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过去一年女性亲密伴侣暴力报告的患病率及风险因素:六项东非国家调查的比较分析

Prevalence and Risk Factors for Women's Reports of Past-Year Intimate Partner Violence: A Comparative Analysis of Six East African National Surveys.

作者信息

Kiwuwa-Muyingo Sylvia, Kadengye Damazo T

机构信息

African Population and Health Research Center, Nairobi, Kenya.

出版信息

J Interpers Violence. 2022 May;37(9-10):NP7605-NP7631. doi: 10.1177/0886260520969374. Epub 2020 Nov 1.

DOI:10.1177/0886260520969374
PMID:33135545
Abstract

Violence against women, in all its forms, has been acknowledged as a violation of basic human rights and research evidence shows that it could lead to adverse health consequences. In this study we aimed to determine the prevalence and coexistence of different forms of IPV as well as examine individual-level factors associated with ever experiencing any form of IPV in the 12 months preceding the survey using the most recent Demographic Health Survey data from six East African countries. Results show that the prevalence ranged between 16.5% (Burundi) and 29.3% (Uganda) for emotional, 16.8% (Ethiopia) and 26.6% (Tanzania) for physical, and 8.3% (Rwanda and Ethiopia) and 18.4% (Burundi) for sexual IPV. The prevalence of any IPV ranged from 26.7% to 39.3%. In terms of coexistence, 15.6% to 19.0% of women reported experiencing all the three forms of IPV, with higher proportions reporting experiencing two of the three forms of IPV. The prevalence of both physical and emotional IPV was highest in Tanzania (49.1%), both emotional and sexual IPV in Uganda (28.0%), and both physical and sexual IPV in Burundi (26.2%). A partner's use of alcohol and a woman's justification of wife beating were both statistically significant common risk factors for IPV across the six countries. Women whose partners got drunk often were found to be up to nine times more likely to experience IPV compared to those whose partners did not drink. Younger women and those with larger families were at an increased risk of experiencing IPV, while other significant factors were country specific. In conclusion, our findings highlight the need for integrated and context-specific approaches that deconstruct gendered norms related to power dynamics and patriarchal nuances at household and community level in order to holistically address different forms of IPV.

摘要

一切形式的暴力侵害妇女行为都被视为对基本人权的侵犯,研究证据表明,这种行为可能导致不良健康后果。在本研究中,我们旨在利用六个东非国家的最新人口健康调查数据,确定不同形式亲密伴侣暴力(IPV)的患病率和共存情况,并研究在调查前12个月内与曾经历任何形式IPV相关的个体层面因素。结果显示,情感暴力的患病率在16.5%(布隆迪)至29.3%(乌干达)之间,身体暴力在16.8%(埃塞俄比亚)至26.6%(坦桑尼亚)之间,性暴力在8.3%(卢旺达和埃塞俄比亚)至18.4%(布隆迪)之间。任何形式IPV的患病率在26.7%至39.3%之间。在共存方面,15.6%至19.0%的女性报告称经历了所有三种形式的IPV,报告经历三种形式中两种IPV的比例更高。身体暴力和情感暴力的患病率在坦桑尼亚最高(49.1%),情感暴力和性暴力在乌干达最高(28.0%),身体暴力和性暴力在布隆迪最高(26.2%)。伴侣饮酒以及女性对殴打妻子行为的辩解在这六个国家都是IPV在统计学上显著的常见风险因素。与伴侣不饮酒的女性相比,伴侣经常醉酒的女性经历IPV的可能性高达九倍。年轻女性和家庭规模较大的女性遭受IPV的风险增加,而其他重要因素因国家而异。总之,我们的研究结果凸显了采取综合且因地制宜方法的必要性,这些方法要在家庭和社区层面解构与权力动态及父权制细微差别相关的性别规范,以便全面应对不同形式的IPV。

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