School of Nursing, Johns Hopkins University, 525 North Wolfe Street, Baltimore, MD 21205, USA.
Programme d'Appui aux Initiatives de Développement Economique au Kivu (PAIDEK), Bukavu, Democratic Republic of Congo.
Int J Environ Res Public Health. 2021 Apr 12;18(8):4063. doi: 10.3390/ijerph18084063.
Gender role attitudes, views held by individuals regarding the roles men and women should play in society, are a powerful social determinant of health. However, work remains in elucidating the associations between gender attitudes and intimate partner violence (IPV) perpetration or victimization and mental health problems. We used latent class analysis to classify patterns of responses on survey items on gender attitudes by male and female adults in households that participated in an economic empowerment intervention and evaluation in rural villages in the Democratic Republic of Congo. Attitudes about IPV and gender equality were two subdomains to emerge from analysis and a 3-class model solution was found to best fit response patterns. Results indicated that, as compared to the least gender equitable class, individuals in the moderately gender equitable and fully gender equitable classes had lower odds of having experienced or perpetrated psychological abuse. Individuals within the moderately gender equitable class were at lower odds of having experienced or perpetrated physical or sexual violence. Further, individuals in the moderately gender equitable and fully gender equitable classes had significantly lower mean scores on symptoms associated with PTSD than individuals in the least gender equitable class. Future research should explore the relationships between gender attitudes, partner violence and mental health to build resilient families.
性别角色态度是个人对男性和女性在社会中应扮演角色的看法，是健康的一个重要社会决定因素。然而，在阐明性别态度与亲密伴侣暴力（IPV）的实施或受害和心理健康问题之间的关联方面，仍有许多工作要做。我们使用潜在类别分析对参与刚果民主共和国农村村庄经济赋权干预和评估的家庭中的男性和女性成年人在性别态度调查项目上的回答模式进行分类。关于 IPV 和性别平等的态度是从分析中出现的两个子领域，发现 3 类模型解决方案最适合响应模式。结果表明，与最不平等的性别类别相比，处于中等性别平等和完全性别平等类别的个体经历或实施心理虐待的可能性较小。处于中等性别平等类别的个体经历或实施身体或性暴力的可能性较低。此外，处于中等性别平等和完全性别平等类别的个体与最不平等的性别类别相比，与 PTSD 相关的症状的平均得分明显较低。未来的研究应该探讨性别态度、伴侣暴力和心理健康之间的关系，以建立有弹性的家庭。
