Institute for Medical Information Processing, Biometry and Epidemiology, Medical Faculty, Ludwig-Maximilians-University, Munich, Germany.
Pettenkofer School of Public Health, Munich, Germany.
Glob Health Action. 2023 Dec 31;16(1):2185967. doi: 10.1080/16549716.2023.2185967.
Although alcohol consumption is a well-known risk factor for intimate partner violence (IPV) perpetration, few studies have been conducted among young males in low- and middle-income countries. Alcohol consumption and IPV are both complex phenomena, whose association requires more in-depth exploration regarding drinking patterns and the alcohol-related manifestation of five different forms of IPV.
In this study, we sought to explore the relationship between alcohol use and IPV in young Tanzanian men and to identify differences in the magnitude of past-year IPV perpetration among alcohol drinkers and abstainers. Furthermore, we aimed to assess the association between various drinking patterns with the perpetration of different forms of IPV.
A cross-sectional survey of 1002 young males residing in Mwanza, Tanzania, was conducted in 2021-2022. Data on alcohol consumption were collected using the alcohol use disorder identification test. IPV perpetration was assessed using an index total of 19 items on acts of physical, sexual, economic, emotional abuse, and controlling behaviour. Logistic regression models were conducted to estimate the relationship between alcohol use and the perpetration of each form of IPV.
Among partnered respondents currently consuming alcohol ( = 189, 18.8%), the most and the least prevalent IPV forms in the past 12 months were controlling behaviour (84.1%) and physical IPV (25.4%), respectively. Those reporting recent alcohol consumption reported higher rates of all forms of past-year IPV perpetration compared to abstainers. While no form of IPV was associated with low-risk consumption versus abstention, all forms of IPV were associated with hazardous drinking.
Young men who drink alcohol, especially those drinking hazardously, are also more likely to report perpetrating IPV. An understanding of the different drinking patterns and manifestations of forms of IPV can contribute to better-tailored alcohol-related interventions and has the potential to improve young adults' health and reduce IPV perpetration.
尽管饮酒是亲密伴侣暴力（IPV）发生的一个众所周知的危险因素，但在中低收入国家，很少有研究针对年轻男性进行。饮酒和 IPV 都是复杂的现象，它们之间的关联需要更深入地探讨饮酒模式以及五种不同形式的 IPV 中与酒精相关的表现。
本研究旨在探讨坦桑尼亚年轻男性饮酒与 IPV 之间的关系，并确定饮酒者和不饮酒者之间过去一年 IPV 发生率的差异。此外，我们旨在评估不同饮酒模式与不同形式 IPV 发生之间的关联。
2021-2022 年，在坦桑尼亚姆万扎对 1002 名年轻男性进行了一项横断面调查。使用酒精使用障碍识别测试收集饮酒数据。使用关于身体、性、经济、情感虐待和控制行为的 19 项行为综合指数评估 IPV 发生情况。使用逻辑回归模型估计饮酒与每种形式 IPV 发生之间的关系。
在目前饮酒的伴侣受访者中（n=189，18.8%），过去 12 个月中最常见和最不常见的 IPV 形式分别为控制行为（84.1%）和身体暴力（25.4%）。与不饮酒者相比，近期饮酒者报告过去一年所有形式 IPV 发生率更高。虽然没有一种形式的 IPV 与低风险饮酒与不饮酒相关，但所有形式的 IPV 都与危险饮酒相关。
饮酒的年轻男性，尤其是饮酒危险的男性，更有可能报告实施 IPV。了解不同的饮酒模式和 IPV 形式的表现可以促进量身定制的与酒精相关的干预措施，并有可能改善年轻人的健康状况和减少 IPV 发生。
