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沙特阿拉伯利雅得已婚妇女中家庭暴力的社会决定因素。

Social Determinants of Domestic Violence Among Saudi Married Women in Riyadh, Kingdom of Saudi Arabia.

机构信息

Princess Nora Bent Abdullah Chair for Women's Health Research.

King Saud University, Riyadh, Saudi Arabia.

出版信息

J Interpers Violence. 2021 Feb;36(3-4):NP1561-1585NP. doi: 10.1177/0886260517746128. Epub 2017 Dec 20.

DOI:10.1177/0886260517746128
PMID:29295035
Abstract

Intimate partner violence is a worldwide public health problem. The objectives of this study were to measure the prevalence and types of domestic violence, and to explore the association between social determinants (sociodemographic factors, husband-related factors, and social support) and violence against women by their intimate partner (husband). We conducted a cross-sectional survey in 18 randomly selected primary health care centers and 13 private institutions (teaching institutes, government offices, social welfare organizations) in Riyadh, Saudi Arabia. Female data collectors took interview from 1,883 married Saudi females aged 30 to 75 years. Interviews included sociodemographic information, reproductive health variables, and social support questionnaire. Violence was measured using modified Intimate Partner Violence Against Women questionnaire developed by the World Health Organization. Multivariate logistic regression analysis was conducted. The lifetime prevalence for any type of violence was 43.0% ( = 810). The most frequent type was controlling behavior (36.8%), followed by emotional violence (22%), sexual violence (12.7%), and physical violence (9.0%). Multivariate logistic regression analysis revealed that the following were associated with greater odds of reporting domestic violence: younger age 30 to 40 years (adjusted odds ratio [aOR] = 1.9, 95% confidence interval [CI] = [1.3, 3.0]), 41 to 50 years (aOR = 1.6, 95% CI = [1.1, 2.5]); lack of emotional support (aOR = 1.7, 95% CI = [1.2, 2.5]); lack of tangible support (aOR = 1.4, 95% CI = [1.1, 1.9]); and perceived poor self-health (aOR = 1.7, 95% CI = [1.0, 3.0]), husbands' poor health (aOR = 1.9, 95% CI = [1.2, 2.0]), and polygamy (aOR = 1.6, 95% CI = [1.5, 2.6]). Domestic violence occurs frequently in Saudi Arabia. Both social conditions and social relations are significantly associated with domestic violence against Saudi women. Furthermore, improvement in implementation of the local policies and multisectoral protection services can prevent women from domestic violence.

摘要

亲密伴侣暴力是一个全球性的公共卫生问题。本研究的目的是衡量家庭暴力的发生率和类型,并探讨社会决定因素(社会人口因素、丈夫相关因素和社会支持)与亲密伴侣(丈夫)对妇女的暴力之间的关系。我们在沙特阿拉伯利雅得的 18 个随机选定的初级保健中心和 13 个私人机构(教学机构、政府办公室、社会福利组织)进行了一项横断面调查。女性数据收集员对 1883 名年龄在 30 至 75 岁的已婚沙特女性进行了访谈。访谈包括社会人口信息、生殖健康变量和社会支持问卷。暴力使用世界卫生组织制定的改良亲密伴侣对妇女暴力问卷进行测量。进行了多变量逻辑回归分析。任何类型暴力的终生发生率为 43.0%(=810)。最常见的类型是控制行为(36.8%),其次是情绪暴力(22%)、性暴力(12.7%)和身体暴力(9.0%)。多变量逻辑回归分析显示,以下因素与报告家庭暴力的几率增加有关:年龄 30 至 40 岁(调整后的优势比[aOR]=1.9,95%置信区间[CI]=[1.3, 3.0]),41 至 50 岁(aOR=1.6,95%CI=[1.1, 2.5]);缺乏情感支持(aOR=1.7,95%CI=[1.2, 2.5]);缺乏有形支持(aOR=1.4,95%CI=[1.1, 1.9]);自我健康状况不佳的认知(aOR=1.7,95%CI=[1.0, 3.0]);丈夫健康状况不佳(aOR=1.9,95%CI=[1.2, 2.0]);和一夫多妻制(aOR=1.6,95%CI=[1.5, 2.6])。沙特阿拉伯经常发生家庭暴力。社会状况和社会关系都与沙特妇女遭受的家庭暴力显著相关。此外,改善地方政策的执行和多部门保护服务可以防止妇女遭受家庭暴力。

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