Seidu Abdul-Aziz, Aboagye Richard Gyan, Ahinkorah Bright Opoku, Adu Collins, Yaya Sanni
Department of Population and Health, University of Cape Coast, Cape Coast PMB TF0494, Ghana.
College of Public Health, Medical and Veterinary Services, James Cook University, Townsville, Queensland, QLD, 4811, Australia.
SSM Popul Health. 2021 Jul 17;15:100877. doi: 10.1016/j.ssmph.2021.100877. eCollection 2021 Sep.
Intimate partner violence has gained momentum as health, social, and human right issue across the globe. Women within sub-Saharan Africa often do not report any case of violence due to the acceptance of violence which is rooted in their socio-cultural beliefs and practices. With a high prevalence of marital disruption in sub-Saharan Africa, it is important that we understand the role intimate partner violence plays in this phenomenon. Hence, this present study assessed the association between intimate partner violence and marital disruption among women in sub-Saharan Africa.
This study involved a cross-sectional analysis of data from the Demographic and Health Survey of 25 countries in sub-Saharan Africa. Multilevel binary logistic regression analysis was carried out and the results were presented as adjusted odds ratios (aOR) at 95% Confidence Interval (CI).
The prevalence of physical, emotional, and sexual violence in the 25 countries considered in this study were 29.3%, 28%, and 11.5%, respectively. The highest prevalence of physical violence was in Sierra Leone (50.0%) and the lowest prevalence was in Comoros (5.7%). For emotional violence, the highest prevalence was in Sierra Leone (45.9%) and the lowest prevalence was in Comoros (7.9%). The highest prevalence of sexual violence was in Burundi (25.5%) and the lowest prevalence was in Comoros (1.8%). The average prevalence of marital disruption was 7.7%. This ranged from 1.3% in Burkina Faso to 20.2% in Mozambique. We found that women who had ever experienced physical violence were more likely to experience marital disruptions compared to those who had never experienced physical violence [aOR = 1.42, 95% CI = 1.35-1.50]. Women who had ever experienced sexual violence were more likely to experience marital disruption compared to those who had never experienced sexual violence [aOR = 1.29, 95% CI = 1.21-1.37]. Finally, women who had ever experienced emotional violence were more likely to experience marital disruption compared to those who had never experienced emotional violence [aOR = 1.86, 95% CI = 1.76-1.96].
Findings from this study call for proven effective intimate partner violence reduction interventions such as strengthening laws against intimate partner violence in sub-Saharan Africa. Again, marital counseling and health education interventions should be implemented to address the role of intimate partner violence on the wellbeing of women and the stability of couples in sub-Saharan Africa.
亲密伴侣暴力作为一个健康、社会和人权问题在全球范围内愈演愈烈。撒哈拉以南非洲地区的女性往往不会报告任何暴力案件,因为暴力行为在她们的社会文化信仰和习俗中被接受。鉴于撒哈拉以南非洲地区婚姻破裂的发生率很高,了解亲密伴侣暴力在这一现象中所起的作用非常重要。因此,本研究评估了撒哈拉以南非洲地区女性亲密伴侣暴力与婚姻破裂之间的关联。
本研究对撒哈拉以南非洲25个国家的人口与健康调查数据进行了横断面分析。进行了多水平二元逻辑回归分析,结果以95%置信区间(CI)的调整优势比(aOR)呈现。
本研究考虑的25个国家中,身体暴力、情感暴力和性暴力的发生率分别为29.3%、28%和11.5%。身体暴力发生率最高的是塞拉利昂(50.0%),最低的是科摩罗(5.7%)。情感暴力方面,发生率最高的是塞拉利昂(45.9%),最低的是科摩罗(7.9%)。性暴力发生率最高的是布隆迪(25.5%),最低的是科摩罗(1.8%)。婚姻破裂的平均发生率为7.7%。范围从布基纳法索的1.3%到莫桑比克的20.2%。我们发现,与从未经历过身体暴力的女性相比,曾经经历过身体暴力的女性更有可能经历婚姻破裂 [调整优势比 = 1.42,95%置信区间 = 1.35 - 1.50]。与从未经历过性暴力的女性相比,曾经经历过性暴力的女性更有可能经历婚姻破裂 [调整优势比 = 1.29,95%置信区间 = 1.21 - 1.37]。最后,与从未经历过情感暴力的女性相比,曾经经历过情感暴力的女性更有可能经历婚姻破裂 [调整优势比 = 1.86,95%置信区间 = 1.76 - 1.96]。
本研究结果呼吁采取经证实有效的减少亲密伴侣暴力的干预措施,例如在撒哈拉以南非洲加强针对亲密伴侣暴力的法律。此外,应实施婚姻咨询和健康教育干预措施,以解决亲密伴侣暴力对撒哈拉以南非洲地区女性福祉和夫妻关系稳定性的影响。