Chandrasekaran Varalakshmi, Krupp Karl, George Ruja, Madhivanan Purnima
CSI Holdsworth Memorial Hospital, Mysore, India.
Indian J Med Sci. 2007 May;61(5):253-62.
Violence against women is a global phenomenon that cuts across all social and economic classes.
This study was designed to measure the prevalence and correlates of domestic violence (DV) among women seeking services at a voluntary counseling and testing (VCT) center in Bangalore, India.
A cross-sectional survey was conducted among women visiting an human immunodeficiency virus (HIV) VCT center in Bangalore, between September and November 2005.
An interviewer-administered questionnaire was used to collect information about violence and other variables.
Univariable associations with DV were made using Pearson Chi-squared test for categorical variables and Student t-test or the Mann-Whitney test for continuous variables.
Forty-two percent of respondents reported DV, including physical abuse (29%), psychological abuse (69%) and sexual abuse (1%). Among the women who reported violence of any kind, 67% also reported that they were HIV seropositive. The most common reasons reported for DV included financial problems (38%), husband's alcohol use (29%) and woman's HIV status (18%). Older women (P < 0.001) and those with low income levels were the most likely to have experienced DV (P = 0.02). Other factors included husband's education, HIV seropositivity and alcohol or tobacco use (P < 0.001).
This study found DV levels comparable to other studies from around the world. The findings highlight the need for additional training among health care providers in VCT centers in screening for DV, detection of signs of physical abuse and provisions and referrals for women suffering from domestic partner violence.
对妇女的暴力行为是一种跨越所有社会和经济阶层的全球现象。
本研究旨在测量在印度班加罗尔一家自愿咨询与检测(VCT)中心寻求服务的女性中家庭暴力(DV)的患病率及其相关因素。
2005年9月至11月期间,对前往班加罗尔一家人类免疫缺陷病毒(HIV)VCT中心的女性进行了横断面调查。
采用由访谈员实施的问卷收集有关暴力及其他变量的信息。
对分类变量使用Pearson卡方检验,对连续变量使用Student t检验或Mann-Whitney检验来分析与DV的单变量关联。
42%的受访者报告遭受过DV,包括身体虐待(29%)、心理虐待(69%)和性虐待(1%)。在报告遭受任何形式暴力的女性中,67%还报告其HIV血清学检测呈阳性。报告的DV最常见原因包括经济问题(38%)、丈夫酗酒(29%)和女性的HIV感染状况(18%)。年龄较大的女性(P<0.001)和低收入水平女性最有可能经历过DV(P = 0.02)。其他因素包括丈夫的教育程度、HIV血清学阳性以及酒精或烟草使用情况(P<0.001)。
本研究发现DV水平与世界其他研究相当。研究结果凸显了VCT中心的医疗保健提供者需要接受额外培训,以便在筛查DV、发现身体虐待迹象以及为遭受亲密伴侣暴力的女性提供帮助和转介方面有所作为。