Nguyen Dang Vung, Ostergren Per-Olof, Krantz Gunilla
Department of Demography, Faculty of Public Health, Hanoi Medical University, Hanoi, Vietnam.
BMC Public Health. 2008 Feb 11;8:55. doi: 10.1186/1471-2458-8-55.
This population-based study investigated the different forms, magnitude and risk factors of men's violence against women in intimate relationships in a rural part of northern Vietnam and whether a difference in risk factors were at hand for the different forms of violence. Vietnam has undergone a rapid transition in the last 20 years, moving towards a more equal situation for men and women however, Confucian doctrine is still strong and little is known about men's violence against women within the Vietnamese family.
This is a cross-sectional population-based study that used a questionnaire developed by the World Health Organisation for investigating women's health and violence against women in different settings. Face-to face structured interviewing was performed and 883 married women, aged 17 to 60 participated. Bi- and multivariate analyses was used for risk factor assessment.
The lifetime prevalence of physical violence was 30.9 percent and past year prevalence was 8.3 per cent, while the corresponding figures for physical and sexual violence combined was 32.7 and 9.2 percent. The lifetime prevalence was highest for psychological abuse (27.9 percent) as a single entity. In most cases the violence was of a severe nature and exercised as repeated acts over time. Woman's low educational level, husband's low education, low household income and the husband having more than one wife/partner were risk factors for lifetime and past year physical/sexual violence. The pattern of factors associated with psychological abuse alone was however different. Husband's low professional status and women's intermediate level of education appeared as risk factors.
Men's violence against women in intimate relationships is commonly occurring in rural Vietnam. There is an obvious need of preventive and treatment activities. Our findings point at that pure psychological abuse is different from physical/sexual violence in terms of differing characteristics of the perpetrators and it might be that also different strategies are needed to reduce and prevent this violence.
这项基于人群的研究调查了越南北部农村地区亲密关系中男性对女性暴力行为的不同形式、程度和风险因素，以及不同形式暴力的风险因素是否存在差异。在过去20年里，越南经历了快速转型，朝着男女更平等的局面发展，然而，儒家教义仍然影响深远，越南家庭中男性对女性的暴力行为鲜为人知。
这是一项基于人群的横断面研究，使用了世界卫生组织开发的一份问卷，用于调查不同环境下的妇女健康和针对妇女的暴力行为。进行了面对面的结构化访谈，883名年龄在17至60岁之间的已婚妇女参与其中。采用双变量和多变量分析进行风险因素评估。
身体暴力的终生患病率为30.9%，过去一年的患病率为8.3%，而身体暴力和性暴力合并的相应数字分别为32.7%和9.2%。作为单一形式，心理虐待的终生患病率最高（27.9%）。在大多数情况下，暴力性质严重，且随着时间推移反复发生。女性教育水平低、丈夫教育程度低、家庭收入低以及丈夫有多个妻子/伴侣是终生和过去一年身体/性暴力的风险因素。然而，仅与心理虐待相关的因素模式有所不同。丈夫的职业地位低和女性的中等教育水平似乎是风险因素。
越南农村地区亲密关系中男性对女性的暴力行为普遍存在。显然需要开展预防和治疗活动。我们的研究结果表明，单纯的心理虐待在施暴者特征方面与身体/性暴力不同，可能需要不同的策略来减少和预防这种暴力。
