Director, Department of Nursing and Midwifery Program, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Kathmandu Univ Med J (KUMJ). 2023 Apr-Jun;21(82):118-124.
Background Violence against women and girls is frequent, a third of all women is estimated to experience violence in their lifetime and mostly by an intimate partner. Women in Southeast Asia are most affected, and previous studies in Nepal found that one in five women had experiences of domestic violence, including being afraid of someone in the family. Objective To investigate women's attitudes to domestic violence and their emotional distress, in a specific group of pregnant women. Method Validated questions from the WHO multi-country study on women's health and experiences of domestic violence, and questions from the Hopkins Symptom Checklist (HSCL-5), measuring depression and anxiety, were used. Women could answer anonymously by hearing questions in a headset and touching a tablet screen, for 'yes' or 'no'. Result In total 1011 pregnant women participated in the research and 240 women admitted being exposed to domestic violence (23.7%). These women had a more accepting attitude to violence compared to non-violence exposed women. They agreed more that the husband had good reasons to hit his wife, if she does not complete the household work to his satisfaction, she disobeys or refuses to have sex with him. Violence exposed women also reported more emotional distress and subsequently reduced wellbeing. They admitted worrying too much, feelings of hopelessness, feeling blue, fearful, or nervous. Conclusion The present study found that the pregnant Nepali women having an accepting attitude to violence suffer from emotional distress.
针对妇女和女童的暴力行为屡见不鲜,据估计,三分之一的女性在其一生中会遭受暴力,且大多数施暴者是其亲密伴侣。东南亚地区的女性受影响最大,尼泊尔此前的研究发现,五分之一的女性曾遭受过家庭暴力,包括害怕家中某人。目的:调查特定孕妇群体对家庭暴力的态度及其情绪困扰。方法:采用世界卫生组织多国家妇女健康和家庭暴力经历研究的有效问卷,以及霍普金斯症状清单(HSCL-5)的问题,用于测量抑郁和焦虑。女性可以通过耳机听到问题并触摸平板电脑屏幕回答“是”或“否”,匿名回答。结果:共有 1011 名孕妇参与了这项研究,其中 240 名孕妇承认遭受过家庭暴力(23.7%)。与未遭受过家庭暴力的女性相比,这些女性对暴力行为的态度更为接受。她们更同意丈夫有充分理由打妻子的观点,如果妻子没有令他满意地完成家务、不服从或拒绝与他发生性关系。遭受过家庭暴力的女性也报告了更多的情绪困扰,随后幸福感降低。她们承认自己过于担忧、感到绝望、忧郁、恐惧或紧张。结论:本研究发现,尼泊尔孕妇对暴力行为持接受态度,她们会遭受情绪困扰。