; Alvin Kuowei Tay [Australie] ; Rosamund Thorpe [Australie] ; Samantha Murray [Australie] ; Elisa Savio [Australie, Timor oriental] ; Mira Fonseca [Australie, Timor oriental] ; Wietse Tol [États-Unis] ; Derrick Silove [Australie]Source :
- BMJ Global Health [ 2059-7908 ] ; 2016.
Abstract
Bride price is a widespread custom in many parts of the world, including in most countries in sub-Saharan Africa and parts of Asia. We hypothesised that problems relating to the obligatory ongoing remittances made by the husband and his family to the bride's family may be a source of mental disturbance (in the form of explosive anger and severe mental distress) among women. In addition, we postulated that problems arising with bride price would be associated with conflict with the spouse and family, poverty and women's preoccupations with injustice.
A mixed-methods study comprising a total community household survey and semistructured qualitative interviews.
Two villages, one urban, the other rural, in Timor-Leste.
1193 married women participated in the household survey and a structured subsample of 77 women participated in qualitative interviews.
Problems with bride price showed a consistent dose–effect relationship with sudden episodes of explosive anger, excessive anger and severe psychological distress. Women with the most severe problems with bride price had twice the poverty scores as those with no problems with the custom. Women with the most severe problems with bride price also reported a threefold increase in conflict with their spouse and a fivefold increase in conflict with family. They also reported heightened preoccupations with injustice.
Our study is the first to show consistent associations between problems with bride price obligations and mental distress, poverty, conflict with spouse and family and preoccupations with injustice among women in a low-income, postconflict country.
Url:
DOI: 10.1136/bmjgh-2015-000025
PubMed: 28588920
PubMed Central: 5321310
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strict</wicri:regionArea></affiliation></author><author><name sortKey="Tol, Wietse" sort="Tol, Wietse" uniqKey="Tol W" first="Wietse" last="Tol">Wietse Tol</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>Bloomberg School of Public Health, Johns Hopkins University</institution>,<addr-line>Baltimore, Maryland</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Silove, Derrick" sort="Silove, Derrick" uniqKey="Silove D" first="Derrick" last="Silove">Derrick Silove</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country 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Timor-Leste</title><author><name sortKey="Rees, Susan" sort="Rees, Susan" uniqKey="Rees S" first="Susan" last="Rees">Susan Rees</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mohsin, Mohammed" sort="Mohsin, Mohammed" uniqKey="Mohsin M" first="Mohammed" last="Mohsin">Mohammed Mohsin</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tay, Alvin Kuowei" sort="Tay, Alvin Kuowei" uniqKey="Tay A" first="Alvin Kuowei" last="Tay">Alvin Kuowei Tay</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Thorpe, Rosamund" sort="Thorpe, Rosamund" uniqKey="Thorpe R" first="Rosamund" last="Thorpe">Rosamund Thorpe</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>James Cook University</institution>,<addr-line>Townsville, Queensland</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Murray, Samantha" sort="Murray, Samantha" uniqKey="Murray S" first="Samantha" last="Murray">Samantha Murray</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Savio, Elisa" sort="Savio, Elisa" uniqKey="Savio E" first="Elisa" last="Savio">Elisa Savio</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af3"><institution>Alola Women's Foundation</institution>,<addr-line>Dili</addr-line>,<country>Timor-Leste</country></nlm:aff><country xml:lang="fr">Timor oriental</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Fonseca, Mira" sort="Fonseca, Mira" uniqKey="Fonseca M" first="Mira" last="Fonseca">Mira Fonseca</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af3"><institution>Alola Women's Foundation</institution>,<addr-line>Dili</addr-line>,<country>Timor-Leste</country></nlm:aff><country xml:lang="fr">Timor oriental</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tol, Wietse" sort="Tol, Wietse" uniqKey="Tol W" first="Wietse" last="Tol">Wietse Tol</name><affiliation wicri:level="1"><nlm:aff id="af4"><institution>Bloomberg School of Public Health, Johns Hopkins University</institution>,<addr-line>Baltimore, Maryland</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Silove, Derrick" sort="Silove, Derrick" uniqKey="Silove D" first="Derrick" last="Silove">Derrick Silove</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Global Health</title><idno type="eISSN">2059-7908</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Bride price is a widespread custom in many parts of the world, including in most countries in sub-Saharan Africa and parts of Asia. We hypothesised that problems relating to the obligatory ongoing remittances made by the husband and his family to the bride's family may be a source of mental disturbance (in the form of explosive anger and severe mental distress) among women. In addition, we postulated that problems arising with bride price would be associated with conflict with the spouse and family, poverty and women's preoccupations with injustice.</p></sec><sec><title>Design</title><p>A mixed-methods study comprising a total community household survey and semistructured qualitative interviews.</p></sec><sec><title>Setting</title><p>Two villages, one urban, the other rural, in Timor-Leste.</p></sec><sec><title>Participants</title><p>1193 married women participated in the household survey and a structured subsample of 77 women participated in qualitative interviews.</p></sec><sec><title>Results</title><p>Problems with bride price showed a consistent dose–effect relationship with sudden episodes of explosive anger, excessive anger and severe psychological distress. Women with the most severe problems with bride price had twice the poverty scores as those with no problems with the custom. Women with the most severe problems with bride price also reported a threefold increase in conflict with their spouse and a fivefold increase in conflict with family. They also reported heightened preoccupations with injustice.</p></sec><sec><title>Conclusions</title><p>Our study is the first to show consistent associations between problems with bride price obligations and mental distress, poverty, conflict with spouse and family and preoccupations with injustice among women in a low-income, postconflict country.