Department of Population, Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.
Glob Public Health. 2019 Dec;14(12):1639-1652. doi: 10.1080/17441692.2019.1650949. Epub 2019 Aug 17.
War and interpersonal violence together account for a large burden on global health. Yet very few studies look at the relationship between these types of aggression. Non-partner physical violence (NPPV) is an often-understudied form of gender-based violence (GBV). This analysis draws on two datasets from one conflict-affected country, Liberia, to evaluate the impact of conflict on NPPV post-conflict. The Armed Conflict Location and Event Dataset (ACLED) measures the intensity of the conflict in Liberia from 1999-2003, while the Demographic and Heath Survey (DHS) data measure women's experiences with violence four years post-conflict. Almost half of women surveyed (45%) indicated that they experienced any kind of NPPV, highlighting the widespread nature of this issue. A multilevel modelling approach was used to account for the nesting of individuals within districts. Women living in districts that experienced conflict events in four or five years were almost three times as likely (aOR 2.93, < .001) to experience past-year NPPV compared to individuals living in no conflict districts. Findings from this study suggest women residing in a conflict event-affected district may be at heightened risk of increased violence even years after peace is declared.
战争和人际暴力共同给全球健康造成了沉重负担。然而，很少有研究关注这些类型的攻击之间的关系。非伴侣身体暴力（NPPV）是一种经常被忽视的基于性别的暴力（GBV）形式。本分析利用来自一个受冲突影响国家利比里亚的两个数据集，评估冲突对冲突后 NPPV 的影响。武装冲突地点和事件数据集（ACLED）衡量了 1999 年至 2003 年利比里亚冲突的强度，而人口与健康调查（DHS）数据则衡量了冲突四年后妇女遭受暴力的情况。接受调查的妇女中几乎有一半（45%）表示她们经历过任何形式的 NPPV，突出了这一问题的普遍性质。采用多层次建模方法来解释个体在地区内的嵌套关系。与生活在无冲突地区的个体相比，生活在经历了四年或五年冲突事件的地区的妇女，过去一年经历 NPPV 的可能性几乎高出三倍（aOR 2.93，<0.001）。本研究的结果表明，生活在冲突事件影响地区的妇女，即使在宣布和平多年后，也可能面临更高的暴力风险。
