Division of Social Medicine and Global Health, Department of Clinical Sciences, Faculty of Medicine, Lund University , Lund, Sweden.
Glob Health Action. 2020 Dec 31;13(1):1844975. doi: 10.1080/16549716.2020.1844975.
: Spousal violence is the most common domestic violence against women and a growing public health problem globally. As a behaviour, marital control is commonly accepted as a precursor to spousal violence. : This study examines the prevalence of different types of spousal violence among women in Myanmar and their association with sociodemographic factors and husbands' controlling behaviour. : This study used data from the Myanmar Demographic and Health Survey (MDHS) 2015-2016. Based on the responses of 3,425 ever-married women, cross-tabulations (Chi-squared test) and multivariate logistic regressions were applied to examine the association between controlling behaviour by husbands and lifetime physical, sexual and emotional spousal violence against Myanmar women. Synergy factor and population attributable fraction were estimated to recommend preventive strategies. : The prevalence of lifetime physical violence was 16.8%, of sexual violence 3.8%, of emotional violence 15.9%, and of husband's controlling behaviour 30.2%. Women who were exposed to controlling behaviour by their husbands reported higher likelihoods of lifetime physical spousal violence (OR = 3.7; 95% CI: 3.0-4.7), lifetime sexual spousal violence (OR = 5.3; 95% CI: 3.3-8.6), and lifetime emotional spousal violence (OR = 5.6; 95% CI: 4.4-7.2). Controlling behaviour by husbands was attributed to 22.0% of lifetime physical spousal violence; and to 24.5% of lifetime sexual spousal violence and to 24.8% of lifetime emotional spousal violence in this sample of Myanmar women. Additional associated factors of spousal violence were poor wealth status, women's wife-beating justification, exposure to parental violence, and alcohol abuse among husbands. : Controlling behaviour by husbands was significantly associated with higher likelihoods of lifetime spousal violence among ever-married Myanmar women in this study. These findings reflect an obvious need for policy development and preventive strategies against marital controlling behaviour in Myanmar.
配偶暴力是最常见的针对妇女的家庭暴力形式,也是全球日益严重的公共卫生问题。作为一种行为,婚姻控制通常被视为配偶暴力的前兆。
本研究调查了缅甸妇女遭受不同类型配偶暴力的流行情况及其与社会人口因素和丈夫控制行为的关系。
本研究使用了 2015-2016 年缅甸人口与健康调查(MDHS)的数据。基于 3425 名已婚妇女的回答,采用交叉表(卡方检验)和多变量逻辑回归分析了丈夫控制行为与缅甸妇女一生中遭受身体、性和情感配偶暴力之间的关系。估计协同作用因素和人群归因分数,以推荐预防策略。
一生中遭受身体暴力的流行率为 16.8%,性暴力为 3.8%,情感暴力为 15.9%,丈夫控制行为为 30.2%。遭受丈夫控制行为的妇女报告一生中发生身体配偶暴力(OR=3.7;95%CI:3.0-4.7)、性配偶暴力(OR=5.3;95%CI:3.3-8.6)和情感配偶暴力的可能性更高(OR=5.6;95%CI:4.4-7.2)。在本研究的缅甸妇女样本中,丈夫的控制行为导致 22.0%的一生中身体配偶暴力;24.5%的一生中性配偶暴力和 24.8%的一生中情感配偶暴力。配偶暴力的其他相关因素包括贫困的财富状况、妇女对丈夫殴打行为的合理化、遭受父母暴力和丈夫酗酒。
丈夫的控制行为与本研究中已婚缅甸妇女一生中发生配偶暴力的可能性显著相关。这些研究结果反映出缅甸明显需要制定政策和采取预防措施来遏制婚姻控制行为。
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