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埃塞俄比亚女性接受亲密伴侣暴力的个体和社区层面风险因素:2011 年埃塞俄比亚人口健康调查的多水平分析。

Individual and community-level risk factors of women's acceptance of intimate partner violence in Ethiopia: multilevel analysis of 2011 Ethiopian Demographic Health Survey.

机构信息

Department of Public Health, Institute of Health Sciences, Wollega University, Nekemte, Oromia, Ethiopia.

School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Tigray, Ethiopia.

出版信息

BMC Womens Health. 2021 Aug 4;21(1):283. doi: 10.1186/s12905-021-01427-w.

DOI:10.1186/s12905-021-01427-w
PMID:34348677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8336019/
Abstract

BACKGROUND

The prevalence of Intimate partner violence (IPV) is higher in societies with higher acceptance of norms that support IPV. In Ethiopia, the proportion of women's acceptance of IPV was 69%, posing a central challenge in preventing IPV. The main objective of this study was to assess the individual and community-level factors associated with women's acceptance of IPV.

METHODS

Two-level mixed-effects logistic regression was applied to the 2011 Ethiopia Demographic and Health Survey data. A total of 16,366 women nested in the 596 clusters were included in the analysis.

RESULTS

The acceptability of the IPV was estimated to be 69%. Among the individual-level factors: women's education with secondary and above (AOR = 0.38; 95% CI 0.29-0.52), partner's education secondary and above (AOR = 0.71; 95% CI 0.54-0.82), women aged 35-49 years (AOR = 0.67; 95% CI 0.54-0.82), fully empowered in household level decision making (AOR = 0.67; 95% CI0.54-0.81), literate (AOR = 0.76; 95% CI 0.62-0.92), and perceived existence of law that prevents IPV (AOR = 0.56; 95% CI 0.50-0.63) were significantly associated with women's acceptance of IPV. Similarly, rural residence (AOR = 1.93; 95% CI 1.53-2.43) and living in the State region (AOR = 2.37; 95% CI 1.81-3.10) were significantly associated with the women's acceptance of IPV among the community-level factors.

CONCLUSION

Both individual and community-level factors were significant risk factors for the acceptability of intimate partner violence. Women's education, women's age, women's empowerment, partner education level, perceived existence of the law, and literacy were among individual factors. State region and residence were among community-level risk factors significantly associated women's acceptance of IPV.

摘要

背景

在社会对支持亲密伴侣暴力(IPV)的规范接受程度较高的情况下,IPV 的流行率更高。在埃塞俄比亚,女性对 IPV 的接受比例为 69%,这是预防 IPV 的核心挑战。本研究的主要目的是评估与女性对 IPV 的接受程度相关的个人和社区层面的因素。

方法

对 2011 年埃塞俄比亚人口与健康调查数据应用两水平混合效应逻辑回归分析。共有 16366 名女性被嵌套在 596 个聚类中,纳入分析。

结果

IPV 的可接受性估计为 69%。在个人层面的因素中:女性接受中等及以上教育(AOR=0.38;95%CI 0.29-0.52)、伴侣接受中等及以上教育(AOR=0.71;95%CI 0.54-0.82)、年龄在 35-49 岁(AOR=0.67;95%CI 0.54-0.82)、在家庭层面的决策中完全被赋权(AOR=0.67;95%CI0.54-0.81)、有文化(AOR=0.76;95%CI 0.62-0.92)和感知到存在防止 IPV 的法律(AOR=0.56;95%CI 0.50-0.63)与女性对 IPV 的接受程度显著相关。同样,农村居住(AOR=1.93;95%CI 1.53-2.43)和居住在州(AOR=2.37;95%CI 1.81-3.10)与社区层面的女性接受 IPV 显著相关。

结论

个人和社区层面的因素都是亲密伴侣暴力可接受性的重要危险因素。女性教育、女性年龄、女性赋权、伴侣教育水平、感知法律存在和文化程度是个人因素。州和居住地点是与女性接受 IPV 显著相关的社区层面的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36e/8336019/4cd3cdf42946/12905_2021_1427_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36e/8336019/3280a73d25ba/12905_2021_1427_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36e/8336019/4cd3cdf42946/12905_2021_1427_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36e/8336019/3280a73d25ba/12905_2021_1427_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36e/8336019/4cd3cdf42946/12905_2021_1427_Fig2_HTML.jpg

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