Solanke Bola Lukman, Bisiriyu Adeleke Luqman, Oyedokun Amos
Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Nigeria.
BMC Womens Health. 2018 Jan 16;18(1):20. doi: 10.1186/s12905-018-0514-3.
Few studies have been able to determine whether the likelihood of spousal violence is higher or lower among childless women compared with women who have children. This is because most studies linking childlessness and spousal violence were either qualitative or were conducted among childless women attending fertility clinics. In the fewer quantitative studies that linked childlessness and spousal violence, results are mixed and yet to be verified in Nigeria using nationally representative sample data. The current study addresses this knowledge gap by raising the research question: is the likelihood of spousal violence lower or higher among childless women?
The study analysed data from 2008 and 2013 Nigeria Demographic and Health Surveys. Only women aged 35-49 years are included in the analysis. The outcome variable was spousal violence, while the key explanatory variable was parity status categorised into childless, have only one child, and have two or more children. Selected individual-level and community-level variables were included as additional explanatory variables. The multilevel mixed-effects logistic regression analysis was applied in four nested models using Stata 12.
In Model 1, result show 57% more likelihood of spousal violence among women who have two or more children compared with childless women (OR = 1.570: CI: 1.074-2.294). In Model 2, women who have two or more children were 52.3% more likely to experience spousal violence compared with childless women (OR = 1.523; CI: 1.037-2.247). In Model 3, the likelihood of spousal violence was 67.2% higher among women who have two or more children compared with childless women (OR = 1.672; CI: 1.140-2.452). In the full model, women who have two or more children were 50.8% more likely to experience spousal violence compared with childless women (OR = 1.508; CI: 1.077-2.234). The Intra-Class Correlation (ICC) provides evidence to support community contributions to prevalence of spousal violence.
The likelihood of spousal violence is lower among childless women in Nigeria. Causes of spousal violence against women cut across individual, family, and community characteristics irrespective of childlessness or number of children. Current Behaviour Change Communication should be strengthened by adequate enforcement of the newly enacted Violence Against Persons (Prohibition) Act of 2015.
很少有研究能够确定与有孩子的女性相比,无子女女性遭受配偶暴力的可能性是更高还是更低。这是因为大多数将无子女与配偶暴力联系起来的研究要么是定性研究,要么是在前往生育诊所的无子女女性中进行的。在较少的将无子女与配偶暴力联系起来的定量研究中,结果不一,且尚未在尼日利亚使用具有全国代表性的样本数据进行验证。本研究通过提出研究问题来填补这一知识空白:无子女女性遭受配偶暴力的可能性是更低还是更高?
该研究分析了2008年和2013年尼日利亚人口与健康调查的数据。分析中仅纳入了年龄在35 - 49岁之间的女性。结果变量是配偶暴力,而关键解释变量是生育状况,分为无子女、只有一个孩子以及有两个或更多孩子。选定的个体层面和社区层面变量作为额外的解释变量纳入。使用Stata 12在四个嵌套模型中应用多水平混合效应逻辑回归分析。
在模型1中,结果显示与无子女女性相比,有两个或更多孩子的女性遭受配偶暴力的可能性高57%(OR = 1.570;置信区间:1.074 - 2.294)。在模型2中,与无子女女性相比,有两个或更多孩子的女性遭受配偶暴力的可能性高52.3%(OR = 1.523;置信区间:1.037 - 2.247)。在模型3中,与无子女女性相比,有两个或更多孩子的女性遭受配偶暴力的可能性高67.2%(OR = 1.672;置信区间:1.140 - 2.452)。在完整模型中,与无子女女性相比,有两个或更多孩子的女性遭受配偶暴力的可能性高50.8%(OR = 1.508;置信区间:1.077 - 2.234)。组内相关系数(ICC)为支持社区对配偶暴力患病率的影响提供了证据。
在尼日利亚,无子女女性遭受配偶暴力的可能性较低。针对女性的配偶暴力原因涉及个体、家庭和社区特征,与无子女或子女数量无关。应通过充分执行新颁布的2015年《反家庭暴力法》来加强当前的行为改变宣传。