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gostin, Lo" uniqKey="Gostin L">LO Gostin</name></author><author><name sortKey="Friedman, Ea" uniqKey="Friedman E">EA Friedman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baingana, F" uniqKey="Baingana F">F Baingana</name></author><author><name sortKey="Bannon, I" uniqKey="Bannon I">I Bannon</name></author><author><name sortKey="Thomas, R" uniqKey="Thomas R">R Thomas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Corno, L" uniqKey="Corno L">L 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Glob Health</journal-id><journal-id journal-id-type="iso-abbrev">BMJ Glob Health</journal-id><journal-id journal-id-type="hwp">bmjgh</journal-id><journal-id journal-id-type="publisher-id">bmjgh</journal-id><journal-title-group><journal-title>BMJ Global Health</journal-title></journal-title-group><issn pub-type="epub">2059-7908</issn><publisher><publisher-name>BMJ Publishing Group</publisher-name><publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28588920</article-id><article-id pub-id-type="pmc">5321310</article-id><article-id pub-id-type="publisher-id">bmjgh-2015-000025</article-id><article-id pub-id-type="doi">10.1136/bmjgh-2015-000025</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>1506</subject></subj-group></article-categories><title-group><article-title>Associations between bride price obligations and women's anger, symptoms of mental distress, poverty, spouse and family conflict and preoccupations with injustice in conflict-affected Timor-Leste</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rees</surname><given-names>Susan</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Mohsin</surname><given-names>Mohammed</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Tay</surname><given-names>Alvin Kuowei</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Thorpe</surname><given-names>Rosamund</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Murray</surname><given-names>Samantha</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Savio</surname><given-names>Elisa</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Fonseca</surname><given-names>Mira</given-names></name><xref ref-type="aff" rid="af1">1</xref><xref ref-type="aff" rid="af3">3</xref></contrib><contrib contrib-type="author"><name><surname>Tol</surname><given-names>Wietse</given-names></name><xref ref-type="aff" rid="af4">4</xref></contrib><contrib contrib-type="author"><name><surname>Silove</surname><given-names>Derrick</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib></contrib-group><aff id="af1"><label>1</label><addr-line>Psychiatry Research and Teaching Unit</addr-line>,<institution>University of New South Wales and Academic Mental Health Unit, South Western Sydney Local Health District, Liverpool Hospital</institution>,<addr-line>Sydney, New South Wales</addr-line>,<country>Australia</country></aff><aff id="af2"><label>2</label><institution>James Cook University</institution>,<addr-line>Townsville, Queensland</addr-line>,<country>Australia</country></aff><aff id="af3"><label>3</label><institution>Alola Women's Foundation</institution>,<addr-line>Dili</addr-line>,<country>Timor-Leste</country></aff><aff id="af4"><label>4</label><institution>Bloomberg School of Public Health, Johns Hopkins University</institution>,<addr-line>Baltimore, Maryland</addr-line>,<country>USA</country></aff><author-notes><corresp><label>Correspondence to</label> Dr Susan Rees; <email>s.j.rees@unsw.edu.au</email></corresp></author-notes><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>26</day><month>5</month><year>2016</year></pub-date><volume>1</volume><issue>1</issue><elocation-id>e000025</elocation-id><history><date date-type="received"><day>15</day><month>12</month><year>2015</year></date><date date-type="rev-recd"><day>30</day><month>3</month><year>2016</year></date><date date-type="accepted"><day>24</day><month>4</month><year>2016</year></date></history><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access"><license-p>This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link></license-p></license></permissions><self-uri xlink:title="pdf" xlink:href="bmjgh-2015-000025.pdf"></self-uri><abstract><sec><title>Objectives</title><p>Bride price is a widespread custom in many parts of the world, including in most countries in sub-Saharan Africa and parts of Asia. We hypothesised that problems relating to the obligatory ongoing remittances made by the husband and his family to the bride's family may be a source of mental disturbance (in the form of explosive anger and severe mental distress) among women. In addition, we postulated that problems arising with bride price would be associated with conflict with the spouse and family, poverty and women's preoccupations with injustice.</p></sec><sec><title>Design</title><p>A mixed-methods study comprising a total community household survey and semistructured qualitative interviews.</p></sec><sec><title>Setting</title><p>Two villages, one urban, the other rural, in Timor-Leste.</p></sec><sec><title>Participants</title><p>1193 married women participated in the household survey and a structured subsample of 77 women participated in qualitative interviews.</p></sec><sec><title>Results</title><p>Problems with bride price showed a consistent dose–effect relationship with sudden episodes of explosive anger, excessive anger and severe psychological distress. Women with the most severe problems with bride price had twice the poverty scores as those with no problems with the custom. Women with the most severe problems with bride price also reported a threefold increase in conflict with their spouse and a fivefold increase in conflict with family. They also reported heightened preoccupations with injustice.</p></sec><sec><title>Conclusions</title><p>Our study is the first to show consistent associations between problems with bride price obligations and mental distress, poverty, conflict with spouse and family and preoccupations with injustice among women in a low-income, postconflict country.</p></sec></abstract><funding-group><award-group id="funding-1"><funding-source><institution-wrap><institution>National Health and Medical Research Council</institution><institution-id>http://dx.doi.org/10.13039/501100000925</institution-id></institution-wrap></funding-source><award-id>Program Grant 568970.</award-id></award-group><award-group id="funding-2"><funding-source><institution-wrap><institution>Australian Research Council</institution><institution-id>http://dx.doi.org/10.13039/501100000923</institution-id></institution-wrap></funding-source><award-id>DP0987803</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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