School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Medicine, University of California, San Francisco, San Francisco, California.
Gender Violence and Health Centre, London School of Hygiene and Tropical Medicine, England.
Am J Prev Med. 2019 May;56(5):765-772. doi: 10.1016/j.amepre.2018.12.013. Epub 2019 Mar 21.
Although poverty is sometimes seen as a driver of intimate partner violence victimization, less is known about how it intersects with men's violence perpetration. Food insecurity is a sensitive marker of poverty that may have unique mechanisms leading to men's intimate partner violence perpetration given its association with gender roles and men "providing for the family."
Using cluster-based sampling, the team conducted an audio-assisted questionnaire in 2016 among men living in a peri-urban settlement near Johannesburg, South Africa. The aim was to examine the relationship between men's food insecurity and their use of past-year intimate partner violence, and to explore the pathways linking these two conditions.
Among 2,006 currently partnered men, nearly half (48.4%) perpetrated intimate partner violence and more than half (61.4%) were food insecure. Food insecurity was associated with doubled odds of intimate partner violence (OR=2.15, 95% CI=1.73, 2.66). This association persisted after controlling for sociodemographics, relationship characteristics, and neighborhood clustering. In a structural equation model, food insecurity retained a direct relationship with men's violence perpetration and worked through indirect pathways of mental health and relationship quality.
Addressing men's perpetration of intimate partner violence may require examination of broader structural challenges, such as food insecurity. Future interventions should consider livelihood strategies alongside relationship and mental health approaches.
尽管贫困有时被视为亲密伴侣暴力受害的驱动因素，但对于贫困如何与男性暴力行为的实施相交织，人们知之甚少。粮食不安全是贫困的一个敏感指标，由于其与性别角色和男性“养家糊口”的关系，它可能具有导致男性亲密伴侣暴力行为的独特机制。
研究小组于 2016 年在南非约翰内斯堡附近的一个城市周边定居点采用基于聚类的抽样方法，对男性进行了音频辅助问卷调查。目的是研究男性的粮食不安全与他们过去一年使用亲密伴侣暴力之间的关系，并探讨将这两种情况联系起来的途径。
在 2006 名目前有伴侣的男性中，近一半（48.4%）实施了亲密伴侣暴力，超过一半（61.4%）粮食不安全。粮食不安全与亲密伴侣暴力的几率增加了一倍（OR=2.15，95%CI=1.73，2.66）。在控制了社会人口统计学、关系特征和邻里聚类后，这种关联仍然存在。在结构方程模型中，粮食不安全与男性暴力行为的实施保持着直接的关系，并通过心理健康和关系质量的间接途径发挥作用。
解决男性实施亲密伴侣暴力的问题可能需要检查更广泛的结构性挑战，如粮食不安全。未来的干预措施应考虑生计策略以及关系和心理健康方法。
