Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.
School of Public Health, University of Witwatersrand, Johannesburg, South Africa.
BMC Public Health. 2018 Mar 20;18(1):376. doi: 10.1186/s12889-018-5272-5.
BACKGROUND: Over the years, researchers have relied on data from women victims to understand the profile on male perpetrators of intimate partner violence (IPV). IPV studies with male participants in the general population are still emerging in Africa. The contribution of mental ill health to IPV perpetration in the general population that has been documented elsewhere is emergent. Notwithstanding, research with male perpetrators is essential to informing effective prevention programmes and interventions. To contribute to the emerging literature on male perpetrators, we conducted a study to estimate the prevalence and factors associated with IPV perpetration by men in heterosexual relationships. We also modelled pathways to IPV perpetration using data from Zimbabwe. METHODS: Data were collected through a nationwide survey employing a random and multi-staged sampling method. We recruited and administered a structured questionnaire to 2838 men aged 18 years and above. IPV was measured using an adapted WHO Domestic Violence Questionnaire. Determinants of IPV measured included child abuse, alcohol abuse, post-traumatic stress disorder (PTSD), depressive symptoms, personal gender attitudes and risky sexual behaviours. Multivariate regression modelling was used to assess factors associated with IPV perpetration. Structural equation modelling was used to explore the underlying pathways to recent IPV perpetration. RESULTS: Forty one percent of men had perpetrated IPV in their lifetime and 8.8% percent of men perpetrated IPV in the 12 months before the survey. Older, more educated men, men who binge drank, men who were abused as children or experienced other life traumatic experiences were more likely to perpetrate IPV in lifetime. Depressive symptoms and sexual relationship power (were also associated with lifetime IPV perpetration. IPV perpetration in the last 12 months was associated with binge drinking, PTSD and sexual relationship power. The pathways to IPV perpetration in the last 12 months from child abuse to recent IPV were mediated by comorbid PTSD symptoms, depression binge drinking and sexual relationship power. CONCLUSIONS: IPV perpetration was associated with child abuse history, mental ill health, sexual relationship power and personal gender attitudes. Interventions to reduce IPV need to engage men to address gender inequality, mental ill health and reduce alcohol consumption.
背景：多年来，研究人员一直依赖女性受害者的数据来了解亲密伴侣暴力（IPV）中男性施暴者的特征。在非洲，针对普通人群中男性参与者的 IPV 研究仍在不断涌现。在其他地方已经记录到心理健康问题对普通人群中 IPV 施暴的影响。然而，对男性施暴者的研究对于制定有效的预防计划和干预措施至关重要。为了为男性施暴者的新兴文献做出贡献，我们进行了一项研究，以估计异性恋关系中男性施暴者的 IPV 发生率及其相关因素。我们还使用津巴布韦的数据构建了 IPV 施暴的途径模型。
方法：通过采用随机多阶段抽样方法的全国性调查收集数据。我们招募并向 2838 名年龄在 18 岁及以上的男性发放了一份结构化问卷。采用经过改编的世界卫生组织家庭内暴力问卷来衡量 IPV。衡量的 IPV 决定因素包括儿童虐待、酒精滥用、创伤后应激障碍（PTSD）、抑郁症状、个人性别态度和危险性行为。使用多元回归模型评估与 IPV 施暴相关的因素。使用结构方程模型探索最近 IPV 施暴的潜在途径。
结果：41%的男性在一生中曾实施过 IPV，8.8%的男性在调查前 12 个月内实施过 IPV。年龄较大、受教育程度较高、酗酒、儿童时期受虐待或经历过其他生活创伤的男性更有可能在一生中实施 IPV。抑郁症状和性关系权力也与终生 IPV 施暴有关。在过去 12 个月中实施 IPV 与酗酒、PTSD 和性关系权力有关。从儿童虐待到最近 12 个月的 IPV 施暴途径，由共病 PTSD 症状、抑郁、酗酒和性关系权力介导。
结论：IPV 施暴与虐待儿童史、心理健康问题、性关系权力和个人性别态度有关。减少 IPV 的干预措施需要让男性参与进来，以解决性别不平等、心理健康问题和减少饮酒。
BMC Public Health. 2018-3-20
J Am Board Fam Med. 2014
J Interpers Violence. 2016-7-17
Trauma Violence Abuse. 2024-11-4
Int J Environ Res Public Health. 2023-7-31
J Family Med Prim Care. 2022-2
Zotero 插件