Yoshikawa Kayoko, Shakya Tara M, Poudel Krishna C, Jimba Masamine
Department of Community and Global Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Public Health Concern Trust, Kathmandu, Nepal.
PLoS One. 2014 Apr 21;9(4):e95829. doi: 10.1371/journal.pone.0095829. eCollection 2014.
Intimate partner violence (IPV) is a serious global public health issue. Acceptance of wife beating is known to be associated with IPV, but few studies have analysed the acceptance of wife beating from both women and men's points of view. The objective of this study was to examine whether acceptance of wife beating among couples is associated with lifetime and past one-year physical IPV perpetration towards wives in Nepal.
A cross-sectional study was conducted from August to September 2011, with 717 randomly selected couples with wives aged 18 to 49 years old from the Kirtipur municipality and Bhaktapur district of Nepal. Wives' and husbands' acceptance of wife beating was measured by six scale items, while physical IPV experience among wives was measured by seven physical assault scale items. To assess the association between acceptance of wife beating and physical IPV, multiple logistic regression analysis was used.
Nearly 30% of wives and husbands indicated that beating of wives is acceptable under certain circumstances. Statistically, no significant difference was detected between wives' and husbands' level of acceptance of wife beating. However, husbands' acceptance of wife beating was positively associated with lifetime and past one-year perpetration of physical IPV, whereas wives' acceptance of wife beating was neither associated with lifetime nor past one-year victimization of physical IPV. The positive association for husbands remained even after controlling for their partner's factors.
Acceptance of wife beating is an important risk factor, which must be considered to prevent perpetration of physical IPV towards wives in Nepal. Future studies should include men to better understand the structure and dynamics of IPV in Nepal, and prevention programs should also target men to change their attitudes or to identify which couples are at more risk of physical IPV occurring toward wives.
亲密伴侣暴力是一个严重的全球公共卫生问题。众所周知，对殴打妻子的认可与亲密伴侣暴力有关，但很少有研究从男性和女性的角度分析对殴打妻子的认可情况。本研究的目的是调查尼泊尔夫妻中对殴打妻子的认可是否与对妻子的终身及过去一年身体亲密伴侣暴力行为有关。
2011年8月至9月进行了一项横断面研究，从尼泊尔基尔蒂普尔市和巴克塔普尔区随机选取717对夫妻，妻子年龄在18至49岁之间。通过六个量表项目测量妻子和丈夫对殴打妻子的认可程度，同时通过七个身体攻击量表项目测量妻子的身体亲密伴侣暴力经历。为评估对殴打妻子的认可与身体亲密伴侣暴力之间的关联，采用了多元逻辑回归分析。
近30%的妻子和丈夫表示在某些情况下殴打妻子是可以接受的。从统计学上看，妻子和丈夫对殴打妻子的认可程度没有显著差异。然而，丈夫对殴打妻子的认可与终身及过去一年的身体亲密伴侣暴力行为呈正相关，而妻子对殴打妻子的认可与终身及过去一年的身体亲密伴侣暴力受害情况均无关联。即使在控制了伴侣的因素后，丈夫的这种正相关关系仍然存在。
对殴打妻子的认可是一个重要的风险因素，在预防尼泊尔针对妻子的身体亲密伴侣暴力行为时必须予以考虑。未来的研究应纳入男性，以更好地了解尼泊尔亲密伴侣暴力的结构和动态，预防项目也应以男性为目标，改变他们的态度或识别哪些夫妻发生针对妻子的身体亲密伴侣暴力的风险更高。
