Understanding how common intimate partner violence (IPV) is in different groups and settings can inform better policies and interventions to prevent IPV and reduce its impact on public health. Much of the existing research on IPV has measured IPV victimisation in populations. But IPV reported by victims, e.g. in nationally representative crime or health surveys, reflects the behaviour of perpetrators. Asking people in surveys about their perpetration of IPV, and how frequently harmful behaviour(such as physical, sexual, or psychological harm) occur, is also important.

A new systematic review by VISION collaborator Vishal Bhavsar and VISION co-investigator Sian Oram gathers evidence on how IPV perpetration is measured in health surveys of the general population and presents a set of measurement principles. Based on 39 published articles, they find 27 health surveys containing information on IPV perpetration. These measures vary in detail, ranging from one or two binary items to more comprehensive scales. In many cases, the more detailed measures are adaptations of victimisation items reframed to capture perpetration, while a smaller number of studies use instruments specifically developed for IPV perpetration. Information relevant to understanding the public health implications of IPV perpetration, such as the sex and number of victims per perpetrator, the nature of relationships (e.g. marital, cohabiting), patterns of frequency or escalation, and harmful impact on victims, is not consistently collected. Details on the development and validation of measurement items are also often lacking.

Distinguishing IPV perpetrators from victims in measurement is important for the development of interventions, particularly where policies or programmes are designed to engage individuals who perpetrate IPV. Although health surveys do include some measures of perpetration, the extent and detail of these measures are limited. Some of the principles developed and applied in the review might also apply to the measurement of IPV perpetration and other forms of domestic abuse in electronic health records or policing data. A future cross-sector consensus on how to measure IPV perpetration might be helpful in informing the societal response to preventing IPV.

To download the paper: The Measurement of Perpetration of Intimate Partner Violence in General Population Health Surveys: Systematic Review

To cite: Bhavsar, V., Oram, S. The Measurement of Perpetration of Intimate Partner Violence in General Population Health Surveys: Systematic Review. Trauma, Violence, & Abuse. OnlineFirst, March 31, 2026.  https://doi.org/10.1186/s40163-026-00272-2

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