University of California, San Francisco, USA.
The University of North Carolina at Chapel Hill, USA.
J Interpers Violence. 2021 Jul;36(13-14):NP7415-NP7438. doi: 10.1177/0886260519827661. Epub 2019 Feb 8.
Intimate partner violence, nonpartner sexual violence, and physical and sexual violence against children are significant public health issues in South Africa. Theory suggests that experiencing violence in childhood plays a role in propensity to perpetrate violence or vulnerability to violence in adulthood. Most research to date on this topic has been conducted in high-resource countries or within urban or high-risk populations. We explore the relationship between violence in childhood and violence in adulthood in a community-based sample of 18- to 49-year-old adults in rural South Africa using data from a population-based survey ( = 1,044) in North West province in 2014. We measured childhood violence before age 15 years, experience of nonpartner sexual violence in adulthood, and IPV victimization and perpetration in the last 12 months. We conducted multivariate logistic regression; gender was tested as an effect modifier. All estimates are weighted to the subdistrict population. More women (2.7%) than men (0.8%) reported childhood forced sex, whereas fewer women (2.0%) than men (7.9%) reported childhood physical violence. Women and men reported similar rates of IPV victimization (6.8% vs. 5.4%), IPV perpetration (3.3% vs. 4.8%), and forced sex by a nonpartner (1.6% vs. 1.2%). We found that men and women who experienced childhood violence (combined physical and/or sexual) were significantly more likely to experience forced sex by a nonpartner (men: adjusted odds ratio [aOR] = 5.53, 95% confidence interval [CI] = [1.27, 24.0], < .05; women: aOR = 51.1, 95% CI = [10.58, 246.3], < .01) compared with those who did not experience childhood violence. They were also 2.5 times as likely to perpetrate recent IPV (aOR = 2.5, 95% CI = [0.97, 6.7], = .06) or experience recent IPV (aOR = 2.5, 95% CI = [0.9, 6.9], = .07), although this finding was marginally significant. These results align with the literature from other settings and population groups.
在南非，亲密伴侣暴力、非伴侣性暴力以及针对儿童的身体和性暴力是重大公共卫生问题。理论表明，童年时期经历暴力会导致成年后更倾向于实施暴力或易受暴力影响。迄今为止，关于这一主题的大多数研究都是在高资源国家或城市或高危人群中进行的。我们使用 2014 年在西北省进行的一项基于人群的调查（n = 1044）中的数据，在农村南非的 18 至 49 岁成年人的基于社区的样本中探索了童年期暴力与成年期暴力之间的关系。我们在 15 岁之前测量了童年期暴力、成年期非伴侣性暴力经历以及过去 12 个月的 IPV 受害和施暴情况。我们进行了多变量逻辑回归；检验了性别是否为效应修饰剂。所有估计均根据分区人口进行加权。报告童年期被迫性行为的女性（2.7%）多于男性（0.8%），而报告童年期身体暴力的女性（2.0%）少于男性（7.9%）。女性和男性报告的 IPV 受害率（6.8%对 5.4%）、IPV 施暴率（3.3%对 4.8%）和非伴侣强迫性性行为率（1.6%对 1.2%）相似。我们发现，经历过童年期暴力（身体和/或性暴力）的男性和女性更有可能经历非伴侣的强迫性性行为（男性：调整后的优势比[aOR] = 5.53，95%置信区间[CI] = [1.27，24.0]， <.05；女性：aOR = 51.1，95% CI = [10.58，246.3]， <.01），而与那些没有经历过童年期暴力的人相比。他们最近实施 IPV 的可能性也增加了 2.5 倍（aOR = 2.5，95% CI = [0.97，6.7]， =.06）或经历最近 IPV 的可能性（aOR = 2.5，95% CI = [0.9，6.9]， =.07），尽管这一发现略有意义。这些结果与来自其他环境和人群的文献一致。
