撒哈拉以南非洲地区处于性伴侣关系中的女性遭受父母间暴力及对亲密伴侣暴力的正当化情况。
Exposure to interparental violence and justification of intimate partner violence among women in sexual unions in sub-Saharan Africa.
作者信息
Aboagye Richard Gyan, Seidu Abdul-Aziz, Asare Bernard Yeboah-Asiamah, Peprah Prince, Addo Isaac Yeboah, Ahinkorah Bright Opoku
机构信息
Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana.
Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
出版信息
Arch Public Health. 2021 Sep 9;79(1):162. doi: 10.1186/s13690-021-00684-3.
BACKGROUND
Justification of intimate partner violence (IPV) is one of the critical factors that account for the high prevalence of IPV among women. In this study, we examined the association between exposure to interparental violence and IPV justification among women in sexual unions in sub-Saharan Africa (SSA).
METHODS
Data for this study were obtained from the most recent Demographic and Health Surveys (DHS) of 26 countries in SSA conducted between 2010 and 2020. A total of 112,953 women in sexual unions were included in this study. A multivariable binary logistic regression analysis was carried out. The results of the regression analysis were presented using crude odds ratios (cOR) and adjusted odds ratios (aOR) with their respective 95% confidence intervals (CIs).
RESULTS
The prevalence of interparental violence in the countries considered in this study was 23.8%, with the highest (40.8%) and lowest (4.9%) in Burundi and Comoros, respectively. IPV justification was 45.8%, with the highest and lowest prevalence in Mali (80.9%) and South Africa (4.6%) respectively. Women who were exposed to interparental violence were more likely to justify IPV compared to those who were not exposed [aOR = 1.53, 95% CI = 1.47-1.59]. We found higher odds of justification of IPV among women who were exposed to interparental violence compared to those who were not exposed in all the countries, except Burkina Faso, Comoros, Gambia, and Rwanda.
CONCLUSION
The findings call for several strategies for addressing interparental violence. These may include empowerment services targeting both men and women, formation of stronger social networks to improve women's self-confidence, and the provision of evidence-based information and resources at the community level. These interventions should pay critical attention to young people exposed to interparental violence. Public health education and messaging should emphasise on the negative health and social implications of interparental violence and IPV.
背景
对亲密伴侣暴力行为（IPV）的正当化是导致女性中IPV高发的关键因素之一。在本研究中，我们调查了撒哈拉以南非洲（SSA）地区处于性关系中的女性遭受父母间暴力与对IPV正当化之间的关联。
方法
本研究的数据来自2010年至2020年期间对SSA地区26个国家进行的最新人口与健康调查（DHS）。本研究共纳入了112,953名处于性关系中的女性。进行了多变量二元逻辑回归分析。回归分析结果以粗比值比（cOR）和调整后的比值比（aOR）及其各自的95%置信区间（CIs）呈现。
结果
本研究中所考虑国家的父母间暴力患病率为23.8%，其中布隆迪最高（40.8%），科摩罗最低（4.9%）。对IPV的正当化比例为45.8%，其中马里最高（80.9%），南非最低（4.6%）。与未遭受父母间暴力的女性相比，遭受父母间暴力的女性更有可能为IPV行为正当化[aOR = 1.53，95% CI = 1.47 - 1.59]。我们发现，除布基纳法索、科摩罗、冈比亚和卢旺达外，在所有国家中，遭受父母间暴力的女性比未遭受此类暴力的女性更有可能为IPV行为正当化。
结论
研究结果呼吁采取多种策略来应对父母间暴力。这些策略可能包括针对男性和女性的赋权服务、建立更强大的社会网络以增强女性的自信心，以及在社区层面提供基于证据的信息和资源。这些干预措施应特别关注遭受父母间暴力的年轻人。公共卫生教育和宣传应强调父母间暴力和IPV对健康和社会的负面影响。
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