Aboagye Richard Gyan, Okyere Joshua, Seidu Abdul-Aziz, Hagan John Elvis, Ahinkorah Bright Opoku
School of Public Health, University of Health and Allied Sciences, PMB 31 Ho, Ghana.
Department of Population and Health, University of Cape Coast, PMB TF0494 Cape Coast, Ghana.
Healthcare (Basel). 2021 May 11;9(5):563. doi: 10.3390/healthcare9050563.
Intimate partner violence (IPV) is predominant in sub-Saharan Africa (SSA), with nearly 40 percent of women reporting IPV at some point in time. In this study, we investigated whether a supportive attitude towards IPV is associated with past-year experience of IPV among women in sexual unions in SSA. This study involved a cross-sectional analysis of data from the Demographic and Health Survey (DHS) of 23 countries in SSA. Bivariate and multivariable binary logistic regression analyses were performed to determine the association between attitude towards IPV and past-year experience of IPV. The regression results were presented in a tabular form using crude odds ratio (cOR) and adjusted odds ratio (aOR) at 95% confidence intervals (CIs). In the pooled countries, we found that women who had supportive attitude towards IPV were more likely to experience IPV compared to those who rejected IPV (cOR = 1.72, 95% CI = 1.64, 1.79), and this persisted after controlling for maternal age, marital status, wealth, maternal education level, place of residence, and mass-media exposure (aOR = 1.72, 95% CI = 1.64, 1.79). The same trend and direction of association between attitude towards IPV and experience of IPV was also found in all the 23 studied countries. This study has demonstrated that women who accept IPV are more likely to experience IPV. Hence, we recommend that efforts to end IPV must focus primarily on changing the attitudes of women. This goal can be achieved by augmenting women's empowerment, education, and employment interventions, as well as sensitizing women in relation to the deleterious ramifications of accepting IPV. Furthermore, reducing IPV is critical towards the achievement of Sustainable Development Goal 3.
亲密伴侣暴力（IPV）在撒哈拉以南非洲（SSA）地区十分普遍，近40%的女性表示在某个时间点遭受过亲密伴侣暴力。在本研究中，我们调查了对亲密伴侣暴力持支持态度是否与撒哈拉以南非洲地区处于性关系中的女性过去一年的亲密伴侣暴力经历有关。本研究对撒哈拉以南非洲23个国家的人口与健康调查（DHS）数据进行了横断面分析。进行了双变量和多变量二元逻辑回归分析，以确定对亲密伴侣暴力的态度与过去一年亲密伴侣暴力经历之间的关联。回归结果以表格形式呈现，使用95%置信区间（CI）的粗比值比（cOR）和调整后比值比（aOR）。在汇总的国家中，我们发现，与拒绝亲密伴侣暴力的女性相比，对亲密伴侣暴力持支持态度的女性更有可能经历亲密伴侣暴力（cOR = 1.72，95% CI = 1.64，1.79），在控制了产妇年龄、婚姻状况、财富、产妇教育水平、居住地点和大众媒体接触情况后，这一情况仍然存在（aOR = 1.72，95% CI = 1.64，1.79）。在所有23个研究国家中，对亲密伴侣暴力的态度与亲密伴侣暴力经历之间也发现了相同的关联趋势和方向。本研究表明，接受亲密伴侣暴力的女性更有可能经历亲密伴侣暴力。因此，我们建议，消除亲密伴侣暴力的努力必须主要集中在改变女性的态度上。这一目标可以通过加强妇女赋权、教育和就业干预措施，以及使妇女认识到接受亲密伴侣暴力的有害后果来实现。此外，减少亲密伴侣暴力对于实现可持续发展目标3至关重要。
