Injury Epidemiology and Prevention (IEP) Research Group, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland.
Department of Surgery, Directorate of Research and Innovations, Kampala International University, Kampala, Uganda.
J Prev (2022). 2022 Aug;43(4):567-588. doi: 10.1007/s10935-022-00683-2. Epub 2022 Jun 1.
Although women typically constitute the largest proportion of the population who experience the deleterious effects of intimate partner violence (IPV), understanding the bidirectional nature of IPV is important for developing nuanced prevention initiatives. This study examines data from the 2016 Ugandan Demographic and Health Survey. Participants were selected from households in all the 15 regions in Uganda using a two stage sampling design. A total of 2858 men who were in a heterosexual union or separated/divorced were included in the analysis. Univariate and multivariable logistic regression analyses were performed with the aim of identifying associations between selected demographic variables and male exposure to all forms of IPV combined, psychological violence, physical violence and sexual violence. The prevalence of lifetime IPV and during the 12 months preceeding the survey respectively was 43.6 and 30.5% in all forms, with 35.9 and 24.8% reporting psychological, 20.2 and 11.9% for physical and 8.2 and 5.7% sexual violence. The key factors associated with all forms of IPV were being afraid of their wife/partner most of the time (OR = 5.10, 95% CI 2.91, 8.96) controlling behaviour of the intimate partner (OR = 3.80, 95% CI 2.84, 5.07), bi-directional violence against the partner (OR = 3.20, 95% CI 2.49, 4.12), alcohol consumption by the intimate partner (OR = 1.85, 95% CI 1.40, 2.45). The factors associated with males who experience IPV appear to be modifiable and may warrant consideration for inclusion in programs supporting both males and females who experience IPV.
尽管女性通常是经历亲密伴侣暴力（IPV）不良影响的人群中比例最大的，但理解 IPV 的双向性质对于制定细致入微的预防措施很重要。本研究分析了 2016 年乌干达人口与健康调查的数据。参与者是从乌干达所有 15 个地区的家庭中通过两阶段抽样设计选择的。共有 2858 名处于异性关系或分居/离婚状态的男性参与了分析。进行了单变量和多变量逻辑回归分析，目的是确定选定的人口统计学变量与男性接触所有形式的 IPV 综合、心理暴力、身体暴力和性暴力之间的关联。终身 IPV 和在调查前 12 个月分别为所有形式的 43.6%和 30.5%，分别有 35.9%和 24.8%报告有心理暴力，20.2%和 11.9%报告有身体暴力，8.2%和 5.7%报告有性暴力。与所有形式的 IPV 相关的主要因素是大多数时间都害怕他们的妻子/伴侣（OR = 5.10，95%CI 2.91，8.96），控制亲密伴侣的行为（OR = 3.80，95%CI 2.84，5.07），双向针对伴侣的暴力行为（OR = 3.20，95%CI 2.49，4.12），亲密伴侣饮酒（OR = 1.85，95%CI 1.40，2.45）。与男性经历 IPV 相关的因素似乎是可以改变的，可能值得考虑纳入支持经历 IPV 的男性和女性的方案。
