Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, 84015, Beer Sheva, Israel.
Centre for Urban Health Solutions, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
J Urban Health. 2017 Oct;94(5):648-665. doi: 10.1007/s11524-017-0196-4.
We draw on social disorganization (SD) theory and social capital to examine the impact of neighborhood environment on the ethnic gap in intimate partner violence (IPV) between Arab and Jewish women in Israel. We linked census data on neighborhood socioeconomic status (SES) to national data we gathered in 2014-2015 on 1401 women (436 Arab, 965 Jewish) age 16-48. Women were interviewed while visiting 65 maternal and child health clinics throughout Israel. We used General Estimated Equation (GEE) multivariate logistic regression models to adjust for clinic cluster effects and estimated the contribution of neighborhood collective efficacy, problems, relative socioeconomic status (SES), bridging and linking social capital, and social support to explaining ethnic inequalities in IPV, while adjusting for women's socioeconomic and socio-demographic characteristics. We found that any IPV is higher among Arab compared to Jewish women (odds ratio (OR) and 95% confidence intervals (CI) = 4.19 (2.72,6.42)). Collective efficacy and social group membership (bridging social capital) had no effect on the ethnic inequality in any IPV and types of IPV. Women's active participation in social groups (linking social capital), higher social support, and living in neighborhoods with relative SES similar to the ethnic group average) had a protective effect from any IPV and physical IPV. Neighborhood problems were associated with increased any IPV and physical IPV. In the final model, the ethnic gap in IPV was reduced but not eliminated (OR (95%CI) = 3.28 (2.01, 5.35). Collective efficacy did not explain the ethnic gap in IPV, while women's active participation (linking social capital) had a protective effect from IPV. Given the protective nature of women's activism in this population, future research should investigate how this might be incorporated into solutions to IPV. In addition, reducing neighborhood problems, improving neighborhood SES, and increasing social support might help reduce IPV among Arab women, thus decreasing the ethnic gap in IPV.
我们借鉴社会失序(SD)理论和社会资本理论,研究邻里环境对以色列阿拉伯裔和犹太裔妇女亲密伴侣暴力(IPV)的种族差距的影响。我们将邻里社会经济地位(SES)的人口普查数据与我们 2014-2015 年在全国范围内收集的 1401 名 16-48 岁女性(436 名阿拉伯裔,965 名犹太裔)的数据进行了关联。这些女性在以色列各地的 65 家母婴保健诊所接受访谈。我们使用广义估计方程(GEE)多变量逻辑回归模型来调整诊所聚类效应,并估计邻里集体效能、问题、相对 SES、桥接和联系社会资本以及社会支持对解释 IPV 种族不平等的贡献,同时调整女性的社会经济和社会人口特征。我们发现,与犹太妇女相比,阿拉伯妇女遭受任何形式的 IPV 的风险更高(比值比(OR)和 95%置信区间(CI)= 4.19(2.72,6.42))。集体效能和社会群体成员身份(桥接社会资本)对任何形式的 IPV 和各种类型的 IPV 的种族不平等没有影响。女性积极参与社会群体(联系社会资本)、获得较高的社会支持以及生活在与族群平均 SES 相似的邻里环境中)对任何形式的 IPV 和身体 IPV 具有保护作用。邻里问题与任何形式的 IPV 和身体 IPV 的增加有关。在最终模型中,IPV 的种族差距有所缩小,但并未消除(OR(95%CI)= 3.28(2.01,5.35))。集体效能并不能解释 IPV 的种族差距,而女性的积极参与(联系社会资本)对 IPV 具有保护作用。鉴于该人群中女性的积极主义具有保护性质,未来的研究应探讨如何将其纳入 IPV 的解决方案中。此外,减少邻里问题、改善邻里 SES 和增加社会支持可能有助于减少阿拉伯裔妇女遭受 IPV 的风险,从而缩小 IPV 的种族差距。