Rahman Mosiur, Nakamura Keiko, Seino Kaoruko, Kizuki Masashi
International Health Section, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan.
Health Promotion, Division of Public Health, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan.
PLoS One. 2013 Dec 23;8(12):e82423. doi: 10.1371/journal.pone.0082423. eCollection 2013.
Evidence from developing countries regarding the association between gender inequity and intimate partner violence (IPV) victimization in women has been suggestive but inconclusive. Using nationally representative population-based data from Bangladesh, we examined the association between multidimensional aspects of gender inequity and the risk of IPV.
We used data from the 2007 Bangladesh Demographic Health Survey. The analyses were based on the responses of 4,467 married women. The main explanatory variable was gender inequity, which reflects the multidimensional aspects of women's autonomy and the relationship inequality between women and their partner. The experience of physical and/or sexual IPV was the main outcome variable of interest.
Over 53% of married Bangladeshi women experienced physical and/or sexual violence from their husbands. In the adjusted models, women who had a higher level of autonomy (adjusted odds ratio [AOR] 0.48; 99% confidence interval [CI] 0.37-0.61), a particularly high level of economic-decision-making autonomy (AOR 0.12; 99% CI 0.08-0.17), and a higher level of non-supportive attitudes towards wife beating or raping (AOR 0.61; 99% CI 0.47-0.83) were less likely to report having experienced IPV. Education level, age at marriage, and occupational discrepancy between spouses were also found to be significant predictors of IPV.
In conclusion, dimensions of gender inequities were significant predictors of IPV among married women in Bangladesh. An investigation of the causal link between multidimensional aspects of gender inequity and IPV will be critical to developing interventions to reduce the risk of IPV and should be considered a public health research priority.
发展中国家关于性别不平等与女性亲密伴侣暴力(IPV)受害之间关联的证据具有启发性,但尚无定论。我们利用孟加拉国具有全国代表性的基于人群的数据,研究了性别不平等的多维度方面与IPV风险之间的关联。
我们使用了2007年孟加拉国人口与健康调查的数据。分析基于4467名已婚女性的回答。主要解释变量是性别不平等,它反映了女性自主权的多维度方面以及女性与其伴侣之间的关系不平等。身体和/或性方面的IPV经历是主要的关注结果变量。
超过53%的孟加拉国已婚女性遭受过丈夫的身体和/或性暴力。在调整模型中,自主权水平较高的女性(调整后的优势比[AOR]为0.48;99%置信区间[CI]为0.37 - 0.61)、经济决策自主权特别高的女性(AOR为0.12;99% CI为0.08 - 0.17)以及对殴打或强奸妻子持不支持态度程度较高的女性(AOR为0.61;99% CI为0.47 - 0.83)报告经历过IPV的可能性较小。教育水平、结婚年龄以及配偶之间的职业差异也被发现是IPV的重要预测因素。
总之,性别不平等的维度是孟加拉国已婚女性中IPV的重要预测因素。对性别不平等的多维度方面与IPV之间因果联系的调查对于制定降低IPV风险的干预措施至关重要,应被视为公共卫生研究的重点。