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亲密伴侣暴力态度与施暴行为的纵向关联:来自印度农村一项随机对照试验的二元夫妻数据。

Longitudinal associations of intimate partner violence attitudes and perpetration: Dyadic couples data from a randomized controlled trial in rural India.

作者信息

Shakya Holly B, Fleming Paul, Saggurti Niranjan, Donta Balaiah, Silverman Jay, Raj Anita

机构信息

Center on Gender Equity and Health, Division of Global Public Health, School of Medicine, University of California San Diego, UCSD Department of Medicine, Division of Global Public Health, 9500 Gilman Drive, #0507, La Jolla, CA 92093-0507, USA; Center on Global Justice, University of California San Diego, USA.

University of Michigan School of Public Health, 1415 Washington Heights, SPH I, Room 3814, Ann Arbor, MI 48109-2029, USA.

出版信息

Soc Sci Med. 2017 Apr;179:97-105. doi: 10.1016/j.socscimed.2017.02.032. Epub 2017 Feb 23.

Abstract

We conducted longitudinal analyses examining the associations between intimate partner violence (IPV) attitudes and women's reported IPV in couples (N = 762) using 3 waves of data from a randomized controlled trial in Maharashtra, India. We found that, between Waves 1 and 2, men's and women's acceptance of IPV in the overall population decreased significantly while reports of IPV increased. These changes, we hypothesize, are evidence of an exogenous shock, possibly a high profile rape in Delhi in December 2012, that may have impacted the entire population. Cross-sectional associations between men's attitudes towards IPV and reported IPV were not significant in Wave 1, while positively and significantly associated in Waves 2 and 3. Longitudinal analysis showed that reduction in men's acceptance of IPV between Waves 1 and 2 was associated with a lower likelihood of reported IPV in Wave 3. Women's Wave 1 acceptance of IPV was positively associated with reported IPV in the Wave 1 cross-sectional analysis, while Wave 2 and Wave 3 measures of IPV acceptance were negatively associated with reported IPV in Waves 2 and 3 respectively. Longitudinal analyses of the change in women's attitudes towards IPV from Wave 1 to 2 and reported IPV in Wave 3 were insignificant. However, When women first reported IPV in Waves 2 or 3 they were less likely to report acceptance of IPV in that same wave. Findings suggest that changes in husbands' IPV acceptance is predictive of subsequent IPV, while newly experienced IPV predicts decreased IPV acceptance for women. Wave 2 and Wave 3 results were significant for the control group only, evidence that the intervention affected those associations, potentially changing attitudes more quickly than behavior. We recommend interventions that expose community opposition to IPV as a new social norm, and analysis of how the 2012 Delhi rape case may have affected these norms.

摘要

我们利用印度马哈拉施特拉邦一项随机对照试验的三轮数据,对亲密伴侣暴力(IPV)态度与夫妻中女性报告的IPV之间的关联进行了纵向分析(N = 762)。我们发现,在第1轮和第2轮之间,总体人群中男性和女性对IPV的接受程度显著下降,而IPV报告数量增加。我们推测,这些变化是外部冲击的证据,可能是2012年12月德里一起备受瞩目的强奸案,这可能影响了整个人口。男性对IPV的态度与报告的IPV之间的横断面关联在第1轮中不显著,而在第2轮和第3轮中呈正相关且显著。纵向分析表明,第1轮和第2轮之间男性对IPV接受程度的降低与第3轮中报告的IPV可能性较低相关。在第1轮横断面分析中,女性第1轮对IPV的接受程度与报告的IPV呈正相关,而第2轮和第3轮IPV接受程度的测量分别与第2轮和第3轮中报告的IPV呈负相关。对女性从第1轮到第2轮对IPV态度的变化以及第3轮中报告的IPV的纵向分析不显著。然而,当女性在第2轮或第3轮首次报告IPV时,她们在同一轮中报告接受IPV的可能性较小。研究结果表明,丈夫对IPV接受程度的变化可预测随后的IPV,而新经历的IPV可预测女性对IPV接受程度的降低。第2轮和第3轮结果仅对对照组显著,这证明干预影响了这些关联,可能比行为更快地改变了态度。我们建议开展干预措施,使社区将反对IPV作为一种新的社会规范,并分析2012年德里强奸案可能如何影响了这些规范。

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