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在尼日利亚,亲密伴侣暴力对妇女和儿童营养状况的影响。

Association between exposure to intimate partner violence and the nutritional status of women and children in Nigeria.

机构信息

Department of Health Services, Policy, Planning, Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana.

Department of Epidemiology, Biostatistics, and Disease Control, School of Public Health, University for Development Studies, Tamale, Ghana.

出版信息

PLoS One. 2022 May 12;17(5):e0268462. doi: 10.1371/journal.pone.0268462. eCollection 2022.

Abstract

BACKGROUND

Globally, intimate partner violence (IPV) epitomizes a greater proportion of the violence experienced by women, with more than a third of women (41.3%) in sub-Saharan Africa reporting IPV during their lifetime. This study examined the association between exposure to IPV and the nutritional status of women and their children in Nigeria.

METHODS

The study analyzed secondary data obtained from the 2018 Nigeria Demographic and Health Survey. Data on women's lifetime experience of psychological, physical, and sexual IPV, as well as demographic and socioeconomic characteristics, were collected. We used regression models to determine the association between exposure to IPV and women and child nutrition indicators. A weighted sample of 4,391 women aged 15-49 years and 2,145 children 6-59 months were analyzed.

RESULTS

The lifetime experience of IPV in the study was 35.31% (95% CI: 33.35, 37.33), 30.43% (95% CI: 28.54, 32.38) experienced psychological IPV, 19.43% (95% CI: 17.79, 21.19) experienced physical IPV, and 6.03% (95% CI: 5.12, 7.09) experienced sexual IPV. After adjusting for a range of characteristics, maternal lifetime exposure to IPV was associated with underweight (ARRR = 0.63; 95% CI: 0.44, 0.91) and overweight/obesity (ARRR = 1.28; 95% CI: 1.04, 1.58). We also found that, children whose mothers experienced IPV were less likely to be underweight compared to their counterparts (ARRR = 0.69; 95% CI: 0.50, 0.96).

CONCLUSIONS

Overall, IPV against women, particularly psychological, physical, and sexual IPV, is common in Nigeria and has an association with the nutritional status of affected women and their children. According to the study, women with a lifetime experience of IPV were more likely to be overweight. On the other hand, affected women's children were less likely to be underweight. A far-reaching effort is required to curb IPV against women, particularly policies, programs, and laws are needed to protect women and children from the unfavourable effects of IPV to reduce the prevalence and impact of such violence.

摘要

背景

在全球范围内,亲密伴侣暴力(IPV)是女性所经历的暴力的主要形式,撒哈拉以南非洲地区超过三分之一的女性(41.3%)在其一生中报告曾遭受过 IPV。本研究旨在探讨在尼日利亚,女性及其子女遭受 IPV 与营养状况之间的关系。

方法

本研究分析了来自 2018 年尼日利亚人口与健康调查的二手数据。数据收集了女性一生中经历的心理、身体和性 IPV 以及人口统计学和社会经济特征。我们使用回归模型来确定 IPV 暴露与妇女和儿童营养指标之间的关联。对 4391 名 15-49 岁的妇女和 2145 名 6-59 个月的儿童进行了加权样本分析。

结果

研究中女性一生中经历 IPV 的比例为 35.31%(95%CI:33.35,37.33),30.43%(95%CI:28.54,32.38)经历过心理 IPV,19.43%(95%CI:17.79,21.19)经历过身体 IPV,6.03%(95%CI:5.12,7.09)经历过性 IPV。在调整了一系列特征后,母亲一生中遭受 IPV 与体重过轻(ARR = 0.63;95%CI:0.44,0.91)和超重/肥胖(ARR = 1.28;95%CI:1.04,1.58)有关。我们还发现,与未遭受 IPV 的母亲的孩子相比,母亲遭受 IPV 的孩子体重过轻的可能性较低(ARR = 0.69;95%CI:0.50,0.96)。

结论

总的来说,针对女性的 IPV,尤其是心理、身体和性 IPV,在尼日利亚很常见,并且与受影响的女性及其子女的营养状况有关。根据这项研究,有过 IPV 经历的女性更有可能超重。另一方面,受影响的女性的孩子体重过轻的可能性较低。需要采取广泛的努力来遏制针对女性的 IPV,特别是需要制定政策、方案和法律来保护妇女和儿童免受 IPV 的不利影响,以降低这种暴力的流行率和影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a28b/9098093/acdfd1ab4cb0/pone.0268462.g001.jpg

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