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印度 15 至 24 岁年轻女性中亲密伴侣暴力的流行情况及相关因素:一种社会生态学方法。

Prevalence and Factors Associated With Intimate Partner Violence Among Young Women Aged 15 to 24 Years in India: A Social-Ecological Approach.

机构信息

Karolinska Institutet, Stockholm, Sweden.

Tata Institute of Social Science, Mumbai, India.

出版信息

J Interpers Violence. 2020 Oct;35(19-20):4083-4116. doi: 10.1177/0886260517710484. Epub 2017 Jun 13.

Abstract

Intimate partner violence (IPV) is a critical public health issue that has reached epidemic proportions. Research investigating IPV among young women in India using large-scale population data is lacking. This study examined the prevalence and factors associated with IPV among women aged 15 to 24 years in India through a social-ecological approach. This cross-sectional study analyzed data from the National Family Health Survey, a population-based survey conducted in India from 2005 to 2006. The past-year prevalence of emotional, physical, and sexual forms of IPV, among ever-married women aged 15 to 24 years were computed. Multivariate logistic regression was conducted to evaluate the association of factors at various levels of the social-ecological framework with the past-year experience of emotional, physical, sexual, and any form of IPV. The past-year prevalence of IPV among women aged 15 to 24 years ( = 16,285) was 29%. Physical IPV was the most common, affecting 23% in the past year. The past-year prevalence of sexual IPV among women aged 15 to 24 years at 9.5% was higher than older women. Individual factors significantly associated with the past-year experience of all forms of IPV were the young age at first marriage, parental IPV, and ever had a terminated pregnancy. At the relationship level, husband's controlling behaviors, his consumption of alcohol, and experience of violence from other family members were positively associated with all forms of IPV in the past year. Poverty and acceptance of IPV increased the women's odds of experiencing IPV. IPV was associated with multiple factors occurring at all levels of the social-ecological framework. Actions to prevent and eliminate IPV in India demand multidisciplinary and collaborative efforts that are tailored specifically for adolescents and young women. It is imperative to protect the girls and young women from IPV; it protects the future of India.

摘要

亲密伴侣暴力(IPV)是一个严重的公共卫生问题,已经达到了流行的程度。在印度,使用大规模人口数据研究年轻女性中的 IPV 是缺乏的。本研究通过社会生态学方法研究了印度 15 至 24 岁女性中 IPV 的流行率及其相关因素。本横断面研究分析了 2005 年至 2006 年在印度进行的基于人群的国家家庭健康调查的数据。计算了 15 至 24 岁曾婚妇女过去一年中情绪、身体和性形式的 IPV 流行率。进行多变量逻辑回归,以评估社会生态框架各个层面的因素与过去一年中经历情绪、身体、性和任何形式的 IPV 的关联。15 至 24 岁妇女过去一年中 IPV 的流行率为 29%。身体 IPV 是最常见的,过去一年中有 23%的人受到影响。15 至 24 岁妇女过去一年中性 IPV 的流行率为 9.5%,高于年长妇女。与过去一年中经历所有形式 IPV 显著相关的个体因素是初婚年龄较小、父母 IPV 和曾终止妊娠。在关系层面,丈夫的控制行为、饮酒行为和来自其他家庭成员的暴力经历与过去一年中所有形式的 IPV 呈正相关。贫困和对 IPV 的接受增加了妇女经历 IPV 的几率。IPV 与社会生态框架各个层面发生的多种因素有关。在印度,预防和消除 IPV 需要采取多学科和协作的行动,专门针对青少年和年轻女性。保护女孩和年轻女性免受 IPV 侵害至关重要;它保护了印度的未来。

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