Bhatta Dharma Nand
Department of Public Health, Pokhara University, Nobel College, Sinamangal, Kathmandu, Nepal.
Reprod Health. 2014 Jun 13;11:44. doi: 10.1186/1742-4755-11-44.
Public health and human right issues are challenging in low and middle income countries. The main objectives of this paper were to determine the prevalence and factors associated with domestic violence, extramarital sex, and spousal communication among male.
A cross-sectional study among 2466 married males in Kathmandu, Nepal was conducted using random sampling method. Adjusted odds ratios (AORs) and 95% confidence intervals (CI) of associated factors were estimated by stepwise backward likelihood ratio method.
Prevalence of domestic violence was 63.14% (95% CI 61.20-65.05), extramarital sex was 32.12% (95% CI 30.27-34.00), and spousal communication was 48.87% (95% CI 46.85-50.90). Nearly one in five male (18.20%) had not used condom during extramarital sex.Interestingly, male who had more than three or equal children were less likely to have perpetrated domestic violence compared with those who had less children. Older male aged 25 and above were more likely (AORs = 1.55, 95% CI 1.19-2.03) to have extramarital sex compared with male aged 24 or below. Those male who had studied secondary or higher level of education were less likely to have extramarital sex compared to those who had primary level or no education. Male who had higher income were more likely to have spousal communication compared to those who had less income. Surprisingly, those male who had extramarital sex were less likely to have spousal communication compared with those was not involved in extramarital sex.
Practice of domestic violence and extramarital sex is quite common among married male in Nepal, where spousal communication is sparse. These findings can be used to advocate for immediate attention and activities needs to be endorsed by policymakers and programmers.
在低收入和中等收入国家，公共卫生和人权问题颇具挑战性。本文的主要目的是确定男性中家庭暴力、婚外性行为及配偶间沟通的患病率及其相关因素。
采用随机抽样方法，对尼泊尔加德满都的2466名已婚男性进行了一项横断面研究。通过逐步向后似然比法估计相关因素的调整比值比（AOR）和95%置信区间（CI）。
家庭暴力的患病率为63.14%（95%CI 61.20 - 65.05），婚外性行为的患病率为32.12%（95%CI 30.27 - 34.00），配偶间沟通的患病率为48.87%（95%CI 46.85 - 50.90）。近五分之一的男性（18.20%）在婚外性行为中未使用避孕套。有趣的是，子女数量超过三个或等于三个的男性相比子女较少的男性实施家庭暴力的可能性更低。25岁及以上的年长男性相比24岁及以下的男性更有可能发生婚外性行为（AORs = 1.55，95%CI 1.19 - 2.03）。与接受小学教育或未接受教育的男性相比，接受过中学或更高层次教育的男性发生婚外性行为的可能性更低。收入较高的男性相比收入较低的男性更有可能进行配偶间沟通。令人惊讶的是，与未发生婚外性行为的男性相比，发生婚外性行为的男性进行配偶间沟通的可能性更低。
在尼泊尔，已婚男性中家庭暴力和婚外性行为的现象相当普遍，而配偶间沟通较少。这些研究结果可用于倡导立即予以关注，政策制定者和规划者需要认可相关活动。
