Cultural, economic and social factors such as shame and fear of retaliation from their partners are the cause of women's reluctance to denounce these acts. Like in other countries, domestic violence in China is not only widespread, but also considered a private matter, which makes it very difficult for women to get proper response from police and the judiciary.
Physically tortured women are more susceptible to a variety of health problems such as depression, suicide, and alcohol and drug abuse. Sexual violence against women increases the risk of contracting sexually transmitted diseases, including AIDS (through forced sexual relations or because of the difficulty in persuading men to use condoms). It may also lead to various gynecological problems.
The World Organization Against Torture has expressed concern over the high levels of violence against women not only in China, but also in the rest of the world. Although provisions related to domestic violence have been included in several national policies and laws, it is difficult to implement them properly.
According to the World Health Organization, "nearly half of women who die due to homicide are killed by their current or former husbands or boyfriends". There has been some progress in recent years on this issue in China. Roadside and subway advertisements condemning the scourge of domestic violence are part of the governments' efforts to call attention to the situation. Besides, special refuges and community support groups for victims of domestic violence are increasing in number.
The ACWF has been playing a significant role to get domestic violence included in legislation and policymaking processes. Plus, an alliance of civil society organizations has been established under a project called "Domestic Violence in China: Research, Intervention and Prevention". The alliance has taken some innovative actions to eliminate domestic violence.