Health Policy Plan. 2022 Jan 13;37(1):33-44. doi: 10.1093/heapol/czab127.
In this analysis, we assess whether laws that promote gender equity and freedom from violence are associated with a lower risk of prior-year physical and sexual intimate partner violence (IPV) among adolescent girls and adult women (AGW) and whether these laws protect more and less vulnerable AGW equally. We included all 15 countries that administered the Domestic Violence Module in a Demographic and Health Survey since 2015. The primary exposure was a validated, country-level index of laws on violence against women and girls (LoVI). A multilevel approach was used to model five forms of violence (prior-year partner physical, sexual, physical or sexual violence and prior-year non-partner physical violence or sexual violence) among ever-partnered, non-widowed adolescent girls 13-19 years (n = 6691) and women 20-49 years (n = 119 343). Across countries, partner physical violence ranged from 0% to 33% and sexual violence from 0% to 23%. Laws on marital rape, child marriage and sexual harassment were negatively associated with prior-year physical and sexual IPV for women and girls. Comprehensive domestic violence legislation was unrelated to girls' experiences of prior-year physical or prior-year sexual IPV. No interaction was observed between LoVI component laws and a score meant to capture adolescent vulnerability. Three of the four LoVI component laws had consistent, negative associations with partner violence for girls and women, but negative associations were stronger for women than girls. Thus, while laws promoting gender equity and freedom from violence are generally protective, they may be more so for women than adolescent girls. Future research should explore the impact of gender equitable laws on women's and adolescent girls' experiences of violence, and countries may consider more comprehensive legal protections against violence for adolescent girls.
在这项分析中,我们评估了促进性别平等和免受暴力侵害的法律是否与少女和成年女性(AGW)前一年身体和性亲密伴侣暴力(IPV)风险降低有关,以及这些法律是否平等地保护更脆弱和不那么脆弱的 AGW。我们纳入了自 2015 年以来所有在人口与健康调查中实施家庭暴力模块的 15 个国家。主要暴露因素是经过验证的、针对暴力侵害妇女和女孩的国家一级法律指数(LoVI)。采用多水平方法对五种形式的暴力(前一年伴侣的身体、性、身体或性暴力以及前一年非伴侣的身体暴力或性暴力)进行建模,这些暴力涉及曾经有伴侣的、非丧偶的 13-19 岁少女(n=6691)和 20-49 岁妇女(n=119343)。在各国,伴侣身体暴力的比例从 0%到 33%不等,性暴力的比例从 0%到 23%不等。关于婚内强奸、童婚和性骚扰的法律与妇女和女孩的前一年身体和性 IPV 呈负相关。全面的家庭暴力立法与女孩前一年身体或前一年性 IPV 经历无关。没有观察到 LoVI 组成部分法律与旨在捕捉青少年脆弱性的分数之间的相互作用。LoVI 四个组成部分法律中有三个与女孩和妇女的伴侣暴力呈负相关,但对妇女的负相关比女孩更强。因此,虽然促进性别平等和免受暴力侵害的法律通常具有保护作用,但对妇女的保护可能比对少女的保护更有效。未来的研究应该探讨性别平等法律对妇女和少女遭受暴力的影响,各国可能考虑为少女提供更全面的法律保护,以防止暴力。
BMC Int Health Hum Rights. 2020-5-29
Lancet Child Adolesc Health. 2024-9
BMC Int Health Hum Rights. 2018-1-11
Int J Environ Res Public Health. 2023-2-12
BMC Int Health Hum Rights. 2020-5-29
Soc Sci Med. 2018-2-26
Ann Glob Health. 2017-10-14
Int J Epidemiol. 2017-8-1
Lancet. 2016-6-11