Thulin Elyse J, Heinze Justin E, Zimmerman Marc A
Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Combined Program in Education and Psychology, University of Michigan, Ann Arbor, MI, USA.
J Interpers Violence. 2022 Nov;37(21-22):NP20065-NP20091. doi: 10.1177/08862605211050104. Epub 2021 Nov 13.
Globally, one in three women will experience intimate partner violence (IPV) within her lifetime. IPV attitudes are highly predictive of IPV. While a wealth of literature on risk factors related to IPV exist, an overarching critique in the field is the lack of studies examining risk factors across the socioecological framework. Using data from multiple administrative and individual surveys, this study fills a gap in the literature by evaluating the effect of meso-influences on physical IPV attitudes (i.e., permissibility of a man beating his wife) while accounting for known micro- and macro-risk factors in 64,466 individuals across 51 low-, middle- and high-income countries. Mixed-effects modeling was used to evaluate factors and identify comparative contributions of each factor representing the socio-ecological levels. We tested five multivariate logistic models. The final model indicated that greater perceived neighborhood disorder and less perceived neighborhood security were associated with physical IPV attitudes, while individual endorsement of interpersonal violence, belief in corporal punishment of children, holding greater patriarchal beliefs, being male, being separated from a significant partner, reporting greater household hunger and nationally lower levels of female literacy were associated with beliefs that IPV is acceptable. Overall, the findings of this study support that IPV is a complex behavior, influenced by factors across socio-ecological domains. However, data on neighborhood structural factors (i.e., exosystem) would help unpack the mechanisms between macro-, meso- and micro-level factors and may be important for protecting women from violence.
在全球范围内，三分之一的女性在其一生中会经历亲密伴侣暴力（IPV）。对亲密伴侣暴力的态度是亲密伴侣暴力的高度预测指标。虽然存在大量关于与亲密伴侣暴力相关风险因素的文献，但该领域的一个总体批评是缺乏跨社会生态框架研究风险因素的研究。本研究使用来自多个行政和个人调查的数据，通过评估中观影响对身体亲密伴侣暴力态度（即男性殴打妻子的可容许性）的影响，同时考虑51个低收入、中等收入和高收入国家的64466名个体中已知的微观和宏观风险因素，填补了文献中的空白。混合效应模型用于评估因素，并确定代表社会生态水平的每个因素的相对贡献。我们测试了五个多变量逻辑模型。最终模型表明，更高的邻里混乱感和更低的邻里安全感与身体亲密伴侣暴力态度相关，而个人对人际暴力的认可、对儿童体罚的信念、更强的父权制信念、男性身份、与重要伴侣分居、报告更高的家庭饥饿程度以及国家层面较低的女性识字率与认为亲密伴侣暴力可接受的信念相关。总体而言，本研究结果支持亲密伴侣暴力是一种复杂行为，受到社会生态领域各种因素的影响。然而，关于邻里结构因素（即外部系统）的数据将有助于揭示宏观、中观和微观层面因素之间的机制，可能对保护妇女免受暴力至关重要。
