Department of Sexual and Reproductive Health, National Institute for Medical Research, Mwanza Centre, Tanzania.
Jhpiego Tanzania - An Affiliate of Johns Hopkins University, Dar-es-Salaam, Tanzania.
PLoS One. 2019 Oct 8;14(10):e0222950. doi: 10.1371/journal.pone.0222950. eCollection 2019.
Little has been documented about partner violence among adolescent girls and young women (AGYW) who are out of school, a factor associated with HIV acquisition. To understand areas for prioritising HIV prevention intervention efforts, we explored the prevalence and correlates of partner violence among out of school AGYW in Shinyanga, Tanzania.
A cross-sectional analysis of data from AGYW aged 15-23 years recruited in a cluster randomised trial conducted between October and December 2017 was used to examine correlates of partner violence. Data were collected through an Audio Computer-Assisted Self-interview. Multivariate logistic regression analysis was used to evaluate the association.
2276 (75.5%) AGYW were sexually active. Of these, 816 (35.9%) reported having experienced violence from partners in the last six months. After adjusting for other covariates, being formerly married (AOR = 1.55, 95% CI:1.02, 2.37), having children (AOR = 1.79, 95% CI:1.47, 2.16), anxiety and depression symptoms (AOR = 3.27, 95%CI: 2.15, 4.96), having engaged in sex work in the past six months (AOR = 1.92, 95% CI: 1.45, 2.53) and economic deprivation (AOR = 1.61, 95% CI: 1.34,1.92) were significantly associated with partner violence.
Almost one in three sexually active AGYW had experienced partner violence in the 6 months preceding the survey. The findings underscore the need for future research to focus on understanding the reasons and dynamics underlying high level of partner violence among AGYW. Furthermore, there is a need for implementing intervention programs that aim to reduce economic deprivation among AGYWs and address social norms and structures perpetuating violence against AGYW.
ClinicalTrials.gov-ID NCT03597243.
鲜有文献记录失学的青春期少女和年轻妇女（AGYW）中伴侣暴力的情况，而后者是与 HIV 感染相关的一个因素。为了了解优先开展 HIV 预防干预工作的重点领域，我们在坦桑尼亚欣延加地区调查了失学的 AGYW 中伴侣暴力的流行情况及其相关因素。
本研究使用 2017 年 10 月至 12 月期间在一项集群随机试验中招募的 15-23 岁 AGYW 的横断面数据分析来检验伴侣暴力的相关因素。数据通过音频计算机辅助自我访谈收集。采用多变量逻辑回归分析评估关联。
2276 名（75.5%）AGYW 有过性经历。其中，816 名（35.9%）报告在过去 6 个月内遭受过伴侣的暴力。在校正其他协变量后，曾结婚（AOR=1.55，95%CI：1.02，2.37）、有孩子（AOR=1.79，95%CI：1.47，2.16）、焦虑和抑郁症状（AOR=3.27，95%CI：2.15，4.96）、过去 6 个月内从事性工作（AOR=1.92，95%CI：1.45，2.53）和经济贫困（AOR=1.61，95%CI：1.34，1.92）与伴侣暴力显著相关。
近三分之一有过性经历的 AGYW 在调查前 6 个月内经历过伴侣暴力。研究结果强调需要进一步研究，以了解 AGYW 中高伴侣暴力发生率的原因和动态。此外，需要实施干预计划，以减少 AGYW 的经济贫困，并解决导致针对 AGYW 的暴力行为的社会规范和结构问题。
ClinicalTrials.gov-ID NCT03597243。
