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绘制撒哈拉以南非洲地区亲密伴侣暴力流行率和决定因素的差异图。

Mapping the disparities in intimate partner violence prevalence and determinants across Sub-Saharan Africa.

机构信息

Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Amhara Region, Ethiopia.

Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Amhara Region, Ethiopia.

出版信息

Front Public Health. 2023 Jun 28;11:1188718. doi: 10.3389/fpubh.2023.1188718. eCollection 2023.

Abstract

OBJECTIVE

This study aimed to map disparities in prevalence and associated factors across countries in Sub-Saharan Africa.

METHODS

We used National Demographic and Health Survey (DHS) data from 26 countries in the region with 114,340 participants. Women and girls in the reproductive age group of 15 to 49 years were included in the study. To map disparities across countries and their provinces, we employed the kriging interpolation technique. We used STATA for data management.

RESULT

The prevalence of physical, emotional and sexual IPV in Sub-Saharan Africa was 30.58, 30.22, and 12.6% respectively, and at least one form of IPV was 42.62%. Disparities were observed across the countries and provinces in each country. Younger age, secondary-level education and above, moderate participation in decision-making, not working out of home, not afraid of the spouse, rich (wealth index), not having a child, high maternal literacy, and rural residence relatively decreased the odds of IPV. The husbands' lower education, alcohol consumption, and high controlling behavior increased the probability of IPV.

CONCLUSION

The prevalence of Intimate Partner Violence in Sub-Saharan Africa is the highest in the world, a signal that the global agenda to end all forms of violence against women will be difficult to achieve. There is a large gap across countries and provinces in each country. Area-specific intervention packages that focus on modifiable factors should be strengthened.

摘要

目的

本研究旨在绘制撒哈拉以南非洲国家之间流行率和相关因素的差异图。

方法

我们使用该地区 26 个国家的国家人口与健康调查(DHS)数据,共纳入 114340 名参与者。研究对象为 15 至 49 岁的育龄妇女和女孩。为了绘制国家和省份之间的差异图,我们采用了克里金插值技术。我们使用 STATA 进行数据管理。

结果

撒哈拉以南非洲地区身体、情感和性暴力的流行率分别为 30.58%、30.22%和 12.6%,至少有一种形式的暴力行为的流行率为 42.62%。在每个国家中,国家和省份之间都存在差异。年龄较小、接受过中等及以上教育、适度参与决策、不在家工作、不惧怕配偶、富裕(财富指数)、没有孩子、母亲文化程度较高以及居住在农村地区的人,他们遭受暴力行为的可能性较低。丈夫受教育程度较低、饮酒以及控制欲较强,则增加了遭受暴力行为的可能性。

结论

撒哈拉以南非洲地区亲密伴侣暴力的流行率居世界之首,这表明全球消除一切形式针对妇女暴力的议程将难以实现。国家和省份之间存在很大差距。应加强针对特定地区的干预措施,重点关注可改变的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f84c/10337829/ffb098015586/fpubh-11-1188718-g001.jpg

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