Session: Beyond Exposure: Mechanisms, Measurement, and Health Consequences of Intimate Partner Violence In Informal Settlements (Society for Social Work and Research 31st Annual Conference)

146 Beyond Exposure: Mechanisms, Measurement, and Health Consequences of Intimate Partner Violence In Informal Settlements

Schedule:
Friday, January 22, 2027: 3:45 PM-5:15 PM
Golden Gate 7 (Hilton San Francisco Union Square)
Cluster: Gender-Based Violence
Symposium Organizer:
Samantha Winter, PhD, Columbia University
Discussant:
Susan Witte, PhD, LCSW, Columbia University
This symposium brings together four studies that advance a multi-level understanding of intimate partner violence (IPV) in urban informal settlements, moving beyond documentation of prevalence to examine mechanisms, measurement, and consequences that shape health and access to care. Grounded in community-engaged research in Nairobi, Kenya, the papers collectively interrogate how structural conditions, gendered power relations, and community contexts interact to produce and sustain violence while constraining pathways to support.

The first paper examines fear as a unifying mechanism linking community violence and IPV, demonstrating how institutional failure and normalized insecurity collapse distinctions between public and private violence, suppress help-seeking, and erode trust in formal systems. The second paper investigates male authority and household power dynamics, identifying how economic dependence, gender norms, and the role of male partners shape women’s ability to engage in IPV and mental health interventions, with implications for gender-transformative programming. The third paper contributes a validated, low-burden measure of technology-facilitated IPV, addressing a critical gap in measurement and enabling more accurate assessment of coercive control in resource-constrained settings. The fourth paper documents the embodied health consequences of gender-based violence among urban refugee women, illustrating the interrelated mental, physical, and reproductive health impacts of sustained violence under conditions of displacement and structural marginalization.

Together, these studies articulate IPV as a multi-scalar, structurally embedded phenomenon shaped by intersecting forms of violence, institutional breakdown, and gendered power. By integrating qualitative, quantitative, and community-participatory approaches, the symposium advances rigorous, contextually grounded evidence to inform intervention design, strengthen measurement, and highlight pathways to more equitable and responsive health and social service systems.

Aligned with the conference theme, this work demonstrates how social work research can contribute to the common good by illuminating hidden mechanisms of harm, strengthening institutional accountability, and advancing access to care for marginalized populations living under conditions of structural constraint.

* noted as presenting author
Fear As a Unifying Mechanism Linking Community Violence and Intimate Partner Violence In Informal Settlements In Kenya
Enoch Amponsah, MSc, Rutgers University; Nana Ama Achiaa Sarkodie, BA, Kwame Nkrumah University of Science and Technology; Lena Obara, PhD, Columbia University; Samantha Winter, PhD, Columbia University
Male Partners, Power, and Access to Care: Integrating Gendered Power Dynamics into the Adaptation of IPV and Mental Health Interventions In Informal Settlements In Kenya
Ebuka 'Chukwuebuka' Ukoh, MSW, Columbia University; Samantha Winter, PhD, Columbia University; Lena Obara, PhD, Columbia University; Stephanie Otieno, BA, Columbia University; Peyton Deaver, MBA, University of South Carolina
Measuring Technology Facilitated Intimate Partner Violence In Informal Settlements: Psychometric Validation of a 5-Item Scale In Nairobi
Aishworya Shrestha, MSW, Columbia University; Shichang Yang, MSW, Columbia University; Lena Obara, PhD, Columbia University; Stephanie Otieno, BA, Columbia University; Samantha Winter, PhD, Columbia University
Embodied Health Consequences of Gender-Based Violence: A Qualitative Study with Urban Refugee Women In Kenya
Kate Cruikshank, BA, Columbia University; Lena Moraa Obara, PhD, Columbia University; Aishworya Shrestha, MSW, Columbia University; Enoch Amponsah, MSc, Rutgers University; Ebuka 'Chukwuebuka' Ukoh, MSW, Columbia University; Nana Ama Achiaa Sarkodie, BA, Kwame Nkrumah University of Science and Technology; Sree Zenith, MSW, Case Western Reserve University; Susan Witte, PhD, LCSW, Columbia University; Samantha Winter, PhD, Columbia University
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