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Source: Selected Demographic and Health Surveys.
The incidence of bulimia, like that of anorexia nervosa, has been increasing throughout the westerns world, a trend corresponding to the growing emphasis on thinness cultural and sexual ideal (Gordon 1990; Brumberg 1988). The same cultural obsession, with thinness and socially defined notions of beauty that promote eating disorders are prompting women in some western societies to seek cosmetic surgery, often at considerable risk to their physical health. An estimated 2 million U.S. women have undergone breast enlargement surgery, at an average cost of about $4,000 per operation. Amid much controversy, the U.S. Food and Drug Administration recently prohibited the use of silicone breast implants for cosmetic purposes, fearing that the products of silicone breakdown could be carcinogenic (implants may still be used for breast reconstruction after mastectomies). There is also concern that silicone implants complicate detection of breast cancer and may be linked to certain auto-immune diseases.
3. A primer on violence against women.
Many beliefs about violence against women are untrue. These same beliefs, despite their inaccuracy, have been used to avoid recognition of the problem and prevent investments in solutions. To dispel such misperceptions women’s groups have prepared lists of truths about domestic violence representing the collective wisdom of those working on issues of gender-based violence. This section outlines some of the most common of these truths and presents data supporting them. For the sake of brevity, it offers only a few examples in support of each.
Women are mast at risk of violence from men they know.
Contrary to the view of the family as a haven of love and support, data from around the world suggest that girls and women are at greater risk of violence in their homes than anywhere else. A 1987 study of more than 2,000 battery cases registered during five months at the Sao Paulo Women’s Police Station for example, found that more than 70 percent of all reported incidents of violence against women took place in the home. In almost all the cases the abuser was the woman’s husband or lover More than 40 percent involved serious bodily injury (Americas Watch 1991).
This finding was confirmed by Brazil’s 1988 national household survey (PNAD), conducted by the Brazilian Institute for Geography and Statistics (IBGE). The survey found that Brazilian men who were murdered or physically abused were attacked outside the home primarily by an acquaintance or stranger, Brazilian women, by contrast, were murdered by their intimates. Among cases of abuse of men, only 10 percent involved relatives (including spouses); women were related to their abuser in more than half the reported cases of physical violence (Americas Watch 1991). Fifty percent of the rapes reported to Brazil’s 125 women’s police stations between January 1991 and August 1992 were committed by family members (Dimenstein 1992).
A recent review of violence against women in the United States, published in the Journal of the American Medical Association observes that “studies now document that women in the United States are more likely to be assaulted and injured, raped, or killed by a current or ex-male partner than by all other types of assailants combined” (Council on Scientific Affairs 1992, p. 31-85). A study in Colombia in the early I980s by the Forensic Institute of Bogota found that a fifth of the cases of bodily injury presented to the forensic physician for assessment were due to conjugal violence, and 94 percent of those hospitalized were battered women (United Nations 1991). And a study evaluating medical records from a public hospital emergency room and two clinics in Santiago, Chile, found that of the 2,618 women seen for assault-related injuries from September through November 1986, 1,884 (73 percent) were injured by family members (United Nations 1989).
Gender violence cuts across all socioeconomic groups.
Although studies suggest that violence against women is more prevalent among poor and working-class Families, they also consistently show that violence occurs in all socioeconomic and educational classes, although not at the same prevalence rates.
Violence within the family is at least as injurious as assaults by strangers.
Violence between intimates is often considered less dangerous than street violence; in reality the opposite is often true. In the United States more than 80 percent of all assaults committed by spouses and former spouses result in injuries, compared with 54 percent of assaults by strangers. Victims of marital violence have the highest rates of internal injuries and unconsciousness (Lentzner and DeBerry 1980, as cited in the Council on Scientific Affairs 1992.
Though women can be violent, most violence that causes injury is perpetrated by men against women.
According to the Uniform Crime Reports, in the United States men constitute 83 percent of all offenders arrested, 99 percent of those charged with rape, and 86 percent of those charged with offenses against family and children (Flanagan and McGarrell 1986, as cited in Koss 1990). Victimization surveys show that more than 90 percent of adult rape victims in the United States are women (National Victimization Survey, as cited in Koss 1990). And in an analysis of the results of the U.S. National Crime Surveys of 1973-82 Schwartz concludes that “there are. more than 13 times as many women [as men] seeking medical care from a private physician for injuries received in a spousal assault. (Schwartz 1987, p. 67, as cited in Dobash and others 1992).

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