Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
J Epidemiol Community Health. 2020 Feb;74(2):182-189. doi: 10.1136/jech-2019-212295. Epub 2019 Nov 13.
In Bangladesh, little is known about community-level factors shaping married women's experiences of male intimate partner physical violence (MIPPV); it is also unknown if these factors interact with each other. We examined the (1) association between four residential community characteristics defined by the attributes of ever married women in those communities-younger age, lower education, higher participation in earning an income and poverty; and (2) two-way interactions between these community-level MIPPV correlates.
We used a cross-sectional sample comprising 14 557 currently married women who were living with their spouses from 911 Bangladeshi communities. Data were collected during 13-22 August 2015. Conflict Tactics Scale-2 measured the outcome-women's current MIPPV experiences; and multilevel logistic regression models predicted this outcome.
Four community characteristics including higher proportions of women's earning an income and achieving higher education were not associated with their increased likelihood of experiencing MIPPV. However, women living in communities were significantly more likely to experience MIPPV than those in communities (predicted probability, p=0.30, 95% CI 0.26 to 0.34 vs p=0.24, 95% CI 0.22 to 0.25).
This is the first study to examine interactions between women's community-level MIPPV correlates in Bangladesh. Although we did not find support for the relationship between women's most intersectional community-level locations and MIPPV, we did find a currently invisible vulnerable intersectional location: communities. Bangladeshi violence against women prevention policies and programmes, therefore, need to engage with these particular communities to tackle head on male responses to these locations to reduce MIPPV.
在孟加拉国，人们对影响已婚女性遭受男性亲密伴侣身体暴力（MIPPV）经历的社区层面因素知之甚少；这些因素是否相互作用也不得而知。我们研究了四个社区特征与 MIPPV 之间的关联，这些特征是根据社区中已婚女性的特征来定义的，包括年龄较小、受教育程度较低、更高的收入参与率和贫困程度；以及这些社区层面 MIPPV 相关因素之间的两个相互作用。
我们使用了一个横截面样本，包括来自 911 个孟加拉国社区的 14557 名目前与配偶生活在一起的已婚女性。数据于 2015 年 8 月 13 日至 22 日收集。冲突策略量表-2 衡量了女性目前的 MIPPV 经历；并使用多水平逻辑回归模型预测了这一结果。
包括更高比例的女性收入和更高教育程度在内的四个社区特征与她们经历 MIPPV 的可能性增加无关。然而，与生活在 社区的女性相比，生活在 社区的女性更有可能经历 MIPPV（预测概率，p=0.30，95%CI 0.26 至 0.34 比 p=0.24，95%CI 0.22 至 0.25）。
这是第一项研究，调查了孟加拉国女性社区层面 MIPPV 相关因素之间的相互作用。虽然我们没有发现女性最具交叉性的社区层面位置与 MIPPV 之间的关系得到支持，但我们确实发现了一个目前不可见的脆弱交叉性位置： 社区。因此，孟加拉国的妇女暴力预防政策和方案需要与这些特定社区接触，以直面男性对这些位置的反应，减少 MIPPV。
